<p>We are looking for a detail-oriented Medical Billing and Payment Posting Specialist to join our team located in the Greater Philadelphia Region. In this fast-paced and rapidly growing environment, you will play a key role in supporting the fee-for-service finance department. This Medical Billing and Payment Posting Specialist role is a contract position that requires strong organizational skills and proficiency with multiple software applications.</p><p><br></p><p>What you get to do every single day:</p><p>• Review and upload claims accurately to ensure proper processing and timely reimbursement.</p><p>• Track claims manually and maintain detailed records for auditing and reporting purposes.</p><p>• Develop and refine standard operating procedures (SOPs) with guidance from leadership.</p><p>• Utilize software tools such as QuickBooks for invoicing and payment management.</p><p>• Handle customer service inquiries related to billing and payments.</p><p>• Navigate and work efficiently across various medical portals and applications, including ModMed, Ability, and Pear.</p><p>• Conduct audits to identify discrepancies and ensure compliance with billing standards.</p><p>• Address medical insurance denials and resolve issues effectively.</p><p>• Process transactions using platforms like Square and maintain accurate financial records.</p><p>• Collaborate with team members to improve processes and support departmental goals.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
<p>A growing <strong>multi-specialty healthcare organization</strong> in <strong>Vista</strong> is seeking an experienced <strong>Medical Billing Supervisor</strong> to oversee the billing department and ensure timely, accurate claims submission and reimbursement. The ideal candidate is a hands-on leader with deep understanding of medical billing practices, compliance requirements, and payer regulations.</p><p>This position offers a great opportunity to work in a collaborative environment where accuracy, compliance, and mentorship are valued.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Supervise daily operations of the billing department, including claim submission, payment posting, and denial management.</li><li>Train, mentor, and evaluate billing staff to ensure consistent performance and adherence to policy.</li><li>Monitor aging reports and identify trends in claim rejections or delays.</li><li>Review complex claims for accuracy, completeness, and compliance prior to submission.</li><li>Collaborate with the Revenue Cycle Manager to implement process improvements and reduce A/R days.</li><li>Ensure timely follow-up on outstanding claims and coordinate corrections or appeals.</li><li>Maintain compliance with HIPAA, Medicare, Medi-Cal, and all other payer requirements.</li><li>Prepare and present monthly billing performance reports to management.</li><li>Coordinate with clinical and administrative departments to resolve coding and documentation discrepancies.</li><li>Travel locally as needed to attend meetings or gather financial data for reporting purposes.</li></ul>
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
<p>We are seeking a detail-oriented and experienced <strong>Medical Billing Specialist</strong> to join our team in a hybrid capacity. The ideal candidate will be responsible for ensuring accurate and timely billing and reimbursement for healthcare services. This role involves working closely with internal departments and external payers to resolve billing issues and maintain compliance with industry standards.</p><p> </p><p> </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit clean claims to insurance companies using billing software (e.g., Evolv NX, Epic).</li><li>Process remittances and deposits; analyze Explanation of Benefits (EOBs).</li><li>Track and resolve held, denied, or partially paid claims.</li><li>Bill secondary and tertiary payers as needed.</li><li>Maintain accurate records of billing activities and journal entries.</li><li>Communicate with patients regarding balances and payment plans.</li><li>Collaborate with clinical and QA teams to ensure proper documentation and coding.</li><li>Lead internal and external meetings related to billing and collections.</li><li>Generate monthly billing reports and assist with audits.</li></ul><p> </p><p> </p><p><br></p>
We are looking for a meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity to contribute to the efficient management of radiology billing and insurance processes while ensuring compliance with industry standards. The ideal candidate will excel in communication and collaboration, supporting both patients and clinical staff in navigating complex billing and authorization procedures.<br><br>Responsibilities:<br>• Verify patient insurance eligibility and coverage for scheduled radiology exams, ensuring all checks are completed ahead of schedule.<br>• Initiate and secure prior authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation.<br>• Follow up proactively with insurance providers to obtain approvals and communicate authorization status to patients and clinical teams.<br>• Address patient billing inquiries, assist with payment collections, and resolve discrepancies in claims or appeals.<br>• Process denied claims and write appeals for radiology procedures, ensuring timely follow-through on billing issues.<br>• Generate zero balance bills upon request and provide financial support to patients as needed.<br>• Maintain clear and precise communication with patients, physician offices, insurance companies, and internal staff.<br>• Document all interactions and updates accurately in electronic health and billing systems.<br>• Stay informed about changes in insurance regulations, payer policies, and coding guidelines relevant to radiology services.<br>• Ensure all processes adhere to compliance standards and organizational guidelines.
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical claims, collections, and coding. Based in New Orleans, Louisiana, this position offers an opportunity to contribute your expertise to a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Process medical claims with accuracy and efficiency, adhering to industry standards and regulations.<br>• Conduct medical coding to ensure proper classification and compliance with billing requirements.<br>• Manage collections by following up on outstanding balances and resolving discrepancies.<br>• Utilize Epaces and other systems to monitor claims and maintain data integrity.<br>• Communicate effectively with healthcare providers and insurance companies to address billing issues.<br>• Verify patient information and insurance details to facilitate accurate billing.<br>• Identify and resolve errors in claims submissions to minimize delays and denials.<br>• Maintain up-to-date knowledge of billing policies, procedures, and regulatory changes.<br>• Generate reports to track billing performance and identify areas for improvement.<br>• Collaborate with team members to streamline billing processes and enhance operational efficiency.
<p>We are currently seeking a detail-oriented and skilled <strong>Medical Billing Specialist</strong> to support one of our clients in Holyoke, MA. The ideal candidate will have prior experience in medical collections and demonstrate proficiency in managing billing operations efficiently. This is a great opportunity to expand your expertise in a dynamic healthcare environment while contributing to the financial health of the organization.</p><p><strong>Responsibilities:</strong></p><ul><li>Manage and process medical billing payments and claims accurately.</li><li>Handle medical collections, including communicating with insurance providers and patients to resolve outstanding balances.</li><li>Investigate and resolve billing discrepancies or issues to ensure account accuracy.</li><li>Maintain compliance with healthcare regulations, billing standards, and client-specific policies.</li><li>Generate detailed reports on billing activities and provide clients with updates as needed.</li><li>Collaborate with internal teams to ensure smooth accounting and billing processes.</li></ul><p><br></p>
<p><strong>Job Description</strong>: Medical Billing Specialist </p><p><br></p><p><strong>Overview:</strong> We are seeking a highly motivated and detail-oriented Medical Billing Specialist for an organization located in Mars, PA. The ideal candidate will have expertise in medical billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions and claims processing.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>1. Billing:</strong></p><ul><li>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</li><li>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</li><li>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</li><li>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</li></ul><p><strong>2. Payment Posting:</strong></p><ul><li>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</li><li>Reconcile posted payments with bank statements and patient billing systems.</li><li>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</li></ul><p><strong>3. Revenue Cycle Management:</strong></p><ul><li>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</li><li>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</li><li>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</li></ul><p><strong>4. Customer and Client Communication:</strong></p><ul><li>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</li><li>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</li></ul><p><strong>5. Compliance:</strong></p><ul><li>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</li><li>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</li></ul><p><strong>Location:</strong> This position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong>Schedule:</strong> The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong>Why is this role available?</strong> This organization recently had a tenured team member retire.</p><p><br></p><p><strong>How to Apply: </strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our nonprofit speech therapy clinic in Lombard, Illinois. This long-term contract position offers an opportunity to contribute to vital services by ensuring accurate billing and claims processing for Medicaid-funded speech therapy programs. If you have a passion for detail, strong organizational skills, and the ability to manage billing tasks efficiently, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit clinic patient claims to Medicaid and private insurance twice per week, ensuring all required information is included.