<p>A Medical Claims Organizations is in the immediate need of Medical Claims Examiner with experience in grievances and appeals to join the team. The Medical Claims Examiner is responsible for reviewing, investigating, and resolving member and provider grievances and appeals in compliance with regulatory requirements and internal policies. The Medical Claims Examine candidate will have hands-on experience working within EZ-CAP and a solid understanding of health plan operations.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Review, research, and process member and provider grievances and appeals accurately and within required turnaround times</li><li>Use EZ-CAP to document, track, and manage case activity</li><li>Analyze case details, benefits, claims, authorizations, and supporting documentation to determine appropriate resolutions</li><li>Ensure all grievances and appeals are handled in accordance with health plan policies, CMS, DMHC, and other applicable regulatory guidelines</li><li>Communicate with internal departments, providers, and members regarding case status and resolution</li><li>Prepare written correspondence for grievance and appeal determinations</li><li>Maintain complete, accurate, and audit-ready documentation</li><li>Identify trends or recurring issues and escalate as needed</li></ul>
<p>We are seeking a detail-oriented Medical Claims Examiner to join our team. In this role, you will review, analyze, and process medical claims accurately and efficiently while ensuring compliance with company policies, client requirements, and regulatory guidelines. The ideal candidate will have strong knowledge of claims adjudication, medical terminology, and healthcare insurance processes. Experience with EZ-CAP is a plus, and grievances experience is highly preferred.</p><p>Key Responsibilities:</p><ul><li>Review and process medical claims for accuracy, completeness, and eligibility</li><li>Analyze claims to determine coverage, payment, and denial outcomes</li><li>Research and resolve claim discrepancies, adjustments, and pended claims</li><li>Interpret provider contracts, benefit plans, and reimbursement guidelines</li><li>Ensure timely adjudication of claims in accordance with turnaround standards</li><li>Investigate and respond to inquiries related to claims status, denials, and escalations</li><li>Maintain accurate documentation of claim actions and decisions</li><li>Collaborate with internal departments, providers, and health plan representatives to resolve complex claims issues</li><li>Assist with appeals and grievance-related cases as needed</li><li>Stay current on policies, procedures, and regulatory requirements affecting claims processing</li></ul><p><br></p>
We are looking for an experienced Claims & Insurance Follow-up Lead to support a healthcare revenue cycle team in Vancouver, Washington. This Contract position will oversee daily insurance follow-up and accounts receivable activities, helping ensure timely reimbursement, strong team performance, and high-quality service for patients and payors. The role combines staff leadership, operational oversight, and process improvement within a fast-paced medical billing environment.<br><br>Responsibilities:<br>• Guide the day-to-day work of patient account staff across insurance follow-up, claim edit review, and contract analysis functions.<br>• Track insurance accounts receivable performance, identify barriers to payment, and propose corrective actions that improve collections and reduce aging.<br>• Serve as an escalation point for complex patient or customer concerns, ensuring issues are resolved with professionalism and urgency.<br>• Evaluate denial patterns and use findings to drive workflow improvements that strengthen clean claim performance and reduce rework.<br>• Coordinate team schedules and coverage plans to maintain consistent support for operational demands.<br>• Prepare productivity metrics, goal tracking updates, and performance reports for revenue cycle leadership.<br>• Conduct coaching, performance reviews, and hiring activities while providing input on corrective action when needed.<br>• Maintain team policies, training standards, and compliance practices related to insurance rules, coding requirements, and internal procedures.<br>• Partner with cross-functional teams on workflow optimization, staff education, system upgrade training, and application testing activities.<br>• Participate in department and clinic-wide improvement initiatives that enhance business services and reimbursement outcomes.
We are looking for a detail-oriented Medical Claims Analyst to join a team in Baton Rouge, Louisiana. This contract opportunity with permanent potential is ideal for someone with experience reviewing medical claims, resolving billing issues, and supporting accurate reimbursement outcomes. The person in this role will work closely with claim documentation, denial research, and payment records to help ensure claims are processed efficiently and correctly.<br><br>Responsibilities:<br>• Review medical claims for accuracy, completeness, and compliance before submission or follow-up activity.<br>• Investigate denied and rejected claims to identify root causes and take appropriate corrective action.<br>• Analyze explanation of benefits documents to reconcile payments, adjustments, and outstanding balances.<br>• Coordinate with internal teams and external payers to resolve billing discrepancies and claim status issues.<br>• Prepare and submit corrected claims when additional information or revisions are needed for adjudication.<br>• Monitor Medicaid claim activity and follow payer-specific guidelines to support timely reimbursement.<br>• Maintain detailed records of claim research, follow-up efforts, and resolution outcomes within tracking systems.<br>• Identify recurring claim problems and recommend process improvements to reduce denials and payment delays.
