We are looking for an experienced Medical Billing Specialist to join our team in Syracuse, New York. In this Contract-to-Permanent position, you will play a vital role in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a strong background in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills.<br><br>Responsibilities:<br>• Review and verify claims for accuracy and completeness, correcting any missing or incorrect details related to Home Health Care billing.<br>• Prepare and submit claims and invoices to payors or clients in accordance with established billing schedules.<br>• Conduct timely follow-up on outstanding claims and invoices to optimize revenue collection.<br>• Investigate and appeal unpaid claims as needed to ensure maximum reimbursement.<br>• Post payments with a high degree of accuracy and within specified timelines.<br>• Utilize electronic billing systems, including Waystar, to manage claims efficiently and address billing exceptions.<br>• Communicate billing issues, payment discrepancies, and collection challenges to the Billing Manager promptly.<br>• Leverage agency IT systems to streamline work processes and meet job requirements.<br>• Participate in meetings and training sessions to stay updated on industry standards and practices.<br>• Ensure compliance with payor filing requirements to maintain timely and accurate billing.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Burr Ridge, Illinois. In this Contract-to-permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ideal candidate will bring expertise in medical collections and billing practices, along with familiarity with industry systems and Medicare billing.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and review appointment schedules to track billing for assigned locations effectively.</p><p>• Process infusion billing daily, verifying accuracy in codes, drug quantities, and pharmacy delivery documentation.</p><p>• Submit claims to insurance companies by printing and mailing forms, attaching primary explanation of benefits for secondary claims as needed.</p><p>• Monitor and coordinate drug returns for patients who did not receive infusions, working closely with clinics and pharmacies.</p><p>• Verify patient demographics and insurance information to ensure accurate billing procedures.</p><p>• Maintain oversight of assigned billing tasks and provide regular updates to supervisors.</p><p>• Collaborate with clinical staff to address and resolve missing documentation to complete billing efficiently.</p><p>• Handle additional billing-related duties and tasks as assigned by management.</p><p>• Utilize systems such as Accurint, Allscripts, and Cerner Technologies to optimize billing processes.</p><p><br></p><p>The salary range for this position is $23 to $25. 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.</p>
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
<p>A Surgery Center in Encino is in the need of a Medical Billing Specialist. The Medical Billing Specialist must have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. </p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing functions for Surgical detail-oriented fees.</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.</p><p> -Performs all data entry and charge posting functions for services as needed</p><p>-Performs all third-party follow-up functions for all products and procedures.</p><p> -Reviews EOBS . Make corrections as required and resubmit the claim for payments.</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10 code to identify the provider's narrative diagnosis </p><p>-Provides the correct HCPCS code to identify medications and supplies.</p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10 codes for services performed by staff surgeons</p>
<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 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.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Emmett, Idaho. In this long-term contract position, you will play a crucial role in managing payment posting processes, ensuring accuracy in patient accounts, and maintaining balanced daily logs. If you have a strong background in medical billing and a commitment to excellence, we invite you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Retrieve remittance advice from clearing houses daily and ensure timely processing.</p><p>• Organize and calculate insurance payment batches to confirm deposit accuracy.</p><p>• Export electronic remittance files to revenue cycle software and assist in developing electronic payment posting systems.</p><p>• Post payments manually and electronically while verifying patient details such as account numbers, dates of service, and other identifiers.</p><p>• Apply adjustments to patient accounts for deductibles, copays, coinsurance, and contractual obligations, while directing denials to the appropriate team.</p><p>• Reconcile and balance posted payment batches daily, ensuring accounts are accurate and properly closed.</p><p>• Analyze and interpret Explanation of Benefits (EOBs) to post payments correctly to patient accounts.</p><p>• Research unidentified payments and recoupments to determine proper transactions, including refund requests and takebacks.</p><p>• Collaborate with the Controller to balance daily, weekly, and monthly financial totals.</p><p>• Assist with billing work queues, insurance follow-ups, and other assigned tasks as needed.</p><p>Cerner and TruBridge knowledge preferred</p>
We are looking for an experienced Medical Billing Specialist to join our team on a long-term contract basis. This role is ideal for a detail-oriented individual with expertise in healthcare billing and claims processing. Based in Milwaukee, Wisconsin, you will play a key role in ensuring accurate reimbursement and compliance in a fast-paced healthcare setting.<br><br>Responsibilities:<br>• Review patient accounts and billing data to ensure accuracy and completeness.<br>• Prepare and submit healthcare claims using UB04 and CMS1500 formats, adhering to payer-specific requirements.<br>• Identify and correct errors in billing data, reprocessing claims as necessary to secure timely payments.<br>• Follow up on unpaid or denied claims, collaborating with insurance payers to resolve outstanding issues.<br>• Ensure compliance with Medicare, Medicaid, and other government insurance regulations.<br>• Communicate effectively with clinical and administrative teams to gather required information for billing.<br>• Utilize medical billing systems, such as Epic, to manage accounts receivable and streamline billing operations.<br>• Handle appeals and authorizations to address claim denials.<br>• Maintain organized records and meet strict deadlines in a fast-paced environment.
We are looking for a Medical Billing Specialist to join our team on a Contract-to-Permanent basis in Greenville, South Carolina. In this role, you will play a vital part in ensuring accurate billing and collections processes, while maintaining compliance with healthcare regulations. This position offers an opportunity to contribute to the financial operations of a dynamic healthcare organization.<br><br>Responsibilities:<br>• Manage payment arrangements and monitor accounts to ensure timely collections.<br>• Pursue delinquent accounts by establishing follow-up procedures and collaborating with collection agencies when necessary.<br>• Handle Medicare bad-debt cost reports by tracking billings, monitoring collections, and compiling relevant data.<br>• Initiate and manage claims related to estates, including coordinating with legal departments and probate offices.<br>• Facilitate payroll deductions and secure authorization for automatic transfers to address outstanding balances.<br>• Conduct interviews with obstetrical patients pre-delivery to establish payment plans and send monthly statements.<br>• Ensure compliance with policies and procedures to maintain smooth work operations.<br>• Safeguard sensitive information by adhering to confidentiality standards.<br>• Participate in development opportunities to stay updated on industry practices.<br>• Enhance the reputation of the billing department by taking ownership of tasks and seeking new ways to add value.
We are looking for a skilled Medical Billing Specialist to join our team on a 12-week contract in Milwaukee, Wisconsin. In this role, you will play a crucial part in ensuring accurate and timely processing of healthcare claims, contributing to the efficiency and success of our billing operations. This is an exciting opportunity to apply your expertise in a collaborative healthcare environment while making a tangible impact.<br><br>Responsibilities:<br>• Review patient accounts and billing data to ensure accuracy and completeness.<br>• Prepare and submit claims using UB04 and CMS1500 formats based on payer-specific requirements.<br>• Identify errors in billing data, correct discrepancies, and resubmit claims to facilitate timely reimbursement.<br>• Follow up on unpaid or denied claims, working with payers and internal teams to resolve issues effectively.<br>• Ensure compliance with insurance regulations and government guidelines, including Medicare and Medicaid policies.<br>• Collaborate with clinical and administrative staff to obtain necessary information for accurate billing.<br>• Utilize billing systems, such as Epic, to process claims and manage accounts receivable.<br>• Handle appeals and authorizations as part of the claims resolution process.<br>• Maintain organized records and meet deadlines in a fast-paced healthcare setting.
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>Are you an experienced medical billing professional with a background in surgery billing, ASC (Ambulatory Surgery Center) operations, and expertise in EPIC software? Do you thrive in a fast-paced environment and have a proven track record in medical insurance collections? If so, we want to hear from you! Robert Half is partnering with a leading healthcare provider to find a detail-oriented <strong>Surgery Medical Billing Specialist</strong> to join their team.</p><p><strong>Key Responsibilities</strong></p><ul><li>Process, review, and submit medical billing claims specific to surgical procedures using EPIC software.</li><li>Accurately code surgeries and other medical services in compliance with healthcare regulations.</li><li>Collaborate with ASC teams to ensure seamless coordination of patient billing and documentation.</li><li>Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies.</li><li>Manage and monitor accounts receivable, following up on unpaid claims to improve collections.</li><li>Research and resolve denials and appeals to maximize reimbursement.</li><li>Maintain strict adherence to HIPAA regulations and patient confidentiality protocols.</li><li>Provide regular reporting on billing activities, payment trends, and collections performance</li></ul><p><br></p>
<p><strong><u>Position Title</u></strong><u>: </u>Medical Biller</p><p><br></p><p><strong><u>Overview: </u></strong>We are seeking a highly motivated and detail-oriented Medical Billing for an organization located near Mars, PA. This organization provides a wide range of senior care, health, and rehabilitation services. The ideal candidate will have expertise in billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions. Your role will play a critical part in maintaining a smooth revenue cycle tor their diverse services, including senior living communities, home care, hospice, outpatient, and therapy services.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>Billing:</strong></p><p>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</p><p>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</p><p>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</p><p>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</p><p><br></p><p><strong>Payment Posting:</strong></p><p>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</p><p>Reconcile posted payments with bank statements and patient billing systems.</p><p>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</p><p><br></p><p><strong>Revenue Cycle Management:</strong></p><p>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</p><p>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</p><p>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</p><p><br></p><p><strong>Customer and Client Communication:</strong></p><p>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</p><p>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</p><p><br></p><p><strong>Compliance</strong>:</p><p>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</p><p>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</p><p><br></p><p><strong><u>Location</u>: T</strong>his position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong><u>Schedule</u>: </strong>The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong><u>Why is this role available? </u></strong>This organization recently had a tenured team member retire.</p><p><br></p><p><strong><u>How to Apply: </u></strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App. After applying, please call 412-471-5946 to confirm your application was received.</p>
We are looking for an experienced Medical Billing Specialist to join our team on a 12-week contract basis in Milwaukee, Wisconsin. In this role, you will play a key part in ensuring the accuracy and compliance of healthcare claims processing, supporting timely reimbursements and maintaining high standards in billing operations. This position offers an excellent opportunity to contribute your expertise in a dynamic healthcare environment.<br><br>Responsibilities:<br>• Review and analyze patient accounts and billing data to ensure accuracy within the designated billing system.<br>• Prepare and submit claims using UB04 and CMS1500 billing formats, adhering to payer-specific guidelines.<br>• Identify and resolve billing discrepancies by correcting errors and resubmitting claims for timely payment.<br>• Conduct follow-ups on unpaid or denied claims, collaborating with payers and internal teams to address issues.<br>• Ensure compliance with insurance and government regulations, including Medicare and Medicaid requirements.<br>• Communicate effectively with clinical and administrative staff to gather necessary information for accurate billing.<br>• Utilize your knowledge of medical billing systems and processes to optimize claims handling and reimbursement.<br>• Maintain organized records and documentation to track claims progress and outcomes.<br>• Stay updated on payer rules and billing compliance standards to ensure adherence to industry requirements.
<p>We are offering an exciting opportunity for an Accounts Receivable Supervisor in the healthcare industry, based in ODENTON, Maryland. This positions sits on site and will manage a small team while being hands on with your work. The primary function of this role is to oversee and manage the billing and coding, pre-certification, and credentialing processes. This role is also responsible for maintaining accurate patient records, collecting outstanding payments, and following up with insurance companies.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Oversee and manage the process of obtaining authorization for pain management procedures from insurance companies.</p><p>• Supervise the billing and coding, pre-certification, and credentialing processes.</p><p>• Manage the collection of outstanding account payments and follow up with insurance companies and patient accounts.</p><p>• Maintain up-to-date knowledge of commonly-used concepts, practices, and procedures within the Medical Billing and Medical Insurance field.</p><p>• Ensure all tasks are completed simultaneously and independently with attention to detail and organization.</p><p>• Stay informed about various insurance companies and any relevant changes, keeping management updated.</p><p>• Work towards reducing aged A/R and analyze Explanation of Benefits (EOB’s) and Correspondence to identify zero pays and underpayments.</p><p>• Coordinate with healthcare insurance companies on outstanding medical claims and appeals.</p><p>• Maintain effective communication with the insurance verification team, billing department, and office support staff.</p><p>• Conduct collection actions and provide resolution for complex accounts, providing supporting documentation when necessary</p>
<p>We are looking for a skilled Medical Collections Specialist to join our team on a contract basis in Sudbury, MA. In this role, you will be responsible for managing patient accounts, facilitating payment collections, and ensuring compliance with healthcare regulations. The ideal candidate has strong analytical abilities, excellent communication skills, and proficiency in medical billing software.</p><p><br></p><p>Responsibilities:</p><p>• Manage patient accounts by addressing billing inquiries, arranging payment plans, and communicating financial responsibilities.</p><p>• Collect payments efficiently while adhering to healthcare regulations and organizational policies.</p><p>• Analyze billing details to identify discrepancies and investigate claim denials.</p><p>• Negotiate payment terms with patients, insurance companies, and other parties to resolve outstanding balances.</p><p>• Utilize healthcare billing software for electronic claim submissions and account management.</p><p>• Reconcile accounts to ensure accurate balances and resolve any inconsistencies.</p><p>• Provide precise and effective communication with clients, insurers, and internal teams to address billing disputes and inquiries.</p><p>• Maintain compliance with healthcare laws and internal guidelines throughout the collections process.</p><p>• Post payments accurately and ensure timely account updates</p>
<p>We are looking for a skilled Medical Biller/Collections Specialist to join our team on a long-term contract basis fully onsite in Eagan, Minnesota. This role involves handling a variety of billing and collections tasks specific to mental health services, ensuring accuracy, compliance, and efficiency in all processes. If you have expertise in medical billing and insurance claims, along with a commitment to delivering exceptional service, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit precise insurance claims for mental health services through electronic or paper submission methods.</p><p>• Verify patient insurance coverage and benefits prior to initiating billing processes.</p><p>• Accurately post payments, adjustments, and denials to patient accounts.</p><p>• Investigate and resolve unpaid or denied claims, addressing any discrepancies in billing.</p><p>• Stay updated on relevant medical codes and regulations, ensuring compliance with all standards.</p><p>• Coordinate with insurance providers, healthcare professionals, and patients to resolve billing-related issues.</p><p>• Generate and distribute patient statements while establishing payment arrangements as needed.</p><p>• Ensure adherence to state, federal, and organizational billing regulations.</p><p>• Maintain organized and detailed billing records, preparing reports as required.</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>We are looking for multiple experienced Medical Billers/Collections Specialists for a remote, 6-month project. This is a long-term contract position offering an excellent opportunity to contribute to operational processes and ensure the accuracy of financial transactions. The ideal candidate will possess strong organizational skills and a commitment to maintaining high standards in accounts receivable management.</p><p><br></p><p>Responsibilities:</p><p>• Process and monitor accounts receivable transactions with precision and attention to detail.</p><p>• Ensure timely and accurate billing, collections, and reconciliations.</p><p>• Investigate and resolve discrepancies related to invoicing or payment issues.</p><p>• Maintain accurate financial records and documentation for auditing purposes.</p><p>• Collaborate with other departments to streamline operational processes.</p><p>• Provide exceptional customer service to internal and external stakeholders.</p><p>• Utilize software systems, including NIS, to manage and track receivables effectively.</p><p>• Generate reports and summaries to support financial decision-making.</p><p>• Identify areas for process improvement and contribute to efficiency initiatives.</p><p>• Adhere to company policies and compliance regulations in all financial operations.</p>
We are looking for a detail-oriented Contracts Coordinator to join our team in Orlando, Florida. In this role, you will play a vital part in managing medical billing, claims, and collections processes for healthcare services. This is a long-term contract position that offers the opportunity to work in a dynamic environment within the healthcare industry.<br><br>Responsibilities:<br>• Handle medical billing tasks to ensure accurate and timely processing of claims.<br>• Manage collections processes, including following up on overdue accounts and resolving payment discrepancies.<br>• Review and address medical denials, identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to ensure proper reimbursement.<br>• Collaborate with hospital billing teams to streamline workflows and improve efficiency.<br>• Maintain compliance with healthcare regulations and policies related to billing and collections.<br>• Analyze billing data to identify trends and recommend improvements.<br>• Communicate effectively with patients, insurance providers, and internal teams to resolve billing issues.<br>• Assist with audits and documentation to ensure accuracy and completeness of records.
<p>We are looking for a proactive and detail-oriented Medical Front Desk / Billing Clerk to join a growing healthcare team in Portland, Maine. This position offers excellent growth opportunities, including potential advancement to Office Manager, and a four-day workweek with Fridays off. The role requires someone who is eager to learn, has strong administrative and customer service skills, and thrives in a fast-paced medical office environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage front desk operations, including greeting patients, scheduling appointments, and handling inquiries.</p><p>• Perform medical billing tasks, including insurance claims processing and payment tracking.</p><p>• Maintain accurate patient records and ensure confidentiality of sensitive information.</p><p>• Collaborate with healthcare staff to ensure smooth office workflows and patient satisfaction.</p><p>• Address customer service needs by responding to patient questions and resolving issues promptly.</p><p>• Utilize computer systems effectively for scheduling, billing, and record-keeping.</p><p>• Assist with administrative tasks, such as filing, data entry, and correspondence.</p><p>• Support office efficiency by identifying areas for improvement and implementing solutions.</p><p>• Provide courteous phone etiquette when answering calls and directing them appropriately.</p>
We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ensuring accurate billing processes, resolving insurance claims, and maintaining patient documentation. As a Contract-to-permanent position, it offers flexible afternoon and evening hours in a collaborative healthcare environment.<br><br>Responsibilities:<br>• Manage patient billing and insurance claims efficiently using Lytec and TriZetto platforms.<br>• Handle insurance payments, address denial issues, and perform follow-ups on aged accounts to secure timely reimbursements.<br>• Maintain detailed and accurate records in paper charts while assisting with filing and organizational tasks.<br>• Draft and send correspondence, including insurance and medicolegal reports, adhering to company standards.<br>• Collaborate with physicians and staff to prepare annual wellness reports and other patient documentation.<br>• Leverage Microsoft Office tools for scheduling, reporting, and administrative tasks.<br>• Coordinate with medical records personnel and the nursing team to ensure compliance with documentation and reporting requirements.
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Scranton, Pennsylvania. In this long-term contract role, you will play a critical part in overseeing accounts receivable processes, ensuring accuracy in billing and payment activities, and maintaining efficient communication with patients, facilities, and internal teams. This position requires a strong understanding of medical billing procedures and the ability to identify and resolve discrepancies effectively.<br><br>Responsibilities:<br>• Monitor and follow up on outstanding accounts receivable to ensure aged receivables remain within acceptable timeframes.<br>• Investigate and resolve rejected claims by payers, processing necessary corrections in the billing system.<br>• Identify and address payment posting errors, communicating effectively with relevant staff to implement corrections.<br>• Respond to patient and facility inquiries regarding account balances and payment statuses.<br>• Analyze billing and coverage issues, collaborating with front office and billing teams to address unmet requirements.<br>• Research and recommend accounts for bad debt write-offs while preparing refund requests for outstanding credit balances.<br>• Recognize payment trends and report findings to supervisors, providing insights related to payers, diagnosis codes, and other relevant factors.<br>• Develop corrective action plans to resolve facility errors and ensure operational accuracy.<br>• Train team members to meet productivity goals and monitor their progress.<br>• Generate comprehensive reports to update stakeholders on billing department performance.
<p>A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, <strong>remote work opportunities may be available</strong>.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.</li><li>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.</li><li>Manage <strong>denials and appeals</strong>, researching root causes, documenting issues, and resubmitting claims as needed.</li><li>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.</li><li>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.</li><li>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.</li><li>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.</li></ul><p><br></p>
A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, remote work opportunities may be available.<br><br>Key Responsibilities:<br><br>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.<br>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.<br>Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed.<br>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.<br>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.<br>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.<br>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.
