Medical Billing, Coding and Collections Specialist
3 weeks ago
Medicare 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 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.
High 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.
~ Prepare, review, and submit Medicare claims (CMS-1500) for outpatient mental health services.
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.
Maintain current knowledge of CMS and Medicare guidelines for outpatient mental health.
Audit claims to minimize risk of denials or audits.
Investigate and resolve denied or rejected claims.
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.
Assist with other billing department functions as required.
-
Medical Billing
2 days ago
Los Angeles, CA, United States Jobot Full timeBilling Specialist - Leading TX Center for over 40 years This Jobot Job is hosted by: Salary: $25 - $29 per hour We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based...
-
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,...
-
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 While professional experience and qualifications are key for this role, make sure to check you have the preferable soft...
-
Medicare Billing Specialist
3 weeks ago
Fremont, United States Insight Global Full timePosition: 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,...
-
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...
-
Medical Billing
4 weeks ago
San Dimas, CA, United States Brault Full timeFull-time Brault is a practice management, billing and coding company exclusively serving acute care independent physician practices. S. with headquarters in San Dimas, California. Under general supervision, the Health Information Exchange Lead is responsible for overseeing the collection, distribution, processing, and indexing of patient information...
-
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...
-
Coding Analyst, Medical Billing
4 weeks ago
Sacramento, CA, United States Sutter Health Full timeWe are so glad you are interested in joining Sutter Health! Organization: S3-Sutter Shared Services-Valley Position Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support...
-
Medical Billing
16 hours ago
Los Angeles, CA, United States The Providence College Full timeMedical Billing & Coding TRAINEES NEEDED (Los Angeles) We are seeking detail-oriented and knowledgeable individuals interested in becoming Medical Billing and Coding TRAINEES to join the healthcare field. Considering applying for this job Do not delay, scroll down and make your application as soon as possible to avoid missing out. In this role, you will be...
-
Billing Specialist
1 week ago
Los Angeles, CA, United States Jobot Full timeGreat hybrid-remote legal biller role! All potential candidates should read through the following details of this job with care before making an application. This Jobot Job is hosted by: Sharon Brown Our lawyers are known for trying bet-the-company cases and negotiating deals that shape our corporate landscape. We are seeking a dynamic and experienced...
