<p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
We are looking for a detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Bethel Park, Pennsylvania. This Contract to Permanent position is ideal for someone with a strong background in medical billing, collections, and insurance claims processing, particularly in a hospital or healthcare setting. The role offers an excellent opportunity to contribute to a dynamic team while advancing your career in the healthcare industry.<br><br>Responsibilities:<br>• Process and manage medical billing and claims submissions accurately and efficiently.<br>• Handle medical collections, including following up on unpaid claims and resolving discrepancies.<br>• Collaborate with insurance companies to address denied claims and appeals.<br>• Ensure compliance with healthcare regulations and billing practices.<br>• Verify patient insurance coverage and calculate co-pays and deductibles.<br>• Maintain accurate records of billing activities and payment statuses.<br>• Communicate effectively with patients to address billing inquiries and resolve payment issues.<br>• Work closely with hospital staff to ensure proper documentation and billing procedures.<br>• Stay updated on changes to insurance policies and billing codes.<br>• Support the team in achieving billing and collection goals.
<p><strong>Position Summary</strong></p><p>We are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>Coordination of Benefits (COB) Processing</strong></p><ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul><p><strong>Orthodontic Claims Processing</strong></p><ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul><p><strong>Suspended / Pended Claims Handling</strong></p><ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul><p><br></p>
<p>A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.</p><p>Responsibilities:</p><ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul><p><br></p>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p>Robert Half is seeking a detail-oriented Medical Collections Specialist to join our healthcare team. This role plays a critical part in ensuring timely and accurate collection of outstanding medical payments, supporting revenue cycle management, and maintaining high standards of patient communication and confidentiality.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage and collect payments from patients, insurance companies, and other payers.</li><li>Review accounts, research discrepancies, and resolve billing issues efficiently.</li><li>Apply knowledge of revenue cycle management processes to achieve outstanding recovery rates.</li><li>Maintain accurate patient records in accordance with HIPAA and internal compliance guidelines.</li><li>Utilize electronic health record (EHR) systems (e.g., Epic) for payment tracking and documentation.</li><li>Partner with internal departments to support month-end close and reporting.</li><li>Communicate with patients regarding billing questions and payment arrangements.</li><li>Coordinate with patient access and scheduling teams to resolve insurance or eligibility challenges.</li><li>Uphold a high level of customer service and professionalism with all parties.</li></ul><p><br></p>
<p>We are looking for a Patient Accounts Insurance Specialist to join our team on a contract basis. In this role, you will play a vital part in ensuring the accurate billing and processing of insurance claims while adhering to established guidelines and procedures. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices. This role is part time, approximately 10 hours a week.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit insurance claims using appropriate codes and ensure compliance with billing guidelines.</p><p>• Review new patient admissions to accurately bill based on facility, state, funding plan, and contract requirements.</p><p>• Maintain detailed knowledge of coding systems such as ICD-10 and claim field requirements for both facility and detail-oriented services.</p><p>• Utilize electronic claim submission systems and clearinghouses efficiently.</p><p>• Interpret and adhere to billing policies and procedures specific to the organization's facilities and states.</p><p>• Communicate effectively with patients, guarantors, and insurance companies to clarify billing processes and resolve concerns.</p><p>• Coordinate conference calls to address complex insurance issues involving patients and insurance representatives.</p><p>• Perform regular account reviews and follow up on outstanding claims in accordance with established procedures.</p><p>• Ensure claims are processed accurately by researching insurance payments and performing detailed reviews.</p><p>• Work collaboratively with managed care staff for precertification needs and appeals processes.</p>
We are looking for a skilled Insurance Coverage Attorney to join our team in New York, New York. This position is ideal for mid-level attorneys who want to enhance their expertise in insurance coverage and litigation while working on a variety of challenging legal matters. You will play a critical role in providing legal analysis and representation to clients, ensuring their interests are effectively protected.<br><br>Responsibilities:<br>• Analyze insurance policies and prepare detailed coverage opinions.<br>• Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes.<br>• Draft legal documents such as pleadings, motions, and memoranda.<br>• Participate in depositions, mediations, and court proceedings as needed.<br>• Conduct in-depth legal research on insurance law and coverage-related issues.<br>• Maintain clear and effective communication with clients regarding case strategies and updates.
We are looking for an experienced Insurance Coverage Counsel to join our dynamic legal team in New York, New York. In this role, you will provide strategic legal expertise to insurance carriers and self-insured entities, focusing on complex insurance coverage matters and litigation. This is an excellent opportunity for an experienced attorney to work on high-profile cases and collaborate with a team of skilled professionals.<br><br>Responsibilities:<br>• Analyze and interpret insurance policies to deliver comprehensive coverage opinions.<br>• Manage complex insurance coverage litigation from initiation through resolution.<br>• Draft pleadings, motions, and detailed coverage position letters to support legal strategies.<br>• Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy.<br>• Offer strategic counsel to insurers on high-stakes claims and exposure issues.<br>• Work closely with litigation teams to address overlapping defense and coverage matters.<br>• Conduct thorough legal research to support case strategies and recommendations.<br>• Ensure compliance with relevant laws and regulations while advising clients.<br>• Collaborate with clients to develop tailored solutions for intricate coverage disputes.
<p>Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy.</p><p> </p><p>Responsibilities:</p><ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul><p><br></p>
<p>We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.</p><p> </p><p>Responsibilities:</p><ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul><p><br></p>
<p>We are looking for a skilled Workers’ Compensation Claims Adjuster to help our client tackle an influx of work. In this contract role, you will support claims management processes, ensuring compliance with legal and regulatory standards while collaborating with various stakeholders. This position requires an individual with a strong background in workers’ compensation claims and litigation and keen attention to detail.</p><p><br></p><p>Responsibilities:</p><p>• Handle complex workers’ compensation claims, conducting investigations, evaluating cases, and negotiating resolutions.</p><p>• Assess compensability, calculate benefits, and approve payments in compliance with applicable laws and company guidelines.</p><p>• Collaborate with attorneys, medical providers, and internal teams to develop treatment plans, return-to-work programs, and settlement strategies.</p><p>• Maintain thorough case documentation in the claims management system and ensure timely reporting to meet regulatory standards.</p><p>• Represent the organization in mediations, settlement conferences, and hearings, often working with external counsel.</p><p>• Identify opportunities for cost savings, early intervention, and fraud prevention in claim handling.</p>
<p><strong>Overview</strong></p><p>The Medical Billing/AR Specialist will manage insurance and patient billing, focusing on claim submission, follow‑up, and collections to support revenue cycle operations.</p><p><strong>Responsibilities</strong></p><ul><li>Submit insurance claims to commercial, Medicare, and Medicaid payers</li><li>Follow up on unpaid, denied, or underpaid claims</li><li>Review EOBs and explanations for payment accuracy</li><li>Post payments, adjustments, and write‑offs</li><li>Handle claim corrections and submissions for appeals</li><li>Work AR aging and maintain timely collections</li><li>Communicate with insurance providers and patients</li><li>Ensure compliance with healthcare regulations and payer guidelines</li></ul><p><br></p><p><br></p>
We are looking for a Medical Payment Poster Specialist to join our team in Sacramento, California. This is an in-office, Contract position with the potential to become permanent, where you will play a crucial role in ensuring accurate and efficient posting of payments to patient accounts. If you have experience in medical billing and payment processing, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post insurance payments to individual patient accounts, ensuring compliance with contracts and organizational policies.<br>• Verify payment amounts to ensure correctness and adherence to agreements.<br>• Record patient payments in the designated system with precision.<br>• Process denials and zero payments, flagging accounts for follow-up by medical collectors.<br>• Apply takebacks and recoups following established procedures.<br>• Communicate payment trends, including discrepancies, short payments, and denials, to leadership for resolution.<br>• Reconcile daily payment postings against settlement reports to maintain balanced accounts.<br>• Route payer correspondence to appropriate team members for timely follow-up.<br>• Utilize a thorough understanding of contracts and policies to ensure accurate application during payment posting.
