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2 results for Benefits Specialist in Modesto, CA
- Merced, California
- onsite
- Temporary / Contract
- 18 - 22 USD / Hourly
- <p><strong>Key Responsibilities:</strong></p><ul><li>Review applications, forms, and supporting documents for completeness and accuracy. Based on general knowledge.</li><li>Verify applicant information, including income, residency, employment, household status, or other qualifying criteria. Based on general knowledge.</li><li>Determine eligibility for benefits, services, or programs according to established guidelines and regulations. Based on general knowledge.</li><li>Request additional documentation when needed and follow up with applicants. Based on general knowledge.</li><li>Maintain accurate case files, records, and system updates. Based on general knowledge.</li><li>Explain eligibility decisions, program requirements, and next steps to applicants. Based on general knowledge.</li><li>Ensure compliance with internal policies, legal requirements, and confidentiality standards. Based on general knowledge.</li><li>Collaborate with case workers, customer service teams, providers, or other departments as needed. Based on general knowledge.</li><li>Monitor deadlines, recertifications, and status changes for active cases. Based on general knowledge.</li><li>Assist with audits, reporting, and issue resolution related to eligibility determinations. Based on general knowledge.</li></ul><p><br></p>
- 2026-09-09T00:00:00Z
- Pleasanton, California
- onsite
- Temporary / Contract
- 27 - 33 USD / Hourly
- <p>We are looking for a Medical Eligibility and Payment Posting Specialist to support healthcare revenue cycle operations in Pleasanton, California. This Long-term Contract position focuses on verifying coverage, reviewing coding-related information, posting payments accurately, and helping ensure patient accounts are updated correctly. The ideal candidate brings strong knowledge of outpatient coding standards, insurance and Medicaid eligibility processes, and patient billing support within a medical environment.</p><p><br></p><p>Responsibilities:</p><p>• Verify insurance, Medicaid, and patient coverage details to confirm benefits and eligibility before services are processed.</p><p>• Post payments to patient accounts with accuracy, reconcile transactions, and investigate discrepancies that affect account balances.</p><p>• Review medical coding information using ICD-10 and CPT guidelines to support clean claim and billing workflows.</p><p>• Prepare and distribute patient statements while helping resolve account questions related to charges, payments, and coverage.</p><p>• Maintain complete and accurate documentation within billing and coding records to support compliance and audit readiness.</p><p>• Coordinate with internal teams to address claim issues, eligibility questions, and payment posting exceptions in a timely manner.</p><p>• Assist with updates to workflows or systems when needed as part of ongoing operational support responsibilities.</p><p><br></p><p>If you are interested in this role, please apply today and call us at (510) 470-7450</p>
- 2026-08-26T00:00:00Z