<p>We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards.</p><p><br></p><p>Responsibilities:</p><p>• Apply standardized coding practices to interpret and digitize benefit structures effectively.</p><p>• Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans.</p><p>• Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year.</p><p>• Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests.</p><p>• Ensure coding practices comply with regulatory mandates and support updates as needed.</p><p>• Provide expert consultation on coding inquiries to project teams and business partners.</p><p>• Collaborate with cross-functional project teams to contribute coding expertise for successful implementations.</p><p>• Support benefit digitization initiatives by leveraging advanced coding methodologies and tools.</p><p>• Assist in designing and implementing digital capabilities that align with organizational goal</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 seeking a detail-oriented and motivated professional to join our team as a Medical Biller. In this role, you will contribute to the smooth and efficient handling of billing processes. The ideal candidate will possess strong organizational skills and thrive in a fast-paced setting.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately process medical billing and claims submissions.</li><li>Monitor and follow up on outstanding payments or claims.</li><li>Assist in resolving billing discrepancies and issues.</li><li>Maintain well-organized records and documentation.</li><li>Work collaboratively with internal teams to ensure adherence to procedures and compliance standards.</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>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>Robert Half is seeking a proactive and organized Medical Scheduler with hands-on EPIC experience for a leading healthcare client. The ideal candidate will play a key role in ensuring efficient daily scheduling operations and delivering excellent service to both patients and clinical staff.</p><p>Key Responsibilities:</p><ul><li>Coordinate, schedule, and confirm patient appointments using the EPIC electronic health records (EHR) system</li><li>Review, update, and maintain patient records to ensure accuracy and compliance with healthcare regulations</li><li>Liaise with clinical staff to prioritize urgent scheduling needs and optimize provider schedules</li><li>Act as a friendly, knowledgeable point of contact for patient scheduling inquiries, appointment changes, and general information requests</li><li>Collaborate with administrative and medical teams to streamline scheduling workflows and improve the patient experience</li><li>Demonstrate expertise in electronic records management, patient access workflows, and multitasking in a high-volume environment</li></ul><p><br></p>
<p>Join our team as a <strong>Remote Inpatient Coding Specialist</strong> and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul>
<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><strong>Job Summary:</strong></p><p> We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for preparing and submitting accurate medical claims, following up on unpaid claims, and ensuring timely reimbursement from insurance providers and patients. The ideal candidate has strong knowledge of medical billing processes, coding systems, and payer requirements, along with excellent organizational and communication skills.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>Prepare, review, and submit medical claims to insurance companies in a timely manner</p><p> Verify patient insurance coverage, eligibility, and benefits</p><p> Ensure accurate coding using CPT, ICD-10, and HCPCS codes</p><p> Follow up on unpaid or denied claims and resolve billing issues</p><p> Post payments, adjustments, and denials accurately into the system</p><p> Communicate with insurance companies and patients regarding billing questions or discrepancies</p><p> Maintain accurate and organized patient billing records</p><p> Work with internal teams to resolve documentation or coding issues</p><p> Support month-end reporting and reconciliation processes</p><p> Ensure compliance with healthcare regulations and billing guidelines</p>
<p>Robet Half is looking for a skilled Medical Billing Specialist to join to join a team based in Philadelphia, Pennsylvania. This contract Medical Billing Specialist position as potential for long-term employment and is ideal for professionals who excel in managing medical billing processes and ensuring the accuracy of patient and insurance data. The successful Medical Billing Specialist candidate will play a critical role in maintaining efficient billing workflows and supporting compliance with healthcare regulations. If you are looking for an opportunity to get your career moving in the right direction and put your talents to the test then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013410775.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems.</p><p><br></p><p>• Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness.</p><p><br></p><p>• Apply knowledge of medical codes to ensure accurate data entry and validation.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims.</p><p><br></p><p>• Prepare billing data for claim submission while adhering to established guidelines.</p><p><br></p><p>• Maintain compliance with healthcare privacy policies and organizational standards.</p><p><br></p><p>• Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues.</p><p><br></p><p>• Support the optimization of billing workflows to enhance operational efficiency.</p><p><br></p><p>• Assist in audits, reporting, and specialized data cleanup projects as needed.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position offers an excellent opportunity for detail-oriented individuals with expertise in medical billing, accounts receivable, and claims processing to contribute to a dynamic environment. The ideal candidate will possess strong technical skills and the ability to interpret complex healthcare regulations while maintaining exceptional attention to detail and customer service.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage billing functions, ensuring compliance with healthcare regulations and accuracy in all claims.</p><p>• Research and resolve complex issues related to accounts receivable, appeals, and benefit functions.</p><p>• Utilize advanced knowledge of billing systems, including Allscripts, Cerner Technologies, and EHR systems, to manage patient data effectively.</p><p>• Maintain and update records using computerized filing systems, ensuring consistency and organization.</p><p>• Prepare and review detailed reports, including insurance claims and treatment authorization forms, with precision.</p><p>• Perform coding and data entry tasks that align with departmental procedures and healthcare policies.</p><p>• Collect and reconcile payments, adjust accounts as necessary, and ensure proper documentation of financial transactions.</p><p>• Provide exceptional customer service by addressing patient inquiries and explaining billing procedures in a clear and thorough manner.</p><p>• Train and support team members in technical processes, fostering a collaborative and efficient work environment.</p><p>• Develop and maintain spreadsheets and databases to track financial and statistical data for reporting purposes.</p><p>For immediate consideration please contact Cortney 209-225-2014 </p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices</li></ul><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>Are you an experienced medical billing professional ready to make an impact? Robert Half is hiring a Medical Billing Specialist for a contract role supporting our client in Holyoke, MA. This is an excellent opportunity to apply your billing and reimbursement expertise with a respected organization.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Process and submit medical claims accurately and promptly</li><li>Review patient information and insurance details for validity and completeness</li><li>Resolve claim discrepancies and follow up on outstanding accounts</li><li>Collaborate with healthcare providers, insurers, and patients to secure accurate payments</li><li>Ensure compliance with HIPAA and industry billing standards</li><li>Manage billing software and maintain up-to-date records in the electronic health record system</li></ul><p><br></p>
<ul><li>Accurately process claims, invoices, and patient billing statements</li><li>Review medical records and documentation for billing compliance</li><li>Verify insurance coverage and eligibility</li><li>Follow up on unpaid claims and resolve billing discrepancies</li><li>Maintain up-to-date knowledge of billing codes (ICD, CPT, HCPCS) and regulatory requirements</li><li>Collaborate with internal teams and external partners to ensure timely reimbursement</li><li>Respond to patient inquiries regarding billing and insurance</li></ul><p><br></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>Join Robert Half to support a leading client in West Springfield, MA as a Medical Billing Specialist! We are seeking a detail-driven professional to manage medical billing processes, ensure timely reimbursement, and contribute to the financial health of the organization. This is a contract opportunity with immediate impact.</p><p>Key Responsibilities:</p><ul><li>Accurately process medical claims, payments, and billing statements</li><li>Review and verify patient information, insurance coverage, and medical records</li><li>Resolve billing discrepancies and collaborate with healthcare providers, patients, and insurers</li><li>Maintain compliance with HIPAA and industry regulations</li><li>Manage account follow-up and collections to maximize revenue cycle efficiency</li><li>Utilize electronic health records (EHR), billing software, and related systems</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models.<br><br>Responsibilities:<br>• Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections.<br>• Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers.<br>• Conduct quality assurance checks and audits of billing tasks performed by team members.<br>• Handle out-of-network billing and provide support for concierge-model practices.<br>• Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog.<br>• Assist with collections and reimbursement strategies to optimize revenue.<br>• Maintain detailed and accurate billing records, including comprehensive account documentation.<br>• Ensure compliance with payer policies, industry standards, and internal workflows.<br>• Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
<p>We are looking for a skilled Medical Billing Specialist to join our team in French Camp, California. In this role, you will handle complex billing procedures, ensure accurate claims processing, and provide exceptional customer service to patients and stakeholders. This is a Contract to permanent position within the healthcare industry, offering an opportunity to contribute to vital administrative functions while ensuring compliance with regulations.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage complex medical billing procedures, including accounts receivable functions and claim submissions.</p><p>• Review and verify insurance claims, applying advanced knowledge of reimbursement codes and policies.</p><p>• Research and resolve billing discrepancies to ensure accurate and timely payment processing.</p><p>• Maintain and update patient records using electronic health record (EHR) systems such as Allscripts and Cerner Technologies.</p><p>• Generate detailed reports and statistical data to support departmental operations and budget planning.</p><p>• Provide specialized program-related information to patients, clients, and outside agencies in a detail-oriented manner.</p><p>• Collaborate with team members to improve billing processes and ensure compliance with healthcare regulations.</p><p>• Train and assist other staff in billing procedures and system usage as needed.</p><p>• Handle appeals and benefit functions, ensuring proper documentation and resolution.</p><p>• Utilize software tools such as Dynamic Data Exchange (DDE) and Epaces for efficient billing and data management.</p><p><br></p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>A client is seeking a detail-oriented medical billing specialist to support billing operations. The ideal candidate will play a key role in ensuring accurate, timely billing and maintaining efficient processes in a fast-paced setting.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately process medical billing and submit claims.</li><li>Follow up on outstanding payments and claims as needed.</li><li>Assist in identifying and resolving billing discrepancies.</li><li>Maintain well-organized records and documentation.</li><li>Collaborate with internal teams to ensure adherence to established policies and procedures.</li></ul><p><br></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>
<p>THIS IS AN ONSITE POSITION – We are seeking a detail-oriented Medical Records Clerk to support our client in Tukwila, Washington. In this role, you will be responsible for the accurate, secure, and organized processing of all health information records strictly within the records department—supporting compliance and ensuring data integrity. This is a long-term contract position, Monday – Friday, 8am–5pm.</p><p><strong>Responsibilities:</strong></p><ul><li>Receive, review, and organize all incoming medical documents (paper and electronic) in line with established records protocols.</li><li>Prepare documents for scanning by removing fasteners, checking page order, and ensuring legibility.</li><li>Scan documents into the electronic health record (EHR) system, accurately indexing them to the appropriate file.</li><li>Conduct routine quality checks to ensure digitized records are complete and compliant with organizational standards.</li><li>File, archive, and retrieve records for internal departmental processes, maintaining accurate logs of records movement.</li><li>Maintain retention schedules by preparing files for archiving or secure destruction as necessary.</li><li>Identify and resolve filing errors, duplicates, or missing information in collaboration with your records team.</li><li>Strictly safeguard all information in accordance with HIPAA and organizational privacy policies.</li><li>Participate in regular team projects, such as audits or process improvements, relating specifically to records control.</li></ul>
<p>Robert Half is looking for a dedicated Health Information Management (HIM) Clerk to complete a 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>Are you a customer-oriented professional with strong technology skills seeking a dynamic role in a clinical setting? We are seeking a Clinical Secretary to join our healthcare team, where you will play a key role in supporting daily patient and provider operations. This is an excellent opportunity for candidates with healthcare administrative experience, a knack for multitasking, and a passion for delivering excellent service.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Serve as the first point of contact for patients, providing warm, professional, and responsive customer service.</li><li>Schedule appointments and manage patient information using EPIC or similar EMR systems.</li><li>Answer and triage phone calls, using effective listening and professional telephone etiquette.</li><li>Accurately process and direct inquiries from patients, providers, and staff.</li><li>Coordinate administrative tasks, ensuring timeliness and accuracy in a fast-paced environment.</li><li>Uphold confidentiality and follow clinic protocols at all times.</li></ul><p><strong>Required Skills and Abilities:</strong></p><ul><li>Demonstrated ability to deliver exceptional customer service, with strong verbal and interpersonal communication.</li><li>Excellent organizational skills; able to prioritize and manage multiple tasks efficiently.</li><li>Proficiency with EPIC or similar Electronic Medical Record (EMR) systems in scheduling and information management.</li><li>Strong communication, effective listening, and sound judgment skills.</li><li>Ability to work independently, apply critical thinking, and resolve issues proactively.</li></ul><p><strong>Preferred Skills and Abilities:</strong></p><ul><li>Knowledge of medical terminology and previous experience in a medical office or high-volume call center.</li><li>Spanish-speaking (bilingual) skills are an advantage.</li><li>Familiarity with Microsoft Excel and experience with multi-line telephone systems.</li><li>Experience in specialty clinical environments such as oncology, cardiology, or dermatology, with exposure to specialized EPIC modules.</li><li>Demonstrated flexibility and ability to adapt to changing work demands.</li></ul><p><strong>Top Must-Have Skills:</strong></p><ol><li>Exceptional customer service.</li><li>EPIC or prior EMR experience (strongly preferred).</li><li>Effective communication skills—call center or customer service representative experience valued.</li><li>Spanish bilingual skills are a plus but not required.</li></ol><p><strong>Personality Fit:</strong></p><ul><li>Independent worker who takes initiative.</li><li>Tech-savvy and eager to learn new tools.</li><li>Flexible and adaptable, able to thrive in fast-changing clinical environments.</li></ul><p><br></p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>