Medical Billing Specialist - Insurance

Medical Billing Specialist - Insurance

Location: Livermore, CA

Onsite Flexibility: Onsite

Contract Details

• Position Type: Contract
• Contract Duration: 6 months
• Pay Rate: $25.00 $27.21 / Hour (USD)
• Shift / Schedule: Monday Friday, 6:00 AM 2:30 PM PST (Must be able to commit to working these hours)
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Job 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 Skills

• Working knowledge of commercial, Medicare, Medicaid, and managed care 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

Education Requirements

• High school diploma or equivalent

Required Experience

• Minimum 2 years of experience in healthcare insurance, revenue cycle management, eligibility verification, billing, or insurance data management

Benefits

• Medical, Vision, and Dental Insurance Plans
• 401k Retirement Fund

About the Client

This leading global healthcare innovator has dedicated more than 140 years to improving lives worldwide through a diverse portfolio of medical devices, diagnostics, nutritional science, and pharmaceutical products, reaching patients in more than 160 countries. Operating across four major business segments medical devices, nutritional products, diagnostics, and established pharmaceuticals the organization employs biomedical engineers, clinical scientists, regulatory affairs specialists, and commercial operations professionals who collaborate across cross-functional teams to advance healthcare breakthroughs that touch millions of lives each year.

About GTT

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking, financial services, technology, life sciences, biotech, utilities, and retail sectors throughout the U.S. and Canada.

Job Number: 26-12619

Industry: Healthcare