We are looking for a skilled Medical Biller/Collections Specialist to join our team in Pomona, California. This is a long-term contract opportunity within the healthcare industry, where you will play a vital role in ensuring accurate billing and collections processes for hospital services. If you have experience in medical billing, denials, and appeals, along with proficiency in NextGen software, we encourage you to apply.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers with precision and adherence to regulations.<br>• Manage collections activities to recover outstanding payments efficiently.<br>• Investigate and resolve medical billing denials, ensuring timely follow-up and resolution.<br>• Prepare and submit medical appeals to insurance companies for denied claims.<br>• Handle hospital billing operations, including coding and reimbursement procedures.<br>• Utilize NextGen software for billing and collections tasks, ensuring data accuracy and workflow optimization.<br>• Communicate effectively with patients, insurance companies, and healthcare providers to address billing inquiries.<br>• Maintain compliance with healthcare billing standards and regulations.<br>• Analyze billing trends to identify areas for process improvement.<br>• Collaborate with the healthcare team to ensure seamless billing operations.
<p>Are you an experienced medical billing professional with a background in surgery billing, ASC (Ambulatory Surgery Center) operations, and expertise in EPIC software? Do you thrive in a fast-paced environment and have a proven track record in medical insurance collections? If so, we want to hear from you! Robert Half is partnering with a leading healthcare provider to find a detail-oriented <strong>Surgery Medical Billing Specialist</strong> to join their team.</p><p><strong>Key Responsibilities</strong></p><ul><li>Process, review, and submit medical billing claims specific to surgical procedures using EPIC software.</li><li>Accurately code surgeries and other medical services in compliance with healthcare regulations.</li><li>Collaborate with ASC teams to ensure seamless coordination of patient billing and documentation.</li><li>Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies.</li><li>Manage and monitor accounts receivable, following up on unpaid claims to improve collections.</li><li>Research and resolve denials and appeals to maximize reimbursement.</li><li>Maintain strict adherence to HIPAA regulations and patient confidentiality protocols.</li><li>Provide regular reporting on billing activities, payment trends, and collections performance</li></ul><p><br></p>
<p>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
