<p>We are looking for an experienced Medical Billing professional to join our team on a contract with the potential for a permanent position. This role is based in Richmond, Virginia, and involves ensuring the accuracy and compliance of medical billing processes. The ideal candidate will have a solid understanding of fee schedules, billing guidelines, and medical billing systems.</p><p><br></p><p>Responsibilities:</p><p>• Audit medical bills to confirm compliance with state fee schedules, organizational discounts, and client-specific guidelines.</p><p>• Utilize fee schedules and computer systems to verify the appropriateness of billed charges.</p><p>• Reference materials and resources to support the auditing process as needed.</p><p>• Maintain consistent attendance and adhere to company policies and safety regulations.</p><p>• Ensure compliance with workplace safety rules as outlined in the Injury and Illness Prevention Program.</p><p>• Perform additional tasks as assigned to support billing operations.</p>
<p>We are looking for a detail-oriented medical biller to join our team in Richmond, Virginia. In this role, you will be responsible for reviewing and auditing medical bills to ensure compliance with state fee schedules, customer guidelines, and organizational discounts. This Contract to permanent position requires strong analytical skills and familiarity with medical billing processes to support accurate and efficient claim administration.</p><p><br></p><p>Responsibilities:</p><p>• Audit medical bills to verify compliance with state fee schedules, customer guidelines, and organizational discounts.</p><p>• Utilize fee schedule knowledge and computer systems to complete billing reviews.</p><p>• Reference appropriate materials and resources during the auditing process when necessary.</p><p>• Maintain consistent and reliable attendance to meet operational needs.</p><p>• Adhere to safety regulations and workplace policies as part of the Injury and Illness Prevention Program.</p><p>• Perform additional tasks and responsibilities as assigned to support team objectives.</p>
<p>We are looking for a skilled Medical Biller in Salem, Oregon. In this Contract to permanent role, you will play a key part in ensuring accurate and efficient billing processes while adhering to industry standards. This position requires expertise in handling insurance claims, payment reconciliations, and patient billing inquiries using advanced clinical software.</p><p><br></p><p>Responsibilities:</p><p>• Process patient billing information with precision and accuracy using clinical software.</p><p>• Submit electronic and paper insurance claims promptly to ensure timely payments.</p><p>• Review patient demographic and insurance details to verify accuracy before processing.</p><p>• Follow up on unpaid claims, denials, and appeals to maximize reimbursement.</p><p>• Post payments and reconcile accounts within the designated billing system.</p><p>• Address patient inquiries regarding billing issues and outstanding balances professionally.</p><p>• Ensure compliance with all regulatory guidelines and billing requirements.</p><p>• Generate comprehensive billing reports to identify trends and resolve discrepancies.</p><p>• Collaborate with team members to improve billing workflows and resolve challenges.</p><p>• Maintain up-to-date knowledge of medical billing regulations and insurance policies.</p>
<p>Robert Half is seeking an experienced and detail-oriented Medical Biller for a contract opportunity with one of our valued healthcare clients. As a Medical Biller, you’ll play a critical role in ensuring accurate billing, timely reimbursements, and compliance with healthcare regulations.</p><p><strong>Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and payers.</li><li>Review patient bills for accuracy and completeness.</li><li>Follow up on unpaid claims and resolve billing discrepancies.</li><li>Maintain patient records and billing documentation in compliance with HIPAA guidelines.</li><li>Work closely with healthcare providers and insurance representatives to clarify coding and coverage.</li><li>Assist with month-end reporting and reconciliation of billing accounts.</li></ul>
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in hospital billing and appeals, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.<br>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.<br>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.<br>• Prepare and submit medical appeals to recover denied or underpaid claims.<br>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.<br>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.<br>• Maintain detailed records of billing and collection activities for auditing purposes.<br>• Collaborate with healthcare providers and administrative teams to streamline billing processes.<br>• Identify opportunities to improve efficiency within the billing and collections workflow.<br>• Provide regular updates on accounts and collections to management.
