<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 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 seeking an experienced and detail-oriented individual to manage medical billing, claims, and collections tasks for a healthcare facility in Wakefield, Massachusetts. This role requires expertise in medical denials, appeals, and hospital billing processes to ensure efficient revenue cycle management. This is a long-term contract position offering stability and an opportunity to contribute to a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing for hospital services, ensuring accuracy and compliance with regulations.</p><p>• Manage claims submissions and follow up to secure timely reimbursements.</p><p>• Investigate and resolve medical denials by identifying causes and implementing corrective actions.</p><p>• Prepare and submit appeals for denied claims to achieve resolution.</p><p>• Maintain detailed records of billing activities and collections processes.</p><p>• Collaborate with insurance companies and healthcare providers to resolve outstanding claims.</p><p>• Monitor and report on accounts receivable to ensure timely payments.</p><p>• Implement strategies to improve billing efficiency and reduce claim denials.</p><p>• Provide support for audits and compliance reviews, ensuring all documentation is accurate.</p><p>• Stay updated on industry regulations and billing requirements to maintain adherence.</p>
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>We are looking for a dedicated Medical Billing Specialist to join our team in Chattanooga, Tennessee. This Contract to permanent position offers the opportunity to work in a dynamic healthcare environment, supporting various services including primary care, pharmacy, infectious disease, and behavioral health. The ideal candidate will bring strong attention to detail, excellent organizational skills, and a willingness to interact with patients when necessary.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical billing for multiple healthcare services, ensuring accuracy and timeliness.</p><p>• Handle insurance claims, including Medicare and Medicaid, while addressing denials and resolving payment issues.</p><p>• Collaborate with team members to maintain efficient workflow and support organizational goals.</p><p>• Communicate with patients regarding billing inquiries in a detail-oriented and compassionate manner.</p><p>• Post payments and reconcile transactions using Excel spreadsheets.</p><p>• Conduct follow-ups on insurance claims and payments to ensure resolution.</p><p>• Adapt to a fast-paced environment while managing multiple tasks simultaneously.</p><p>• Stay informed about billing practices and regulations relevant to Medicare, Medicaid, and other insurance providers.</p><p>• Contribute to the growth and expansion of services by maintaining high-quality billing standards.</p><p>• Provide support for new services and providers as the organization grows.</p><p><br></p><p><strong>If interested in this role please apply, then call (423)237-7921.</strong></p>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. In this Contract to permanent position, you will manage essential billing operations, ensuring accuracy and compliance within the healthcare industry. Your expertise in medical billing systems and software will be critical in supporting the financial operations of our organization.<br><br>Responsibilities:<br>• Process and manage medical claims with precision, ensuring compliance with healthcare regulations.<br>• Utilize accounting software systems to maintain accurate billing records and financial data.<br>• Handle accounts receivable tasks, including tracking payments and resolving discrepancies.<br>• Oversee appeals and claims administration to address denied or delayed claims effectively.<br>• Perform collection activities to recover outstanding balances while maintaining professionalism.<br>• Operate within EHR systems and tools such as Epic and Medisoft to streamline billing functions.<br>• Generate detailed financial reports using Microsoft Excel to support organizational decision-making.<br>• Collaborate with internal teams to optimize billing workflows and improve efficiency.<br>• Maintain up-to-date knowledge of healthcare billing codes and insurance policies.<br>• Support the integration and use of IBM AS/400 and other relevant systems for billing processes.
