20 medical billing specialist jobs found in Livermore, CA

Job Description Job Description Job Title: Medical Billing Specialist Rate: $25 - $26/hr Location: Livermore, CA (100% Onsite) Schedule: Monday–Friday, 7:00 AM–3:30 PM Contract Duration: 1 Year (with possible extension) Contract Type: W2 (must be authorized to work in the US; no sponsorships or C2C) Job Description We are seeking a Medical Billing Specialist to join our client's onsite team in Livermore, CA. In this role, you will be responsible for handling insurance follow-up and claim denials, ensuring that all reimbursements are accurately processed. As the liaison between insurance carriers, patients, and internal departments, you will strive to maintain high-quality standards in customer service and meet daily/monthly productivity goals. Key Responsibilities Insurance Follow-up & Denials: Initiate contact with insurance carriers regarding claim status, address denials, and document all collection activities accurately. Claims & Billing...

Description Home Search Jobs Job Description Medical Billing Specialist Contract: Livermore, California, US Salary Range: 20.00 - 26.00 | Per Hour Job Code: 357401 End Date: 2025-02-07 Days Left: 28 days, 2 hours left Apply Responsibilities: Demonstrates proficiency and accuracy in operating systems directly related to specific job function. Initiates contact with insurance carriers regarding status on claims. Maintains accurate and complete collection notes concerning collection activities on all accounts according to company procedures and requirements. Can work independently. Takes incoming calls from insurance carriers and patients. Contributes to team effort by accomplishing related results as needed. Ensures that all processing and reporting deadlines are consistently achieved. Maintain compliance with all company policies and procedures. Regular attendance and punctuality. Performs any other function as required by management....

Job Description Job Description PrideStaff Financial has an immediate onsite opportunity to join our growing company. We are currently seeking a full time Medical Billing Specialist for a well known client in the Central Valley. Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance claims or bill patients accordingly. • Contact Work Comp carriers to obtain information for authorizations and process accordingly. • Preform other duties as needed. Job Requirements: • High School Diploma or Equivalent • Typing minimum of 45 words per minute • 1-2 Years of Medical Billing Experience Preferred Compensation / Pay Rate (Up to): $16.00 - $23.00 Per Hour Company Description PrideStaff is a national staffing company that has been helping...

Medical Billing Specialist PrideStaff Financial is looking for experienced Medical Billing Specialists! We have an immediate onsite opportunity to join a growing company in Tracy, CA. We are currently seeking full-time Medical Billing Specialists. Apply to this posting now or call us today! (209)577-3663 Job Responsibilities: •Verify medical eligibility; benefit coverage and authorization requirements online or phone. •Obtain authorization if required by plan via fax, email, or online. •Process files within predesignated deadlines. •Contact patients to obtain information to process insurance claims or bill patients accordingly. •Contact Work Comp carriers to obtain information for authorizations and process accordingly. •Preform other duties as needed. Job Requirements: •High School Diploma or Equivalent •Typing minimum of 45 words per minute •1-2 Years of Medical Billing Experience Preferred Compensation / Pay Rate (Up to): $17.00 - $19.00 Per Hour

Job Description Job Description Job Title: Senior Medical Billing Specialist Position Type: Full-Time, General Recruiting Location: Sunnyvale, California (FULLY ON-SITE) Salary Range / Rate: $70,000 - $85,000 base salary annually Job ID#: 139981   Job Summary: The Senior Billing Specialist will manage the complete medical billing and reimbursement process, focusing on Remote Patient Monitoring, Chronic Care Management, and Medical Nutrition Therapy services. This role involves ensuring compliance with healthcare billing regulations, optimizing revenue capture, and improving the overall billing experience. Key Responsibilities: Insurance & Billing Management: Verify patient benefits and insurance eligibility through insurance providers. Manage the complete billing process (charge entry, claim submission, payment posting, and accounts receivable). Follow Medicare, state programs, and HMO/PPO regulations. Handle claim resubmissions and appeals...

