We are looking for a Medical Collections Specialist to support revenue cycle efforts for a healthcare practice in Bethesda, Maryland. This Long-term Contract position focuses on resolving outstanding patient account balances, communicating clearly with patients regarding amounts due, and helping maintain timely collections activity. The ideal candidate brings hands-on experience in medical accounts receivable follow-up, insurance-related billing issues, and a strong understanding of healthcare payment processes.<br><br>Responsibilities:<br>• Contact patients regarding overdue account balances and guide them through payment options, account status, and next steps.<br>• Review accounts receivable aging reports to identify collection priorities and follow up on outstanding medical balances in a timely manner.<br>• Investigate unpaid or underpaid claims by working through billing issues, denial details, and reimbursement discrepancies.<br>• Prepare and submit appeals or supporting documentation to address claim denials and pursue appropriate payment resolution.<br>• Document all collection activity, patient communication, and account updates accurately within the practice management system.<br>• Work within Modernizing Medicine (ModMed) to manage account follow-up, review billing information, and update collection notes.<br>• Coordinate with internal billing or administrative staff to resolve account questions and support efficient payment recovery.
<p>We are looking for a Medical Collections Specialist to join our team in Sacramento, California on a contract basis. This position is ideal for someone who understands the medical revenue cycle and can confidently investigate payment discrepancies, interpret payer responses, and pursue appropriate reimbursement. The role requires strong communication, sound judgment, and the ability to manage a high volume of accounts in an in-office setting while maintaining accuracy and productivity.</p><p><br></p><p>Responsibilities:</p><p>• Review payer contracts and reimbursement terms to identify expected payment amounts and spot variances on outstanding accounts.</p><p>• Analyze explanation of benefits documents and claim outcomes to determine next steps for follow-up, correction, or escalation.</p><p>• Investigate denied, delayed, or underpaid claims and work directly with insurance carriers to secure proper resolution.</p><p>• Prepare clear, persuasive written appeals that support reconsideration of disputed claim determinations.</p><p>• Communicate with patients regarding account balances, coverage decisions, and the financial impact of claim adjudication.</p><p>• Apply knowledge of copays, coinsurance, deductibles, and out-of-pocket limits when evaluating patient responsibility.</p><p>• Maintain timely and effective follow-up on assigned accounts while meeting productivity targets in a fast-paced environment.</p><p>• Collaborate with team members to resolve complex accounts and contribute to overall collection performance goals.</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>
<p>A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers. </li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts. </li><li>Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement..</li><li>Investigate and resolve claim denials, rejections, underpayments, and payment delays. </li><li>Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution. </li><li>Follow up on aged accounts receivable and maintain productivity in line with departmental goals. </li><li>Document all collection activity, account updates, and payer communications in the billing system.</li><li>Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes. </li><li>Monitor payer trends and escalate recurring issues impacting collections. </li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required. </li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes. </li><li>Experience working with UB04 claims required. </li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul>
<p>We are looking for an experienced Medical Biller and collections specialist to support coding accuracy, reimbursement follow-up, and account resolution for outpatient services in Fremont, California. This Long-term Contract position is ideal for someone with a strong background in medical coding and collections who can manage claims activity with precision while helping maintain steady revenue cycle performance. The role requires close attention to encounter documentation, payer requirements, and timely collection efforts across insurance, commercial, and patient accounts.</p><p><br></p><p>Responsibilities:</p><p>• Review outpatient encounters and related documentation to assign accurate medical codes using current ICD-10 and CPT guidelines.</p><p>• Prepare, evaluate, and correct claim details to support clean submission and reduce billing errors or payment delays.</p><p>• Follow up on outstanding balances with commercial insurers, workers’ compensation carriers, and patients to drive timely account resolution.</p><p>• Investigate denials, underpayments, and rejected claims, then take appropriate action to secure reimbursement.</p><p>• Maintain complete and organized encounter forms and billing records to support coding integrity and audit readiness.</p><p>• Communicate with internal teams and external payers to clarify coding, billing, and collection issues affecting payment status.</p><p>• Monitor aging accounts and prioritize collection activity based on payer response, account history, and reimbursement potential.</p><p>• Apply certified coding knowledge to ensure services are documented and billed in accordance with regulatory and payer standards.</p><p><br></p><p>If you are interested, please apply today! </p>
<p>A Hospital in Los Angeles is in the immediate need of a Medical Insurance Collections Specialist to support its hospital-based revenue cycle team. The Medical Insurance Collections Specialist role is ideal for someone who understands insurance follow-up, hospital claims, denials management, appeals and reimbursement workflows in a fast-paced healthcare setting. The Medical Insurance Collections Specialist will help drive payment resolution by researching claim issues, addressing payer delays, resolve denials and working closely with internal teams to improve collection results.</p><p><br></p><p>Responsibilities:</p><p>• Manage follow-up activities for unpaid or underpaid hospital insurance claims, with attention to high-volume payer accounts and timely reimbursement.</p><p>• Review UB04 hospital claims for accuracy, completeness, and billing compliance before pursuing collection resolution.</p><p>• Research denials, rejections, delayed payments, and partial reimbursements to determine the next steps needed for account resolution.</p><p>• Prepare and submit corrected claims, appeal packages, and supporting documents to resolve outstanding balances efficiently.</p><p>• Work aging accounts receivable inventories and maintain daily productivity aligned with departmental expectations.</p><p>• Record all account actions, payer conversations, and status updates clearly within the billing system.</p><p>• Partner with billing, coding, and patient financial services teams to resolve claim discrepancies and reduce reimbursement barriers.</p><p>• Track recurring payer issues and escalate patterns that negatively affect collection performance or payment turnaround times.</p>
We are looking for an experienced Medical Biller/Collections Specialist to support revenue cycle operations for a healthcare organization in Baton Rouge, Louisiana. This contract opportunity with permanent potential is ideal for someone who can manage billing activity, pursue outstanding balances, and resolve claim issues with accuracy and urgency. The person in this role will work across hospital billing processes, denials, and appeals while helping maintain timely reimbursement and strong account follow-up.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and in a timely manner to support consistent reimbursement.<br>• Monitor unpaid accounts and conduct follow-up with payers to secure payment or determine next steps for resolution.<br>• Investigate denied or underpaid claims, identify the cause of the issue, and take corrective action to move accounts toward payment.<br>• Develop and submit appeals with appropriate supporting documentation to address claim disputes effectively.<br>• Review hospital billing records for completeness and accuracy before claim submission or account follow-up.<br>• Maintain detailed notes and account updates within billing systems to ensure clear documentation of collection activity.<br>• Collaborate with internal teams to resolve billing discrepancies, missing information, and payer-related questions.<br>• Track account aging and prioritize collection efforts to improve cash flow and reduce outstanding receivables.
<p>We are looking for a detail-oriented Patient Accounts Collector to support healthcare billing and collections operations in Atwater, California. This Long-term Contract opportunity is ideal for someone with hands-on experience managing patient accounts, following up on outstanding balances, and working with a variety of insurance payers. The person in this role will help maintain timely reimbursement, resolve billing issues, and communicate clearly with patients regarding financial responsibilities.</p><p><br></p><p>Responsibilities:</p><p>• Review patient accounts to identify unpaid balances and take timely action to secure payment from insurers or patients.</p><p>• Investigate claim issues, correct billing discrepancies, and resubmit accounts when additional documentation or updates are needed.</p><p>• Communicate with commercial carriers, Medi-Cal, Medicare, and other third-party payers to verify claim status and resolve collection barriers.</p><p>• Speak with patients professionally about account balances, payment expectations, and available options for resolving outstanding charges.</p><p>• Maintain accurate account notes, payment activity, and collection follow-up details within billing records.</p><p>• Work closely with internal billing and revenue cycle staff to address denials, underpayments, and account exceptions.</p><p>• Monitor aging reports and prioritize follow-up efforts to improve account resolution and reimbursement timelines.</p><p>• Support ongoing account maintenance by ensuring billing information is complete, current, and aligned with payer requirements.</p><p><br></p><p>For immediate consideration, contact Robert Half at 209-232-1991. </p>
A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.<br><br>DUTIES AND RESPONSIBILITIES<br>-Performs full cycle billing and collection functions for Surgical professional fees<br>-Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission<br>-Performs all data entry and charge posting functions for surgical services as needed<br>-Performs all third party follow-up functions for all products and surgical procedures.<br>-Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments<br>-Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned<br>-Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.<br>-Provides the correct ICD-10M code to identify the provider's narrative diagnosis<br>-Provides the correct HCPCS code to identify medications and supplies<br>-Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.<br>- Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons
<p>We are looking for a Medical Accounts Receivable Specialist to join a healthcare organization in Long Island, New York. This contract opportunity with permanent potential is well suited for someone who brings strong experience in medical receivables, payment posting, and commercial insurance follow-up. The person in this role will help strengthen revenue cycle performance by resolving outstanding balances, addressing denial issues, and supporting accurate billing activity.</p><p><br></p><p>Responsibilities:</p><p>• Manage outstanding medical receivables by reviewing aging reports, prioritizing open balances, and driving timely resolution of unpaid claims.</p><p>• Apply incoming payments accurately, reconcile account activity, and investigate posting discrepancies to maintain clean patient and payer records.</p><p>• Conduct follow-up with commercial insurance carriers regarding claim status, underpayments, delayed reimbursements, and unresolved account issues.</p><p>• Review denied or rejected claims, determine the cause of nonpayment, and take corrective action to support successful reimbursement.</p><p>• Partner with billing and revenue cycle team members to correct claim details, resubmit accounts when needed, and reduce avoidable payment delays.</p><p>• Maintain thorough documentation of collection efforts, payer communications, account updates, and next-step actions within established workflows.</p><p>• Monitor recurring account issues and identify patterns related to denials, billing errors, or payer responses to support process improvement.</p><p>• Assist with responsibilities tied to billing operations and related workflow updates, including any system-related changes when applicable.</p>
We are looking for an experienced eBilling & Collections Specialist to join a busy legal team in Richmond, Virginia. This position plays a central role in managing electronic invoicing, supporting accurate billing workflows, and helping maintain timely collections across client accounts. The ideal candidate brings strong law firm billing knowledge, sharp attention to detail, and the ability to coordinate effectively with attorneys, clients, and accounting professionals in a fast-paced office environment.<br><br>Responsibilities:<br>• Manage the full electronic billing cycle by preparing, submitting, and tracking invoices through client-approved billing portals.<br>• Maintain accurate client and matter records within billing systems to support compliant invoice processing and reporting.<br>• Investigate and resolve rejected invoices, payment reductions, and appeal items while meeting client deadlines and billing requirements.<br>• Review requests related to opening, updating, and closing matters to confirm completeness, accuracy, and supporting documentation.<br>• Produce and distribute pre-bills and proformas for attorney review, then apply revisions based on feedback and client billing rules.<br>• Process billing adjustments such as transfers, write-downs, write-offs, and corrected invoices with a high degree of accuracy.<br>• Create reports, spreadsheets, and other billing support materials to assist attorneys and accounting staff with financial tracking.<br>• Work closely with attorneys, clients, and internal accounting teams to address payment allocation questions and resolve outstanding account balances.<br>• Monitor accounts receivable activity and contribute to collection efforts to improve payment timeliness and reduce aging balances.
<p>We are seeking a compassionate, detail-oriented <strong>Medical Customer Service Representative</strong> to join our team. In this role, you will serve as a primary point of contact for patients, providers and internal staff, helping ensure a positive experience through excellent service and accurate support. The ideal candidate is professional, organized and comfortable working in a fast-paced healthcare environment.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Answer incoming calls and respond to patient inquiries in a courteous and timely manner</li><li>Assist patients with appointment scheduling, registration and general service questions</li><li>Verify patient information and update records accurately in the system</li><li>Explain office procedures, insurance requirements and billing-related information as appropriate</li><li>Route calls and messages to the appropriate departments or medical staff</li><li>Resolve customer concerns efficiently while maintaining empathy and professionalism</li><li>Support patient intake and administrative processes</li><li>Maintain confidentiality of patient information and follow all applicable privacy guidelines</li><li>Document all interactions clearly and accurately</li><li>Assist with additional front office or customer support duties as needed</li></ul><p><br></p>
We are looking for a detail-oriented Credit and Collections Specialist to support financial operations for a manufacturing company in Muskegon, Michigan. This role focuses on strengthening cash flow, evaluating customer creditworthiness, and maintaining accurate receivables and tax records. The ideal candidate brings strong analytical judgment, a customer-focused approach, and the ability to collaborate across accounting, sales, and service teams.<br><br>Responsibilities:<br>• Oversee customer receivables by monitoring open balances, following up on past-due invoices, and keeping account activity current and accurate.<br>• Evaluate new and existing customer credit profiles, recommend appropriate terms and limits, and take action on holds when risk warrants further review.<br>• Research billing concerns, disputed charges, and payment variances to bring accounts into balance and resolve issues promptly.<br>• Prepare and distribute customer account statements, apply incoming payments, record cash activity, and maintain supporting documentation for credits and rebates.<br>• Handle sales tax administration by maintaining exemption records, supporting tax filings, monitoring nexus-related requirements, and assisting with Avalara processes.<br>• Create journal entries and contribute to monthly close tasks by ensuring financial data is recorded completely and on schedule.<br>• Provide support for reporting, forecasting, audit preparation, and inventory-related accounting activities as needed.<br>• Work closely with sales and customer service teams to address account questions while preserving strong client relationships and service levels.<br>• Maintain organized financial records and identify opportunities to improve accuracy, efficiency, and consistency within credit and collections workflows.
<p>Our client is seeking a detail-oriented <strong>Credit and Collections Specialist</strong> to support accounts receivable, credit review, and collections activities. This role is responsible for monitoring outstanding balances, evaluating customer credit, following up on past-due accounts, reconciling account discrepancies, and helping improve cash flow. The ideal candidate is analytical, organized, and comfortable communicating with customers and internal stakeholders.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Monitor customer accounts to identify outstanding balances and past-due invoices</li><li>Contact customers regarding overdue payments and resolve payment issues in a professional manner</li><li>Review and evaluate customer credit applications and payment histories</li><li>Maintain accurate records of collection efforts, disputes, and account activity</li><li>Reconcile customer accounts and investigate billing discrepancies</li><li>Prepare aging reports and provide updates on collection status</li><li>Work closely with sales, customer service, and accounting teams to resolve account issues</li><li>Recommend credit holds, payment plans, or account escalations when appropriate</li><li>Support month-end close activities related to accounts receivable and bad debt reserves</li><li>Help ensure compliance with company policies and internal controls</li></ul><p><br></p>
<p>Robert Half has partnered with a thriving manufacturer on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, applying daily payments, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed.</p><p><br></p><p>How you will make an impact</p><p>· Review and assess customer credit applications, financial statements, and payment history to establish appropriate credit limits </p><p>· Monitor accounts receivable aging and proactively follow up on past-due balances </p><p>· Perform collections activities via phone, email, and written correspondence </p><p>· Investigate and resolve billing discrepancies, short payments, and disputes </p><p>· Maintain accurate and up-to-date customer credit files and account records </p><p>· Collaborate with sales, customer service, and accounting teams to address account issues </p><p>· Recommend accounts for credit holds or escalation based on risk assessment </p><p>· Prepare and analyze reports related to credit exposure, delinquency trends, and collections performance </p><p>· Support month-end close activities, including reconciliation of A/R accounts </p><p>· Ensure compliance with company policies and applicable regulations</p>
<p>Based on general knowledge. The Collections and Accounts Receivable Specialist is responsible for managing incoming payments, monitoring customer accounts, following up on outstanding balances, and helping maintain healthy cash flow. This role supports the finance/accounting team by ensuring invoices are accurate, payments are applied properly, and delinquent accounts are addressed in a timely and professional manner.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Process, track, and reconcile customer invoices and payments.</li><li>Monitor accounts receivable aging and follow up on past-due balances.</li><li>Contact customers by phone and email to collect outstanding payments.</li><li>Investigate and resolve billing discrepancies, payment issues, and account disputes.</li><li>Maintain accurate customer account records and collection notes.</li><li>Apply cash receipts and post payments to the appropriate accounts.</li><li>Prepare accounts receivable and collections reports for management.</li><li>Collaborate with internal departments, including sales, customer service, and accounting, to resolve account issues.</li><li>Support month-end closing activities related to accounts receivable.</li><li>Help improve collection processes and reduce overdue accounts.</li><li><br></li></ul><p><strong>Preferred Skills:</strong></p><ul><li>Experience with ERP systems such as SAP, Oracle, NetSuite, or similar platforms.</li><li>Knowledge of aging reports, cash application, and account reconciliation.</li><li>Ability to work independently and manage multiple priorities in a fast-paced environment.</li></ul><p><br></p>
<p>A Medical Center in Long Beach is in the immediate need of Medical Finance Specialist. The Medical Finance Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Finance Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings for incoming clients to determine eligibility and financial liability.</p><p>• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.</p><p>• Maintain and update client financial records in electronic health record systems.</p><p>• Organize and track annual re-evaluations of client financial information.</p><p>• Follow up with clinical staff to ensure completion of required documentation for financial folders.</p><p>• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.</p><p>• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).</p><p>• Audit financial folders upon client discharge to ensure compliance and accuracy.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in a contract-to-permanent position located in New Orleans, Louisiana. This role focuses on accurate claim processing, timely follow-up on unpaid balances, and effective resolution of billing issues across medical and dental accounts. The ideal candidate brings strong knowledge of insurance verification, coding support, and reimbursement workflows while maintaining a high standard of accuracy and customer service.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical and dental claims to insurance carriers with close attention to accuracy and compliance.</p><p>• Investigate denied, rejected, or underpaid claims and take appropriate action through corrections, appeals, or rebilling activities.</p><p>• Follow up on outstanding accounts to support collections efforts and help reduce aging receivables.</p><p>• Verify patient coverage, benefits, and plan details to ensure claims are billed correctly the first time.</p><p>• Apply knowledge of medical coding and dental terminology to support proper documentation and reimbursement.</p><p>• Communicate with insurance representatives, patients, and internal staff to resolve billing discrepancies and payment questions.</p><p>• Maintain organized billing records, update account information, and track claim status through resolution.</p><p>• Use Microsoft Excel and related systems to monitor billing activity, reconcile data, and prepare routine reports.</p>
<p>We are partnering with a well-established healthcare organization seeking an experienced Medical Billing Specialist for a contract opportunity. This role is responsible for managing claims processing, payment posting, insurance follow-up, and denial resolution to ensure timely reimbursement. The ideal candidate will be detail-oriented, organized, and comfortable working in a fast-paced healthcare environment.</p><p>Key Responsibilities</p><ul><li>Submit and process insurance claims accurately and timely.</li><li>Review patient accounts to ensure billing information is complete and accurate.</li><li>Follow up with commercial insurance carriers, Medicare, and Medicaid regarding unpaid or denied claims.</li><li>Research and resolve billing discrepancies and claim denials.</li><li>Post payments, adjustments, and remittances into the billing system.</li><li>Monitor accounts receivable aging and prioritize outstanding claims.</li><li>Communicate with patients and insurance companies regarding billing inquiries.</li><li>Maintain compliance with HIPAA regulations and healthcare billing guidelines.</li><li>Collaborate with internal departments to resolve documentation or coding issues.</li><li>Support revenue cycle initiatives and special projects as needed.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to join a mission-focused nonprofit organization in Spring, Texas. This contract opportunity with permanent potential is ideal for someone who brings strong Medicaid billing knowledge and wants to support services that positively impact individuals with a wide range of care needs. In this role, you will help protect revenue by ensuring claims are accurate, compliant, and followed through to resolution. You will work closely with internal teams to improve reimbursement outcomes while maintaining high standards of accuracy and regulatory compliance.<br><br>Responsibilities:<br>• Review patient and client coverage information to confirm Medicaid and other insurance eligibility before billing activity begins.<br>• Prepare and submit Medicaid claims with complete and accurate coding, modifiers, provider identifiers, and supporting billing details to reduce processing issues.<br>• Track claims throughout the reimbursement cycle and address unpaid, denied, delayed, or partially paid balances in a timely manner.<br>• Investigate denial trends, determine underlying causes, and complete appeals or corrected claim submissions to support payment recovery.<br>• Interpret remittance documents, explanation of benefits statements, and payer correspondence to resolve claim discrepancies.<br>• Use payer portals and available resources to verify claim status, identify denial reasons, and document next steps for resolution.<br>• Partner with operational and clinical teams to clarify billing questions and strengthen overall claim quality and reimbursement performance.<br>• Stay informed on Texas Medicaid requirements, managed care plan expectations, and applicable state and federal billing regulations.<br>• Maintain organized records and support audit readiness by following internal policies and established compliance standards.