<p>A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office.</p><p><br></p><ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role.</li></ul><p><br></p>
<p>We are looking for a dedicated Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position offers an excellent opportunity for detail-oriented individuals with expertise in medical billing, accounts receivable, and claims processing to contribute to a dynamic environment. The ideal candidate will possess strong technical skills and the ability to interpret complex healthcare regulations while maintaining exceptional attention to detail and customer service.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage billing functions, ensuring compliance with healthcare regulations and accuracy in all claims.</p><p>• Research and resolve complex issues related to accounts receivable, appeals, and benefit functions.</p><p>• Utilize advanced knowledge of billing systems, including Allscripts, Cerner Technologies, and EHR systems, to manage patient data effectively.</p><p>• Maintain and update records using computerized filing systems, ensuring consistency and organization.</p><p>• Prepare and review detailed reports, including insurance claims and treatment authorization forms, with precision.</p><p>• Perform coding and data entry tasks that align with departmental procedures and healthcare policies.</p><p>• Collect and reconcile payments, adjust accounts as necessary, and ensure proper documentation of financial transactions.</p><p>• Provide exceptional customer service by addressing patient inquiries and explaining billing procedures in a clear and thorough manner.</p><p>• Train and support team members in technical processes, fostering a collaborative and efficient work environment.</p><p>• Develop and maintain spreadsheets and databases to track financial and statistical data for reporting purposes.</p><p>For immediate consideration please contact Cortney 209-225-2014 </p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Raeford, North Carolina. In this long-term contract position, you will play a crucial role in ensuring accurate billing and maintaining compliance with healthcare regulations. This opportunity is ideal for individuals with a strong background in medical billing and a commitment to delivering exceptional administrative support.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers in a timely manner.<br>• Verify patient insurance coverage and ensure proper documentation is maintained.<br>• Investigate and resolve billing discrepancies to ensure compliance with healthcare regulations.<br>• Collaborate with healthcare providers and administrative staff to streamline billing operations.<br>• Monitor accounts receivable and follow up on unpaid claims to minimize delays.<br>• Maintain up-to-date knowledge of medical billing codes and industry standards.<br>• Assist in generating financial reports related to billing activities.<br>• Provide excellent customer service by addressing patient inquiries regarding billing.<br>• Ensure all sensitive patient information is handled with confidentiality and professionalism.<br>• Contribute to the improvement of billing processes and workflows to enhance efficiency.
<p>Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy.</p><p> </p><p>Responsibilities:</p><ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul><p><br></p>
<p>Are you an experienced medical billing professional ready to make an impact? Robert Half is hiring a Medical Billing Specialist for a contract role supporting our client in Holyoke, MA. This is an excellent opportunity to apply your billing and reimbursement expertise with a respected organization.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Process and submit medical claims accurately and promptly</li><li>Review patient information and insurance details for validity and completeness</li><li>Resolve claim discrepancies and follow up on outstanding accounts</li><li>Collaborate with healthcare providers, insurers, and patients to secure accurate payments</li><li>Ensure compliance with HIPAA and industry billing standards</li><li>Manage billing software and maintain up-to-date records in the electronic health record system</li></ul><p><br></p>
<ul><li>Accurately process claims, invoices, and patient billing statements</li><li>Review medical records and documentation for billing compliance</li><li>Verify insurance coverage and eligibility</li><li>Follow up on unpaid claims and resolve billing discrepancies</li><li>Maintain up-to-date knowledge of billing codes (ICD, CPT, HCPCS) and regulatory requirements</li><li>Collaborate with internal teams and external partners to ensure timely reimbursement</li><li>Respond to patient inquiries regarding billing and insurance</li></ul><p><br></p>
We are looking for an Entry-Level Medical Billing Specialist to join our team in Newark, New York. In this long-term contract position, you will play a vital role in ensuring the accurate and efficient processing of medical claims and insurance payments. This role offers an excellent opportunity to gain valuable experience in the non-profit healthcare sector while contributing to the financial success of our organization.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately, utilizing both electronic and paper submission methods.<br>• Verify patient insurance coverage and benefits to ensure claims are processed correctly.<br>• Monitor and resolve unpaid or denied claims, addressing issues promptly to secure payments.<br>• Communicate with insurance companies and healthcare providers to resolve any billing discrepancies.<br>• Maintain compliance with all relevant medical billing regulations and standards.<br>• Keep accurate and organized records of patient billing activities, payments, and interactions.<br>• Provide exceptional support to patients by addressing billing inquiries and concerns.<br>• Collaborate with healthcare teams to ensure accurate documentation for billing processes.<br>• Utilize billing software and electronic medical records systems effectively to streamline operations.
