<p>We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis. This role involves working with healthcare billing processes, reviewing insurance claims, and ensuring accurate coding practices. Based in York, Maine, this is a great opportunity for professionals seeking a challenging and rewarding position in the medical billing field.</p><p><br></p><p>Responsibilities:</p><p>• Manage the daily processing of medical claims, ensuring accuracy and compliance with billing regulations.</p><p>• Review hospital records and insurance documents to verify patient information and payment details.</p><p>• Utilize ICD-10 coding standards to correctly classify medical procedures and diagnoses.</p><p>• Handle approximately 30-40 accounts per day, maintaining efficiency and attention to detail.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and secure timely reimbursements.</p><p>• Monitor account balances and follow up on collections as needed.</p><p>• Maintain proficiency in using medical billing software, including tools such as Cerner.</p><p>• Adapt to west coast hours to ensure alignment with team operations and client needs.</p><p>• Ensure compliance with healthcare regulations and company policies.</p><p>• Provide clear communication and updates on claim status to relevant stakeholders.</p>
<p>Join our dynamic healthcare team as a Medical Denials Specialist, where you will play a vital role in resolving denied medical claims efficiently and accurately in a fast-paced setting.</p><p><br></p><p><strong>Schedule:</strong> Monday through Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Primary Responsibilities:</strong></p><ul><li>Review insurance denials and conduct thorough research to resolve outstanding claims.</li><li>Analyze patterns and trends in denied claims to identify underlying issues and recommend process improvements.</li><li>Communicate with insurance payers to clarify claim status and expedite resolutions.</li><li>Prepare and submit appeals with supporting documentation when necessary.</li><li>Work closely with billing teams, healthcare providers, and insurance carriers to facilitate effective claims management.</li><li>Stay current on payer requirements, and relevant healthcare laws and regulations.</li><li>Ensure all activities comply with HIPAA and internal organizational policies.</li></ul><p><br></p>
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
<p>We are looking for an experienced Insurance Claims Examiner to join our team on a contract basis in Oakland, California. In this role, you will analyze and process medical claims, ensuring accuracy and compliance with healthcare regulations. Ideal candidates will have a strong background in insurance claims management and coding, along with the ability to work independently in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Review and adjudicate medical claims for accuracy and compliance with Medi-Cal, Medicare, and other healthcare regulations.</p><p>• Research and resolve claim discrepancies, ensuring proper payment and documentation.</p><p>• Utilize coding systems such as ICD-10, CPT, and HCPCS to verify claim accuracy.</p><p>• Maintain confidentiality while handling sensitive participant and family information.</p><p>• Follow organizational policies and procedures to ensure compliance and attention to detail.</p><p>• Exhibit consistent attendance and punctuality while meeting deadlines.</p><p>• Communicate effectively with internal teams and external stakeholders to address claim issues.</p><p>• Input accurate data into various computer systems and software programs.</p><p>• Provide courteous and detail-oriented customer service to all stakeholders.</p><p>• Perform additional duties as assigned to support claims processing activities.</p><p><br></p><p>If you are interested in this role please apply now and call us at (510) 470-7450, it is an urgent need for our client. </p>
<p>We are looking for a skilled Medical Billing Specialist to join our healthcare team in Fayetteville, North Carolina. This is a long-term contract opportunity, ideal for professionals who excel in managing billing processes and ensuring accuracy in financial documentation. The role plays a vital part in supporting the facility's operations and maintaining compliance with healthcare billing standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical claims to insurance providers in a timely manner.</p><p>• Verify patient billing information and ensure adherence to regulatory guidelines.</p><p>• Investigate and resolve claim discrepancies or denials to ensure proper reimbursement.</p><p>• Maintain detailed records of billing activities and payment statuses.</p><p>• Collaborate with healthcare staff to gather necessary documentation for billing purposes.</p><p>• Handle patient inquiries regarding billing issues and provide clear explanations.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Ensure compliance with healthcare billing regulations and policies.</p><p>• Analyze billing data to identify trends and areas for improvement.</p><p>• Support internal teams with necessary billing reports and documentation.</p>
<p>Our team is seeking a Medical Insurance Collections Specialist with prior hospital experience to join a dynamic healthcare organization. In this role, you will play a critical part in maximizing hospital revenue by managing insurance denials, processing appeals, and handling collections related to HMO/PPO insurance claims. A strong understanding of UB-04 billing practices is required.</p><p>Key Responsibilities:</p><ul><li>Review and analyze insurance denials and identify appropriate action steps for appeal or resubmission.</li><li>Prepare and submit timely, thorough appeals using clinical and financial data.</li><li>Navigate and resolve issues related to HMO/PPO insurance programs.</li><li>Complete and accurately review UB-04 forms for billing and appeals processes.</li><li>Communicate with insurance carriers to gather status updates and clarify payment issues.</li><li>Collaborate with hospital billing and patient accounts teams to resolve outstanding balances.</li><li>Document all actions and maintain compliance with HIPAA and hospital policies.</li></ul><p><br></p>