<p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Billing Coordinator to join its growing team. The ideal Hospital Medical Billing Coordinator should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Billing Coordinator is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients' insurance coverage.</p><p>• Insurance follow up, appeals and denials. </p><p>• Determine the patient's financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
<p>Robet Half is looking for a skilled Medical Billing Specialist to join a team based in Philadelphia, Pennsylvania. In this Contract to permanent Medical Billing Specialist role, you will play a crucial part in ensuring accurate and efficient management of patient billing and insurance claims. The ideal Medical Billing Specialist candidate is detail-oriented, well-versed in medical billing processes, and capable of maintaining data integrity across systems. If you are looking for an opportunity to get your career moving in the right direction, then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013366684.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographics, insurance details, and billing data into electronic medical records and billing systems.</p><p><br></p><p>• Examine documents such as charge tickets, encounter forms, and referrals to confirm completeness and accuracy before data entry.</p><p><br></p><p>• Utilize knowledge of medical codes to validate and ensure the accuracy of entered data.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims information.</p><p><br></p><p>• Prepare billing data for submission to insurance providers while adhering to established processes.</p><p><br></p><p>• Ensure compliance with privacy policies and regulatory guidelines in all billing operations.</p><p><br></p><p>• Collaborate with clinical teams and administrative staff to address and clarify documentation issues.</p><p><br></p><p>• Contribute to audits, report generation, and data clean-up tasks as assigned.</p><p><br></p><p>• Support the billing department by maintaining organized and accurate records for efficient workflows.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our healthcare team in Fayetteville, North Carolina. This is a long-term contract opportunity, ideal for professionals who excel in managing billing processes and ensuring accuracy in financial documentation. The role plays a vital part in supporting the facility's operations and maintaining compliance with healthcare billing standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical claims to insurance providers in a timely manner.</p><p>• Verify patient billing information and ensure adherence to regulatory guidelines.</p><p>• Investigate and resolve claim discrepancies or denials to ensure proper reimbursement.</p><p>• Maintain detailed records of billing activities and payment statuses.</p><p>• Collaborate with healthcare staff to gather necessary documentation for billing purposes.</p><p>• Handle patient inquiries regarding billing issues and provide clear explanations.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Ensure compliance with healthcare billing regulations and policies.</p><p>• Analyze billing data to identify trends and areas for improvement.</p><p>• Support internal teams with necessary billing reports and documentation.</p>
<p>We are looking for a motivated and detail-oriented Medical Billing Specialist to join our team in Oak Brook, Illinois. This contract position is ideal for candidates with a background in medical billing and a commitment to accuracy in claims processing and payment reconciliation. You will play a vital role in ensuring timely submissions and providing support to families relying on Medicaid-funded services.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit clinic patient claims to Medicaid and private insurers twice weekly, ensuring all necessary information is included.</p><p>• Identify and correct errors in claims submissions, resubmitting promptly to avoid delays.</p><p>• Prepare and distribute monthly invoices to families and payers.</p><p>• Perform daily reconciliation of billing records to maintain accuracy and compliance.</p><p>• Coordinate with physicians to obtain scripts for new clients, ensuring accurate documentation.</p><p>• Track claim statuses and escalate complex issues to management when needed.</p><p>• Ensure compliance with Medicaid-specific billing and reporting requirements.</p><p>• Maintain organized records of all billing activities and client interactions.</p><p>• Communicate effectively with families and physicians regarding payment plans and billing inquiries.</p><p><br></p><p>The hourly pay range for this position is $24 to $29/hour. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. In this role, you will handle essential billing tasks to ensure accurate processing of medical claims and payments. This is a long-term contract opportunity within the healthcare industry, offering a chance to make a meaningful impact.<br><br>Responsibilities:<br>• Prepare and submit accurate medical claims to insurance providers.<br>• Verify patient insurance information and address any discrepancies.<br>• Follow up on unpaid claims and resolve billing issues promptly.<br>• Ensure compliance with healthcare regulations and billing standards.<br>• Maintain detailed records of payments, adjustments, and account statuses.<br>• Communicate effectively with patients regarding billing inquiries.<br>• Collaborate with healthcare staff to improve billing workflows.<br>• Utilize medical billing software to streamline processes.<br>• Review and analyze billing data for accuracy and completeness.<br>• Stay updated on changes in insurance policies and billing requirements.
