Medical Billing Specialist

Our client, a leading organization in healthcare services, is seeking a Medical Billing Specialist to join their team. As a Medical Billing Specialist, you will be part of the Revenue Cycle Management department supporting insurance data management and billing operations. The ideal candidate will demonstrate strong analytical skills, excellent organizational abilities, and effective problem-solving capabilities, which will align successfully within the organization.

Job Title: Medical Billing - (Insurance Data Management Specialist) 

Location: Livermore, California (100% On-Site)

Duration: 6+ Month Contract

Shift: 6AM - 2:30PM

Pay Range: $25/hr. - $27/hr. 

What's the Job?

• Configure and maintain payor plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules.
• Implement new payor contracts and update existing configurations based on contract amendments and reimbursement changes.
• Support Billing, VOB, Prior Authorization, and Collections teams with insurance research and payer-related inquiries.
• Investigate claim status issues and assist in identifying payer-related root causes affecting reimbursement.
• Ensure configurations comply with contractual obligations, payer policies, and regulatory requirements.

What's Needed?

• High school diploma or equivalent.
• Minimum 2 years of experience in healthcare insurance, revenue cycle management, eligibility verification, billing, or insurance data management.
• Working knowledge of commercial, Medicare, Medicaid, and managed care insurance plans.
• Strong understanding of healthcare reimbursement and payor contract interpretation.
• Experience researching payer policies and insurance requirements.

What's in it for me?

• Opportunity to work in a dynamic healthcare environment with a dedicated team.
• Engage in meaningful work that impacts patient care and revenue cycle efficiency.
• Gain valuable experience in insurance data management and revenue cycle processes.
• Work with a supportive organization committed to professional growth.
• Enjoy a consistent work schedule Monday through Friday, 6am-2:30pm PST.

Consultants Eligible Benefits Upon Waiting Period:

• Medical and Prescription Drug Plans
• Dental Plan
• Vision Plan
• Health Savings Account (for High-Deductible Health Plans)
• Flexible Spending Accounts (Health, Limited Purpose, Dependent Care, Commuter Parking and Commuter Transit)
• Supplemental Life Insurance
• Short Term Disability (coverage varies by state)
• Long Term Disability
• Critical Illness, Hospital coverage, Accident Insurance
• MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance
• 401(k)

If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!