</p><p>• Review claims for errors, make necessary corrections, and promptly resubmit for processing.</p><p>• Prepare and distribute monthly invoices to families and payers in a timely manner.</p><p>• Reconcile billing records daily to maintain accuracy and track payment statuses.</p><p>• Coordinate the setup of new clients by obtaining and verifying physician scripts, following up as needed.</p><p>• Monitor the status of claims and address escalated issues by collaborating with the manager.</p><p>• Ensure compliance with Medicaid-specific billing and reporting requirements, maintaining meticulous attention to detail.</p><p>• Assist clients with payment plans and address inquiries related to billing.</p><p>• Work closely with families and physicians to facilitate smooth communication and resolve billing-related concerns.</p><p><br></p><p>The hourly pay range for this position is $24 to $29. 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 roberthalf.gobenefits.net for more information.</p>
We are looking for a detail-oriented Medical Billing Insurance Clerk to join our team on a contract basis in Barton, Vermont. In this role, you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position is ideal for someone with a strong understanding of medical billing processes and experience working with insurance claims.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and compliance with established guidelines.<br>• Utilize billing software to manage data entry and track claim statuses.<br>• Verify insurance coverage details and resolve claim discrepancies efficiently.<br>• Handle collections and follow up on outstanding payments from insurance providers.<br>• Maintain confidentiality of patient information and billing records.<br>• Collaborate with team members to ensure seamless operations and timely claim submissions.<br>• Generate and analyze reports related to billing and insurance claims.<br>• Manage Medicaid and commercial insurance billing processes, adhering to specific regulations.<br>• Update and maintain spreadsheets for tracking billing activities and payment records.<br>• Communicate effectively with insurance companies and healthcare providers to address billing concerns.
<p>A Healthcare organization in the city of Duarte is looking for a skilled Medical Billing Collections Specialist. The Medical Billing Collections Specialist must have at least 4 years of experience in the health care industry. The ideal candidate for this open position would have experience in skilled nursing or related fields.</p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Billing and Claims Management:</strong> Prepare, submit, and track medical claims for services provided in our skilled nursing facility to insurance companies, Medicare/Medicaid, and private payers.</li><li><strong>Patient Accounts:</strong> Manage accounts receivable, follow up on outstanding payments, resolve discrepancies, and ensure timely reimbursement.</li><li><strong>Compliance:</strong> Stay current with billing and coding regulations, including ICD-10, CPT, and HCPCS codes, ensuring compliance with HIPAA and other legal standards.</li><li><strong>Collaboration:</strong> Work closely with admissions, case management, and clinical staff to ensure accurate coding and documentation throughout the billing process.</li><li><strong>Denial Management:</strong> Handle rejected or denied claims, resolve issues, and resubmit claims to maintain efficient cash flow.</li><li><strong>Reporting:</strong> Prepare regular billing and financial reports to support operational decisions.</li></ul><p><br></p>
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
We are looking for a meticulous Medical Billing Specialist to join our team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise.<br><br>Responsibilities:<br>• Prepare and submit medical claims to insurance providers using accurate coding practices.<br>• Verify and update patient insurance information within internal systems.<br>• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.<br>• Review insurance claim denials and initiate corrections or appeals to ensure payment.<br>• Coordinate with third-party payers for authorizations and eligibility verification.<br>• Accurately post payments to patient accounts, including deductibles and copay amounts.<br>• Generate and send patient statements for outstanding balances.<br>• Address patient inquiries regarding billing concerns with professionalism and clarity.<br>• Ensure compliance with federal, state, and insurance-specific regulations.<br>• Create detailed reports on billing activities and accounts receivable trends for management review.