<p>We are looking for a Medical Claims Analyst to support a commercial health plan review and audit initiative. The analyst will help evaluate medical claims for accuracy, compliance, and audit readiness while partnering with internal stakeholders to address issues and support timely resolution. </p><p><br></p><p>Responsibilities:</p><p>• Examine commercial medical claims to confirm correct processing, payment accuracy, and adherence to applicable audit standards.</p><p>• Investigate claim records specifically surrounding the No Surprises Act (NSA) and supporting documentation to uncover variances, exceptions, and items that require follow-up or correction.</p><p>• Validate claim details during audit-related reviews and maintain organized documentation to support findings and recommendations.</p><p>• Work closely with operational and compliance teams to resolve claim discrepancies and promote alignment with regulatory obligations.</p><p>• Assess denied, rejected, or adjusted claims to identify patterns, root causes, and opportunities for process improvement.</p><p>• Review claims across multiple jurisdictions and plan structures to ensure consistent interpretation of commercial health plan requirements.</p><p>• Use healthcare claims data and related systems to track issues, document outcomes, and support reporting on audit activities.</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><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>We are looking for an accomplished attorney to join a boutique law firm in Downtown Seattle, with a strong focus on insurance coverage matters. This position offers the opportunity to advise clients on complex policy issues, manage sophisticated disputes, and contribute to high-level litigation strategy. The ideal candidate brings sound judgment, strong research abilities, and a proven background handling insurance-related claims and coverage analysis.</p><p><br></p><p>Responsibilities:</p><p>• Advise clients on insurance coverage questions, including policy interpretation, claims evaluation, and dispute management strategies.</p><p>• Handle a portfolio of insurance coverage and related litigation matters from early assessment through resolution.</p><p>• Perform in-depth legal research and translate findings into practical recommendations, motions, briefs, and case strategy.</p><p>• Represent clients in court proceedings, mediations, settlement discussions, and other contested matters.</p><p>• Review insurance policies, endorsements, and supporting records to assess rights, obligations, and potential exposure.</p><p>• Monitor legal and regulatory developments affecting insurance law and incorporate those changes into client guidance and case planning.</p><p>• Work closely with attorneys, paralegals, and administrative professionals to move matters forward efficiently and effectively.</p><p><br></p><p>Firm offers lower billable goal than most firms and generous benefits including 3 weeks PTO, profit sharing bonuses, 401K with matching, year end bonuses, transportation stipend, hybrid work from home model, and quicker partnership track!</p><p><br></p><p>For a confidential conversation about this opening please send your resume to Sam(dot)Sheehan(at)RobertHalf(dot)(com)</p>
<p>We're partnering with a large, national AV-rated law firm who is seeking to hire an Associate Attorney with at least 2-4+ years of experience to join their third-party property coverage group in Chicago. This firm specializes in insurance coverage and defense litigation with 15 offices across the US. The ideal candidate should have a strong understanding of the insurance business with prior experience handling insurance coverage, preferably third-party property coverage. Responsibilities of the position include assessing coverage issues, drafting coverage opinions, litigating coverage disputes, taking/defending depositions, and drafting other legal documents. Our client offers a highly flexible hybrid WFH schedule and a great team culture. The position is paying between $120-150K with strong bonus potential. In addition, the firm offers a comprehensive benefits package including medical, dental, vision, 401K (plus match), PTO, LT/ST Disability, Life Insurance, and more.</p><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><strong>Robert Half Legal</strong> is seeking an experienced <strong>Insurance Coverage Attorney</strong> to support a leading law firm handling complex California litigation matters. This long-term contract opportunity is ideal for a licensed California attorney with strong insurance coverage experience who can independently manage cases while collaborating effectively with attorneys, clients, and support staff. The attorney will be responsible for handling matters from inception through resolution, with an emphasis on legal analysis, motion practice, discovery, and court appearances.