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare facility in Fayetteville, North Carolina. In this role, you will play a key part in managing billing processes and ensuring accurate documentation and compliance with medical billing standards. This is a long-term contract position that offers the opportunity to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers accurately and efficiently.</p><p>• Review and verify patient information and billing data to ensure compliance with regulatory standards.</p><p>• Resolve billing discrepancies and follow up on unpaid claims to ensure timely reimbursement.</p><p>• Collaborate with healthcare professionals to clarify billing-related issues and obtain necessary documentation.</p><p>• Maintain up-to-date knowledge of billing codes and insurance policies to ensure proper claim submission.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Provide support in updating and maintaining billing records within the system.</p><p>• Communicate with patients regarding billing inquiries and payment options.</p><p>• Assist in implementing best practices to streamline billing procedures and improve accuracy.</p>
<p><strong>Medical Billing Specialist – Join Our Dynamic Team in Hershey!</strong></p><p><br></p><p>Are you passionate about details, driven by accuracy, and ready to make a difference in healthcare? Mid-sized company in Hershey is seeking a <strong>Medical Billing Specialist</strong> who brings both know-how and enthusiasm to the table. If you’re ready to advance your career in a supportive, growth-focused workplace—with a dash of FUN—we want to hear from you!</p><p><br></p><p><strong>What You’ll Do:</strong></p><ul><li>Prepare, review, and submit medical claims for reimbursement</li><li>Collaborate with healthcare providers and insurers to resolve billing questions</li><li>Manage patient accounts, including invoice generation and payment posting</li><li>Investigate and resolve claim denials and discrepancies</li><li>Maintain up-to-date records and ensure compliance with billing regulations</li><li>Deliver exceptional customer service to both patients and partners</li></ul><p><strong>What Makes Us Stand Out:</strong></p><ul><li><strong>Team Spirit:</strong> We believe a happy team delivers the best results. Enjoy a collaborative culture that celebrates wins and supports your growth!</li><li><strong>Career Growth:</strong> We invest in your future with ongoing training, advancement opportunities, and recognition for a job well done.</li><li><strong>Perks and Fun:</strong> From office theme days to group outings and wellness initiatives, we know that a little fun goes a long way!</li><li><strong>Make an Impact:</strong> Your attention to detail ensures patients receive care and providers are supported—your work truly matters.</li></ul><p><br></p>
<p>We are seeking a skilled Medical Billing Specialist to join a busy team and assist with processing and submitting medical insurance invoices and claims. The successful candidate will be responsible for ensuring accurate and timely submission of claims to insurance companies, reviewing and verifying insurance information, and resolving any issues or errors related to patient accounts.</p><p> </p><p>As a Medical Billing Specialist, you will work in this fast-paced environment, collaborating with other members of the medical billing team to ensure efficient and effective billing and claims processing. The ideal candidate will have strong attention to detail, excellent communication and customer service skills, and the ability to work independently. **This is an onsite role in the greater Chattanooga/North Georgia area**</p><p> </p><p>Responsibilities:</p><ul><li>Process and submit medical insurance claims accurately and in a timely manner</li><li>Review and verify patient insurance information, including policy numbers and coverage</li><li>Resolve any issues or errors related to patient billing</li><li>Communicate with patients and insurance companies regarding claim status and payment</li><li>Collaborate with other members of the medical billing team to ensure efficient and effective claims processing</li><li>Maintain accurate records and documentation of claims and payments</li></ul><p>Please complete an application and call (423) 244-0726 directly for more information!</p><p> </p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract role, you will play a vital part in managing billing operations and ensuring that all claims are processed accurately and efficiently. This is an excellent opportunity for someone with expertise in medical billing to contribute to the success of a healthcare facility.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims to ensure accurate billing and timely reimbursement.</p><p>• Verify patient insurance coverage and address any discrepancies or issues with claims.</p><p>• Collaborate with healthcare providers and insurance companies to resolve billing inquiries and disputes.</p><p>• Maintain detailed records of billing activities, including payments, adjustments, and outstanding balances.</p><p>• Ensure compliance with healthcare regulations and billing standards to avoid errors or penalties.</p><p>• Monitor and follow up on unpaid claims to ensure prompt resolution.</p><p>• Assist with coding and documentation to align with current medical billing guidelines.</p><p>• Provide support to the team by identifying and addressing billing system issues.</p><p>• Generate regular reports on billing performance and trends for management review.</p><p>• Communicate with patients regarding billing concerns and payment options.</p>