<p>We are looking for a Medical Biller in the Middlesex County, NJ area. In this role you will be responsible for the medical billing process, accounts receivable, posting payments, insurance claims, and more. If you have 1+ years of experience as a Medical Biller and are looking to grow your career, this might be the opportunity for you! </p><p><br></p><p>Responsibilities:</p><p>• Handle medical billing processes, including accounts receivable tasks, insurance claims, and denial management.</p><p>• Review and analyze Explanation of Benefits (EOBs) to ensure accurate payment posting and reconciliation.</p><p>• Coordinate with insurance providers to obtain approvals and resolve claim-related issues.</p><p>• Accurately post payments and transactions while maintaining detailed financial records.</p><p>• Perform regular reconciliations to ensure the integrity of billing and payment data.</p><p>• Utilize Microsoft Excel for data analysis and reporting.</p><p>• Stay informed about healthcare regulations and compliance standards relevant to patient financial services.</p><p>• Collaborate with team members to streamline billing operations and improve efficiency.</p>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.</p><p> </p><p>Responsibilities:</p><ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul><p><br></p>
<p>We are looking for a meticulous Billing Clerk to join our team in North Andover, Massachusetts. In this role, you will handle medical billing processes, ensuring accuracy and compliance with industry standards while working closely with healthcare providers, insurance companies, and patients. This position is ideal for professionals with medical billing experience who enjoy a dynamic, collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with precision and attention to detail.</p><p>• Investigate and resolve denied or rejected claims to secure timely reimbursements.</p><p>• Verify patients' insurance coverage and eligibility prior to submitting claims.</p><p>• Oversee accounts receivable, recording payments and applying necessary billing adjustments.</p><p>• Collaborate with healthcare staff to address and correct coding discrepancies.</p><p>• Generate comprehensive financial reports to monitor billing performance and metrics.</p><p>• Ensure compliance with Medicare, Medicaid, and private insurance regulations.</p><p>• Utilize medical billing software and electronic health record systems effectively.</p><p>• Provide responsive customer service by addressing patient and insurance inquiries regarding billing.</p><p>• Conduct follow-ups on unpaid claims to facilitate proper payment collection.</p><p><br></p><p><br></p><p>If interested, please reach out to jeremy.tranfaglia@roberthalf</p>
<p>A boutique <strong>family medicine and wellness practice</strong> in <strong>Rancho Santa Fe</strong> is looking for a reliable and detail-oriented <strong>Medical Biller</strong> to join their administrative team. This role will handle end-to-end billing functions including claim submission, payment posting, and patient collections for a small but high-volume private office.</p><p>The ideal candidate will be self-sufficient, organized, and knowledgeable in both insurance and private-pay billing processes.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately process and submit insurance claims through clearinghouses and payer portals.</li><li>Verify patient eligibility and benefits prior to appointments.</li><li>Post insurance and patient payments; reconcile deposit logs.</li><li>Manage denials, rejections, and appeals with appropriate documentation.</li><li>Generate patient statements and follow up on outstanding balances.</li><li>Maintain compliance with HIPAA and practice policies.</li><li>Communicate with patients regarding billing inquiries in a professional manner.</li><li>Coordinate with the front office and clinical staff to resolve coding or authorization discrepancies.</li><li>Maintain accurate digital and paper billing files.</li></ul>
<p>Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.</p><p>• Monitor claim submission activities and generate reports to track progress and efficiency.</p><p>• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.</p><p>• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.</p><p>• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.</p><p>• Manage invalid claims by correcting errors and updating physician and contract information.</p><p>• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.</p><p>• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.</p><p>• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.</p><p>• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our</p>
<p>We are looking for a dedicated Patient Financial Services Supervisor to oversee medical billing operations in a healthcare environment. This long-term contract position is based in French Camp, California, and offers an excellent opportunity to lead a team responsible for ensuring accurate claims processing and maximizing reimbursements. The ideal candidate will have a strong background in medical billing and coding, along with proven leadership skills.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage the daily operations of the medical billing and collections team to ensure efficiency and accuracy.</p><p>• Identify and resolve complex billing issues, including denials, appeals, and system errors.</p><p>• Collaborate with insurance companies, internal departments, and external stakeholders to streamline processes and improve reimbursement outcomes.</p><p>• Train and mentor staff on billing policies, compliance standards, and industry updates.</p><p>• Audit and review claims such as UB-04 and CMS-1500 to ensure accuracy and adherence to guidelines.</p><p>• Monitor account workflows and implement strategies to enhance productivity and cash flow.</p><p>• Prepare detailed reports and analyses on billing performance and account status.</p><p>• Ensure compliance with Medicare, Medicaid, and commercial payer requirements.</p><p>• Leverage billing systems and tools to optimize operations and reduce errors.</p><p><br></p><p>For immediate consideration please call Cortney at 209-225-2014 </p>
