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Saivance

Medical Billing Specialist

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Job Description

Medical Billing Specialist Saivance Livermore, CA Job Details Contract $26 - $27 an hour 21 hours ago Qualifications Insurance third-party billing Medicare Commercial insurance knowledge Managed care Medical insurance coverage verification Research Mid-level High school diploma or GED Medicaid health insurance Analysis skills Data management Healthcare billing investigations Policy verification in claims processing Health insurance pre-authorization requirements Organizational skills Insurance investigations Medical claims submission Medicaid Communication skills Office record organization Full Job Description Job Overview We are hiring an experienced Medical Billing / Insurance Specialist to support healthcare insurance, billing, claims, and revenue cycle activities. This position is ideal for candidates with experience in medical billing, healthcare insurance, insurance verification, claims, revenue cycle management, payer operations, reimbursement, or insurance data management . If you have at least 2 years of healthcare insurance or medical billing experience , we encourage you to apply. Responsibilities Manage and maintain healthcare insurance and payer information. Review and update insurance plans and payer data. Research insurance coverage, payer policies, and reimbursement requirements. Support medical billing and revenue cycle operations. Review claims and investigate payer-related issues. Assist with identifying insurance and reimbursement discrepancies. Work with commercial insurance, Medicare, Medicaid, and managed care plans . Review reimbursement information, billing rules, fee schedules, and contractual requirements. Support eligibility verification and insurance-related inquiries. Work with billing, collections, VOB, and prior authorization teams. Maintain accurate insurance and payer records. Research claim status and help resolve payer-related problems. Assist with payer contract updates and insurance configuration changes. Prepare and maintain payer reference information and process documentation. Ensure insurance information is accurate and follows applicable requirements. Communicate with internal teams to resolve billing and insurance questions. Qualifications High school diploma or equivalent. 2+ years of healthcare insurance, medical billing, revenue cycle, claims, eligibility verification, or insurance data experience.
Knowledge of:
Commercial insurance Medicare Medicaid Managed care Healthcare reimbursement Insurance eligibility Medical claims Payer requirements Strong analytical and problem-solving skills. Excellent attention to detail. Strong organizational skills. Good written and verbal communication. Ability to work in a fast-paced healthcare environment. Candidates With These Job Titles Are Encouraged to Apply Medical Billing Specialist Medical Biller Billing Specialist Healthcare Billing Specialist Insurance Specialist Insurance Verification Specialist Insurance Data Specialist Insurance Coordinator Revenue Cycle Specialist Revenue Cycle Representative Revenue Cycle Analyst Claims Specialist Claims Analyst Medical Claims Specialist Payer Specialist Reimbursement Specialist Healthcare Insurance Specialist Eligibility Specialist Benefits Verification Specialist Medical Billing Coordinator Preferred Experience Experience with any of the following is a plus: Medical billing Healthcare insurance Revenue cycle management Claims processing Insurance verification Eligibility verification Medicare and Medicaid Commercial insurance Managed care Payer research Reimbursement Fee schedules Payer contracts Prior authorization Verification of Benefits (VOB) Healthcare collections Insurance data management Healthcare billing systems Claims investigation Schedule & Location Monday-Friday | 6:00 AM-2:30 PM PST This position is 100% onsite in Livermore, California .
Candidates must:
Be available for the full 6:00 AM-2:30 PM PST schedule. Be able to work onsite every day. Be available for an in-person interview . Complete required screening/background requirements before starting. Remote, hybrid, and part-time candidates will not be considered. Apply Today If you have experience in medical billing, healthcare insurance, claims, revenue cycle, insurance verification, payer operations, or reimbursement , apply today. We are especially interested in candidates who have worked with Medicare, Medicaid, commercial insurance, and managed care plans .
Pay:
$26.00 - $27.00 per hour Expected hours: 40.0 per week
Work Location:
In person

Benefits

  • Health Insurance
  • Dental Insurance