Medical Billing Specialist

Title : Medical Billing- (Insurance Data Management Specialist) Location : Livermore, California Duration : 6 Month Shift : 6AM - 2:30PM 100% On-Site Position Summary: The Insurance Data Management Specialist is responsible for the setup, maintenance, auditing, and optimization of payer-related system configurations across revenue cycle platforms. This role ensures accurate implementation of payer contracts, reimbursement methodologies, fee schedules, billing rules, and claims processing requirements to support compliant and efficient revenue cycle operations. Key Responsibilities: Configure and maintain payer plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules. Implement new payer contracts and update existing configurations based on contract amendments and reimbursement changes. Support Billing, VOB, Prior Authorization, and Collections teams with insurance research and payer-related inquiries. Investigate claim status issues and identify payer-related root causes affecting reimbursement. Ensure configurations comply with contractual obligations, payer policies, and regulatory requirements. Develop and maintain payer reference materials, workflows, and process documentation. Required Qualifications: High school diploma or equivalent. Minimum 2 years of experience in healthcare insurance, revenue cycle management, eligibility verification, billing, or insurance data management. Working knowledge of commercial, Medicare, Medicaid, managed care, and other insurance plans. Strong understanding of healthcare reimbursement and payer contract interpretation. Experience researching payer policies and insurance requirements. Strong analytical, organizational, and problem-solving skills. Excellent communication and collaboration skills. Consultants Eligible Benefits Upon Waiting Period: Medical and Prescription Drug Plans Dental Plan Vision Plan Health Savings Account (for High-Deductible Health Plans) Flexible Spending Accounts (Health, Limited Purpose, Dependent Care, Commuter Parking and Commuter Transit) Supplemental Life Insurance Short Term Disability (coverage varies by state) Long Term Disability Critical Illness, Hospital coverage, Accident Insurance MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance 401(k) Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritional and branded generic medicines. Working together, Abbott and Talent Solutions partner to deliver top talent for contingent roles at Abbott, building better and healthier lives. Abbott believes all employees are essential to creating life-changing breakthroughs, performing key duties to create life-changing breakthroughs. #J-18808-Ljbffr Abbott