<p>A respected healthcare organization is seeking an experienced <strong>Credentialing Manager</strong> to lead credentialing operations and provider data management for its Long Beach, California team. In this leadership role, you'll oversee the full credentialing lifecycle—including provider onboarding, recredentialing, enrollment support, and data integrity—while ensuring compliance with regulatory requirements and health plan standards. You'll also collaborate with cross-functional leaders to optimize processes, strengthen audit readiness, and drive operational excellence across the credentialing function.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead and mentor the credentialing and provider data team, setting daily priorities and ensuring efficient operations.</li><li>Oversee provider onboarding, recredentialing, payer enrollment, and privileging activities to support a seamless provider experience.</li><li>Ensure compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation to maintain complete, accurate, and up-to-date records.</li><li>Monitor team productivity, turnaround times, and workflow performance, proactively resolving issues that impact service levels.</li><li>Prepare for internal and external audits by conducting routine reviews, identifying gaps, and implementing corrective actions.</li><li>Partner with leadership to enhance credentialing policies, reporting capabilities, and operational workflows.</li><li>Safeguard provider data integrity across systems to support accurate reporting, compliance, and downstream operational needs.</li></ul><p><strong>Benefits:</strong> Comprehensive Health, Dental, and Vision insurance, 401(k) retirement plan, and Paid Sick Time.</p>
<p>Our client in the Galleria area of Houston, Texas is seeking an experienced Healthcare Collections Manager to lead and develop a high-performing collections team. This role is ideal for a hands-on leader with deep expertise in hospital and physician collections, strong knowledge of insurance billing, coding terminology, out of network collections, and a proven ability to drive department performance.</p><p><br></p><p>Key Responsibilities</p><p>Oversee daily operations of the healthcare collections department.</p><p>Supervise, coach, and develop staff to ensure team goals and departmental objectives are achieved.</p><p>Manage hospital and physician collections processes with a focus on accuracy, compliance, and productivity.</p><p>Monitor workflows, resolve escalated collection issues, and identify opportunities for process improvement.</p><p>Partner effectively with internal teams and leadership across the organization.</p><p>Maintain open, professional, and respectful communication with employees at all levels.</p><p>Ensure strong data integrity through accurate documentation, reporting, and system usage.</p>
We are looking for a Medical Coding Auditor to support coding appeal efforts for acute care accounts in Virginia. This position focuses on evaluating denied inpatient claims, applying coding standards, and developing well-supported appeal documentation based on clinical records and regulatory guidance. The ideal candidate brings strong judgment, deep knowledge of inpatient coding methodologies, and the ability to communicate findings clearly and effectively.<br><br>Responsibilities:<br>• Review denied inpatient accounts and prepare clear, evidence-based appeal submissions that support code assignment and reimbursement accuracy.<br>• Analyze clinical documentation alongside coding guidelines and industry regulations to identify discrepancies, compliance concerns, and potential billing issues.<br>• Use expertise in ICD-10-CM, ICD-10-PCS, and related coding frameworks to validate coding decisions and strengthen appeal outcomes.<br>• Research payer policies, government guidance, and applicable regulatory sources to support recommendations and resolve coding-related questions.<br>• Track trends, root causes, and claim examples through organized records and reporting tools to help improve appeal strategies and coding quality.<br>• Partner with client teams to build understanding of account-specific requirements and reinforce documentation and coding compliance expectations.<br>• Contribute to training and knowledge-sharing activities by explaining appeal results and coding considerations to coding staff and stakeholders.<br>• Maintain assigned productivity goals, stay current with coding updates, and provide responsive, thorough service in daily interactions.
<ul><li>The appeals professional integrates medical coding principles and objectivity in the performance of coding appeals/denials activities. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns</li><li>Participates in client system education to gain the knowledge necessary to appeal client accounts in ensuring that the coding is supported by the patient's clinical documentation, coding/cdi guidelines and other regulatory standards/guidelines as appropriate</li><li>Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues. Performs searches of governmental, payor-specific, hospital-specific, regulatory body, and literature rules, regulations, guidelines to identify and coding and billing requirements to make recommendations to client</li><li>Assist in education and training for client coding companion as it relates to the outcomes of the coding appeals</li><li>Meet established productivity standards for coding appeals & coding certification requirement</li><li>Attends in-house sessions to receive updated coding information and changes in coding and/or regulations</li><li>Provides excellent customer service, in an organized and efficient manner, while maintaining a positive attitude</li></ul><p><br></p>
<p>Our team is seeking an experienced <strong>Surgical Coding Specialist</strong> for a remote opportunity<strong> </strong>supporting healthcare operations. <strong>While this position is fully remote, candidates must live locally in the Indianapolis area to attend occasional onsite meetings, training sessions, or team collaboration events as needed. </strong>The Surgical Coding Specialist will be responsible for reviewing surgical documentation, assigning accurate CPT, ICD-10-CM, and HCPCS codes, and ensuring coding compliance with payer and regulatory requirements. This role requires a strong understanding of surgical coding guidelines, attention to detail, and the ability to work independently in a remote environment.</p><p><br></p><p><strong>Shift:</strong> Monday - Friday (a few shift options)</p><ul><li>8a-5p</li><li>6a-2p</li><li>10a-6p</li></ul><p><strong>Key Responsibilities:</strong></p><ul><li>Review and analyze operative reports and medical records to assign accurate surgical codes</li><li>Apply CPT, ICD-10-CM, and HCPCS coding guidelines for a variety of surgical specialties</li><li>Ensure coding is compliant with federal regulations, payer requirements, and internal policies</li><li>Identify and resolve coding edits, denials, and documentation issues</li><li>Work collaboratively with providers, billing teams, and other departments to clarify documentation and support reimbursement accuracy</li><li>Maintain productivity and quality standards in a remote work setting</li><li>Stay current on coding updates, payer changes, and industry best practices</li></ul><p><br></p>
<ul><li>The appeals professional integrates medical coding principles and objectivity in the performance of coding appeals/denials activities. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns</li><li>Participates in client system education to gain the knowledge necessary to appeal client accounts in ensuring that the coding is supported by the patient's clinical documentation, coding/cdi guidelines and other regulatory standards/guidelines as appropriate</li><li>Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues. Performs searches of governmental, payor-specific, hospital-specific, regulatory body, and literature rules, regulations, guidelines to identify and coding and billing requirements to make recommendations to client</li><li>Assist in education and training for client coding companion as it relates to the outcomes of the coding appeals</li><li>Meet established productivity standards for coding appeals & coding certification requirement</li><li>Attends in-house sessions to receive updated coding information and changes in coding and/or regulations</li><li>Provides excellent customer service, in an organized and efficient manner, while maintaining a positive attitude</li></ul><p><br></p>
<p>We are seeking a detail-oriented Medical Scheduler to coordinate patient appointments, manage provider calendars, and support efficient front-office operations. The ideal candidate has strong communication skills, scheduling experience in a healthcare setting, and the ability to work accurately in a fast-paced environment.</p><p><br></p><p><strong>Schedule: </strong></p><ul><li>Monday: 8am – 5pm</li><li>Tuesday: 8am – 5pm</li><li>Wednesday: 11am – 8pm (once per month) + 1 hour lunch</li><li>Thurs: 8am – 5pm</li><li>Fri: 8am – 5pm</li></ul><p><strong>Key Responsibilities:</strong></p><ul><li>Schedule, reschedule, and confirm patient appointments across multiple providers or departments.</li><li>Answer inbound calls and assist patients with appointment-related questions.</li><li>Verify patient demographics, insurance information, and referral requirements before appointments.</li><li>Coordinate cancellations, waitlists, and urgent scheduling needs.</li><li>Maintain accurate records in the electronic medical record and scheduling systems.</li><li>Communicate with clinical staff, patients, and external offices to ensure continuity of care.</li><li>Follow office procedures, privacy standards, and customer service expectations.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Records Specialist to support health information operations in Henderson, Nevada. This Long-term Contract position focuses on processing medical record requests accurately, protecting patient confidentiality, and ensuring timely delivery of information in accordance with healthcare regulations. The ideal candidate is organized, service-focused, and comfortable working in a fast-paced HIM environment. The Medical Records Specialist opening requires someone to work onsite in Henderson, Nevada. This is a contract to permanent opportunity with a Fortune 500 healthcare organization.</p><p><br></p><p>Responsibilities:</p><p>• Process incoming requests for medical records and related documentation while verifying authorization, identity, and release criteria before disclosure.</p><p>• Review patient information carefully to ensure all released records meet privacy standards, legal requirements, and organizational policies.</p><p>• Coordinate with clinical and administrative teams to gather, track, and deliver requested health information within established timelines.</p><p>• Maintain complete and accurate logs of disclosure activity, request status, and supporting documentation in designated systems.</p><p>• Respond professionally to questions from patients, providers, insurers, and other authorized parties regarding record release procedures.</p><p>• Identify incomplete, inaccurate, or noncompliant requests and follow up to obtain corrections before fulfilling them.</p><p>• Support daily HIM workflows by organizing documents, prioritizing urgent requests, and escalating sensitive issues when neede</p>
<p>Are you a detail-oriented multitasker looking to grow in the healthcare field? We’re hiring a<strong> Medical Records Associate</strong> to join a dedicated and supportive team at a well-established clinic. In this role, you’ll play a crucial part in supporting patient care by managing critical medical documents and assisting healthcare providers and patients. </p><p><br></p><p><strong>Why You’ll Love This Role:</strong></p><ul><li>Monday-Friday schedule with no weekends!</li><li>Join a team that values your hard work and attention to detail.</li><li>Hands-on training in healthcare systems you can take with you anywhere.</li><li>Located conveniently in Moline, IL—close to transportation with free parking.</li></ul><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Organize and Manage Medical Records: Scanning, uploading, and routing patient documents like labs or imaging.</li><li>Stay Organized in a Fast-Paced Role: Answer incoming calls to respond to requests for medical records and communicate with team members to route requests.</li><li>Be the Link Between Providers and Patients: Sort mail, handle deliveries, and distribute documents across the clinic.</li></ul><p><br></p><p>Help us create a smooth, efficient process for patients and providers. If you’re ready to contribute to a team where you can make a difference, apply here or reach out to our friendly team today at (563) 359-7535 - Erin, Christin and McKinzie are great points of contact for this role and love to help candidates land great opportunities!</p>
<p>We are seeking a detail-oriented <strong>Medical Billing Specialist</strong> to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments, adjustments, and denials accurately</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies</li><li>Review Explanation of Benefits (EOBs) for accuracy</li><li>Communicate with insurance companies, patients, and internal teams regarding billing questions</li><li>Maintain patient confidentiality and comply with HIPAA regulations</li><li>Ensure billing practices align with payer guidelines and company policies</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Staff Coordinator to support medical staff operations in Fremont, California. This Contract position focuses on coordinating credentialing activities, organizing committee documentation, and helping maintain compliance with medical staff policies and regulatory standards. The ideal candidate brings strong administrative judgment, accuracy with records and databases, and the ability to work effectively with physicians, department leaders, and support teams.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Coordinate agendas, records, and documentation for medical staff meetings and committee activities, ensuring materials are prepared accurately and distributed on time.</p><p>• Support credentialing and recredentialing processes, including application review, privilege updates, proctoring documentation, leave status changes, resignations, and related reporting tasks.</p><p>• Manage the administrative details required to support medical staff officers, committees, and cross-functional stakeholders across the organization.</p><p>• Organize logistics for standing, special, and ad hoc committee meetings, including room scheduling and coordination with internal service teams for meeting setup and support.</p><p>• Maintain credential files, department databases, and data entry records with regular updates to preserve accuracy, completeness, and accessibility.</p><p>• Monitor license, privilege, and credential expiration timelines, generate routine reports, and assist with follow-up actions to keep records current.</p><p>• Provide documentation and administrative support for accreditation preparation, audits, and compliance reporting activities.</p><p>• Contribute to departmental process improvement efforts by identifying workflow enhancements that strengthen efficiency, quality, and policy adherence.</p><p><br></p><p>If you are interested and available to start immediately, please apply now and call us at (510) 470-7450</p>
<p>A healthcare company is looking for a <strong>Medical Staff Coordinator </strong>to support credentialing and medical staff administration for a healthcare organization in California. This Medical Staff Coordinator position focuses on overseeing provider appointments, renewals, and clinical privilege documentation while maintaining alignment with hospital standards and regulatory requirements. The Medical Staff Coordinator offers the opportunity to work closely with physicians, leadership teams, and internal departments in a fast-moving hospital environment where accuracy, organization, and service are essential.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Oversee the full credentialing cycle for physicians and advanced practice providers, including new appointments, reappointments, and updates to clinical privileges.</p><p>• Examine application materials for accuracy and completion, and follow up to obtain missing records or supporting documents.</p><p>• Conduct and record primary source verification activities such as license reviews, education and training confirmation, board status checks, reference checks, malpractice history, and sanction screenings.</p><p>• Track expiration dates and renewal schedules to help maintain uninterrupted credentialing status for providers.</p><p>• Assemble and organize credentialing files for presentation to department leadership, credentialing committees, executive medical staff committees, and governing bodies.</p><p>• Coordinate requests involving revised or newly requested clinical privileges and ensure documentation is routed appropriately.</p><p>• Maintain precise provider information within credentialing systems and prepare reports, meeting materials, and survey-ready documentation for leadership review.</p><p>• Work collaboratively with Human Resources, provider enrollment teams, risk management, and department leaders to support onboarding and ongoing compliance.</p><p>• Uphold confidentiality standards while delivering responsive and courteous service to providers, hospital leadership, and other stakeholders.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>We are looking for a detail-oriented <strong>Medical Records Clerk/Administrative Assistant</strong> to support an organization in Norristown, Pennsylvania. This is a fully onsite Contract position expected to last 6-8 weeks, with the possibility of extension. The person in this role will coordinate medical records activities, provide administrative support, and help maintain accurate electronic health information while assisting daily operations in a fast-paced behavioral health setting.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Guide and support a small medical records team, helping prioritize daily work and maintain consistent service levels.</p><p>• Maintain, organize, and process patient documentation within electronic health record systems to ensure records are complete and accessible.</p><p>• Respond to insurance-related documentation requests by gathering and preparing the appropriate medical information.</p><p>• Handle legal and compliance-related record requests with accuracy, discretion, and attention to confidentiality standards.</p><p>• Provide administrative assistance connected to board meeting preparation, including document coordination and related support tasks.</p><p>• Review medical record workflows and address issues that could affect timely filing, retrieval, or record accuracy.</p><p>• Work closely with internal staff to ensure health information is managed in accordance with organizational and regulatory expectations.</p>
<p>A healthcare company is looking for a detail-oriented <strong>Medical Records Clerk</strong> to support a high-volume surgery center in Orange, California. This Medical Records Clerk position is ideal for someone who is comfortable working with both paper and electronic records and can keep files organized in a fast-paced clinical setting. The Medical Records Clerk in this role will help maintain accurate record storage, support daily document handling, and contribute to smooth medical records operations,</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Organize, sort, and file patient charts and related documentation with a high level of accuracy.</p><p>• Retrieve records as needed to support staff requests and daily department workflows.</p><p>• Maintain orderly medical record storage systems for both physical files and electronic documentation.</p><p>• Review documents for proper classification and place materials in the correct location based on established filing methods.</p><p>• Assist with record management tasks that support the department during a 2-3 month contract assignment.</p><p>• Use electronic medical record systems such as Allscripts and Cerner to locate, verify, and manage patient information.</p><p>• Ensure confidential health information is handled in accordance with privacy and security standards.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>We are seeking a detail-oriented <strong>Medical Records Clerk</strong> to support the accurate maintenance, organization, and processing of patient health information for a healthcare organization in Newark, Delaware. This role is responsible for ensuring medical records are complete, secure, and accessible while supporting daily administrative and compliance-related functions.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Maintain, organize, and update patient medical records in electronic and paper filing systems</li><li>Retrieve, scan, index, and file medical documents accurately and in a timely manner</li><li>Review records for completeness, accuracy, and required documentation</li><li>Process requests for medical records in accordance with HIPAA and organizational policies</li><li>Always protect the confidentiality and security of patient health information</li><li>Assist with chart preparation, record audits, and document tracking</li><li>Respond to internal and external inquiries regarding records status and documentation procedures</li><li>Coordinate with clinical and administrative staff to obtain missing or incomplete information</li><li>Support data entry and records management within the electronic medical records system</li><li>Help ensure compliance with federal, state, and organizational record retention requirements</li><li>Perform other administrative duties as assigned</li></ul><p><br></p>
<p>Robert Half is seeking contract Medical Records Clerks to join our team in Phoenix, AZ. This short-term contract opportunity will support our prestigious healthcare client as a Medical Records Clerk, managing large volumes of paper patient charts. This is an excellent opportunity that for candidates with attention to detail and strong organizational skills. Apply to become a Medical Records Clerk today!</p><p><br></p><ul><li>Sorting and indexing medical records</li><li>Prepping, reorganizing, and putting together charts</li><li>Updating electronic medical records</li><li>Transferring and faxing records</li></ul><p><br></p>
The Dental Coding Content Specialist will function as a Dental Coding Subject Matter Expert (SME) responsible for developing, maintaining, and updating dental coding content used in coding products. This role focuses on researching, writing, and editing coding guidance related to dental procedures, documentation requirements, reimbursement, and annual code updates. Rather than performing production coding, the specialist will create and maintain coding reference content that is reviewed by a peer SME prior to publication. The specialist will work within a customizable electronic content management system to update code descriptions, coding guidance, documentation tips, reimbursement information, and editorial content that will ultimately be published in electronic and print coding resources. Responsibilities Serve as a Dental Coding Subject Matter Expert (SME) for dental coding content, documentation, and reimbursement guidance. Research, write, edit, and maintain coding content related to CDT, CPT, HCPCS Level II, and ICD-10-CM codes as applicable. Update coding content annually by: Adding new codes, Revising existing codes, Removing deleted or invalid codes, Incorporating editorial revisions Develop clear procedural descriptions using Optum editorial standards and terminology. Create and update: Code descriptions, Documentation tips, Coding tips, Billing and reimbursement guidance, Narrative instructional content Crosswalk dental (CDT) codes to applicable CPT codes when procedures overlap or require medical billing. Maintain knowledge of current coding regulations, payer policies, and annual code set revisions. Enter and maintain coding content within Optum's proprietary content management system (similar to Excel-based data entry), ensuring accuracy and consistency. Review supporting documentation, PDFs, and reference materials to validate coding updates. Participate in a collaborative peer-review process where all work is reviewed by another Dental Coding SME prior to publication. Demonstrate strong written communication skills and attention to detail while producing technical content for electronic applications, printed publications, and data files. Prioritize assignments and meet project deadlines while maintaining high-quality standards.
We are looking for a detail-oriented Medical Billing & Collections specialist to join a growing healthcare team in Florida. This contract-to-permanent opportunity is ideal for someone who can evaluate insurance payment activity, address claim issues, and help improve reimbursement outcomes. The person in this role will work closely with billing and accounts receivable processes in a collaborative onsite environment while supporting accurate and timely collections activity.<br><br>Responsibilities:<br>• Analyze explanation of benefits documents to identify billed services, insurer payments, contractual adjustments, and amounts owed by patients.<br>• Manage assigned denial and collections work queues, prioritizing unresolved accounts and taking action to move claims toward payment.<br>• Research underpaid or rejected claims and determine the appropriate next steps to correct and resolve billing issues.<br>• Communicate with insurance carriers to clarify discrepancies, obtain claim status updates, and secure outstanding reimbursement.<br>• Prepare and submit corrected claims or appeals within required filing deadlines to reduce avoidable payment delays.<br>• Record all follow-up efforts, account updates, and collection activity accurately within the billing system.<br>• Contribute to accounts receivable performance by helping reduce aging balances and supporting team collection goals.<br>• Collaborate with onsite team members in a fast-paced setting to maintain efficient claim follow-up and resolution workflows.
<p>We are offering a contract-to-hire opportunity for a Medical Billing Clerk in Tucson, Arizona. This role involves the critical task of handling medical billing operations in a healthcare setting, including reviewing contracts, managing billing procedures, reconciling accounts, and assisting in collections. The ideal candidate will have experience in billing in AHCCCS and CalAim (open to training on CalAim).</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Review and interpret medical contracts to ensure accurate billing.</p><p>• Execute billing procedures, ensuring all bills are sent out timely and accurately.</p><p>• Reconcile accounts to ensure all payments are accurate and complete.</p><p>• Assist in collections, contacting patients or insurance companies for overdue payments.</p><p>• Utilize various accounting software systems to manage billing functions.</p><p>• Operate Microsoft Excel to maintain records and process transactions.</p><p>• Administer claim administration tasks to ensure all claims are processed correctly.</p><p>• Provide excellent customer service by resolving customer inquiries and issues.</p><p>• Monitor customer accounts and take appropriate action when necessary.</p><p>• Perform accounting functions as required to maintain accurate financial records.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues.</p><p><br></p><p>Responsibilities:</p><p>• Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines.</p><p>• Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports.</p><p>• Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices.</p><p>• Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up.</p><p>• Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance.</p><p>• Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture.</p><p>• Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered.</p><p>• Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements.</p><p>• Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information</p>
<p>We are looking for a Medical Billing Specialist to support patients and insurance partners by resolving complex coordination of benefits and medical billing issues. This Long-term Contract position is ideal for someone who combines strong customer service skills with hands-on experience in insurance follow-up, denial resolution, and hospital billing. Based in Murray, Utah, this role focuses on guiding patients through billing concerns, working directly with payers, and helping move claims toward accurate and timely resolution.</p><p><br></p><p>Responsibilities:</p><ul><li>Investigate and resolve Coordination of Benefits (COB) claim denials.</li><li>Serve as the liaison between patients and insurance companies.</li><li>Manage insurance follow-up activities for outstanding claims and accounts receivable.</li><li>Research, analyze, and resolve claim denials, underpayments, and reimbursement discrepancies.</li><li>Handle both inbound and outbound calls with patients and insurance carriers.</li><li>Participate in three-way calls with patients and insurance representatives to facilitate claim resolution.</li><li>Manage high-volume communications including phone calls, letters, and text messages.</li><li>Advocate effectively with insurance companies to secure claim payment and resolution.</li><li>Document account activity thoroughly and maintain detailed notes.</li><li>Escalate issues appropriately while utilizing critical thinking to determine the best path to resolution.</li><li>Balance patient service needs with insurance collection and denial management responsibilities.</li><li>Maintain productivity and quality standards in a fast-paced environment.</li><li>Utilize available resources to independently work accounts and resolve complex insurance issues.</li></ul>
<p>Our client in Springfield, Massachusetts is seeking a <strong>Medical Billing Specialist</strong> for a contract opportunity. This role is ideal for a detail-oriented professional with experience in healthcare billing, claims follow-up, and payment posting who can support revenue cycle operations in a fast-paced environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit medical claims to insurance carriers in a timely and accurate manner</li><li>Follow up on unpaid, denied, or rejected claims and take appropriate action to resolve issues</li><li>Verify patient insurance coverage, eligibility, and billing information</li><li>Post payments, adjustments, and patient transactions accurately</li><li>Research billing discrepancies and work with internal teams and payers to resolve them</li><li>Maintain up-to-date patient billing records and documentation</li><li>Assist with appeals, collections, and account follow-up as needed</li><li>Ensure compliance with healthcare billing regulations and internal procedures</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Billing Specialist to support healthcare claims and reimbursement activities in Bloomington, Minnesota. This role focuses on preparing, submitting, and tracking billing for a range of home and community-based services while helping ensure claims are accurate, timely, and fully supported by required documentation. The ideal candidate brings strong knowledge of medical billing workflows, payer requirements, and follow-up practices that improve cash flow and resolve claim issues efficiently.</p><p><br></p><p>Responsibilities:</p><p>• Examine service records, authorizations, care plans, and supporting documents to confirm claims are ready for submission to Minnesota Medical Assistance and other applicable payers.</p><p>• Process and track claims for home care and related community-based services using payer portals, clearinghouses, and revenue cycle platforms.</p><p>• Investigate unpaid, denied, rejected, underpaid, or recouped claims and take appropriate action to secure correct reimbursement.</p><p>• Conduct account reviews for aged receivables, including outstanding balances over 30 days, and document follow-up activity in assigned tracking tools.</p><p>• Analyze remittance information to identify payment variances, denials, adjustments, spend-down impacts, and reimbursement discrepancies.</p><p>• Resolve billing exceptions by correcting claim details and submitting original, replacement, corrected, or voided claims in line with payer rules.</p><p>• Review unbilled service lines regularly to ensure eligible charges are captured and submitted without unnecessary delay.</p><p>• Respond to billing-related questions from internal teams and external partners, including payers, case managers, coordinators, and other stakeholders.</p><p>• Maintain compliance with state and federal billing standards, documentation expectations, coding requirements, confidentiality obligations, and fraud prevention guidelines.</p><p>• Escalate high-risk account concerns, authorization mismatches, documentation deficiencies, database inaccuracies, and payer-related barriers to leadership when needed.</p>
<p>Robert Half is working with a long-time partner for a medical billing specialist. This position is ideal for someone who is comfortable working with billing systems, insurance documentation, and patient account information in a fast-paced environment. The person in this role will help maintain accurate claims activity, coordinate with internal partners, and contribute to timely reimbursement processes.</p><p><br></p><p>Responsibilities:</p><p>• Manage billing activity for assigned patient accounts, ensuring charges and reimbursement details are processed accurately.</p><p>• Prepare and transmit claims to insurance carriers and issue billing statements to patients in a timely manner.</p><p>• Review account information, payment activity, and supporting documentation to help resolve billing discrepancies.</p><p>• Partner with cross-functional teams to maintain consistency and accuracy across billing and patient data records.</p><p>• Enter and update information in electronic billing and medical record systems while preserving data integrity.</p><p>• Examine explanation of benefits documents and apply findings to account follow-up and payment posting activities.</p>
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle activities for a healthcare organization in New York, New York. This Long-term Contract position is ideal for someone who can manage claims activity, resolve billing issues, and maintain accurate coding and payment records. The role requires strong follow-through, accuracy, and the ability to work effectively with payers, patients, and internal teams.<br><br>Responsibilities:<br>• Review patient billing information and prepare clean claims for timely submission to insurance carriers and other payers.<br>• Apply appropriate medical codes to services and verify that documentation supports billed charges.<br>• Investigate denied or rejected claims, identify the cause of payment issues, and take corrective action to secure reimbursement.<br>• Follow up on outstanding balances by communicating with insurance representatives, patients, or other responsible parties as needed.<br>• Use ePaces and related billing tools to check claim status, confirm eligibility, and update account information.<br>• Reconcile payments, adjustments, and account activity to ensure billing records remain accurate and current.<br>• Maintain organized documentation of billing actions, claim updates, and collection efforts in accordance with office procedures.<br>• Collaborate with clinical, administrative, and finance staff to resolve discrepancies and improve billing accuracy.