Job Overview We are seeking an experienced Medical Billing Specialist to support healthcare insurance and revenue cycle operations. This position is ideal for candidates with experience in medical billing, healthcare insurance, insurance verification, revenue cycle management, payer data, or insurance administration. The successful candidate will work with insurance and payer information, reimbursement rules, billing requirements, claims-related issues, and healthcare insurance data. Candidates must be available to work Monday-Friday, 6:00 AM-2:30 PM PST and must be able to attend an in-person interview in Livermore, CA. Key Responsibilities Maintain and update insurance and payer information within revenue cycle systems. Configure and maintain payer plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules. Review and implement changes related to payer contracts and reimbursement requirements. Research commercial, Medicare, Medicaid, and managed care insurance plans. Research payer policies, insurance requirements, and reimbursement guidelines. Support billing, verification of benefits (VOB), prior authorization, and collections teams with insurance-related questions. Investigate claim status and payer-related issues. Identify potential payer-related causes affecting reimbursement. Review insurance data for accuracy and completeness. Maintain payer reference materials, workflows, and process documentation. Ensure insurance configurations and processes follow payer requirements, contractual obligations, and applicable regulations. Collaborate with internal teams to resolve insurance and billing issues. Perform data auditing and quality checks as needed. Required Qualifications High school diploma or equivalent. 2+ years of experience in one or more of the following: Medical billing Healthcare insurance Revenue cycle management Insurance verification/eligibility Insurance data management Healthcare reimbursement Claims processing Medical accounts receivable Payer operations Working knowledge of commercial, Medicare, Medicaid, and managed care insurance plans. Understanding of healthcare reimbursement and payer requirements. Experience researching insurance policies and payer requirements. Strong analytical and problem-solving skills. Strong attention to detail and organizational skills. Excellent written and verbal communication skills. Ability to work independently and collaborate with different teams. Preferred Experience Candidates with experience in any of the following are encouraged to apply: Medical billing Insurance eligibility Benefits verification Claims processing Revenue cycle management (RCM) Medical accounts receivable Payer contracts Healthcare reimbursement Prior authorization Insurance follow-up Payment posting Insurance data entry Healthcare administration Hospital or physician-office billing Healthcare payer systems Work Schedule & Location Monday-Friday 6:00 AM-2:30 PM PST 100% onsite in Livermore, CA No remote, hybrid, or part-time option Must be able to attend an in-person interview Start date is ASAP, pending successful completion of required screenings Who Should Apply? We welcome qualified candidates with backgrounds in medical billing, healthcare insurance, RCM, insurance verification, claims, reimbursement, or payer data management. If you have 2+ years of healthcare insurance or revenue cycle experience and are comfortable working onsite during the required early-morning schedule, we encourage you to apply. Apply today for immediate consideration.

Pay:

$24.00 - $26.00 per hour

Work Location:

In person