Medical Billing Specialist (Contract) - Blue Star Partners LLC

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 Accuracy: Verify billing information, submit claims efficiently, and process appeals or adjustments as needed.
• Patient & Carrier Communications: Handle inbound calls from insurance carriers and patients, providing clear, professional assistance on billing inquiries.
• Account Maintenance: Maintain up-to-date records of claim statuses, payments, and any required follow-up actions in company systems.
• Compliance & Confidentiality: Adhere to HIPAA and company policies, ensuring confidentiality of patient information.
• Team Collaboration: Work closely with colleagues and management to meet goals related to accounts receivable days, aging accounts, and cash collections.

Requirements

1. Education: High School Diploma or GED required.
2. Experience:
   • Previous experience in medical billing, insurance claims, or healthcare collections is highly preferred.
   • Strong attention to detail and comfort toggling between multiple computer systems.
3. Technical Skills: Basic proficiency in office software, familiarity with billing software or ERP systems is a plus.
4. Soft Skills:
   • Strong communication and customer service skills.
   • Ability to multi-task and manage time effectively.
   • Adaptability in a fast-paced environment with shifting priorities.