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.
We are looking for a detail-oriented Medical Coder to join our team on a long-term contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is based in Atlanta, Georgia, and offers the opportunity to contribute to the efficiency and compliance of healthcare documentation processes.<br><br>Responsibilities:<br>• Review inpatient medical records to assign accurate ICD-10-CM and CPT codes.<br>• Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines.<br>• Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies.<br>• Stay updated on coding standards, payment systems, and healthcare regulations.<br>• Participate in audits and quality improvement initiatives to ensure coding accuracy.<br>• Protect the confidentiality and integrity of patient information throughout the coding process.<br>• Meet established productivity and accuracy benchmarks to support organizational goals.<br>• Assist in staff training efforts to enhance coding knowledge and compliance.
<p>A Healthcare Company is seeking a highly skilled Medical Coder to support our healthcare clients with exceptional coding expertise. The Medical Coder must have experience in orthopedic coding and meet the qualifications below, we encourage you to apply.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Accurately assign codes for orthopedic procedures and diagnoses, ensuring compliance with ICD-10, CPT, and HCPCS standards.</li><li>Review and interpret clinical documentation to support precise coding for reimbursement and reporting.</li><li>Collaborate remotely with physicians, clinical staff, and billing teams as needed.</li><li>Utilize Epic and Athena software systems for documentation and workflow.</li><li>Maintain patient confidentiality in accordance with HIPAA guidelines.</li><li>Participate in ongoing quality assurance and coding accuracy initiatives.</li></ul>
<p>We are looking for a detail-oriented Medical Coder to join our team. In this role, you will play a vital role in ensuring accurate and compliant coding for medical procedures and diagnoses. The ideal candidate will have a strong background in medical coding, with expertise in ICD-10 and CPT codes, and the ability to work across multiple specialties.</p><p><br></p><p>Responsibilities:</p><p>• Review medical records and assign appropriate ICD-10, CPT, and other relevant codes using 3M coding software for outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.</p><p>• Ensure that assigned codes align with documented reasons for visits and meet the required medical necessity guidelines.</p><p>• Apply charges for procedures such as Evaluation and Management (E& M) levels, injections, and infusions as needed, using third-party software systems.</p><p>• Abstract and validate required data in accordance with facility-specific guidelines and standards.</p><p>• Conduct medical necessity checks for Medicare and other payers based on established payment criteria.</p><p>• Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.</p><p>• Stay current with coding regulations, guidelines, and payer requirements to ensure compliance.</p><p>• Assist in quality assurance efforts to maintain high standards of coding accuracy and efficiency.</p><p>• Provide coding support across multiple specialties, including OBGYN, interventional cardiology, neurology, general surgery, and more.</p>
<p>We are looking for an experienced RN Medical Coder with a strong background in coding and reimbursement methodologies to join our team. This long-term contract role offers the opportunity to work remotely and contribute to the development of coding for benefit plans within the healthcare insurance industry. As part of this position, you will collaborate with certified coders and business analysts to ensure accuracy and compliance in coding practices.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and identify appropriate codes for language used in benefit plans.</p><p>• Review and validate coding decisions made by peers to ensure accuracy.</p><p>• Facilitate discussions to align on coding documentation and standards.</p><p>• Assess audit results and implement necessary adjustments to maintain compliance.</p><p>• Actively participate in project meetings to provide insights and updates.</p><p>• Collaborate with team members, including certified coders and business analysts, to achieve project goals.</p><p>• Ensure coding practices align with industry standards and regulatory requirements.</p><p>• Contribute to the creation of coding documentation for benefit plans.</p><p>• Utilize Microsoft Office tools to support project tasks and communication.</p><p>• Stay updated on healthcare coding methodologies and best practices.</p>
We are looking for a detail-oriented Fee Coder to join our team in Sacramento, California. This long-term contract position focuses on ensuring the accurate coding and processing of fees for patient services. The role emphasizes collaboration with various departments to optimize reimbursement, maintain compliance, and provide valuable feedback to healthcare providers. Candidates will play a vital role in enhancing charge capture and ensuring timely submission of services.<br><br>Responsibilities:<br>• Accurately apply diagnostic and procedural codes, including modifiers, based on current coding guidelines.<br>• Review and code services for billing while ensuring all charges are properly documented and accounted for.<br>• Collaborate with physicians to clarify documentation and provide feedback on compliance and revenue optimization.<br>• Resolve pre-bill edits and perform follow-up actions to ensure clean claims are filed promptly.<br>• Stay informed about coding standards, guidelines, and reporting requirements to maintain accuracy and compliance.<br>• Conduct queries to address unclear or ambiguous documentation in medical records.<br>• Utilize coding practices that improve cash flow and support efficient claims processing.<br>• Work closely with departments to optimize reimbursement and reduce late charges.<br>• Provide routine feedback to healthcare providers regarding documentation practices and compliance.<br>• Ensure all services are submitted timely and meet quality standards.