<p>This contract part-time role provides critical support to help a non-profit organization in Spokane catch up on Medicaid billing. The specialist will assist with claim submission, corrections, and verification, using multiple billing platforms.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and in a timely manner to ensure prompt reimbursement.</p><p>• Investigate and resolve denied claims by identifying issues and submitting appeals as necessary.</p><p>• Manage collections efforts by contacting patients and insurance providers to secure outstanding payments.</p><p>• Review and analyze medical billing data to ensure compliance with hospital policies and regulatory requirements.</p><p>• Maintain detailed records of billing activities and communications for documentation purposes.</p><p>• Collaborate with healthcare providers and administrative teams to address billing discrepancies and improve workflows.</p><p>• Stay updated on industry changes and insurance regulations to ensure billing practices remain compliant.</p><p>• Handle inquiries related to billing and collections, providing clear explanations to patients and stakeholders.</p><p>• Utilize hospital billing systems effectively to perform tasks and generate reports as required.</p>
<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>
We are looking for a Medical Billing Specialist to join our team in Greenville, South Carolina. In this Contract to permanent position, you will play a key role in managing financial arrangements, collecting accounts, and pursuing outstanding balances to ensure efficient revenue generation. This opportunity is ideal for someone with strong attention to detail, expertise in healthcare billing systems, and a commitment to maintaining confidentiality and compliance.<br><br>Responsibilities:<br>• Establish payment arrangements with patients and monitor their progress to ensure timely collections.<br>• Pursue delinquent accounts through direct follow-ups, collection agencies, or legal channels, including small claims court.<br>• Track Medicare bad-debt cost reports by monitoring billing and collections while compiling necessary documentation.<br>• Initiate and manage claims against estates by collaborating with legal departments and court representatives.<br>• Handle payroll deductions and secure automatic transfers to collect outstanding balances for employee care.<br>• Interview obstetrical patients prior to delivery to set payment expectations and issue monthly statements.<br>• Maintain compliance with policies, procedures, and legal standards to ensure smooth operations.<br>• Safeguard sensitive information by adhering to confidentiality protocols and protecting clinic/hospital value.<br>• Participate in training and development opportunities to stay updated on industry standards and billing practices.<br>• Contribute to the department’s reputation by embracing new challenges and exploring ways to enhance job performance.
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.
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</p>
<p>We are looking for a dedicated <strong>Medical Billing Specialist</strong> to join our clinic team. This is a fully onsite role. This isn't just a data entry job—this is a high-impact role where you will manage the full revenue cycle for our clinic and residential Medicaid patients.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 4:30pm</p><p><br></p><p><strong>Responsibilities</strong>:</p><ul><li><strong>Full Cycle Follow-Up:</strong> Proactively managing unpaid claims and navigating payer portals to resolve delays.</li><li><strong>Payment Posting:</strong> Accurately posting payments and reconciling accounts.</li><li><strong>Medicaid Expertise:</strong> Navigating the complexities of Medicaid and Managed Care plans.</li><li><strong>Issue Resolution:</strong> Investigating why claims were denied and escalating systemic problems to leadership.</li><li><strong>Revenue Stability:</strong> Working closely with the team to ensure consistent cash flow for our residential and clinic services.</li></ul>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement. </p>
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>Our client is seeking a <strong>detail-oriented, service-driven Care Coordinator</strong> to support administrative and care coordination functions for pediatric patients receiving critical medical equipment and supplies. This role requires strong communication skills, comfort handling high-volume phone interactions, and the ability to navigate complex healthcare and insurance processes while maintaining compliance standards.</p><p><br></p><p>This is an <strong>immediate need</strong> with interviews conducted via Microsoft Teams.</p><p><br></p><p>Key Responsibilities</p><ul><li>Coordinate care services for pediatric patients and foster families</li><li>Communicate regularly with patient families, physicians, and community partners</li><li>Submit patient requests to physicians and follow up on required documentation</li><li>Secure eligibility information and request prior authorizations from insurance providers</li><li>Support medical billing and coding activities as needed</li><li>Maintain strict compliance with Medicaid and HIPAA regulations</li><li>Collaborate with referring agencies and healthcare providers</li><li>Coordinate durable medical equipment (DME) services</li><li>Deliver timely, accurate service while maintaining professionalism in high-stress situations</li></ul><p><br></p>
We are looking for a skilled Billing Clerk to join our team in Houston, Texas. This position offers a Contract to permanent employment opportunity within the healthcare industry, where accuracy and efficiency are crucial. The ideal candidate will excel in managing billing processes, maintaining detailed records, and collaborating with various departments to ensure seamless operations.<br><br>Responsibilities:<br>• Enter and import paperwork received from assigned branches to support accurate billing.<br>• Provide constructive feedback to branches regarding paperwork completion and timeliness.<br>• Review and update daily billing work queues for designated branches.<br>• Monitor and validate billing reports to maintain accuracy and compliance.<br>• Collaborate with the Billing Manager and team members to ensure effective communication.<br>• Assist with department projects, including updates to sales personnel and adjustments to customer pricing.<br>• Coordinate with accounts receivable, credit/collections, and branch staff to resolve billing inquiries.<br>• Verify billing details such as pricing, customer data, equipment, taxes, quantities, billing periods, and comments.<br>• Meet deadlines for month-end billing and other department activities.<br>• Perform additional duties as assigned to support the billing department.
<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>
<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>A Behavioral Health Company in Long Beach is in the need of a Lead ABA Medical Biller with DMH experience. The Lead ABA Medical Biller will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead ABA Medical Biller must have behavioral health experience.</p><p><br></p><p>Responsibilities:</p><p>• Supervise and provide daily guidance to billing staff, ensuring adherence to established procedures.</p><p>• Conduct training, coaching, and performance evaluations for team members, supporting their growth and attention to detail.</p><p>• Review billing documentation and workflows to ensure accuracy and compliance with established protocols.</p><p>• Address claim denials by analyzing monthly revenue reports and implementing corrective measures.</p><p>• Collaborate with Quality Assurance staff to update administrative sections of client files as needed.</p><p>• Process electronic billing efficiently, ensuring clean and accurate claims using available technology.</p><p>• Reconcile billing reports for the Department of Mental Health and Behavioral Health Services, ensuring compliance with agency standards.</p><p>• Partner with the Billing Director to implement new procedures and provide operational feedback.</p><p>• Organize and facilitate departmental meetings and training sessions to improve team performance.</p><p>• Attend required meetings and training sessions to stay updated on internal and external systems relevant to billing operations.</p>
<p>The Medical Biller & Collections Specialist is responsible for managing the full revenue cycle process to ensure timely and accurate reimbursement for services rendered. This role supports the financial health of the organization by overseeing insurance billing, payment posting, and patient account follow-up while maintaining strict compliance with healthcare regulations.</p><p><br></p><p>The specialist prepares, submits, and monitors insurance claims to commercial payers, Medicaid, and other applicable programs, ensuring claims are accurate, complete, and compliant with payer requirements. They research and resolve denied or underpaid claims, submit appeals when necessary, and communicate effectively with insurance companies to secure proper reimbursement.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Submit, review, and track medical claims for timely reimbursement</li><li>Post insurance and patient payments accurately</li><li>Investigate and resolve claim denials, rejections, and underpayments</li><li>Submit appeals and supporting documentation as required</li><li>Manage patient balances, collections, and payment plans</li><li>Communicate with insurance carriers and patients regarding billing inquiries</li><li>Maintain accurate billing records and documentation</li><li>Ensure compliance with HIPAA and payer guidelines</li></ul>
<p>We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.</p><p>• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.</p><p>• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.</p><p>• Document all claim activity, correspondence, and status updates thoroughly in the billing system.</p><p>• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.</p><p>• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.</p><p>• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.</p><p>• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.</p><p>• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.</p><p>• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.</p>
<p>A growing healthcare organization in Vista is hiring a <strong>Collections Specialist</strong> to support patient and insurance collections in a fast-paced, regulated environment. This role focuses on reducing outstanding balances while delivering compassionate, compliant communication. The ideal candidate understands healthcare billing cycles and thrives in a detail-driven role that balances accuracy with patient service.</p><p><strong>Responsibilities</strong></p><ul><li>Follow up on outstanding patient and insurance balances</li><li>Communicate with patients regarding payment plans and account resolutions</li><li>Coordinate with billing, coding, and insurance teams to resolve denials</li><li>Review EOBs and identify discrepancies</li><li>Maintain accurate notes and documentation for compliance purposes</li><li>Monitor aging reports and prioritize collection efforts</li><li>Support audits and reporting requirements</li><li>Ensure adherence to HIPAA and healthcare regulations</li></ul>
<p>Join our team as a Medical Payment Posting Specialist and play a key role in supporting the financial strength of leading healthcare organizations. In this crucial position, you’ll be responsible for the accurate and timely posting of medical payments—helping to maintain an efficient revenue cycle and positively impact the patient experience.</p><p><br></p><p>Hours: Monday – Friday, 8am – 5pm</p><p><br></p><p>Key Responsibilities include the following:</p><ul><li>Accurately enter insurance and patient payments into billing systems, ensuring records are current.</li><li>Review and analyze Explanations of Benefits (EOBs) to confirm and distribute payments correctly.</li><li>Reconcile deposits and verify payment activity within patient accounts, promptly resolving any discrepancies.</li><li>Proactively identify and address denials, underpayments, or posting errors to ensure precise account management.</li><li>Work collaboratively with internal teams and insurance carriers to investigate and resolve payment-related inquiries.</li><li>Ensure compliance with HIPAA and other healthcare regulations by maintaining industry standards.</li><li>Assist with month-end closing activities related to payment posting and financial reporting.</li></ul><p><br></p>
