<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 an experienced Medical Billing/Claims/Collections specialist to support healthcare and community-based programs in California. This Long-term Contract position will focus on accurate claim preparation, reimbursement follow-up, and timely resolution of billing issues across the revenue cycle. The ideal candidate brings strong Medi-Cal billing knowledge, works confidently with billing platforms such as Office Ally or similar systems, and can help improve payment accuracy through careful review and reporting.<br><br>Responsibilities:<br>• Oversee the full medical billing cycle for multiple programs, from claim creation and submission through payment application and account follow-up.<br>• Complete monthly billing activities for prior service periods and verify that charges, payments, and balances are properly reconciled.<br>• Prepare, submit, and monitor Medi-Cal and CalAIM claims, addressing rejections or denials by researching issues and making necessary corrections.<br>• Investigate billing discrepancies and pursue appropriate follow-up actions to strengthen reimbursement results and reduce outstanding accounts.<br>• Maintain accurate billing documentation and account records within Office Ally or a comparable medical billing system.<br>• Track accounts receivable activity and support collections efforts by reviewing unpaid claims and escalating issues as needed.<br>• Produce billing, collections, and reimbursement reports that highlight trends, variances, and areas requiring attention.<br>• Partner with internal teams to improve charge accuracy, resolve claim-related concerns, and support overall revenue cycle performance.
<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>
<p>We are looking for a detail-oriented Medical Claims Adjuster to join a mission-driven organization serving employee benefit trust funds in Pleasanton, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced claims environment and can balance accuracy, responsiveness, and sound judgment. In this role, you will support the administration of health and welfare benefits by reviewing medical claims, addressing inquiries, and helping ensure compliance with plan guidelines and industry standards.</p><p><br></p><p>Medical Claims Adjuster Responsibilities:</p><p>• Review and process medical claims with a high degree of accuracy while applying plan provisions, coding standards, and established benefit rules.</p><p>• Support the delivery of union-sponsored health and welfare benefit programs by handling claim activity in a timely and consistent manner.</p><p>• Provide clear guidance to members, dependents, providers, and vendors regarding benefits, claim outcomes, and administrative procedures.</p><p>• Investigate claim discrepancies and coordinate with internal departments and external partners to resolve issues efficiently.</p><p>• Compile claim-related data, prepare routine reports, and contribute to projects that improve administrative operations.</p><p>• Handle documentation requests and assist with responses to legal or compliance-related inquiries, including subpoenas when needed.</p><p>• Confirm and maintain eligibility information by working with network vendors and associated benefit partners.</p><p>• Monitor updates to medical coding, coverage policies, and regulatory requirements to support compliant claims adjudication.</p><p>• Maintain organized records and safeguard sensitive information in accordance with confidentiality standards.</p><p>• Perform other duties as needed to support the claims team and broader benefits administration function.</p><p><br></p><p>If you are interested in this Medical Claims Adjuster position, please apply today.</p>
We are looking for a detail-oriented Billing Clerk to join our team in Sunnyvale, California on a Contract basis. This position supports payment and card-related operations by handling billing activities, wire transactions, and member inquiries with a strong focus on accuracy and service. The ideal candidate will help maintain compliance standards, resolve account-related issues efficiently, and contribute to the smooth day-to-day operation of the department.<br><br>Responsibilities:<br>• Process domestic and international wire requests while confirming member information and following required compliance procedures.<br>• Support billing operations by preparing statements, updating account records, and maintaining accurate transaction documentation.<br>• Assist with card servicing tasks, including account updates, payment-related requests, rewards support, and issue resolution.<br>• Respond to inquiries from members and internal teams through multiple service channels with professionalism and timely follow-up.<br>• Review transactions and account activity to identify discrepancies, correct errors, and uphold service quality standards.<br>• Perform audits and routine checks to ensure operational accuracy, regulatory alignment, and proper recordkeeping.<br>• Handle billing collection activities and coordinate with relevant parties to address outstanding account matters.<br>• Contribute to departmental initiatives and special assignments that improve operational performance and support business goals.
We are looking for a detail-oriented Accounts Receivable Clerk to manage cash receipts and ensure accurate allocation of payments. This role involves handling unapplied cash balances, reconciling payment histories, and collaborating with clients, insurance companies, and third-party processors to resolve discrepancies.<br><br>Responsibilities:<br>• Research and resolve unapplied cash by identifying payment allocations and addressing overpayments or duplicate payments.<br>• Post check payments and assist in identifying electronic or credit card payments.<br>• Communicate with collectors, insurance companies, and clients to obtain accurate payment details and resolve discrepancies.<br>• Reconcile payment histories and correct any misapplications or payer errors.<br>• Prepare and submit check request forms for approval and processing.<br>• Prioritize high-dollar unapplied cash balances from weekly lists for resolution.<br>• Verify the accuracy of write-off and deduction requests.<br>• Address client concerns and troubleshoot payment-related issues, ensuring clear communication and proper remittance advice.
<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>