Medicare Billing Specialist
3 weeks ago
Position: Medicare Billing SpecialistLocation: Pleasanton, CA 94588Employment Type: Full-Time, Contract-to-Hire (C2H)Compensation: $23-$27/hrSchedule: 8:30 AM-5 PM, on-site, Mon-FriBenefits: Medical, dental, vision, 401k, PTOInsight Global is seeking a Medicare Billing Specialist to join the team of a local healthcare services client in Pleasanton, California. The Medicare Billing Specialist is responsible for the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare regulations and supports the clinic’s financial health through timely claims processing, payment posting, denial management, and collaboration with providers to maintain accurate documentation.Required Skills & ExperienceHigh school diploma or equivalent; Associate or Bachelor’s degree in Business or Healthcare Administration preferred. 2+ years of experience specifically in Medicare billing. Knowledge of CMS 1500 claims, CPT/HCPCS coding, ICD-10, and Medicare fee schedules. Familiarity with EHR/billing platforms (Valant preferred, Epic otherwise) and clearinghouse systems. Detail-oriented with strong analytical, communication, and problem-solving skills. HIPAA compliance knowledge and ability to manage sensitive information.Key ResponsibilitiesPrepare, review, and submit Medicare claims (CMS-1500) for outpatient mental health services.Apply correct CPT, HCPCS, and ICD-10 codes in compliance with Medicare rules.Ensure documentation meets medical necessity requirements.Track claim submission deadlines to meet Medicare’s timely filing requirements.Post Medicare remittances (EOBs/ERAs) to patient accounts.Reconcile accounts and resolve payment discrepancies.Identify underpayments and coordinate appeals or resubmissions.Maintain current knowledge of CMS and Medicare guidelines for outpatient mental health.Ensure provider documentation supports all billed services.Audit claims to minimize risk of denials or audits.Investigate and resolve denied or rejected claims.Prepare appeals with supporting documentation as needed.Track denial trends and recommend process improvements.Provide monthly Medicare billing and collection reports to management.Coordinate with front desk, eligibility staff, and clinical providers to ensure accurate patient insurance data.Educate staff on Medicare requirements as needed.Assist with other billing department functions as required.Apply today
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Medicare Billing Specialist
3 weeks ago
Fremont, United States Insight Global Full timePositionMedicare Billing SpecialistBase Pay Range$23.00/hr - $27.00/hrSchedule8:30 AM-5 PM, on-site, Mon-FriAbout the RoleInsight Global is seeking a Medicare Billing Specialist to join the team of a local healthcare services client in Pleasanton, California. The Medicare Billing Specialist is responsible for the accurate preparation, submission, and...
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Medicare Billing Specialist
3 weeks ago
Fremont, CA, United States Insight Global Full timePosition: Medicare Billing Specialist Location: Pleasanton, CA 94588 Employment Type: Full-Time, Contract-to-Hire (C2H) Compensation: $23-$27/hr Schedule: 8:30 AM-5 PM, on-site, Mon-Fri Benefits: Medical, dental, vision, 401k, PTO Insight Global is seeking a Medicare Billing Specialist to join the team of a local healthcare services client in Pleasanton,...
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Medicare Billing Specialist
2 weeks ago
Fremont, CA, United States Insight Global Full timePosition : Medicare Billing Specialist Location : Pleasanton, CA 94588 Employment Type: Full-Time, Contract-to-Hire (C2H) Compensation : $23-$27/hr Schedule : 8:30 AM-5 PM, on-site, Mon-Fri Benefits: Medical, dental, vision, 401k, PTO While professional experience and qualifications are key for this role, make sure to check you have the preferable soft...
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Fremont, United States Insight Global Full timeA healthcare services provider is seeking a Medicare Billing Specialist to manage Medicare claims for outpatient mental health services. This role involves ensuring compliance with regulations, preparing and submitting claims, managing payments, and reconciling accounts. Ideal candidates have a high school diploma, at least 2 years of Medicare billing...
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Fremont, CA, United States Insight Global Full timeMedicare Billing Specialist Location : Employment Type: Full-Time, Contract-to-Hire (C2H) Schedule : 8:30 AM-5 PM, on-site, Mon-Fri Benefits: Medical, dental, vision, 401k, PTO Insight Global is seeking a Medicare Billing Specialist to join the team of a local healthcare services client in Pleasanton, California. The Medicare Billing Specialist is...
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Billing Specialist
2 weeks ago
Fremont, United States Personalis Full timeAt Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as cancer...
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Revenue Cycle Billing Specialist — Hybrid
3 weeks ago
Fremont, United States Personalis, Inc. Full timeAn innovative company in the medical billing sector seeks a Billing Specialist to join their team in California. The role focuses on improving billing and collection processes, maintaining patient information, and ensuring clean claims submissions. Ideal candidates will have knowledge of billing, attention to detail, and strong analytical skills, along with...
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Billing Specialist Fremont, CA
3 weeks ago
Fremont, United States Personalis, Inc. Full timeAt Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as cancer...
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Billing/Administrative Assistant
2 weeks ago
Fremont, OH, United States Connections Recovery Services Full time $40,000 - $60,000 per yearPOSITION DESCRIPTIONPosition Title: Billing/Administrative AssistantDepartment: Connections Recovery ServicesReports To: Executive Director and Lead Resource CoordinatorDate Approved: This position is responsible for managing the financial processes for mental health services, including submitting insurance claims, processing payments, and ensuring...
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AP Specialist
2 weeks ago
Fremont, CA, United States Provision People Full timeSummary: Our award-winning client is seeking an AP Specialist to join their team. Our client, a distinguished non-profit organization, is actively seeking a dedicated and detail-oriented Accounts Payable Specialist to join their team immediately. The successful candidate will possess robust organizational skills and demonstrate the ability to meticulously...