<p>We are looking for an experienced Medical Billing Specialist to join a team in Wilmington, Delaware. This position plays a vital role in ensuring accurate billing, claims processing, and accounts receivable management within a healthcare setting. As a Contract to permanent opportunity, this role offers the chance to demonstrate your expertise and grow within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims using UB04 forms while ensuring compliance with healthcare regulations and payer requirements.</p><p>• Perform detailed medical coding using current standards to accurately reflect resident care and services.</p><p>• Manage accounts receivable for Medicaid and Medicare billing, resolving discrepancies and handling claim denials effectively.</p><p>• Update and reconcile resident census data to ensure accurate billing for insurance providers.</p><p>• Coordinate billing for resident accounts, verify insurance eligibility, and maintain precise records of claim statuses.</p><p>• Utilize PointClickCare and other healthcare software to manage billing and documentation processes.</p><p>• Monitor claim statuses, investigate rejections or denials, and prepare corrected claims when necessary.</p><p>• Collaborate with clinical and administrative teams to ensure accurate census reporting and smooth billing operations.</p><p>• Uphold compliance with healthcare policies and regulations, safeguarding patient information and confidentiality.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Virginia Beach, Virginia. This long-term contract position is ideal for someone with strong accounting expertise and a passion for ensuring accurate financial processing. The role offers a hybrid work schedule following a comprehensive training period conducted on-site.<br><br>Responsibilities:<br>• Record payments accurately to member accounts and ensure proper documentation.<br>• Reconcile accounts to identify discrepancies and implement necessary corrections.<br>• Handle payments that are returned or not honored by financial institutions.<br>• Process refunds and adjustments to accounts, including memos.<br>• Prepare and distribute correspondence, such as member letters.<br>• Execute adjustments to accounts and maintain detailed records.<br>• Collaborate with the Team Coordinator to complete additional assigned tasks.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>Our client is looking for a medical biller who has experience with the denials process for healthcare companies. This role is 100% onsite and will be a standard 8am - 5pm schedule. </p><p><br></p><ul><li>Review, analyze, and interpret medical claim denials from insurance companies.</li><li>Investigate root causes of denials and work to resolve them via appeals or corrected submissions.</li><li>Communicate professionally with payers to gather needed information and negotiate claim resolution.</li><li>Collaborate with providers, coders, and revenue cycle staff to prevent future denials.</li><li>Maintain detailed records of denied claims and actions taken.</li><li>Prepare and submit written appeals with supporting documentation as needed.</li><li>Monitor payer trends and identify opportunities to enhance billing and collections processes.</li><li>Ensure compliance with all regulatory guidelines and organizational policies.</li><li>Meet daily and monthly productivity targets for denial resolution and claims follow-up.</li></ul><p><br></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare financial transactions. If you have a strong attention to detail and a commitment to maintaining compliance with medical standards, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently to ensure timely reimbursements.</p><p>• Review and verify patient account information for accuracy and completeness.</p><p>• Handle medical collections, including resolving discrepancies and communicating with insurance companies.</p><p>• Collaborate with healthcare providers and staff to address billing inquiries and resolve issues.</p><p>• Maintain up-to-date knowledge of medical billing regulations and compliance standards.</p><p>• Generate reports related to billing activities and provide insights for process improvements.</p><p>• Identify and correct billing errors to minimize delays and denials.</p><p>• Ensure confidentiality and security of patient financial information at all times.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a vital part in managing and processing medical claims, ensuring accurate billing, and supporting efficient revenue cycles. This is an excellent opportunity for professionals with expertise in medical billing, coding, and collections.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers and other payers.<br>• Review and verify patient billing information for accuracy and compliance with regulations.<br>• Resolve discrepancies and follow up on denied or unpaid claims to ensure timely collections.<br>• Collaborate with healthcare providers to obtain documentation needed for billing purposes.<br>• Maintain detailed records of billing activities and payment statuses.<br>• Ensure compliance with medical coding standards and billing guidelines.<br>• Address inquiries from patients and insurance companies regarding billing issues.<br>• Assist in identifying and implementing improvements to the billing process.<br>• Monitor accounts receivable and prepare reports on billing and collections.<br>• Provide support for audits and regulatory reviews related to billing procedures.
