<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>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>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 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.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our client's team in Beaverton, Oregon. In this long-term contract role, you will play a crucial part in ensuring accurate billing, coding, and claims processing within the healthcare industry. This position requires strong analytical and critical thinking skills to navigate complex billing systems and resolve claim-related issues effectively.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing transactions with precision and efficiency.</p><p>• Enter data into software, ensuring accuracy and compliance.</p><p>• Monitor and follow up on submitted claims to secure timely payments.</p><p>• Investigate and address denied claims, resolving issues to facilitate reimbursement.</p><p>• Apply medical coding standards to provide appropriate codes for new testing procedures.</p><p>• Collaborate with team members to ensure billing practices meet regulatory requirements.</p><p>• Utilize software tools to streamline billing operations.</p><p>• Stay updated on Medicare, Medicaid, and Tricare billing protocols.</p><p>• Conduct research to resolve complex billing or coding challenges.</p><p>• Maintain thorough documentation of billing activities and claim resolutions.</p>
<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><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>
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
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 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 dynamic healthcare team in Vancouver, Washington. In this long-term contract role, you will play a key part in ensuring the accuracy and efficiency of high-volume billing operations. This position is ideal for professionals with expertise in medical billing systems, attention to detail, and a proactive approach to resolving claims issues.<br><br>Responsibilities:<br>• Process large volumes of medical billing transactions with precision and attention to detail.<br>• Input and update patient information and billing data using NextGen software.<br>• Maintain organized and accurate records through extensive data entry efforts.<br>• Review and submit claims to insurance providers, ensuring completeness and accuracy.<br>• Address and correct claim denials by identifying underlying issues and resubmitting claims.<br>• Conduct accounts receivable follow-up to secure timely reimbursements.<br>• Examine explanation of benefits (EOBs) to identify and resolve discrepancies.<br>• Create and analyze reports using Microsoft Excel to support billing operations.<br>• Work closely with internal teams to address billing challenges and enhance workflows.<br>• Assist with special billing projects and additional responsibilities as needed.
<p>We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis. This role involves working with healthcare billing processes, reviewing insurance claims, and ensuring accurate coding practices. Based in York, Maine, this is a great opportunity for professionals seeking a challenging and rewarding position in the medical billing field.</p><p><br></p><p>Responsibilities:</p><p>• Manage the daily processing of medical claims, ensuring accuracy and compliance with billing regulations.</p><p>• Review hospital records and insurance documents to verify patient information and payment details.</p><p>• Utilize ICD-10 coding standards to correctly classify medical procedures and diagnoses.</p><p>• Handle approximately 30-40 accounts per day, maintaining efficiency and attention to detail.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and secure timely reimbursements.</p><p>• Monitor account balances and follow up on collections as needed.</p><p>• Maintain proficiency in using medical billing software, including tools such as Cerner.</p><p>• Adapt to west coast hours to ensure alignment with team operations and client needs.</p><p>• Ensure compliance with healthcare regulations and company policies.</p><p>• Provide clear communication and updates on claim status to relevant stakeholders.</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.
Ensure full reimbursement is received for clinical services rendered including detail oriented, long-term/home care and hospital care, by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to secure payment. Work as part of a dynamic team continually looking for ways to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments and coverage changes as needed. Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as needed according to department policy and procedure. Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we do not fail to follow-up before a payer's deadline. Participate in team meetings, which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools available, including accessing clinical documentation and authorization details. Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff.
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 play a vital role in ensuring accurate billing and efficient claims management within the healthcare sector. This role requires expertise in medical billing systems and attention to detail to maintain smooth financial operations.<br><br>Responsibilities:<br>• Process and submit medical claims accurately through various billing software systems.<br>• Manage accounts receivable tasks, including collections and payment postings.<br>• Analyze and resolve billing discrepancies and appeals to ensure claim accuracy.<br>• Utilize accounting software and electronic health record (EHR) systems to maintain detailed records.<br>• Collaborate with insurance providers and patients to address billing inquiries.<br>• Perform regular audits of billing processes to ensure compliance with regulations.<br>• Generate and review financial reports to monitor billing performance.<br>• Work with Medisoft and AS/400 systems to manage claim administration effectively.<br>• Assist with the implementation of Epic software for streamlined billing operations.<br>• Ensure timely follow-ups on unpaid claims and outstanding balances.
