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Out-of-Network Medical Billing and Appeals Specialist (Plastic Surgery)

Pacific Plastic Surgery GroupSan Francisco, CA

$80,000 - $90,000 / year

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Overview

Schedule
Full-time
Education
Medical Coding (CCA, CCS, CCS-P, CPC)
Career level
Senior-level
Remote
On-site
Compensation
$80,000-$90,000/year
Benefits
Health Insurance
Paid Holidays
Paid Time Off

Job Description

We are an established plastic surgery practice in San Francisco led by a board-certified plastic surgeon, seeking an experienced Medical Billing Specialist to join our growing team.As our practice continues to expand, we are adding to our billing department to support increased case volume and ensure a high standard of revenue cycle management.Please include a cover letter with your application outlining your relevant experience and interest in this role.

PLEASE DO NOT CALL THE OFFICE

Experience

  • 3+ years of medical billing experience, preferably in surgical specialties or private practice settings
  • Experience managing the full lifecycle of claims, including submission, follow-up, and resolution
  • Prior exposure to out-of-network billing or willingness to quickly learn OON workflows and reimbursement strategies

Technical Knowledge

  • Strong working knowledge of CPT, ICD-10, and HCPCS coding related to surgical procedures
  • Experience with commercial insurance plans (PPOs), including eligibility verification and benefits interpretation
  • Understanding of common denial reasons and payer behavior, with the ability to take corrective action

Appeals & Collections

  • Experience handling denied or underpaid claims and following through to resolution
  • Ability to assist with or independently prepare basic insurance appeals
  • Comfortable communicating with payers via phone and payer portals to resolve claims

Systems & Tools

  • Experience with EMR/EHR and billing or practice management systems
  • Proficiency in Microsoft Office, particularly Excel for tracking and organizing claims

In-Office Work Requirements

  • Ability to work on-site full-time and collaborate closely with front desk, clinical staff, and leadership
  • Comfortable handling time-sensitive billing tasks in a structured, in-office environment
  • Strong attendance, reliability, and accountability

Skills & Attributes

  • High attention to detail and accuracy
  • Strong organizational skills with the ability to manage multiple claims and priorities
  • Problem-solving mindset with the ability to identify and escalate issues when needed
  • Clear, professional communication skills

Work Style

  • Able to work independently while also contributing to a small, team-oriented practice
  • Proactive and dependable, with a willingness to take ownership of assigned workflows
  • Open to feedback and continuous improvement

Nice to Have (Not Required)

  • Experience in plastic surgery, cosmetic procedures, or cash-pay environments
  • Familiarity with patient billing or cost estimates
  • CPC or similar certification
Compensation:
  • $80,000-90,000 annually, depending on experience
  • Bonus opportunities based on performance
  • Health insurance, paid time off, and paid holidays

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FAQs About Out-of-Network Medical Billing and Appeals Specialist (Plastic Surgery) Jobs at Pacific Plastic Surgery Group

What is the work location for this position at Pacific Plastic Surgery Group?
This job at Pacific Plastic Surgery Group is located in San Francisco, CA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Pacific Plastic Surgery Group?
Candidates can expect a pay range of $80,000 and $90,000 per year.
What employment applies to this position at Pacific Plastic Surgery Group?
Pacific Plastic Surgery Group lists this role as a Full-time position.
What experience level is required for this role at Pacific Plastic Surgery Group?
Pacific Plastic Surgery Group is looking for a candidate with "Senior-level" experience level.
What education level is required for this job?
The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.
What benefits are offered by Pacific Plastic Surgery Group for this role?
Pacific Plastic Surgery Group offers following benefits: Health Insurance, Paid Holidays, and Paid Time Off for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Pacific Plastic Surgery Group?
You can apply for this role at Pacific Plastic Surgery Group either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.