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office. Job Responsibilities: •Verify medical eligibility; benefit coverage and authorization requirements online or phone. •Obtain authorization if required by plan via fax, email, or online. •Process files within predesignated deadlines. •Contact patients to obtain information to process insurance claims or bill patients accordingly. •Contact...

Job Description Job Description Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices.  We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office.    Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance...

Job Description Job Description Job Title: Senior Billing Specialist Position Type: Permanent, Full Time Locations: Onsite 5 days at Sunnyvale, California Salary Range / Rate (Currency): $75,000 - $100,000 - depending on the total experience Job Description: Summary: This position performs complete medical billing and reimbursement functions and is responsible for all aspects of the medical revenue cycle for Remote Patient monitoring, Chronic care management and Medical Nutrition Therapy services. Years of Experience - More than 5 years of relevant experience in the following Experience in primary care or other more general medical departments End to End process of the billing report. (Validations/Approval/Emails to clients) End to end process of the invoicing workflow (Invoice Validation/Audit/AR report) Perform Revenue report analysis for any clinic Support AMs for Provider Meetings with Profit Experience with preparing and presenting the slides for client calls...

Job Description Job Description Responsibilities: Demonstrates proficiency and accuracy in operating systems directly related to specific job function. Initiates contact with insurance carriers regarding status on claims. Maintains accurate and complete collection notes concerning collection activities on all accounts according to company procedures and requirements. Can work independently. Takes incoming calls from insurance carriers and patients. Contributes to team effort by accomplishing related results as needed. Ensures that all processing and reporting deadlines are consistently achieved. Maintain compliance with all company policies and procedures. Regular attendance and punctuality. Performs any other function as required by management. Required Skills and Qualifications: High school diploma or GED required Associate degree preferred Preferred years of experience - Level one representative 1 to 3, Level two representative 3 to 5 and Level three 5+....

Job Description Job Description Active Care Physical Therapy is a world renowned physical therapy clinic seeking highly motivated, professional, out-going and customer-service oriented individual who enjoys working in a fast-paced environment. MEDICAL BILLING Job Description: · Must have experience and knowledge of medical billing · Orthopedic terminology is a plus · Must have knowledge insurance; HMO, PPO; POS; Workers Comp · Answer incoming billing calls, check voicemails daily and respond accordingly and timely · Verify patient eligibility and benefits · Request/process for authorizations · Post patient and insurance payments · Process patient and insurance payments daily · Weekly patient statements · Request for refunds · Follow up on aging accounts receivable; check status on claims and appeals · Scan daily explanation of benefits to billing drive · Submit secondary claims with primary explanation of benefits · Compile deposits as needed · Analyze reports and...

Job Description Job Description Job Summary We are a small Medical Practice. We are looking for a Medical Office Manager and Billing Specialist to help update our office procedures and keep the clinic running smoothly, and work with Medical Blling and Coding . We are a small office so you will be helping with many different aspects to help run smoothly. In this role, you oversee front office staff by setting schedules, approving payroll, and enforcing compliance with HIPAA regulations. Other responsibilities include supervising the creation of electronic health records, which are essential to proper patient care, and assisting with insurance authorizations or medical billing. Applicants should have a degree in healthcare administration and experience working in a medical office. Duties and Responsibilities Schedule and oversee front desk staff Prepare payroll and approve overtime Supervise the creation of patient records Update office procedures Assist with...

Job Description Job Description Salary: About Berman Skin Institute (BSI): Founded a quarter century ago by David Berman, M.D., a board-certified dermatologist, BSIs mission is to blend state-of-the-art medical technology and research with a dedication to patient welfare and healing to provide patients with the best possible dermatologic care. Berman Skin Institute is a group of dermatology clinics with eleven medical clinic locations across Northern California, including Los Altos, Cameron Park, Fremont, Placerville, Pleasanton, Roseville, Sacramento, San Francisco, Tracy, Walnut Creek and Yuba City. With a well-established and diverse patient population, BSI has a set of broad and comprehensive service offerings, including medical and surgical dermatology, including treatment for acne, moles, allergic skin reactions, autoimmune diseases, skin infections, Mohs skin cancer surgery, cosmetic dermatology (including laser treatment of unwanted hair, sun damage and wrinkled skin,...