</p><p>Responsibilities:</p><ul><li>Manage insurance coverage and related litigation matters through all phases of the case lifecycle, from initial pleadings through resolution.</li><li>Draft, review, and respond to written discovery, including interrogatories, requests for production, and requests for admission.</li><li>Take and defend depositions, prepare witnesses, and analyze testimony to support case strategy.</li><li>Draft motions, briefs, coverage opinions, and other legal documents supported by thorough legal research and factual analysis.</li><li>Appear at hearings, case management conferences, and other court proceedings, both virtually and in person as needed.</li><li>Conduct legal research regarding insurance coverage issues, policy interpretation, bad faith claims, and related litigation matters.</li><li>Collaborate with attorneys, clients, experts, and support staff to develop and execute case strategy.</li><li>Maintain accurate billing records and timely time entry in accordance with firm and client guidelines.</li><li>Utilize legal technology and case management systems to track deadlines, filings, and matter progression.</li><li>Review contracts, pleadings, and other litigation-related documents to identify potential coverage issues and risks.</li></ul><p>Why Robert Half?</p><ul><li>Long-term contract opportunity with a reputable law firm.</li><li>Competitive compensation.</li><li>Access to Robert Half's extensive network of legal professionals and career opportunities.</li><li>Dedicated recruiting team focused exclusively on the legal industry.</li></ul><p><strong>Apply today to learn more about this exciting Insurance Coverage Attorney opportunity.</strong></p>
<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>We are looking for a Medical Biller and Collections specialist to support a non-profit healthcare organization in Oakland, California. This Long-term Contract position is ideal for someone with strong coding and billing experience who can help maintain accurate claims processing, reimbursement follow-up, and compliant outpatient documentation practices. The right candidate will bring a solid understanding of medical coding standards and work closely with billing operations to improve timely payment and account resolution.</p><p><br></p><p>Responsibilities:</p><p>• Review clinical and billing documentation to assign accurate medical codes for outpatient services using ICD-10 and CPT guidelines.</p><p>• Prepare and submit claims with careful attention to coding accuracy, payer requirements, and supporting documentation.</p><p>• Monitor unpaid balances and take prompt action to investigate denials, underpayments, and outstanding reimbursement issues.</p><p>• Work within Epic hospital billing tools to update account details, track claim status, and maintain complete billing records.</p><p>• Partner with internal teams to resolve coding discrepancies and support clean claim submission across healthcare billing workflows.</p><p>• Follow up with insurance carriers and other payers to secure payment, clarify claim issues, and advance collection efforts.</p><p>• Maintain compliance with coding standards, billing regulations, and organizational policies related to revenue cycle activities.</p><p><br></p><p>If you are interested in the role, please apply today and call us back at (510) 470-7450</p>
<p>We are seeking a detail-oriented <strong>Medical Payment Poster Specialist</strong> to support revenue cycle operations in a fast-paced healthcare setting. This contract role is expected to last approximately <strong>4 months</strong> and will focus on accurate payment posting, account reconciliation, and timely resolution of discrepancies. The ideal candidate will have hands-on experience in medical billing and payment posting, along with the ability to manage competing priorities effectively.</p><p><strong>Responsibilities:</strong></p><ul><li>Retrieve electronic and manual remittance documents daily to support timely deposit processing and payment application.</li><li>Accurately post insurance, paper check, lockbox, and credit card payments to patient accounts.</li><li>Research unapplied cash, credit balances, and overpayments to ensure proper resolution and account assignment.</li><li>Post complex remittance activity, including zero-pay, negative balance, and forward balance transactions.</li><li>Reconcile daily and monthly payment activity against reports and deposits, identifying and correcting discrepancies as needed.</li><li>Route balances appropriately to secondary or tertiary payers, or to self-pay status, based on account activity and coverage information.</li><li>Assign denial codes and account indicators to support follow-up, reporting, and payment accuracy.</li><li>Work closely with leadership and finance teams to resolve paid-not-posted items, unapplied remittances, and ledger discrepancies.</li><li>Support departmental productivity goals and assist with special payment posting projects as needed.</li></ul><p><br></p>