We are looking for a skilled Medical Biller to join our team in Palm Springs, California. This contract position offers a hybrid work schedule, combining remote tasks with on-site responsibilities. The ideal candidate will have expertise in medical billing processes, strong organizational skills, and the ability to handle insurance claims and patient payment transactions efficiently.<br><br>Responsibilities:<br>• Prepare and submit accurate insurance claims to ensure prompt processing and minimal denials.<br>• Analyze and reconcile patient financial reports, including outstanding balances and co-payments.<br>• Review explanations of benefits (EOBs) and resolve any rejections or denials in a timely manner.<br>• Post insurance and patient payments, adjust accounts as needed, and follow up on unpaid claims.<br>• Generate comprehensive financial reports for management review and decision-making.<br>• Communicate with patients to address billing concerns and collect co-payments.<br>• Ensure compliance with organizational policies and healthcare regulations.<br>• Assist with additional administrative and billing tasks as required.<br>• Collaborate with team members to streamline billing operations.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract role, you will play a vital part in managing billing operations and ensuring that all claims are processed accurately and efficiently. This is an excellent opportunity for someone with expertise in medical billing to contribute to the success of a healthcare facility.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims to ensure accurate billing and timely reimbursement.</p><p>• Verify patient insurance coverage and address any discrepancies or issues with claims.</p><p>• Collaborate with healthcare providers and insurance companies to resolve billing inquiries and disputes.</p><p>• Maintain detailed records of billing activities, including payments, adjustments, and outstanding balances.</p><p>• Ensure compliance with healthcare regulations and billing standards to avoid errors or penalties.</p><p>• Monitor and follow up on unpaid claims to ensure prompt resolution.</p><p>• Assist with coding and documentation to align with current medical billing guidelines.</p><p>• Provide support to the team by identifying and addressing billing system issues.</p><p>• Generate regular reports on billing performance and trends for management review.</p><p>• Communicate with patients regarding billing concerns and payment options.</p>
<p>We are looking for a skilled Medical Biller in Salem, Oregon. In this Contract to permanent role, you will play a key part in ensuring accurate and efficient billing processes while adhering to industry standards. This position requires expertise in handling insurance claims, payment reconciliations, and patient billing inquiries using advanced clinical software.</p><p><br></p><p>Responsibilities:</p><p>• Process patient billing information with precision and accuracy using clinical software.</p><p>• Submit electronic and paper insurance claims promptly to ensure timely payments.</p><p>• Review patient demographic and insurance details to verify accuracy before processing.</p><p>• Follow up on unpaid claims, denials, and appeals to maximize reimbursement.</p><p>• Post payments and reconcile accounts within the designated billing system.</p><p>• Address patient inquiries regarding billing issues and outstanding balances professionally.</p><p>• Ensure compliance with all regulatory guidelines and billing requirements.</p><p>• Generate comprehensive billing reports to identify trends and resolve discrepancies.</p><p>• Collaborate with team members to improve billing workflows and resolve challenges.</p><p>• Maintain up-to-date knowledge of medical billing regulations and insurance policies.</p>
<p>We are looking for a detail-oriented Medical Accounts Receivable Specialist for a client in Bellevue, Washington. This contract-to-permanent position involves managing the full insurance revenue lifecycle, ensuring accurate claim submissions, resolving denials, and maintaining compliance with payor contracts and regulations. The role also includes provider credentialing and re-credentialing responsibilities, as well as collaborating across departments to enhance operational efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Oversee insurance accounts receivable processes from initial charge posting to final resolution.</p><p>• Investigate and resolve unpaid, underpaid, or denied claims promptly and accurately.</p><p>• Ensure claims meet payor guidelines and adhere to clean-claim standards to prevent revenue loss.</p><p>• Post payments and adjustments with precision and reconcile explanation of benefits to maintain accuracy.</p><p>• Monitor credentialing timelines for providers, ensuring timely enrollment and re-credentialing with contracted payors.</p><p>• Identify and address root causes of claim denials, implementing corrective measures to mitigate recurring issues.</p><p>• Maintain compliance with state regulations, payor contracts, and internal revenue integrity standards.</p><p>• Track and report key revenue cycle metrics, such as denial rates, days in accounts receivable, and net collection ratios.</p><p>• Collaborate with operations leadership and care center teams to resolve reimbursement issues and streamline processes.</p><p>• Serve as the primary liaison for credentialing matters, audits, and compliance reviews related to provider enrollment.</p>
We are looking for an experienced Healthcare Litigation Attorney to join our team on a long-term contract basis. This position is based in Pennington, New Jersey, and focuses on supporting litigation efforts related to recovering funds from auto and workers’ compensation insurance carriers. The ideal candidate will have a strong legal background, particularly in healthcare litigation, and a proven ability to manage claims and collaborate effectively within legal and billing teams.<br><br>Responsibilities:<br>• Investigate and manage cases involving unpaid or denied claims from auto insurance carriers.<br>• Represent the organization in litigation efforts to recover funds owed.<br>• Collaborate with internal teams, including legal and billing, to address complex claim issues.<br>• Conduct detailed reviews and analyses of legal documents and insurance policies.<br>• Ensure accurate record-keeping and tracking of cases throughout their lifecycle.<br>• Provide legal expertise on matters involving workers’ compensation and auto insurance claims.<br>• Develop strategies to resolve disputes and recover payments in compliance with legal standards.<br>• Support trial preparation and discovery processes as needed.<br>• Utilize case management software to organize and monitor legal activities.<br>• Maintain a high level of professionalism and efficiency in handling a large volume of cases.
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. In this role, you will handle essential billing tasks to ensure accurate processing of medical claims and payments. This is a long-term contract opportunity within the healthcare industry, offering a chance to make a meaningful impact.<br><br>Responsibilities:<br>• Prepare and submit accurate medical claims to insurance providers.<br>• Verify patient insurance information and address any discrepancies.<br>• Follow up on unpaid claims and resolve billing issues promptly.<br>• Ensure compliance with healthcare regulations and billing standards.<br>• Maintain detailed records of payments, adjustments, and account statuses.<br>• Communicate effectively with patients regarding billing inquiries.<br>• Collaborate with healthcare staff to improve billing workflows.<br>• Utilize medical billing software to streamline processes.<br>• Review and analyze billing data for accuracy and completeness.<br>• Stay updated on changes in insurance policies and billing requirements.
<p>We are looking for a skilled Claims and Denials Specialist to join our client on a contract basis in Oakland, California. In this role, you will play a critical part in managing insurance-related processes, including handling claims, denials, and appeals. Your attention to detail and organizational expertise will be essential in ensuring accurate and timely resolutions.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate insurance authorizations to ensure timely approval for services.</p><p>• Manage incoming calls professionally, providing accurate information and addressing inquiries.</p><p>• Oversee scheduling and calendar management to optimize workflow and appointments.</p><p>• Process claims and address denials, working closely with insurance providers to resolve issues.</p><p>• Handle appeals and payment posting with precision and attention to detail.</p><p>• Verify medical insurance coverage and eligibility for patients.</p><p>• Collaborate with healthcare professionals and administrative teams to facilitate seamless operations.</p><p>• Maintain comprehensive records of insurance claims and denials for auditing and reporting purposes.</p><p>• Provide administrative support to enhance efficiency in daily tasks and operations.</p><p><br></p><p>If you are interested in this role please apply online ASAP. </p>
<p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
<p>Robert Half Legal is partnering with an insurance company located in downtown Chicago who is seeking to hire a Claims Attorney with at least 2-4+ years of experience to join their in-house team. This specialty insurance company handles complex environmental, asbestos, and other latent type insurance claims. In this position, you will be responsible for coordinating activities involving these claims, including resolution of coverage issues and establishment of adequate reserves. See further responsibilities below. Salary for the role is paying between $100-120K plus a 5% bonus while working on a 40-hour work week. In addition, the company offers a comprehensive benefits package including medical, dental, vision, generous PTO, 401k (plus match), LT/ST Disability, Life Insurance, and more. This position will start working fully in-office and begin transitioning to a hybrid schedule after 6-months. If you're looking to take your career in-house and get away from billable requirements, then this is the opportunity for you! <em>Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</em></p><p><br></p><p><strong><u>Claims Attorney Responsibilities:</u></strong></p><ul><li>Analyzing, investigating, and evaluating new loss notices and claim tenders</li><li>Collaborating with policy search teams to find copies of alleged coverage where appropriate</li><li>Analyzing and positioning claim under applicable primary, umbrella, and excess coverage swiftly</li><li>Coordinating the retention of defense counsel with internal/external stakeholders</li><li>Establishing defense strategy with insured, defense counsel, and/or other participating insurance carriers</li><li>Managing the case resolution process and actively participating in mediations as needed</li><li>Working with the reinsurance department to provide notice of new accounts, updates on existing accounts, and responding to specific reinsurer inquiries</li><li>Collaborating with in-house Legal/management to manage declaratory judgment actions, including formation and implementation of resolution strategy, settlement valuation, and obtaining settlement authority</li><li>Coordinating timely processing of payments including verifying proper allocation of such payments across appropriate policies</li><li>Managing ALAE through strategic handling and bill review/payment processing in coordination with the billing unit.</li></ul><p><br></p><p>For immediate consideration, please email your resume directly to Justin Rambert, VP - Permanent Placement at <strong><u>justin . rambert @ robert half com</u></strong></p>
<p>Our client is looking for a medical biller who has experience with the denials process for healthcare companies. This role is 100% onsite and will be a standard 8am - 5pm schedule. </p><p><br></p><ul><li>Review, analyze, and interpret medical claim denials from insurance companies.</li><li>Investigate root causes of denials and work to resolve them via appeals or corrected submissions.</li><li>Communicate professionally with payers to gather needed information and negotiate claim resolution.</li><li>Collaborate with providers, coders, and revenue cycle staff to prevent future denials.</li><li>Maintain detailed records of denied claims and actions taken.</li><li>Prepare and submit written appeals with supporting documentation as needed.</li><li>Monitor payer trends and identify opportunities to enhance billing and collections processes.</li><li>Ensure compliance with all regulatory guidelines and organizational policies.</li><li>Meet daily and monthly productivity targets for denial resolution and claims follow-up.</li></ul><p><br></p>
<p>Robert Half is seeking an experienced and detail-oriented Medical Biller for a contract opportunity with one of our valued healthcare clients. As a Medical Biller, you’ll play a critical role in ensuring accurate billing, timely reimbursements, and compliance with healthcare regulations.</p><p><strong>Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and payers.</li><li>Review patient bills for accuracy and completeness.</li><li>Follow up on unpaid claims and resolve billing discrepancies.</li><li>Maintain patient records and billing documentation in compliance with HIPAA guidelines.</li><li>Work closely with healthcare providers and insurance representatives to clarify coding and coverage.</li><li>Assist with month-end reporting and reconciliation of billing accounts.</li></ul>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
We are looking for a skilled Administrative Assistant to join our team in Cincinnati, Ohio. In this role, you will support the claims department by managing documentation, coordinating communication, and ensuring smooth processing of insurance claims. This is a long-term contract position, ideal for someone with strong organizational skills and experience in administrative tasks.<br><br>Responsibilities:<br>• Review contracts and gather pertinent information for claims processing.<br>• Accurately input claims data into internal systems and maintain organized records.<br>• Communicate professionally with clients, policyholders, and adjusters to collect necessary information and provide updates.<br>• Schedule and manage appointments with external parties such as repair services or medical providers.<br>• Draft and distribute correspondence, including claim status updates and denial letters.<br>• Assist claims adjusters in investigations and preparation of reports.<br>• Ensure compliance with company policies and industry standards.<br>• Conduct audits to verify claims data and maintain accuracy.<br>• Provide general administrative support to the claims department as needed.
We are looking for a dedicated Medical Billing Specialist to join our team in Indianapolis, Indiana. This is a Contract to permanent position offering an excellent opportunity to apply your expertise in medical billing and coding in a dynamic healthcare environment. The ideal candidate will possess strong attention to detail and a commitment to ensuring accurate processing of medical claims.<br><br>Responsibilities:<br>• Process and submit medical claims accurately and efficiently to ensure timely reimbursement.<br>• Review and correct coding on claims to maintain compliance with regulatory standards.<br>• Conduct follow-ups on unpaid or rejected claims to facilitate resolution and payment.<br>• Collaborate with insurance companies and healthcare providers to address billing discrepancies.<br>• Maintain up-to-date knowledge of billing regulations and procedures.<br>• Handle patient billing inquiries with professionalism and clarity.<br>• Utilize Epaces software for effective claim management and tracking.<br>• Generate reports on billing activities to support organizational decision-making.<br>• Monitor accounts receivable and manage collections to optimize revenue flow.
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare facility in Fayetteville, North Carolina. In this role, you will play a key part in managing billing processes and ensuring accurate documentation and compliance with medical billing standards. This is a long-term contract position that offers the opportunity to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers accurately and efficiently.</p><p>• Review and verify patient information and billing data to ensure compliance with regulatory standards.</p><p>• Resolve billing discrepancies and follow up on unpaid claims to ensure timely reimbursement.</p><p>• Collaborate with healthcare professionals to clarify billing-related issues and obtain necessary documentation.</p><p>• Maintain up-to-date knowledge of billing codes and insurance policies to ensure proper claim submission.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Provide support in updating and maintaining billing records within the system.</p><p>• Communicate with patients regarding billing inquiries and payment options.</p><p>• Assist in implementing best practices to streamline billing procedures and improve accuracy.</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 hospital billing and appeals, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.<br>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.<br>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.<br>• Prepare and submit medical appeals to recover denied or underpaid claims.<br>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.<br>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.<br>• Maintain detailed records of billing and collection activities for auditing purposes.<br>• Collaborate with healthcare providers and administrative teams to streamline billing processes.<br>• Identify opportunities to improve efficiency within the billing and collections workflow.<br>• Provide regular updates on accounts and collections to management.