<p><strong><u>Medical Billing Supervisor – Hospital Billing Required!</u></strong></p><p><strong>Location:</strong> local to Plainville, CT (full time onsite)</p><p><strong>Compensation:</strong> up to $75,000 annually</p><p><strong>Employment Type:</strong> Full-Time</p><p><strong>Benefits:</strong> Comprehensive benefits package (medical, dental, vision, excellent PTO, and more)</p><p><br></p><p>A well-established healthcare organization near Plainville, CT is seeking an experienced <strong>Medical Billing Supervisor</strong> with a strong background in <strong>Inpatient Hospital billing</strong>. This role is ideal for a hands-on leader who thrives in a fast-paced healthcare environment and brings both technical billing expertise and proven supervisory experience.</p><p><br></p><p>Key Responsibilities</p><ul><li>Supervise and lead the inpatient medical billing team</li><li>Oversee daily billing operations to ensure accuracy, compliance, and timely reimbursement</li><li>Monitor workflows, productivity, and performance metrics</li><li>Serve as a subject matter expert for inpatient hospital billing regulations and processes</li><li>Resolve complex billing issues and escalations</li><li>Utilize Excel to analyze billing data, reports, and trends</li><li>Collaborate with internal departments to improve revenue cycle efficiency</li><li>Ensure compliance and support annual audits</li></ul><p>Qualifications</p><ul><li><strong>5+ years of medical billing experience</strong>, specifically within an <strong>inpatient hospital setting</strong></li><li><strong>Prior supervisory or leadership experience required***</strong></li><li>Strong working knowledge of hospital billing processes and reimbursement methodologies</li><li><strong>Advanced Excel skills</strong></li><li>Excellent communication, organizational, and problem-solving skills</li><li>Ability to lead, mentor, and motivate a team</li></ul><p><br></p><p><strong>Qualified candidates should apply by sending their resume to: Daniele.Zavarella@roberthalf com!</strong></p>
<p>Are you detail-oriented and passionate about maintaining confidentiality in sensitive legal matters? We’re seeking a <strong>Billing Representative</strong> to join the Legal Correspondence Team for a <strong>6-month remote contract</strong>. The <strong>Billing Representative</strong> will manage attorney correspondence, subpoenas, and requests for patient billing records with a high degree of accuracy and professionalism. If you're an experienced <strong>Billing Representative</strong> with knowledge of medical billing and legal compliance, this opportunity could be a great fit.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Review, process, and respond to subpoenas, attorney correspondence, and billing record requests in a timely and accurate manner.</li><li>Ensure compliance with HIPAA, federal/state laws, and internal organizational policies regarding the release of patient information.</li><li>Verify authenticity and completeness of legal documents before proceeding with any release.</li><li>Collaborate with internal departments to gather and deliver accurate billing records and supporting documentation.</li><li>Maintain thorough documentation of all incoming requests, correspondence, and released information.</li><li>Communicate clearly and professionally with legal representatives to clarify or update record requests.</li><li>Protect sensitive patient data and ensure confidentiality throughout all processes.</li><li>Escalate complex or unclear requests to legal or supervisory teams for resolution.</li><li>Support continuous process improvements for greater efficiency and accuracy.</li><li>Stay informed of legal and regulatory changes impacting medical billing record releases.</li></ul><p><br></p>
We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
<p>We are looking for an experienced Billing Lead to join our team in Sacramento, California. This contract to hire position involves overseeing billing and collections operations, ensuring efficiency and accuracy in processes, and managing staff performance. The ideal candidate will have a strong background in medical billing and collections, as well as leadership experience.</p><p><br></p><p>Responsibilities:</p><p>• Manage and oversee all billing and collections activities across departments to ensure timely and accurate processing.</p><p>• Provide support and solutions for billing-related challenges, including denial trends and short-pay issues.</p><p>• Maintain a thorough understanding of team member responsibilities and collaborate with other departments to address billing-related concerns.</p><p>• Coordinate backup support for billing and collections staff during absences or high workload periods.</p><p>• Ensure billing software is updated with current reimbursement rates, billing codes, and regulatory requirements.</p><p>• Facilitate onboarding for new staff by setting up access to insurance and billing systems.</p><p>• Conduct performance evaluations for billing and collections team members, offering constructive feedback and development plans.</p><p>• Monitor adherence to standard operating procedures and recommend updates for improved accuracy and efficiency.</p><p>• Review and approve staff timecards on a weekly basis.</p><p>• Prepare and deliver required management and external billing reports, including hospice aggregate caps and cost report data.</p>
<p>A Hospital in Los Angeles is in the need of a Medical Billing Support Services Associate to join its healthcare team in Los Angeles. In this role, the Medical Billing Support Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment statuses. The Medical Billing Support Services Associate must have strong background in medical billing and a commitment to excellence.</p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts from both automated and manual payers, ensuring compliance with established procedures.</p><p>• Research and analyze unposted or unapplied cash to facilitate timely resolution and posting.</p><p>• Investigate unapplied cash receipts and escalate issues to supervisors when necessary.</p><p>• Reverse balances and adjust credits or debits to correct billing errors and payment applications.</p><p>• Review correspondence related to refunds or recoupments, taking appropriate actions such as issuing refund requests or submitting disputes.</p><p>• Evaluate credit balances and issue refunds to payers in an accurate and timely manner.</p><p>• Collaborate with Finance and other Revenue Cycle departments to streamline cash posting, balancing, and reconciliation processes.</p><p>• Address issues related to payment postings or refunds and communicate updates to management.</p><p>• Cross-train in billing processes, including charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections.</p>
