Talent.com
Senior Medical Billing Specialist
Senior Medical Billing SpecialistLucence • Palo Alto, California, United States
Senior Medical Billing Specialist

Senior Medical Billing Specialist

Lucence • Palo Alto, California, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters_job_card.quick_apply
job_description.job_card.job_description

About us :

Lucence is a pioneering precision oncology company with a bold vision : a world where cancer is defeated through early detection and timely treatment. Our cutting-edge liquid biopsy tests use advanced molecular profiling to guide personalized cancer therapies, transforming how cancer is diagnosed and treated. At Lucence, we are shaping the future of precision medicine by capturing both genetic and cellular data from a single blood draw, bringing us closer to our mission of overcoming cancer.

Position Summary

At Lucence, every process we build supports one mission : enabling earlier cancer detection so patients can live longer and healthier lives. As a Senior Medical Billing Specialist , you play a vital role in that mission. You will ensure that our billing operations are accurate, compliant, and efficient—so that patients, clinics, and partners experience a smooth and dependable journey.

This role is ideal for someone who takes ownership, works with precision, and thrives in a dynamic environment. You will manage the full billing cycle, collaborate with teams across the company, and help strengthen the financial backbone that supports our global growth.

What You’ll Do

Insurance Verification & Eligibility

  • Confirm patient benefits and insurance eligibility through direct communication with insurance providers.
  • Document coverage requirements clearly to support timely testing and patient care.

Full Revenue Cycle Management

  • Own end-to-end billing activities :
  • Charge entry

  • Claim submission (CMS-1500, 837 formats)
  • Payment posting
  • Accounts receivable tracking
  • Maintain clean, accurate data within billing systems and extract reports to support operational visibility.
  • Claims Follow-Up, Denials & Appeals

  • Follow up proactively with insurance companies and medical groups on pending claims.
  • Investigate denials, prepare resubmissions and appeals, and close gaps that delay reimbursement.
  • Implement improvements that increase claim acceptance and reduce denials.
  • Financial Insights & Revenue Optimization

  • Analyze reimbursement patterns to identify errors, denial trends, and opportunities for recovery.
  • Generate clear, actionable billing reports for internal stakeholders.
  • Recommend improvements that enhance revenue capture and reduce leakage.
  • Compliance & Quality Standards

  • Ensure adherence to Medicare, State programs, HMO / PPO rules, and payer-specific guidelines.
  • Stay current with billing codes (CPT / HCPCS, ICD-10) and regulatory updates.
  • Maintain strict HIPAA compliance and protect patient information at all times.
  • Process Excellence & Cross-Functional Collaboration

  • Develop and refine departmental procedures to support scalability and accuracy.
  • Conduct routine data audits and clean-ups to maintain system integrity.
  • Train internal and external partners on billing workflows and updates.
  • Work closely with IT to improve system performance and streamline billing processes.
  • Partner with Clinical Ops, CX, Lab, Finance, and Commercial teams to ensure a seamless end-to-end experience.
  • Payment & Invoice Management

  • Send invoices and track incoming and overdue payments with rigor.
  • Follow up with payers or patients on late payments; issue reminders when needed.
  • Adjust bills based on remittance advice or payer feedback to ensure accuracy.
  • Handle additional tasks related to revenue cycle operations as assigned.
  • Why This Role Matters

    Accurate billing isn’t just an operational function—it’s a critical enabler of timely patient care, responsible growth, and our ability to expand access to life-saving diagnostics. In this role, you’ll help build systems that scale with our mission and strengthen the trust clinicians and patients place in us.

    What We're Looking For

    Must-Haves

  • Bachelor’s degree in healthcare administration, business, finance, or a related field—or equivalent practical experience.
  • 4+ years of experience in healthcare billing, patient accounts, or revenue cycle operations, preferably within a diagnostics or lab services environment.
  • Proficiency in Excel or Google Sheets, with a strong comfort level working with data-driven tools and generating insights.
  • Proven self-starter with strong initiative and a solution-oriented mindset.
  • Exceptional organizational, analytical, and problem-solving skills with meticulous attention to detail.
  • Excellent written and verbal communication skills, with the ability to articulate complex information clearly and concisely.
  • A high standard of confidentiality and professionalism when handling sensitive patient data (PHI) in compliance with HIPAA standards.
  • Ability to thrive in a fast-paced, high-accountability environment and adapt quickly to change.
  • Nice-to-Haves

  • Familiarity with systems such as Salesforce, Snowflake, MES, or Power BI.
  • Proficiency in SQL or other data query tools is a significant plus.
  • Experience in procurement or inventory management within a lab or healthcare setting.
  • Comfort navigating across U.S. and international healthcare billing practices.
  • Working knowledge of CPT / HCPCS, ICD-10, and common billing codes and modifiers
  • serp_jobs.job_alerts.create_a_job

