Medical Biller/Collector

Company: Tri-City Medical Center
Location: Oceanside
Posted on: January 27, 2026

Job Description:

Job Description Company Description Tri-City Medical Center is a full-service acute-care hospital located in Oceanside, California, serving the communities of Oceanside, Vista, Carlsbad, and San Marcos. Known for its Gold Seal of Approval, the hospital features two advanced clinical institutes and a team of physicians specializing in over 60 medical fields. As a leader in robotics and minimally invasive technologies, Tri-City Medical Center has been delivering high-quality healthcare services to the local community for over 50 years. The hospital's facilities include the main campus, outpatient services, and the Tri-City Wellness Center in Carlsbad. The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. Maintains a safe, clean working environment, including unit based safety and infection control requirements. Reviews patient bills for accuracy and completeness; obtains missing information Knowledge of insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances Utilize a combination of electronic health record (EHR) to perform billing duties; maintain an accurate, legally compliant medical record Process claims as they are paid and credit accounts accordingly Review insurance payments for accuracy and compliance with contract discounts Review denials or partially paid claims and work with the involved parties to resolve the discrepancy Manage assigned accounts, ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to Business Office Manager. Prepare reports and forms as directed and in accordance with established policies Perform a variety of administrative duties including, but not limited to: answering phones, faxing and filing of confidential documents; and basic Internet and email utilization Provide excellent and professional customer service to internal and external customers Function as a contributing team member while meeting deadlines and productivity standards Qualifications: Minimum of 1 year of experience posting in a health care setting. Strong background in customer service. Competencies in the areas of leadership, teamwork and cooperation. Strong ethics and a high level of personal and professional integrity. Ability to understand medical/surgical terminology. Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient and client information. Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites Preferred experience with billing systems such as GE Centricity & SRS Caretracker Strong written, oral and interpersonal communication skills; Ability to present ideas in a business-friendly and user-friendly language; Highly self-motivated, self-directed and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high pressure environment Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations Education: High school diploma or equivalent, required. Associate’s Degree in Business Administration, preferred. Certifications: Certified Medical Reimbursement Specialist (CMRS) certification, preferred. Please follow following link Medical Biller/Collector - OSNC in Oceanside, California | Careers at Tri-City Medical Center

Keywords: Tri-City Medical Center, San Bernardino , Medical Biller/Collector, Healthcare , Oceanside, California