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About the Role

Our established plastic surgery practice in San Francisco is growing and expanding its billing team. We are seeking an experienced Medical Billing Specialist to manage the full claims lifecycle, ensuring accurate payment for services provided. This is a hands-on, in-office role within a close-knit team, requiring direct collaboration with front desk, clinical staff, and leadership.

Responsibilities

Manage the full claims lifecycle (submission, follow-up, and resolution) for surgical and in-office procedures
Verify eligibility and interpret benefits for commercial PPO plans, including out-of-network (OON) coverage
Work denied and underpaid claims, identify root causes, and prepare insurance appeals
Communicate with payers by phone and through payer portals to move claims to resolution
Track claims, A/R, and follow-up activity in Excel and our practice management system
Partner with the front desk and clinical team to capture accurate information up front and prevent denials
Support patient billing questions and cost estimates as needed
Participate in the full revenue lifecycle and engage in revenue recovery including, but not limited to the No Surprises Act IDR arbitration.

Requirements

3+ years of medical billing experience, preferably in surgical specialties or private practice
Experience managing claims end to end, including denials, underpayments, and appeals
Strong working knowledge of CPT, ICD-10, and HCPCS coding for surgical procedures
Experience with all forms of insurance plans, eligibility verification, and benefits interpretation
Experience with out-of-network billing, or the ability to learn OON workflows and reimbursement strategies quickly
Experience with EMR/EHR and billing or practice management systems
Proficiency in Microsoft Office, especially Excel
Ability to work on-site full-time, with strong attendance and reliability

Skills

CPT coding
ICD-10 coding
HCPCS coding
Eligibility verification
Benefits interpretation
Out-of-network billing
EMR/EHR systems
Practice management systems
Microsoft Office
Excel

Location

San Francisco

Work Type

On-site
Full-time

Experience Level

3+ years of medical billing experience

Education Level

CPC or similar certification (Nice to Have)

Salary/Compensations

$80,000 – $90,000 per year

Benefits

Performance-based bonus opportunities
Health, Dental and Vision Insurance
401(k) with employer match
2 weeks Paid Time Off
Paid Holidays

About the Company

Established plastic surgery practice led by a board-certified plastic surgeon.

Equal Opportunity

We are an equal opportunity employer and value diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, medical condition, genetic information, marital status, veteran status, or any other characteristic protected by law.
Pursuant to the San Francisco Fair Chance Ordinance and the California Fair Chance Act, we will consider for employment qualified applicants with arrest and conviction records.