Randstad Billing Specialist in San Jose, California

Billing Specialist


San Jose, CA

Date Posted:

Saturday, October 15, 2016

Job Type:


Reference #:


Questions? 408-573-1111.


Randstad Finance & Accounting

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Billing Specialist - San Jose, CA.

Essential Duties :

  • Review Government and Non-Government Payer claims for accuracy, completeness and compliance with payer requirements.

  • Serve as back up to review encounters using daily reports, and communicating to the health centers when information is needed to bill the encounters.

  • Process pharmacy claims utilizing claims editing software.

  • Work accounts receivable report to ensure timely follow up is performed including but not limited to: researching and determining the cause of the denial, rebilling or contacting payers via phone, website, RTD, CIF, Tracer or formal Provider Dispute process to resolve payment, denial and billing issues.

  • Address questions from health center staff regarding issues which may include but are not limited to patient eligibility, data entry, coding and other payer requirements.

  • Address questions from patients regarding insurance or refunds

  • Work credit balance and unapplied credit report, processing insurance and patient refunds.


Ability to perform the above duties. A typical means of acquiring these abilities would be:

  • High School Diploma and three to five years of experience in Medical Billing and Collections required.

  • Three to five years of current Practice Management System experience preferred.

  • In depth knowledge of Government and Non-Government payer sources and demonstrated proficiency in the interpretation of carrier contracts.

  • Knowledge of CPT4/ICD9/HCPCS codes.

  • Strong oral and written communication skills

  • Proficiency in Microsoft Office Suite with excellent knowledge of Microsoft Excel.

  • Multi-tasking and attention to detail is required.

  • Research skills to interpret new medical and insurance industry terminology

  • Ability to resolve problems with rejected or disputed claims.

  • Ability to effectively communicate with health care professionals and third-party providers on payment and claim issues.

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