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.