[Hiring] Insurance Collector/Medical Biller @Modena Allergy + Asthma

Role Description

We are currently hiring an Insurance Collector/Medical Biller to join our growing billing team and support the increasing demand for our services. This role offers strong opportunities for personal, professional, and financial growth.

As an Insurance Collector/Medical Biller, you will be responsible for:

• Reviewing clinical documentation and assigning accurate medical codes to ensure proper billing and reimbursement.
• Processing claims and invoices.
• Working closely with healthcare providers, insurance companies, and patients to verify coding accuracy, resolve billing-related issues, and support compliance with industry standards.

The Insurance Collector/Medical Billing Specialist is responsible for managing insurance accounts receivable for a busy Allergy & Asthma practice. This role focuses on:

• Timely follow-up of unpaid, denied, and underpaid claims to ensure maximum reimbursement.
• Maintaining compliance with payer regulations and healthcare standards.

Qualifications

• High school diploma or equivalent required; Associate's degree preferred.
• Minimum 2 years of medical billing and insurance collections experience, preferably in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice.
• Knowledge of medical terminology, CPT, ICD-10-CM, and HCPCS coding.
• Experience with insurance follow-up, denial management, and appeals.
• Familiarity with Medicare, Medicaid, commercial insurance plans, and prior authorization processes.
• Proficiency with EMR and practice management systems.
• Strong analytical, organizational, and problem-solving skills.
• Excellent verbal and written communication skills.

Requirements

• Experience billing for allergy testing, immunotherapy, biologic injections, and respiratory-related procedures.
• Understanding of payer-specific reimbursement policies for allergy and asthma services.
• Certified Professional Biller (CPB) or related certification is a plus.

Benefits

• Competitive compensation and professional development opportunities.
• Full-time employees are eligible for Modena Health’s benefits package, which includes medical, dental, and vision insurance, as well as a 401(k) retirement plan with employer matching.
• Paid time off (PTO), sick time, floating holidays, and holiday pay are also available to eligible full-time employees in accordance with company policy.
• Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network).
• A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth.