<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>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are looking for an Accounts Receivable Clerk to support financial operations for a long-term contract opportunity in Pleasanton, California. This position is suited for someone who can manage receivables activity with precision, communicate effectively across teams and customers, and work confidently with billing and collection processes. The ideal candidate brings strong Excel capability, sound judgment, and a proactive approach to resolving account issues while maintaining accurate records.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Manage daily accounts receivable activities, including invoicing, payment tracking, and account reconciliation.</p><p>• Apply incoming payments accurately and research discrepancies to ensure customer accounts remain current.</p><p>• Handle commercial collections by following up on outstanding balances and working with customers to secure timely payment.</p><p>• Support billing operations, including progress billing and transaction review within relevant billing systems and customer portals.</p><p>• Prepare and maintain detailed receivable reports using advanced Excel functions such as pivot tables for analysis and status tracking.</p><p>• Investigate account variances, resolve billing questions, and escalate complex issues when needed.</p><p>• Coordinate with internal teams to confirm billing accuracy and improve the flow of receivable information.</p><p>• Maintain organized documentation and uphold a high standard of accuracy in all financial records.</p><p><br></p><p>Please reach out to John Miller for immediate consideration.</p>
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.
We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.<br><br>Responsibilities:<br>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.<br>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.<br>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.<br>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.<br>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.<br>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.<br>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.<br>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.<br>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.