Medical Biller

Description

Investigate and resolve credit balances on patient accounts, with a focus on

government payers (e.g., Medicare, Medicaid).​

Review aged transactions to identify root causes of overpayments and

determine appropriate resolution paths.​

Ensure timely processing of refunds in accordance with CMS 60-day refund

rules and other regulatory guidelines.​

Collaborate with billing, compliance, and finance teams to validate refund

accuracy and prevent recurrence.​

Document findings and maintain audit-ready records for all credit balance

resolutions.​

Monitor and report progress on backlog reduction, highlighting risks and

compliance concerns.​

Support internal and external audit requests related to credit balances and

payer activity.​

Stay informed of changes in billing regulations, payer policies, and

reimbursement methodologies.​

Document all collection activities and communications in the billing system in

accordance with department policies.​

Collaborate with billing, coding, and registration teams to resolve account

discrepancies and ensure claim accuracy.​

Process refunds, adjustments, and write-offs as appropriate and in compliance

with hospital policies.​

Maintain compliance with HIPAA, CMS, and other regulatory requirements

related to patient privacy and billing practices.

Additional Skills & Qualifications

Ability to work independently

Strong Excel knowledge

Strong computer skills

AR Follow Up

Billing - understanding of CPT codes

EPIC

Want someone with 5+ years of experience to the project and autonomy needed

Experience Level

Expert Leve

This is a Contract position based out of San Diego, CA.

The pay range for this position is $28.00 - $28.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Dec 31, 2025.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.