<p>We are looking for a skilled Clinical Consultant to join our team on a long-term contract basis. This position offers an exciting opportunity to support a strategic benefit digitization initiative within the healthcare industry. You will play a key role in implementing standardized coding practices, ensuring regulatory compliance, and contributing to the success of digital transformation efforts.</p><p><br></p><p>Responsibilities:</p><p>• Apply standardized coding practices to accurately interpret and digitize benefit structures across diverse markets.</p><p>• Develop and maintain groupings of procedures and service codes to align with benefit plans.</p><p>• Manage quarterly and annual updates of industry-standard codes and ensure benefit plan codes are current.</p><p>• Execute coding solutions for both standard and nonstandard benefit requests, addressing stakeholder needs.</p><p>• Ensure compliance with regulatory mandates by updating coding practices as required.</p><p>• Provide expert consultation and respond to inquiries related to benefit coding from project teams and business partners.</p><p>• Collaborate with cross-functional teams to support successful implementation of benefit digitization projects.</p><p>• Offer guidance on coding methodologies and contribute to enhancing member and provider experiences.</p><p>• Support long-term cost management initiatives by leveraging coding expertise in digitization efforts.</p>
<p>The Acute Coding Appeals Specialist reviews and writes appeals for inpatient DRG denials to support accurate code assignment and reimbursement. This role applies advanced ICD-10, DRG, CMS, and payer-specific knowledge to defend coding decisions, ensure compliance, and address billing and documentation concerns.</p><p><br></p><p>Key Responsibilities</p><ul><li>Review inpatient DRG denials and draft well-supported appeal letters using ICD-10-CM/PCS, HCPCS, NCCI, CMS, and CMG guidelines.</li><li>Analyze clinical documentation to validate the originally assigned DRG and ensure compliance with regulatory standards.</li><li>Research payer policies, government regulations, and industry guidelines to strengthen appeal arguments.</li><li>Maintain detailed documentation, tracking spreadsheets, and root cause analyses for denial trends.</li><li>Collaborate with client coding and CDI teams to provide education based on appeal outcomes.</li><li>Meet established productivity and quality standards while maintaining coding certification requirements.</li><li>Stay current on coding updates, regulatory changes, and reimbursement rules.</li><li>Deliver professional, organized, and customer-focused communication with clients.</li></ul>
We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.<br><br>Responsibilities:<br>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.<br>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.<br>• Abstract required data elements from medical records in alignment with facility-specific guidelines.<br>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.<br>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.<br>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.<br>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.<br>• Analyze and ensure compliance with coding, billing, and data collection regulations.<br>• Address missing or unclear information by seeking clarification and ensuring proper documentation.<br>• Independently manage workload and prioritize tasks to meet departmental productivity standards.
<p>We are looking for an experienced Medical Biller/ AR 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.</p><p><br></p><p>Responsibilities:</p><p>• Perform multi-specialty coding with precision to ensure timely submission of claims.</p><p>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.</p><p>• Develop and implement an audit process to validate clinical documentation and coded data integrity.</p><p>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.</p><p>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.</p><p>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.</p><p>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.</p><p>• Prepare and analyze monthly aging reports to support financial oversight.</p><p>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.</p><p>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.</p>
<p>We are seeking a detail-oriented and driven Medical Biller to support our billing operations. In this role, you will be responsible for executing accurate billing and claims submissions while ensuring the overall efficiency of our billing process. The ideal candidate will be organized, adaptable, and comfortable working in a dynamic environment.</p><p>Key Responsibilities:</p><ul><li>Accurately process billing and submit claims in a timely manner</li><li>Follow up on outstanding payments and claims to ensure timely resolution</li><li>Assist in addressing and resolving billing discrepancies or issues</li><li>Maintain well-organized records and documentation</li><li>Work collaboratively with cross-functional teams to maintain compliance with company procedures and industry guidelines</li></ul><p><br></p>
<p>A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office.</p><p><br></p><ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role. </li></ul><p><br></p><p><br></p><p><br></p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Santa Ana, California. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Henderson, Nevada. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>We are looking for a skilled Medical Records Technician to join our team on the coast. This is a Contract position requiring a detail-oriented individual to manage health information efficiently and ensure compliance with industry standards. The role involves working with electronic health record systems and handling sensitive medical data with the utmost care.</p><p><br></p><p>Responsibilities:</p><p>• Process incoming requests for medical records from patients, healthcare providers, legal representatives, and other organizations.</p><p>• Verify the validity of authorizations and ensure compliance with applicable laws and regulations.</p><p>• Retrieve, prepare, and release medical records securely using electronic health record systems such as Epic</p><p>• Maintain strict adherence to confidentiality standards and safeguard protected health information.</p><p>• Address inquiries regarding record requests from patients, third parties, and internal teams in a thorough and timely manner.</p><p>• Manage subpoenas, court orders, and legal documentation requests under the guidance of the compliance manager.</p><p>• Perform quality checks on released information to ensure accuracy and completeness.</p><p>• Collaborate with clinical and administrative teams to resolve issues related to information release.</p><p><br></p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Flint, Michigan. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Queens, New York. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>Join our team as a Medical Scheduler, assisting healthcare providers by coordinating patient appointments. This role requires strong organizational and communication skills, attention to detail, and the ability to multitask in a busy setting.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Schedule and confirm patient appointments using scheduling systems</li><li>Answer inbound calls, help patients with appointment inquiries, and resolve scheduling issues</li><li>Update records and maintain accurate schedules</li><li>Communicate with medical and administrative staff to ensure smooth operations</li><li>Uphold confidentiality and compliance standards</li><li>Deliver excellent customer service both in person and by phone</li><li>Assist with appointment changes, cancellations, and other scheduling needs</li></ul><p><br></p>
<p>The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute inpatient medical records to ensure accurate coding, compliant documentation, and appropriate DRG assignment. The role focuses on identifying coding errors, ensuring regulatory compliance, optimizing reimbursement, and providing education and feedback to coders and CDI teams.</p><p><br></p><p>Key Responsibilities</p><ul><li>Perform detailed audits of inpatient records to validate <strong>ICD-10-CM/PCS coding</strong>, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy.</li><li>Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization.</li><li>Identify overpayments and underpayments through claim analysis (including 30-day lookbacks).</li><li>Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics.</li><li>Partner with CDI specialists to identify documentation improvement and query opportunities.</li><li>Maintain productivity, quality standards, and client turnaround expectations.</li><li>Stay current on regulatory changes, reimbursement policies, and coding updates.</li><li>Contribute to process improvement initiatives and compliance risk identification.</li></ul><p><br></p>
<p>Our client is seeking an experienced <strong>Medical Billing Specialist </strong>to join their healthcare team in <strong>Basking Ridge, New Jersey. </strong>In this role, you will handle <strong>Medicare billing processes </strong>for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities.</p><p><br></p><p><strong>Medicaid Medical Biller Responsibilities:</strong></p><p>• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.</p><p>• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.</p><p>• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.</p><p>• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.</p><p>• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.</p><p>• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.</p><p>• Monitor accounts receivable aging and escalate high-risk accounts when necessary.</p><p>• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.</p><p>• Ensure timely and accurate submissions by verifying all claim data for completeness.</p><p>• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.</p>
<p><strong>Job Title:</strong> Medical Billing Clerk (Temp to Hire)</p><p><strong>Location:</strong> 100% Onsite – North Oklahoma City, OK</p><p><strong>Schedule:</strong> Monday – Friday, 8:00am – 5:00pm</p><p><strong>Pay:</strong> $18–$22 per hour, DOE</p><p><strong>Assignment:</strong> 90-day Temp to Hire Opportunity</p><p>Robert Half is seeking an experienced Medical Billing Clerk for a local client in North OKC. This is a full-time, onsite position—with the potential to become a permanent role after 90 days. The ideal candidate is detail-oriented, reliable, and has hands-on experience with Medicaid, Medicare, and true medical accounts receivable (AR) functions.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit accurate medical claims to Medicaid, Medicare, and commercial insurance carriers</li><li>Review and post payments, reconcile accounts, and resolve discrepancies</li><li>Manage insurance denials, appeals, and follow-up on outstanding claims to ensure timely reimbursement</li><li>Maintain and update patient billing records and related documentation</li><li>Assist with patient billing inquiries, statements, and collections as needed</li><li>Support compliance with HIPAA and other industry regulations</li></ul>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract position, you will play a vital role in ensuring accurate billing procedures and supporting the financial operations of a local healthcare facility. This opportunity is ideal for individuals with a strong background in medical billing who are committed to maintaining high standards of professionalism and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing claims accurately and efficiently to ensure timely reimbursement.</p><p>• Review and verify essential patient information and insurance details before submitting claims.</p><p>• Investigate and resolve billing discrepancies to ensure smooth operations.</p><p>• Collaborate with healthcare staff to clarify billing issues and improve processes.</p><p>• Maintain up-to-date knowledge of billing codes, insurance policies, and regulations.</p><p>• Generate detailed billing reports to track revenue and identify trends.</p><p>• Communicate effectively with insurance companies to address denied claims or appeals.</p><p>• Ensure confidentiality and security of patient billing records.</p><p>• Assist in optimizing billing workflows to enhance overall productivity.</p>
We are looking for a skilled Medical Billing Specialist to join our healthcare team in Loveland, Colorado. In this contract role, you will contribute to the accuracy and efficiency of medical billing operations, ensuring compliance with industry standards and supporting patient care. This position is ideal for professionals with expertise in medical billing systems, a keen eye for detail, and a commitment to delivering exceptional service.<br><br>Responsibilities:<br>• Process and submit insurance claims with precision, adhering to regulatory guidelines.<br>• Monitor accounts receivable, address discrepancies, and ensure timely resolution of outstanding balances.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to manage billing tasks effectively.<br>• Follow up on denied claims, manage appeals, and secure payments from insurance providers.<br>• Perform medical coding and ensure documentation aligns with established industry standards.<br>• Oversee third-party billing and maintain communication with insurance companies for seamless operations.<br>• Verify patient benefits and eligibility while assisting with related administrative tasks.<br>• Enter numeric data accurately and maintain detailed records of billing transactions.<br>• Respond to inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to streamline billing processes and enhance workflow efficiency.
<p>Position Description:</p><p>This Billing Specialist is an experienced support role with expertise in Home Health Care billing processes, including PDGM, episodic, and institutional claims. The Billing Specialist will have work tasks and responsibilities with accounts receivable (AR) and revenue cycle management, combined with advanced knowledge of electronic billing and claims management systems. This role requires exceptional attention to detail, analytical problem-solving skills, and the ability to ensure accurate and timely claims submission and payment processing.</p><p><br></p><p>Performance Responsibilities and Standards:</p><p>1. Review and analyze claims for accuracy and completeness, obtain and/or correct any missing or inaccurate information related to Home Health Care (PDGM, Episodic, Institutional Claims)</p><p><br></p><p>2. Compile and submit claims/invoices to appropriate payors/clients within the timeframe designated within the department billing schedule.</p><p><br></p><p>3. Must have prior experience in AR/Revenue cycle to ensure timely follow up on claims/invoices.</p><p><br></p><p>4. Research and work/appeal unpaid claims when appropriate to ensure optimum collections.</p><p><br></p><p>5. Post payments timely with 100% accuracy.</p><p><br></p><p>6. Knowledge of electronic billing, billing exceptions and EDI software (Waystar) to ensure claims are submitted and followed up timely.</p><p><br></p><p>7. Communicate billing, payment and collections issues to Billing Manager on a current basis.</p><p><br></p><p>8. Utilize agency IT systems to carry out job requirements.</p><p><br></p><p>9. Attend meetings and workshops as required.</p><p><br></p><p>10. Required to bill and collect within the payor filing requirements.</p><p><br></p><p>11. All other duties as assigned</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 crucial part in ensuring accurate billing processes, verifying insurance coverage, and supporting financial counselors in assessing patient financial responsibilities. This position is based in Nashville, Tennessee, and offers an opportunity to contribute to the healthcare industry.<br><br>Responsibilities:<br>• Confirm patient eligibility and collaborate closely with the front desk and authorization team to ensure billing accuracy.<br>• Distinguish between various insurance contracts and payer systems, including Medicare, Medicaid, and private insurance.<br>• Communicate effectively with insurance companies to determine coverage details and resolve discrepancies.<br>• Verify patient insurance information and relay necessary data to Patient Financial Counselors for financial responsibility assessments.<br>• Utilize tools such as Availity to process claims efficiently and maintain organized records.<br>• Handle medical claims, coding, and collections with precision to support revenue cycle processes.<br>• Ensure accurate processing of copays and deductions to minimize errors.<br>• Stay updated on healthcare billing regulations and compliance requirements.<br>• Provide support in resolving billing issues and addressing patient inquiries.<br>• Collaborate with team members to improve workflows and optimize billing practices.
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.</p><p>• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.</p><p>• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.</p><p>• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.</p><p>• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.</p><p>• Maintain secure and compliant records of Protected Health Information used in billing activities.</p><p>• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.</p><p>• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.</p><p>• Collaborate with internal teams to streamline billing processes and improve efficiency.</p>
<p>We are looking for a dedicated Medical Billing Specialist. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient processing of medical claims, helping the organization maintain compliance and achieve timely reimbursements. This role requires a keen eye for detail and a strong understanding of medical billing processes and terminology.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit accurate medical claims to insurance providers for reimbursement.</p><p>• Verify patient information, including demographics and insurance details, to ensure claims are processed correctly.</p><p>• Review denied or unpaid claims, identify issues, and submit appeals to resolve discrepancies.</p><p>• Communicate effectively with insurance companies, patients, attorneys, and healthcare providers to address billing inquiries.</p><p>• Maintain compliance with patient confidentiality regulations and organizational standards.</p><p>• Monitor and manage accounts receivable, ensuring timely follow-up on outstanding balances.</p><p>• Collaborate with team members to improve billing procedures and enhance operational efficiency.</p><p>• Maintain accurate records of billing activities and updates within electronic medical systems.</p>
<p>The Medical Biller will be responsible for managing patient billing processes, ensuring claims are submitted accurately and efficiently, and following up on payment resolutions. This role is vital to the financial health of the organization and requires a high level of attention to detail, organization, and knowledge of medical billing procedures.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Process, review, and submit claims to insurance carriers efficiently and accurately.</li><li>Verify patient insurance coverage and eligibility.</li><li>Resolve claim errors or discrepancies, including follow-ups with insurance providers and patients.</li><li>Generate billing statements for patient accounts and ensure proper posting of payments.</li><li>Communicate with insurance companies, patients, and other third-party payers regarding claims and payments.</li><li>Monitor and follow up on outstanding accounts receivable balances and unpaid claims.</li><li>Maintain knowledge of current billing codes (e.g., ICD-10, CPT, HCPCS) and updates to healthcare regulations.</li><li>Collaborate with other departments (e.g., medical records or patient services) to gather accurate information.</li><li>Ensure compliance with industry standards and regulations, including HIPAA.</li></ul><p><br></p><p><br></p>
We are looking for a detail-oriented Medical Records Clerk to join our team on a long-term contract basis in Kingsburg, California. In this role, you will play a vital part in managing and maintaining patient medical records, ensuring compliance with regulations and standards. If you have a strong background in electronic medical record systems and a commitment to accuracy, this position offers an excellent opportunity to contribute your expertise.<br><br>Responsibilities:<br>• Organize and maintain patient medical records with accuracy and confidentiality.<br>• Update and manage electronic medical records using specialized software systems.<br>• Ensure compliance with healthcare regulations and standards in record-keeping practices.<br>• Retrieve and process medical records for authorized personnel and healthcare providers.<br>• Collaborate with healthcare teams to ensure timely access to patient information.<br>• Conduct regular audits of medical records to identify and resolve discrepancies.<br>• Provide support in transitioning between electronic medical record systems when required.<br>• Train staff on best practices for handling and accessing medical records.<br>• Respond promptly to requests for patient information while maintaining data security.<br>• Generate reports and summaries from medical records as needed.
<p>Robert Half is looking for a dedicated Health Information Management (HIM) Clerk to complete a long-term project in Pasco, WA. This role involves handling and organizing medical records with precision and efficiency, ensuring compliance with retention requirements and facilitating smooth record management processes. </p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough reviews of boxes of medical records to ensure compliance with retention policies.</p><p>• Accurately label and categorize records, including marking destruction dates for future reference.</p><p>• Organize documents to facilitate efficient storage and eventual disposal processes.</p><p>• Create electronic documentation for selected records using designated software tools.</p>