<p><strong>About the Role</strong></p><p>We are seeking a detail-oriented <strong>Master Data Management (MDM) Analyst</strong> to support data integrity, reporting, pricing management, and supply chain operations for a leading healthcare organization in Palo Alto, California. This <strong>hybrid</strong> contract role is responsible for maintaining accurate master data, supporting ERP systems, managing pricing and vendor information, and delivering reporting and analytics that drive informed business decisions.</p><p><br></p><p>Working closely with Supply Chain, IT, Purchasing, Accounts Payable, and external vendors, this position plays a key role in supporting inventory management, supply chain automation, vendor management, recall processes, and cost-reduction initiatives.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Serve as the primary point of contact for master data management activities, issue resolution, and data-related inquiries.</li><li>Create, update, maintain, and audit master data in accordance with established business rules and governance standards.</li><li>Ensure all master data requests are properly reviewed, approved, and documented.</li><li>Analyze, cleanse, and validate data to improve data quality and system accuracy.</li><li>Generate scheduled and ad hoc reports to support operational and strategic decision-making.</li><li>Collaborate with IT teams to resolve system issues, implement enhancements, and improve reporting functionality.</li><li>Maintain pricing files and pricing agreements to ensure alignment with contract terms.</li><li>Conduct pricing analysis and benchmarking to identify savings opportunities.</li><li>Support vendor management, recall management, inventory processes, and non-labor expense reduction initiatives.</li><li>Monitor key performance indicators (KPIs) and recommend process improvements that strengthen data governance and operational efficiency.</li><li>Educate end users on master data processes, standards, and best practices.</li></ul><p><br></p>
<p>We are looking for an experienced Medical Biller and collections specialist to support coding accuracy, reimbursement follow-up, and account resolution for outpatient services in Fremont, California. This Long-term Contract position is ideal for someone with a strong background in medical coding and collections who can manage claims activity with precision while helping maintain steady revenue cycle performance. The role requires close attention to encounter documentation, payer requirements, and timely collection efforts across insurance, commercial, and patient accounts.</p><p><br></p><p>Responsibilities:</p><p>• Review outpatient encounters and related documentation to assign accurate medical codes using current ICD-10 and CPT guidelines.</p><p>• Prepare, evaluate, and correct claim details to support clean submission and reduce billing errors or payment delays.</p><p>• Follow up on outstanding balances with commercial insurers, workers’ compensation carriers, and patients to drive timely account resolution.</p><p>• Investigate denials, underpayments, and rejected claims, then take appropriate action to secure reimbursement.</p><p>• Maintain complete and organized encounter forms and billing records to support coding integrity and audit readiness.</p><p>• Communicate with internal teams and external payers to clarify coding, billing, and collection issues affecting payment status.</p><p>• Monitor aging accounts and prioritize collection activity based on payer response, account history, and reimbursement potential.</p><p>• Apply certified coding knowledge to ensure services are documented and billed in accordance with regulatory and payer standards.</p><p><br></p><p>If you are interested, please apply today! </p>
We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical claims, billing activity, and insurance-related documentation in a fast-paced environment. The person in this role will support accurate claim review and member-related processing while communicating clearly with Spanish-speaking members and internal teams. Success in this position requires strong knowledge of medical terminology, benefit plans, and claims administration procedures.<br><br>Responsibilities:<br>• Review, evaluate, and process medical claims with close attention to accuracy, completeness, and applicable coverage details.<br>• Enter and maintain member, enrollment, beneficiary, and medical information within internal claims systems while following established procedures.<br>• Verify insurance details and confirm benefit eligibility to support timely and correct claim handling.<br>• Interpret billing information, coding details, and supporting documentation to determine appropriate claim outcomes.<br>• Communicate with members, providers, and internal partners regarding claim status, required documentation, and benefit-related questions.<br>• Assist Spanish-speaking members by providing clear and thorough support in both English and Spanish.<br>• Apply working knowledge of healthcare benefits, policies, and regulatory guidelines when reviewing claim activity.<br>• Escalate complex or legally sensitive claim matters to leadership when additional review or direction is needed.
<p><br></p><p>Key Responsibilities</p><ul><li>Welcome patients and visitors in a professional and courteous manner.</li><li>Schedule appointments and manage provider calendars.</li><li>Answer phone calls and respond to patient inquiries.</li><li>Verify patient information, insurance details, and update medical records.</li><li>Process patient check-in/check-out and collect payments as required.</li><li>Maintain confidentiality and comply with privacy regulations.</li><li>Provide administrative support to clinical staff as needed.</li></ul>
<p><br></p><p>Key Responsibilities</p><ul><li>Welcome patients and visitors in a professional and courteous manner.</li><li>Schedule appointments and manage provider calendars.</li><li>Answer phone calls and respond to patient inquiries.</li><li>Verify patient information, insurance details, and update medical records.</li><li>Process patient check-in/check-out and collect payments as required.</li><li>Maintain confidentiality and comply with privacy regulations.</li><li>Provide administrative support to clinical staff as needed.</li></ul>