<p><strong>Insurance Administrator – Commercial Real Estate</strong></p><p><strong>Location: West Palm Beach, FL (On-Site)</strong></p><p><br></p><p>A growing commercial real estate company is seeking an Insurance Administrator to join its Risk Management team. This role is responsible for insurance compliance, certificate tracking, claims administration, and supporting risk management initiatives across a national portfolio of commercial properties.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Monitor insurance certificate expirations for tenants, vendors, and properties.</li><li>Obtain, review, and maintain Certificates of Insurance (COIs).</li><li>Ensure insurance compliance with lease and contract requirements.</li><li>Coordinate with property managers, lease administration teams, tenants, contractors, insurance carriers, and legal counsel.</li><li>Assist with insurance claims administration, claim submissions, and documentation.</li><li>Track claims activity, litigation timelines, and related correspondence.</li><li>Maintain insurance records, claims files, reports, and spreadsheets.</li><li>Prepare hold harmless and indemnification agreements.</li><li>Assist with risk management projects and special assignments.</li><li>Support management with insurance compliance and portfolio-related matters.</li></ul><p><strong>Schedule:</strong> Monday through Friday, standard business hours. Fully on-site.</p><p><br></p><p><strong>Compensation:</strong> Competitive salary based on experience (75k-95k), plus benefits package.</p><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in commercial real estate insurance administration, commercial lines insurance, property administration, property management, or insurance claims support.</li><li>Understanding of commercial lease insurance requirements and compliance procedures.</li><li>Experience reviewing and managing Certificates of Insurance.</li><li>Strong organizational, communication, and time management skills.</li><li>Ability to manage multiple priorities in a fast-paced environment.</li><li>Proficiency with Microsoft Excel, Outlook, Word, and Adobe Acrobat.</li><li>Experience with Yardi or similar property management software is preferred.</li><li>Multi-state commercial real estate experience is a plus.</li></ul><p><strong>Benefits:</strong> Health insurance, 401(k), paid time off, and paid holidays.</p><p><br></p><p><strong>Why Join:</strong></p><ul><li>Work with a nationally active commercial real estate portfolio.</li><li>Collaborate with experienced real estate and risk management professionals.</li><li>Gain exposure to insurance compliance, claims administration, and risk management operations.</li><li>Join a stable and growing organization with long-term career opportunities.</li></ul><p><strong>To be considered, please submit your resume in confidence to Amanda Carrazana on LinkedIn.</strong></p>
We are looking for an experienced Medical Billing Specialist to join a healthcare organization in Mashpee, Massachusetts. This Long-term Contract opportunity is ideal for someone who thrives in a busy clinical billing environment and brings strong knowledge of reimbursement processes, payer requirements, and claim resolution. The person in this role will help support accurate billing operations, improve account follow-up, and work closely with internal teams to secure timely payment. Candidates with prior experience in hospital or broader healthcare system settings will be especially well suited for this position.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims with close attention to accuracy, completeness, and payer-specific billing rules.<br>• Investigate unpaid, delayed, or rejected accounts and take appropriate action to secure timely reimbursement.<br>• Manage denial follow-up by identifying root causes, correcting claim issues, and coordinating resubmissions when needed.<br>• Resolve billing discrepancies by partnering with coding, revenue cycle, and patient access teams to clarify account details.<br>• Process Medicare, Medicaid, and commercial payer billing in alignment with regulatory standards and internal compliance expectations.<br>• Use Epic and related billing tools, including ePaces when applicable, to maintain account documentation and support claim activity.<br>• Monitor account status and collections activity to help reduce outstanding balances and improve payment turnaround times.<br>• Maintain clear records of claim actions, payer communications, and account updates to support audit readiness and reporting.