<p>Based in Tucson, AZ, our non-profit organization is committed to fostering a system of care where people impacted by health disparities have access to high-quality, affordable care. We are passionate about being change agents and pioneers in our community. We serve populations who experience barriers to accessing care, and we work tirelessly to make a difference in their lives.</p><p><br></p><p>Summary:</p><p>We are seeking an experienced Contract Medical Billing Specialist with proficiency in Arizona Health Care Cost Containment System (AHCCS). The ideal candidate will ensure timely, accurate, and full payment of invoices from third-party payers and self-pay patients as well as other duties associated with revenue cycle operations.</p><p><br></p><p>Job Responsibilities:</p><ol><li>Manage all aspects of billing and collections for AHCCS.</li><li>Review patient bills for accuracy and completeness, and obtain any missing information.</li><li>Maintain knowledge of changes or updates in the AHCCC requirements and processing.</li><li>Ensure billing operations are in compliance with legal and procedural policies and regulations.</li><li>Establish payment arrangements and follow up on delinquent accounts.</li><li>Work closely with the care management team on pre-authorizations and patient financial counseling.</li><li>Prepare, review, and send patient statements.</li><li>Execute adjustments to patient demographic, insurance, and financial information as necessary.</li></ol><p><br></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in French Camp, California. In this role, you will handle complex billing procedures, ensure accurate claims processing, and provide exceptional customer service to patients and stakeholders. This is a Contract to permanent position within the healthcare industry, offering an opportunity to contribute to vital administrative functions while ensuring compliance with regulations.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage complex medical billing procedures, including accounts receivable functions and claim submissions.</p><p>• Review and verify insurance claims, applying advanced knowledge of reimbursement codes and policies.</p><p>• Research and resolve billing discrepancies to ensure accurate and timely payment processing.</p><p>• Maintain and update patient records using electronic health record (EHR) systems such as Allscripts and Cerner Technologies.</p><p>• Generate detailed reports and statistical data to support departmental operations and budget planning.</p><p>• Provide specialized program-related information to patients, clients, and outside agencies in a detail-oriented manner.</p><p>• Collaborate with team members to improve billing processes and ensure compliance with healthcare regulations.</p><p>• Train and assist other staff in billing procedures and system usage as needed.</p><p>• Handle appeals and benefit functions, ensuring proper documentation and resolution.</p><p>• Utilize software tools such as Dynamic Data Exchange (DDE) and Epaces for efficient billing and data management.</p><p><br></p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models.<br><br>Responsibilities:<br>• Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections.<br>• Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers.<br>• Conduct quality assurance checks and audits of billing tasks performed by team members.<br>• Handle out-of-network billing and provide support for concierge-model practices.<br>• Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog.<br>• Assist with collections and reimbursement strategies to optimize revenue.<br>• Maintain detailed and accurate billing records, including comprehensive account documentation.<br>• Ensure compliance with payer policies, industry standards, and internal workflows.<br>• Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.