<p>We are seeking an experienced and detail-oriented Medical Billing Specialist to join a growing healthcare organization in Boca Raton. The ideal candidate will be responsible for managing the medical billing process from claim submission through payment resolution while ensuring accuracy, compliance, and exceptional customer service.</p><p><br></p><p><strong>Job Description:</strong></p><ul><li>Submit and process medical claims accurately and timely to commercial and government payers.</li><li>Verify patient insurance eligibility and benefits.</li><li>Review claims for completeness and accuracy prior to submission.</li><li>Post payments, adjustments, and denials into the billing system.</li><li>Follow up on unpaid, denied, or underpaid claims with insurance carriers.</li><li>Research and resolve billing discrepancies and reimbursement issues.</li><li>Manage accounts receivable and monitor aging reports.</li><li>Communicate with insurance companies regarding claim status and payment issues.</li><li>Respond to patient billing inquiries and explain account balances when necessary.</li><li>Maintain accurate patient and insurance records within the practice management system.</li><li>Ensure compliance with HIPAA regulations and billing guidelines.</li><li>Assist with month-end reporting and revenue cycle activities.</li><li>Work closely with providers, clinical staff, and administrative teams to resolve billing concerns.</li><li>Maintain productivity standards and meet billing deadlines.</li></ul><p><br></p>
We are looking for a Medical Billing Specialist to join our team in Shelton, Washington in a contract capacity with the potential for a permanent role. This onsite position supports a tribal healthcare setting and plays an important role in keeping billing operations accurate, timely, and compliant. The person in this role will help manage claims, authorizations, referrals, and revenue cycle activities while working closely with patients, providers, and payers. This opportunity is ideal for someone who is comfortable balancing billing detail, insurance coordination, and patient support in a fast-paced clinic environment.<br><br>Responsibilities:<br>• Oversee the full claims process for medical, dental, Medicare, Medicaid, and commercial coverage, from submission through payment resolution.<br>• Review remittance details, post payments accurately, and investigate denied, rejected, or underpaid claims to secure proper reimbursement.<br>• Track outstanding receivables, follow up on unpaid balances, and take timely action to reduce aging accounts.<br>• Confirm insurance information, patient demographics, and service authorization needs before billing or referral processing begins.<br>• Obtain and manage prior approvals for services while coordinating with clinics, insurers, and external care providers.<br>• Support compliant billing practices by maintaining accurate documentation and applying appropriate coding and privacy standards.<br>• Coordinate referral-related activities, including eligibility review, purchase order processing, claim support, and follow-up with outside providers when needed.<br>• Assist patients with billing questions, insurance-related concerns, and benefit enrollment support, including Healthplanfinder guidance.<br>• Contribute to reporting, audit preparation, reconciliations, and general front-office coverage as needed to support clinic operations.
<p>We are seeking a detail oriented <strong>Medical Billing Specialist</strong> in the Portland area. This role is responsible for managing the billing process from claim submission through payment posting and follow up, helping ensure accurate reimbursement, reduced claim denials, and a positive patient financial experience.</p><p><br></p><p>The ideal candidate has experience working with insurance providers, understands medical billing regulations, and thrives in a fast-paced environment where accuracy and customer service are equally important.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit accurate medical claims to insurance carriers</li><li>Verify insurance eligibility, benefits, and coverage information</li><li>Monitor claim status and follow up on unpaid or denied claims</li><li>Research and resolve billing discrepancies, denials, and payment issues</li><li>Post payments, adjustments, and patient payments accurately</li><li>Maintain patient billing records and documentation</li><li>Communicate with patients regarding billing questions and account balances</li><li>Work closely with providers, clinical staff, and insurance companies to resolve claim issues</li><li>Ensure compliance with HIPAA and healthcare billing regulations</li><li>Assist with month end reporting and revenue cycle activities as needed</li></ul><p><br></p>
<p>Advance Your Medical Billing Career</p><p><br></p><p>Robert Half is partnering with a respected healthcare organization in the Quad Cities area to identify an experienced<strong> Medical Billing Specialist</strong>. This is an excellent opportunity for a billing professional who enjoys ownership of the revenue cycle, working denials and appeals, analyzing reimbursement issues, and driving successful insurance collections.</p><p><br></p><p>If you have a strong understanding of medical billing, insurance reimbursement, and claims processing, we'd love to connect with you.</p><p><br></p><p><strong>What You'll Do</strong></p><ul><li>Submit medical claims electronically to commercial and government payers</li><li>Post insurance and patient payments accurately and timely</li><li>Research, resolve, and appeal denied or rejected claims</li><li>Follow up with insurance carriers regarding outstanding balances</li><li>Monitor and manage accounts receivable aging</li><li>Identify underpayments, overpayments, and reimbursement discrepancies</li><li>Process refunds and credit balances as needed</li><li>Partner with coding and business office teams to help ensure accurate claim submission</li><li>Support ongoing billing accuracy and compliance initiatives</li><li>Maintain confidentiality and compliance with HIPAA regulations</li></ul><p><br></p><p><strong>Why This Opportunity?</strong></p><p>✅ Stable healthcare organization with a patient-focused mission</p><p>✅ Opportunity to make a direct impact on revenue cycle performance</p><p>✅ Collaborative team environment</p><p>✅ Full-time, long-term career opportunity</p><p>✅ Competitive compensation and benefits package</p><p><br></p><p><strong>Ready to Learn More?</strong></p><p><br></p><p>If you're passionate about healthcare administration and enjoy solving reimbursement challenges while helping organizations maintain financial excellence, we'd welcome the opportunity to discuss this position with you. Apply today to be considered. Candidates may also call our team direct at (563) 359-3995 to discuss your short- and long-term goals! </p>
<p>We are looking for an experienced Credit & Collections Manager to oversee credit strategy and receivables performance for a construction-focused business in Monterey, California. In this leadership role, you will help protect company assets by guiding credit decisions, strengthening collection efforts, and ensuring lien-related compliance on project accounts. The position works closely with Sales, Operations, and Finance to support revenue growth while maintaining disciplined risk management.</p><p><br></p><p>Responsibilities:</p><p>• Direct the company’s commercial credit program by reviewing customer profiles, assessing risk exposure, and establishing appropriate credit terms and limits.</p><p>• Manage day-to-day collections activity, ensuring past-due accounts receive timely follow-up and that recovery plans are executed effectively.</p><p>• Oversee California preliminary notice and mechanics’ lien processes, including filing, release coordination, and communication with legal partners when required.</p><p>• Resolve high-level account issues by negotiating payment arrangements, addressing disputes, and advancing complex collection matters to conclusion.</p><p>• Track accounts receivable results, identify delinquency trends, and introduce practical measures to reduce aging balances and credit losses.</p><p>• Lead, mentor, and evaluate the collections team, promoting consistent performance, accountability, and focused development.</p><p>• Partner with Sales, Branch Operations, and Finance to support customer relationships while applying sound credit controls and risk-based decision-making.</p><p>• Review financial statements, payment behavior, and account activity to produce informed recommendations and meaningful reporting.</p><p>• Strengthen departmental procedures, internal controls, and performance standards to improve efficiency and safeguard the organization’s financial interests.</p><p><br></p><p><br></p><p>Posted by Recruiting Director Scott G. Moore (Apply here and connect on LinkedIn)</p>