Zócalo Health · 1 day ago
Medical Billing Specialist (CPC) - Feb 2026
United States
Full-time
Remote
Mid Level
$28/hr - $32/hr
3+ years expZócalo Health is a tech-driven healthcare provider focused on serving the Latino community. The Medical Billing Specialist (CPC) will support accurate and compliant billing across various healthcare services while collaborating with the Revenue Cycle Management team to enhance reimbursement processes and resolve claim issues.
Hospital & Health Care
Responsibilities
Provide accurate and compliant coding and billing for Primary Care, Urgent Care, and Behavioral Health services across Medi-Cal managed care plans and Medi-Cal initiatives, including ECM, CHW, and Care Services
Ensure claims are reviewed, coded correctly, submitted timely, and followed through to resolution in alignment with payer, regulatory, and internal requirements
Actively research and resolve claim denials and rejections to improve reimbursement outcomes and first-pass claim acceptance
Partner with Revenue Cycle team members to identify trends impacting claims performance and support continuous process improvement
Maintain accurate documentation and billing records within Athena and related billing systems to support audit readiness and compliance
Provide additional billing and revenue cycle support as needed to support team priorities and ensure continuity of Revenue Cycle operations
Qualification
Required
High school diploma or equivalent required
Active Certified Professional Coder (CPC) or CPC-A certification required
3 to 5 years of medical billing experience
Experience billing Medi-Cal managed care plans in California
Strong understanding of revenue cycle workflows, including claim review, coding accuracy, submission, denial management, appeals, and follow-up
Ability to maintain accuracy, confidentiality, and compliance with HIPAA requirements in a remote work environment
Strong written and verbal communication skills
Preferred
Demonstrated experience coding and billing for Primary Care, Urgent Care, and Behavioral Health services
Direct experience billing Medi-Cal initiatives, including Enhanced Care Management (ECM), Community Health Worker (CHW), and Care Services (CS)
Experience working with electronic health record and practice management systems, including Athena
Experience using revenue cycle management platforms and clearinghouse tools, such as Candid
Strong analytical skills with the ability to identify trends related to denials, underpayments, and payer behavior
Benefits
Equity compensation package
Comprehensive benefits including medical, dental, and vision
401k
Generous PTO policy (up to 15 days per year for FT employees)
$1,000 home office stipend
We provide the equipment needed for this role.
Opportunity for rapid career progression with plenty of room for personal growth.
Company
Zócalo Health
Now serving patients in California, Texas, Washington, and Maryland (July 2025)! Introducing Zócalo Health, a primary care and care management service specializing in culturally-sensitive care for the Latino community.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Erik Cardenas
Co-Founder & CEO
Tom Valdivia, MD, MS
Executive Advisor to the CEO
Company data provided by crunchbase