    Medical Billing Specialist • Palo Alto, California, United States

    Job_description.internal_linking.related_jobs
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    IDR Healthcare • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    IDR Healthcare is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements. IDR Healthcare is an awarding winning staffing f...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Nurse RN - Cardiac Catheterization Lab - $2,846 to $3,155 per week in Santa Cruz, CA

    Travel Nurse RN - Cardiac Catheterization Lab - $2,846 to $3,155 per week in Santa Cruz, CA

    TravelNurseSource • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with LRS Healthcare to find a qualified Cath Lab RN in Santa Cruz, California, 95065!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    Medical Solutions • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements. We’re seeking talented healthcare profe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    Triage Staffing • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    Triage Staffing is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements. Travel Nursing : Telemetry Santa Cruz, CA.Locati...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Patient Coordinator (Japantown Optometry)

    Patient Coordinator (Japantown Optometry)

    VSP Vision • San Jose, CA, United States
    serp_jobs.job_card.full_time
    Compensation range for the role is listed above.Applicable salary ranges may differ across markets.Actual pay will be determined based on experience and other job-related factors permitted by law.A...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Medical Billing

    Medical Billing

    TradeJobsWorkforce • 95150 San Jose, CA, US
    serp_jobs.job_card.full_time
    REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Legal Billing Specialist

    Legal Billing Specialist

    Steffan & Co., Incorporated • Palo Alto, CA, United States
    serp_jobs.job_card.full_time
    Legal Billing Specialist (Billing and Collections CSR).Location : Either Palo Alto, CA, San Francisco, CA, or Los Angeles, CA. A hybrid model of 3 / 2 (Tuesday, Wednesday, and Thursday in the office) a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Medicare Billing Specialist

    Medicare Billing Specialist

    Insight Global • Pleasanton, CA, United States
    serp_jobs.job_card.full_time
    Insight Global is seeking a Medicare Billing Specialist to join their clients team.The Medicare Billing Specialist is responsible for the accurate preparation, submission, and reconciliation of Med...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    GetMed Staffing, Inc. • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements.Pay package is based on 12 hour shifts and 36. We are a diversity owned company, specializ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Associate Director, Field Access Ops and Patient Services Analytics

    Associate Director, Field Access Ops and Patient Services Analytics

    Ardelyx • Fremont, CA, United States
    serp_jobs.job_card.full_time
    Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medic...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    ADEX Healthcare Staffing LLC • Santa Cruz, CA, US
    serp_jobs.job_card.permanent
    ADEX Healthcare Staffing LLC is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California. Job Description & Requirements.Work 12-hour night shifts from 7 : 0...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    San Diego, CA based Clinical Specialist

    San Diego, CA based Clinical Specialist

    Calyxo, Inc. • Pleasanton, CA, United States
    serp_jobs.job_card.full_time
    The company was founded in 2016 to address the profound need for improved kidney stone treatment.Kidney stone disease is a common, painful condition that consumes vast amounts of healthcare resourc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    Uniti Med • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    Uniti Med is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements. Cigna medical, MetLife dental and vision insurance&nb...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    Host Healthcare • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    Host Healthcare is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 h...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Travel Telemetry RN - Neuro / Spine

    Travel Telemetry RN - Neuro / Spine

    PRN Healthcare • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    PRN Healthcare is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Santa Cruz, California.Job Description & Requirements. PRN Healthcare Job ID #1476942.Pay package is ba...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    RN - Med Surg / Telemetry in Santa Cruz, California - $2,305 / week

    RN - Med Surg / Telemetry in Santa Cruz, California - $2,305 / week

    Vetted Health • Santa Cruz, CA, US
    serp_jobs.job_card.full_time
    Vetted is seeking a RN - Med Surg / Telemetry for a travel job in Santa Cruz, California.The assignment starts on Jan 5 and is 13 weeks long with 13 hour shifts 3 days a week.You must live 60 miles...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Billing Specialist (Temp to Perm)

    Billing Specialist (Temp to Perm)

    ACCO Engineered Systems • San Leandro, CA, United States
    serp_jobs.job_card.temporary
    Under the direction of the Billing Manager, this position will work at our San Leandro office.You will spend about 70% of your time with billings. another 20% assisting in the set-up of jobs, catch...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Internal Medicine

    Internal Medicine

    The Inline Group • San Leandro, California, US
    serp_jobs.job_card.full_time
    Internal Medicine physician employment in California : The Inline Group -.Hours : 8-12 Hours / Week | Monday - Friday.Compensation : - $85,000 (8 hours / week)- $128,000 / yr (12 hours / week).Benefits : ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted