Medical Billing Specialist - JD25

Job Description

Job Description

Job Title: Medical Billing Specialist
Location: Livermore, CA (onsite)
Contract Duration: Contract until 04/02/2027
Work Hours: 6:00AM - 2:30PM PST

Insurance Data Management Specialist

Position Summary
The Insurance Data Management Specialist is responsible for the setup, maintenance, auditing, and optimization of payor-related system configurations across revenue cycle platforms. This role ensures accurate implementation of payor contracts, reimbursement methodologies, billing rules, fee schedules, and claims processing requirements to support compliant and efficient revenue cycle operations.

Key Responsibilities

• Configure and maintain payor plans, reimbursement methodologies, fee schedules, contractual allowances, and billing rules.
• Implement new payor 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 assist in identifying 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

• 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, and managed care insurance plans.
• Strong understanding of healthcare reimbursement and payor contract interpretation.
• Experience researching payer policies and insurance requirements.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication and collaboration skills.

TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal.

We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness.

Company Description

TechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. \r\n\r\nWe serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness.