Our established plastic surgery practice in San Francisco, led by a board-certified plastic surgeon, is growing — and we’re expanding our billing team to keep pace with increasing case volume. We’re looking for an experienced Medical Billing Specialist who takes pride in clean claims, persistent follow-up, and getting the practice paid accurately for the care it provides.
This is a hands-on, in-office role on a small, close-knit team. You’ll work directly with our front desk, clinical staff, and leadership, and you’ll own key parts of the revenue cycle from claim submission through resolution.
Please submit your CV with a cover letter sharing a little bit about yourself, we would love to learn more about you!
What You’ll Do
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.
What You Bring
Required
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
Nice to Have
Experience in plastic surgery, cosmetic procedures, or cash-pay settings
Experience with patient billing or cost estimates
CPC or similar certification
Who You Are
Detail-oriented and accurate, even when the volume is high
Organized and able to juggle many claims and deadlines at once
A persistent problem-solver who knows when to escalate
A clear, professional communicator with payers, patients, and coworkers
Independent and proactive, but a true team player who welcomes feedback
Compensation & Benefits
Salary: $80,000 – $90,000 per year, based on experience
Performance-based bonus opportunities
Health, Dental and Vision Insurance
401(k) with employer match
2 weeks Paid Time Off and Paid Holidays
How to Apply
Please submit your resume and a cover letter outlining your relevant experience and your interest in this role.
Please do not call the office. We review every application and will contact candidates selected for interviews.
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.