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>A Hospital in the Los Angeles area is in the immediate need of a Medical Biller. The Medical Biller must have 2 years of experience in billing insurance companies for hospital acute charges. The Medical Biller will be task with billing Non-Government Commercial and minimal Government Insurance.</p><p>Position Duties</p><p>• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.</p><p>• Interprets claims processing reports and applies information to produce clean claims.</p><p>• Maintains current knowledge of regulatory billing requirements.</p><p>• Makes changes to demographic information as necessary in order to produce a clean claim.</p><p>• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.</p><p>• Must have the ability to analyze coding to assure proper billing of claim.</p><p>• Participates in a variety of hospital educational programs to maintain current skill and competency levels.</p><p>• Requests and attaches required clinical documentation in accordance with third party requirements.</p><p>• Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turnaround time.</p><p>• Performs miscellaneous job related duties as requested.</p><p><br></p><p>Benefits include Health Insurance, Sick Time Off and 401K retirement.</p>
We are looking for an experienced Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you will play a vital part in managing medical billing processes, ensuring accuracy in claims reconciliation, and maintaining strong communication with insurance representatives. The ideal candidate will have a background in healthcare billing, preferably with experience in behavioral health.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including addressing approvals or denials and resolving any discrepancies.<br>• Conduct research to identify and resolve issues related to billing and insurance claims.<br>• Manage medical billing processes, ensuring timely and accurate submission of claims.<br>• Maintain patient insurance and demographic records, ensuring all information is up-to-date and accurate.<br>• Collaborate with insurance representatives to address claim-related issues and improve communication.<br>• Provide guidance to program directors and clinicians regarding billing procedures and specifications.<br>• Generate and review aging reports to monitor claims and ensure compliance with payer filing deadlines.<br>• Analyze high balance accounts and report any account activity concerns to the Billing Manager.<br>• Stay informed about payer specifications and independently research requirements.<br>• Utilize clearinghouse systems, such as Inovalon, for efficient claim processing.
We are looking for an experienced Business Manager specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.<br><br>Responsibilities:<br>• Perform multi-specialty coding with precision to ensure timely submission of claims.<br>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.<br>• Develop and implement an audit process to validate clinical documentation and coded data integrity.<br>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.<br>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.<br>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.<br>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.<br>• Prepare and analyze monthly aging reports to support financial oversight.<br>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.<br>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.
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 crucial role in managing payment arrangements, monitoring accounts, and ensuring timely collection of outstanding balances. This role is ideal for individuals with experience in medical billing and a strong understanding of healthcare systems and claims processing.<br><br>Responsibilities:<br>• Establish and manage payment plans with patients to address delinquent accounts and ensure timely collections.<br>• Monitor accounts for payment lapses and follow up with patients to maintain compliance.<br>• Collaborate with collection agencies and initiate legal actions when necessary to recover outstanding debts.<br>• Compile and maintain Medicare bad-debt cost reports by tracking billings and monitoring collections.<br>• Handle claims against estates by coordinating with legal teams and probate courts.<br>• Facilitate payroll deductions and secure automatic transfer agreements for employee care balances.<br>• Interview pre-delivery patients to set up obstetrical payment plans and issue monthly statements.<br>• Ensure adherence to policies and procedures while reporting compliance issues to maintain operational integrity.<br>• Maintain confidentiality of sensitive collection information to protect the clinic’s or hospital’s reputation.<br>• Stay updated on industry practices and regulations through participation in ongoing development activities.
We are looking for a skilled Medical Coder to join our team in Oakland, California. This is a long-term contract position within the non-profit sector, offering an opportunity to contribute your expertise in medical coding and healthcare billing. The ideal candidate will have a strong background in outpatient coding and be proficient in ICD-10 and CPT coding standards.<br><br>Responsibilities:<br>• Accurately assign ICD-10 and CPT codes to medical procedures and diagnoses.<br>• Ensure compliance with healthcare billing regulations and coding standards.<br>• Review and analyze medical records to verify proper documentation for coding purposes.<br>• Collaborate with healthcare professionals to clarify coding discrepancies and obtain additional information.<br>• Manage outpatient coding processes, maintaining accuracy and efficiency.<br>• Utilize Epic Hospital Billing systems to process medical billing and coding tasks.<br>• Support billing collections by addressing coding-related issues and resolving discrepancies.<br>• Conduct periodic audits of coded data to ensure accuracy and compliance.<br>• Stay updated on changes in coding guidelines and healthcare billing regulations.<br>• Provide guidance and training to staff on coding best practices when necessary.
The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. <br>Essential Duties:<br>• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.<br>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.<br>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.<br>• Reverses balance to credit or debit if charges were improperly billed.<br>• Contacts insurance carriers as necessary to determine correct payment application.<br>• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.<br>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.<br>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.<br>• Communicates issues related to payment posting and refunds from payers to management.<br>• Updates correct payer and resubmits claims to the payers.<br>• Consistently meets/exceeds productivity and quality standards.<br>• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.<br>• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.<br>• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.<br>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.<br>• Special billing and collections for LOAs.<br>• Special billing and collections for Case Rates.<br>• Special billing and collections for Embassy Services.<br>• Performs other related duties as assigned by management team.
<p>Join our team as a Medical Payment Posting Specialist and make a direct impact on the financial success of leading healthcare organizations. In this vital role, you’ll help ensure accurate and timely processing of medical payments—promoting a smooth revenue cycle and enhancing the patient experience.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am -5pm</p><p><br></p><p><strong>Job Responsibilities: </strong></p><ul><li>Precisely post insurance and patient payments into billing systems, maintaining up-to-date records.</li><li>Analyze Explanations of Benefits (EOBs) to verify and allocate payments accurately.</li><li>Reconcile deposits and payment activity with patient accounts, resolving discrepancies quickly.</li><li>Proactively identify and address denials, underpayments, or posting errors to optimize account accuracy.</li><li>Collaborate with internal teams and insurance carriers to resolve payment inquiries efficiently.</li><li>Uphold industry standards by maintaining compliance with HIPAA and other healthcare regulations.</li><li>Support month-end close processes related to payment posting and financial reporting.</li></ul><p><br></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 a skilled Billing Analyst to join our healthcare team in Houston, Texas. This role involves ensuring accurate and timely billing processes, collaborating with various departments, and maintaining detailed financial records. As this is a Contract to permanent position, it offers an excellent opportunity for growth and long-term career development.<br><br>Responsibilities:<br>• Input billing data and process paperwork received from designated branches, ensuring accuracy and efficiency.<br>• Communicate with branch staff to provide constructive feedback regarding the timeliness and accuracy of submitted documents.<br>• Update and manage billing work queues daily to maintain a streamlined workflow.<br>• Monitor billing reports to verify the precision of financial and administrative data.<br>• Collaborate closely with the Billing Manager and team members to foster effective communication and problem-solving.<br>• Participate in department projects, such as sales updates and adjustments to customer pricing.<br>• Liaise with accounts receivable, credit/collections, and branch personnel to address inquiries and resolve discrepancies.<br>• Validate invoices for accuracy in pricing, customer details, equipment specifications, tax information, and other key elements.<br>• Meet strict deadlines for month-end billing activities and ensure all department tasks are completed on time.<br>• Perform additional duties as assigned to support the operational needs of the billing department.