Medical Billing Specialist Location: Walnut Creek Shift: Monday - Friday, 8:30 AM - 5:00 PM PST (30-minute lunch) COVID-19 Vaccine Requirement: First dose required (boosters not needed) Job Overview We are seeking a skilled Medical Billing Specialist to join our team. The ideal candidate will have experience in medical billing, particularly with CMS 1500 claim forms, and a general knowledge of both government and commercial payers. This role requires excellent communication skills, attention to detail, and proficiency with software tools like QuickBooks and Google Docs. Key Responsibilities CMS 1500 Claim Form Processing: Review and process claims with accuracy and efficiency. Payment Management: Run payments as patients call in, ensuring reports are balanced for entry into QuickBooks (QBO). Billing Updates: Update patient billing information during phone calls and ensure changes are accurately applied. Insurance Communication: Speak with insurance...

Job Description Job Description Job Title: Certified Professional Coder Job Category: Administrative Reports To: Coding Manager Position Type: Full Time Position  Supervisory Responsibility: This position has no supervisory responsibilities Exempt/Non-Exempt: Non-Exempt Job Description Role and Responsibilities The Certified Coding Specialist is responsible for assigned work queue’s for physician services via medical records (encounter) for office visits, outpatient surgery, office procedures and hospital visits utilizing ICD-10-CM and CPT-4 codes. This requires thorough review of the medical record to validate assigned codes for optimal reimbursement. Research coding and regulatory guidelines that impact coding and billing for services to obtain relevant and timely information for internal utilization utilizing ICD-10-CM and HCPCS/CPT-4 codes. Ensures appropriate charge capture. Essential Functions: Reasonable accommodations may be made to...

HIM Coder Technician San Leandro, CA Information Systems Health Information Servcies Services As Needed / Per Diem - Day Req #:40922-30233 FTE:0.01 Posted:January 2, 2025 Summary SUMMARY: Performs the process of coding and abstracting medical documentation in accordance with established ethical and clinical coding rules and regulations. Responsible for accuracy of data in the abstract to ensure compliance with regulatory agencies for AHS system wide procedures. Performs data entry, data analysis and review of medical record documentation related to coded/abstracted data and medical documentation to be in compliance with meaningful use, Joint Commission, CMS, and other regulatory standards. Performs other duties as needed. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each...

Description: Must live in Northern California! Job Summary: Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT...

Must live in Northern California! Job Summary: Under indirect supervision, the Lead Coder is regularly assigned to lead, train, coordinate, and review the work of assigned coders and/or others who need assistance, advice, instruction, training and in-service education in coding and abstracting.In addition, the Lead Coder is also expected to code inpatient and all categories of outpatient services, diagnoses, procedures and conditions working from appmpriate documentation in the medical record uhen assigned or needed, using the appropriate coding classification system. Classification systems include ICD-CM (PCS, CPI*, HCPCS as well as odier specialty systems as requited by diagnostic and pmceduralAll work must be performed in accordance with the rules, regulations and coding conventions of the current ICD-CM//PCS official guidelines for coding and repotting Coding Clinic published by the American Hospital Association , the current ICD-CM/PCS code book, CPT, CPT Assistant, CMS,...

Must live in Northern California Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanente's organizational and institutional coding guidelines. Essential Responsibilities: Review Medical Records to identify diagnoses/procedures. Under supervision, codes all diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems. Verifies and abstracts...

Job Summary The Health Information Coder II is a middle-level coder with the knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, and CPT classification systems to code acute academic, teaching same-day surgery cases, special procedure cases, observation cases, and any non-office-procedure cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. There is minimal review of coding for quality. DUTIES AND ESSENTIAL JOB FUNCTIONS Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate. Evaluate full episode of care for ambulatory surgery cases, special procedures cases, observations cases and any non-office procedure cases and assign appropriate codes...

Job Summary: Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Coding and...