<p><strong>Medical Billing Specialist – Join Our Dynamic Team in Hershey!</strong></p><p><br></p><p>Are you passionate about details, driven by accuracy, and ready to make a difference in healthcare? Mid-sized company in Hershey is seeking a <strong>Medical Billing Specialist</strong> who brings both know-how and enthusiasm to the table. If you’re ready to advance your career in a supportive, growth-focused workplace—with a dash of FUN—we want to hear from you!</p><p><br></p><p><strong>What You’ll Do:</strong></p><ul><li>Prepare, review, and submit medical claims for reimbursement</li><li>Collaborate with healthcare providers and insurers to resolve billing questions</li><li>Manage patient accounts, including invoice generation and payment posting</li><li>Investigate and resolve claim denials and discrepancies</li><li>Maintain up-to-date records and ensure compliance with billing regulations</li><li>Deliver exceptional customer service to both patients and partners</li></ul><p><strong>What Makes Us Stand Out:</strong></p><ul><li><strong>Team Spirit:</strong> We believe a happy team delivers the best results. Enjoy a collaborative culture that celebrates wins and supports your growth!</li><li><strong>Career Growth:</strong> We invest in your future with ongoing training, advancement opportunities, and recognition for a job well done.</li><li><strong>Perks and Fun:</strong> From office theme days to group outings and wellness initiatives, we know that a little fun goes a long way!</li><li><strong>Make an Impact:</strong> Your attention to detail ensures patients receive care and providers are supported—your work truly matters.</li></ul><p><br></p>
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.
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.
<p>We are looking for an experienced Medical Billing Specialist to join a team in Wilmington, Delaware. This position plays a vital role in ensuring accurate billing, claims processing, and accounts receivable management within a healthcare setting. As a Contract to permanent opportunity, this role offers the chance to demonstrate your expertise and grow within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims using UB04 forms while ensuring compliance with healthcare regulations and payer requirements.</p><p>• Perform detailed medical coding using current standards to accurately reflect resident care and services.</p><p>• Manage accounts receivable for Medicaid and Medicare billing, resolving discrepancies and handling claim denials effectively.</p><p>• Update and reconcile resident census data to ensure accurate billing for insurance providers.</p><p>• Coordinate billing for resident accounts, verify insurance eligibility, and maintain precise records of claim statuses.</p><p>• Utilize PointClickCare and other healthcare software to manage billing and documentation processes.</p><p>• Monitor claim statuses, investigate rejections or denials, and prepare corrected claims when necessary.</p><p>• Collaborate with clinical and administrative teams to ensure accurate census reporting and smooth billing operations.</p><p>• Uphold compliance with healthcare policies and regulations, safeguarding patient information and confidentiality.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract role, you will play a vital part in managing billing operations and ensuring that all claims are processed accurately and efficiently. This is an excellent opportunity for someone with expertise in medical billing to contribute to the success of a healthcare facility.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims to ensure accurate billing and timely reimbursement.</p><p>• Verify patient insurance coverage and address any discrepancies or issues with claims.</p><p>• Collaborate with healthcare providers and insurance companies to resolve billing inquiries and disputes.</p><p>• Maintain detailed records of billing activities, including payments, adjustments, and outstanding balances.</p><p>• Ensure compliance with healthcare regulations and billing standards to avoid errors or penalties.</p><p>• Monitor and follow up on unpaid claims to ensure prompt resolution.</p><p>• Assist with coding and documentation to align with current medical billing guidelines.</p><p>• Provide support to the team by identifying and addressing billing system issues.</p><p>• Generate regular reports on billing performance and trends for management review.</p><p>• Communicate with patients regarding billing concerns and payment options.</p>
<p>We are looking for 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 Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
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>A Hospital in Los Angeles is in the need of a Medical Billing Support Services Associate to join its healthcare team in Los Angeles. In this role, the Medical Billing Support Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment statuses. The Medical Billing Support Services Associate must have strong background in medical billing and a commitment to excellence.</p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts from both automated and manual payers, ensuring compliance with established procedures.</p><p>• Research and analyze unposted or unapplied cash to facilitate timely resolution and posting.</p><p>• Investigate unapplied cash receipts and escalate issues to supervisors when necessary.</p><p>• Reverse balances and adjust credits or debits to correct billing errors and payment applications.</p><p>• Review correspondence related to refunds or recoupments, taking appropriate actions such as issuing refund requests or submitting disputes.</p><p>• Evaluate credit balances and issue refunds to payers in an accurate and timely manner.</p><p>• Collaborate with Finance and other Revenue Cycle departments to streamline cash posting, balancing, and reconciliation processes.</p><p>• Address issues related to payment postings or refunds and communicate updates to management.</p><p>• Cross-train in billing processes, including charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections.</p>
<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>
<p>We are looking for a skilled Medical Biller in Salem, Oregon. In this Contract to permanent role, you will play a key part in ensuring accurate and efficient billing processes while adhering to industry standards. This position requires expertise in handling insurance claims, payment reconciliations, and patient billing inquiries using advanced clinical software.</p><p><br></p><p>Responsibilities:</p><p>• Process patient billing information with precision and accuracy using clinical software.</p><p>• Submit electronic and paper insurance claims promptly to ensure timely payments.</p><p>• Review patient demographic and insurance details to verify accuracy before processing.</p><p>• Follow up on unpaid claims, denials, and appeals to maximize reimbursement.</p><p>• Post payments and reconcile accounts within the designated billing system.</p><p>• Address patient inquiries regarding billing issues and outstanding balances professionally.</p><p>• Ensure compliance with all regulatory guidelines and billing requirements.</p><p>• Generate comprehensive billing reports to identify trends and resolve discrepancies.</p><p>• Collaborate with team members to improve billing workflows and resolve challenges.</p><p>• Maintain up-to-date knowledge of medical billing regulations and insurance policies.</p>
<p>We are looking for an experienced Revenue Cycle Manager to oversee and optimize the billing and revenue operations within our healthcare organization in Las Vegas, Nevada. This role is integral to ensuring efficient financial processes while maintaining strong relationships with both internal teams and external stakeholders. The ideal candidate will have a proven track record in medical billing, management, and revenue cycle operations.</p><p><br></p><p>Responsibilities:</p><p>• Supervise the organization's billing and revenue processes to ensure accuracy and compliance with healthcare regulations.</p><p>• Develop strategies to maximize cash flow while fostering positive relationships with patients and partners.</p><p>• Lead daily operations related to the revenue cycle, addressing challenges and implementing solutions.</p><p>• Analyze current processes, create documentation, and train staff to build a cohesive revenue cycle team.</p><p>• Manage accounts receivable, billing, and coding teams, including direct oversight of approximately 22 employees.</p><p>• Implement measures to reduce accounts receivable days and enhance daily collections.</p><p>• Utilize advanced Excel tools and healthcare software, such as Allscripts, to streamline operations and reporting.</p><p>• Ensure adherence to fee billing standards and third-party payer regulations.</p><p>• Collaborate with leadership to address operational impacts of healthcare regulatory requirements.</p><p>• Foster a culture of continuous improvement and problem-solving within the revenue cycle team.</p><p><br></p>
We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. In this contract position, you will play a vital role in ensuring the accurate coding and abstraction of medical records, adhering to federal and state regulations. This role requires a strong understanding of coding guidelines, compliance standards, and the ability to work independently while maintaining quality and productivity benchmarks.<br><br>Responsibilities:<br>• Accurately review and assign ICD-10-CM codes for diagnoses and procedures based on medical record documentation.<br>• Utilize appropriate software tools, including Epic and 3M systems, to validate and group codes for reimbursement purposes.<br>• Abstract required data elements from patient records to support accurate reporting and compliance.<br>• Monitor Discharged Not Billed accounts and ensure timely processing of inpatient cases within the revenue cycle.<br>• Collaborate with Clinical Documentation Specialists and medical staff to ensure completeness of patient records and proper coding assignment.<br>• Verify discharge dispositions and admission sources for state reporting, ensuring compliance with regulatory guidelines.<br>• Maintain quality and productivity standards through consistent and accurate coding practices.<br>• Analyze documentation to optimize reimbursement and ensure alignment with third-party payer requirements.<br>• Address missing or unclear information by consulting with providers and other stakeholders.<br>• Follow all official coding guidelines and ethical standards as outlined by recognized organizations.
<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>
<p>A National Healthcare Organization is in the need of a Medical Revenue Cycle Analyst to join its healthcare finance team. The Medical Revenue Cycle Analyst will be responsible for analyzing and improving revenue cycle processes, ensuring the organization's financial health while minimizing inefficiencies. This role requires strong analytical skills, healthcare billing knowledge, and the ability to collaborate across departments to optimize performance. If you're passionate about healthcare finance and thrive in a data-driven environment, we encourage you to apply.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Perform data analysis to identify trends, issues, and opportunities for improvement within the revenue cycle processes, including billing, coding, collections, and reimbursements.</li><li>Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting.</li><li>Collaborate with cross-functional teams, such as billing and collections, to streamline processes and improve revenue cycle operations.</li><li>Research industry regulations and payer policies to ensure compliance and optimize reimbursements.</li><li>Provide regular reporting to department leaders on revenue cycle performance, including key performance indicators (KPIs).</li><li>Support system upgrades and technology implementation to enhance revenue cycle efficiency.</li><li>Identify and resolve discrepancies in payments or coding to reduce denials and delays in reimbursements.</li><li>Conduct root cause analysis for claim denials and develop strategies for resolution.</li><li>Participate in budgeting and forecasting to align revenue cycle goals with financial strategies.</li><li>Working knowledge of Epic Software.</li><li>CPC or CCS license is a plus but not a must. </li></ul>
<p>Robert Half is seeking a diligent and customer-focused Medical Collections Specialist for a contract opportunity with one of our valued healthcare clients. As a Medical Collections Specialist, you will be responsible for managing outstanding receivables in a healthcare setting and supporting the financial health of the organization.</p><p><strong>Responsibilities:</strong></p><ul><li>Contact patients and insurance companies regarding overdue medical balances.</li><li>Review patient accounts and resolve billing discrepancies.</li><li>Negotiate payment arrangements and ensure timely collection of payments.</li><li>Maintain accurate records of collection activities in compliance with HIPAA and company policies.</li><li>Collaborate with billing, insurance, and healthcare provider teams to clarify account issues.</li><li>Prepare regular aging reports and assist with reconciliations as needed.</li></ul>
<p>We are looking for an experienced Insurance Claims Examiner to join our team on a contract basis in Oakland, California. In this role, you will analyze and process medical claims, ensuring accuracy and compliance with healthcare regulations. Ideal candidates will have a strong background in insurance claims management and coding, along with the ability to work independently in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Review and adjudicate medical claims for accuracy and compliance with Medi-Cal, Medicare, and other healthcare regulations.</p><p>• Research and resolve claim discrepancies, ensuring proper payment and documentation.</p><p>• Utilize coding systems such as ICD-10, CPT, and HCPCS to verify claim accuracy.</p><p>• Maintain confidentiality while handling sensitive participant and family information.</p><p>• Follow organizational policies and procedures to ensure compliance and attention to detail.</p><p>• Exhibit consistent attendance and punctuality while meeting deadlines.</p><p>• Communicate effectively with internal teams and external stakeholders to address claim issues.</p><p>• Input accurate data into various computer systems and software programs.</p><p>• Provide courteous and detail-oriented customer service to all stakeholders.</p><p>• Perform additional duties as assigned to support claims processing activities.</p><p><br></p><p>If you are interested in this role please apply now and call us at (510) 470-7450, it is an urgent need for our client. </p>
<p>Our client is looking for a medical biller who has experience with the denials process for healthcare companies. This role is 100% onsite and will be a standard 8am - 5pm schedule. </p><p><br></p><ul><li>Review, analyze, and interpret medical claim denials from insurance companies.</li><li>Investigate root causes of denials and work to resolve them via appeals or corrected submissions.</li><li>Communicate professionally with payers to gather needed information and negotiate claim resolution.</li><li>Collaborate with providers, coders, and revenue cycle staff to prevent future denials.</li><li>Maintain detailed records of denied claims and actions taken.</li><li>Prepare and submit written appeals with supporting documentation as needed.</li><li>Monitor payer trends and identify opportunities to enhance billing and collections processes.</li><li>Ensure compliance with all regulatory guidelines and organizational policies.</li><li>Meet daily and monthly productivity targets for denial resolution and claims follow-up.</li></ul><p><br></p>
<p>Robert Half's client is looking for an experienced and detail-oriented Surgery Scheduler to join our healthcare team in San Ramon, California. In this role, you will coordinate surgical procedures, ensure all necessary equipment and patient records are prepared, and maintain seamless communication with medical staff. This is a long-term contract position offering an opportunity to contribute to high-quality patient care in a dynamic healthcare environment. This role is 100% onsite.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate surgical procedures by collaborating with physicians' offices and adhering to designated time blocks.</p><p>• Ensure all required surgical equipment and supplies are available by working closely with medical staff and vendors.</p><p>• Prepare and organize patient medical records, including history and documentation necessary for scheduled procedures.</p><p>• Manage updates, changes, or cancellations to the surgical schedule and communicate adjustments promptly to relevant parties.</p><p>• Maintain accurate and up-to-date records of patients and procedures to support compliance and efficiency.</p><p>• Adhere to healthcare policies, standards, and regulations while performing scheduling duties.</p><p>• Utilize medical software systems such as Allscripts and Cerner Technologies to manage scheduling and documentation.</p><p>• Answer inbound calls and address inquiries related to surgical procedures and scheduling.</p><p>• Coordinate authorizations and approvals for procedures as needed.</p><p>• Ensure proper use of medical coding for surgical procedures and documentation.</p><p><br></p><p>If you are interested in this surgery scheduler opportunity, submit your resume today!</p>
