8 jobs found in Livermore

Insurance Data Management Specialist The Insurance Data Management Specialist is integral to ensuring the efficient and compliant operation of revenue cycle platforms. This role involves the setup, maintenance, auditing, and optimization of payor-related system configurations. The specialist will ensure accurate implementation of payor contracts, reimbursement methodologies, billing rules, fee schedules, and claims processing requirements. Responsibilities: 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, Verification of Benefits (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...

DaMar Staffing seeks a Medical Billing Specialist to join our Revenue Cycle Management team in Livermore, CA on-site. You will handle inbound calls about billing statements, follow up on patient balances, and interpret EOBs while maintaining accuracy and productivity. Strong medical billing knowledge and healthcare customer service experience are essential. The role requires clear communication and problem-solving to resolve unpaid accounts efficiently. #J-18808-Ljbffr

Title : Medical Billing- (Insurance Data Management Specialist) Location : Livermore, California Duration : 6 Month Shift : 6AM - 2:30PM 100% On-Site Position Summary: The Insurance Data Management Specialist is responsible for the setup, maintenance, auditing, and optimization of payer-related system configurations across revenue cycle platforms. This role ensures accurate implementation of payer contracts, reimbursement methodologies, fee schedules, billing rules, and claims processing requirements to support compliant and efficient revenue cycle operations. Key Responsibilities: Configure and maintain payer plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules. Implement new payer 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 identify...

Job Title: Medical Billing Specialist Location (On-site, Remote, or Hybrid?): Livermore, CA, (onsite) Contract Duration: Contract until 04/23/2027 Work Hours: 7:30 AM - 4:30 PM Total Hours: 40 Position Overview: This role is part of our Revenue Cycle Management team. The candidate will be responsible for: Handling inbound calls related to billing statement inquiries Following up on outstanding patient balances Interpreting EOBs (Explanation of Benefits) Resolving unpaid accounts efficiently while meeting quality and productivity standards Required Skills: Strong medical billing and insurance knowledge Experience with customer service in a healthcare setting Ability to interpret EOBs Excellent communication and problem-solving skills Please pre screen candidates for the required skills and ensure they are prepared for interview questions. #J-18808-Ljbffr

Medical Billing Specialist - Revenue Cycle Location: Livermore, CA Onsite Flexibility: Onsite Contract Details Position Type: Contract Contract Duration: 6 months Pay Rate: $25.00 / Hour (USD) Shift / Schedule: Monday–Friday, 7:30 AM – 4:00 PM PST Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. Job Summary The position of Customer Accounts Specialist is within our Revenue Cycle Management team, located in Livermore, California. In this role, you will be responsible for handling inbound calls regarding questions about billing statements, and the follow-up of outstanding patient balances. Working knowledge of billing, insurance, and interpreting EOBs is mandatory. The representative will be tasked with resolving unpaid accounts in a timely and efficient manner while maintaining quality and production standards set for the position. This job description...

Medical Billing Specialist We are seeking a Customer Accounts Specialist for our Revenue Cycle Management team, located onsite in Livermore, CA. This full-time position requires handling billing inquiries and managing outstanding patient balances. The role demands a strong understanding of medical billing, insurance, and the ability to interpret Explanation of Benefits (EOBs). Responsibilities: Communicate with up to 50 patients daily via phone and email in a professional manner. Address inquiries related to patient statements, billing, and general questions. Reconcile patient accounts to ensure accuracy of statements. Interpret and explain billing statements and methodologies. Maintain accurate records of collection activities. Process requests, adjustments, and refunds efficiently. Keep management informed of any issues or concerns. Assist in monthly closing processes. Process credit card payments and monitor hardship applications. Handle correspondence...

Insurance Data Management SpecialistThe Insurance Data Management Specialist is integral to ensuring the efficient and compliant operation of revenue cycle platforms. This role involves the setup, maintenance, auditing, and optimization of payor-related system configurations. The specialist will ensure accurate implementation of payor contracts, reimbursement methodologies, billing rules, fee schedules, and claims processing requirements.Responsibilities: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, Verification of Benefits (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...

Work Schedule: Monday–Friday, 7:30 AM – 4:00 PM PST Work Arrangement: Onsite The position of Customer Accounts Specialist is within our Revenue Cycle Management located at In this role, you will be responsible for handling inbound calls regarding questions on billing statements, and the follow-up of outstanding patient balances. Working knowledge of billing, insurance and interpreting EOB’s is mandatory. The representative will be tasked to resolve unpaid accounts in a timely and efficient manner while maintaining quality and production standards set for the position. Responsibilities: Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner. Handle a variety of inquiry categories including questions about patient statements, billing, and general questions. Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial...