Medical Eligibility and Payment Posting Specialist

Job Description

Job Description

We are looking for a Medical Eligibility and Payment Posting Specialist to support healthcare revenue cycle operations in Pleasanton, California. This Long-term Contract position focuses on verifying coverage, reviewing coding-related information, posting payments accurately, and helping ensure patient accounts are updated correctly. The ideal candidate brings strong knowledge of outpatient coding standards, insurance and Medicaid eligibility processes, and patient billing support within a medical environment.

Responsibilities:

• Verify insurance, Medicaid, and patient coverage details to confirm benefits and eligibility before services are processed.

• Post payments to patient accounts with accuracy, reconcile transactions, and investigate discrepancies that affect account balances.

• Review medical coding information using ICD-10 and CPT guidelines to support clean claim and billing workflows.

• Prepare and distribute patient statements while helping resolve account questions related to charges, payments, and coverage.

• Maintain complete and accurate documentation within billing and coding records to support compliance and audit readiness.

• Coordinate with internal teams to address claim issues, eligibility questions, and payment posting exceptions in a timely manner.

• Assist with updates to workflows or systems when needed as part of ongoing operational support responsibilities.

If you are interested in this role, please apply today and call us at View phone number on ziprecruiter.com

• Hands-on experience in medical coding, payment posting, or eligibility verification within a healthcare setting.
• Working knowledge of ICD-10 and CPT coding principles, particularly in outpatient environments.
• Understanding of commercial insurance, Medicaid eligibility, and patient coverage verification processes.
• Ability to review billing details carefully and enter payment information with a high level of accuracy.
• Familiarity with patient statements and account follow-up related to medical billing activities.
• Certified coding credential is preferred or equivalent practical coding experience.
• Strong organizational skills and the ability to manage multiple tasks in a deadline-driven setting.