<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>About the Role</p><p>Robert Half is seeking a detail-oriented <strong>Medical Billing Specialist</strong> for a contract opportunity with a health and human services agency in Westbrook, Connecticut. This position is ideal for an experienced medical billing professional who enjoys working in a mission-driven environment and is committed to ensuring accurate billing, reimbursement, and revenue cycle support.</p><p>The Medical Billing Specialist will play a key role in managing claims processing, resolving billing issues, and supporting the financial operations of the organization.</p><p>Responsibilities</p><ul><li>Prepare, review, and submit medical claims to insurance providers in a timely manner</li><li>Verify patient insurance coverage and eligibility information</li><li>Process and follow up on denied, rejected, and unpaid claims</li><li>Post payments, adjustments, and remittances accurately</li><li>Investigate and resolve billing discrepancies and account issues</li><li>Maintain accurate patient billing records and documentation</li><li>Communicate with insurance companies regarding claim status and reimbursement issues</li><li>Assist with accounts receivable follow-up and collections activities</li><li>Ensure compliance with healthcare billing regulations and organizational policies</li><li>Generate billing reports and support month-end revenue cycle activities</li></ul><p><br></p>
<p>We are looking for a Medical Billing Specialist to support a healthcare facility in Fayetteville, North Carolina. This Long-term Contract opportunity is well suited for someone who can manage billing activities with accuracy, maintain organized financial records, and help keep reimbursement processes moving efficiently. The ideal candidate will bring strong attention to detail, a solid understanding of medical billing practices, and the ability to work effectively in a fast-paced healthcare setting.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims accurately and on schedule to support timely reimbursement.</p><p>• Investigate billing discrepancies, resolve claim issues, and follow up on unpaid or denied accounts.</p><p>• Maintain complete and organized billing documentation while ensuring information is updated correctly in billing systems.</p><p>• Coordinate with internal staff, insurers, and patients when needed to clarify charges, coverage, or account questions.</p><p>• Apply payments, reconcile account activity, and monitor outstanding balances to keep records current.</p><p>• Support compliance with healthcare billing standards, payer requirements, and internal documentation procedures.</p>
<p>We are looking for an experienced Medical Billing Specialist to support billing operations for a skilled nursing environment in Downers Grove, Illinois. This Long-term Contract position focuses on accurate claims processing, reimbursement follow-up, and account maintenance across Medicaid, Medicare, managed care, and private-pay billing. The ideal candidate brings strong knowledge of long-term care revenue cycle practices, works confidently in PointClickCare, and communicates effectively with residents, families, payers, and agency representatives.</p><p><br></p><p>Responsibilities:</p><p>• Manage resident billing activities for skilled nursing and long-term care services, ensuring charges are entered accurately and processed on schedule.</p><p>• Prepare and submit claims to Medicaid, Medicare, managed care organizations, and private-pay sources while tracking timely reimbursement.</p><p>• Review census updates, coverage changes, admissions, discharges, transfers, and authorizations to keep resident accounts current and correct.</p><p>• Investigate denied claims, payment differences, and billing exceptions, then take corrective action to resolve outstanding issues.</p><p>• Oversee Medicaid eligibility follow-up, renewal tracking, and documentation status in coordination with residents, families, case workers, and state agencies.</p><p>• Monitor aging receivables and pursue collection efforts on unpaid balances with insurers, government programs, and responsible parties.</p><p>• Reconcile billing activity, payments, and related resident financial records to support accurate account balances and reporting.</p><p>• Use PointClickCare to maintain payer information, account activity, and census details, and generate reports for leadership review.</p><p>• Partner with admissions, clinical, and finance teams to improve billing accuracy and maintain compliance with facility, state, and federal requirements.</p><p><br></p><p>The salary range for this position is $20 to $25. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
<p>We are looking for a Medical Billing Specialist to join a mission-driven healthcare organization in Chattanooga, Tennessee. This contract opportunity with potential for a permanent role is ideal for someone who thrives in a fast-paced setting, brings accuracy to every stage of the billing process, and is comfortable supporting both administrative workflows and occasional patient interactions. The position offers the chance to contribute across a broad range of healthcare services while helping maintain timely, accurate claims and reimbursement activity.</p><p><br></p><p>Responsibilities:</p><p>• Manage day-to-day medical billing activities, including claim preparation, submission, payment posting, and follow-up on outstanding balances.</p><p>• Investigate denied or underpaid claims, identify root causes, and take appropriate action to resolve reimbursement issues efficiently.</p><p>• Review billing records for completeness and accuracy to reduce errors and support clean claim submission.</p><p>• Communicate professionally with insurance carriers, Medicare, Medicaid, and patients to clarify billing questions and support account resolution.</p><p>• Track payments and maintain organized documentation, including basic spreadsheet updates in Microsoft Excel.</p><p>• Balance multiple priorities in a busy team setting while meeting deadlines and maintaining service standards.</p><p>• Support billing operations across a variety of clinical service lines rather than focusing on a single specialty area.</p><p>• Adapt to evolving departmental needs as the organization expands services and providers over time.</p><p><br></p><p><strong><em><u>Please apply then call (423)244-0726!!</u></em></strong></p><p><br></p><p><strong><em><u>Must be willing to consent to drug and background! </u></em></strong></p>
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position focuses on coding accuracy, billing compliance, and reimbursement optimization within a regulated clinical environment. The ideal candidate brings strong experience in E/M coding, documentation audits, and provider education, along with a current coding certification from a recognized credentialing body.<br><br>Responsibilities:<br>• Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.<br>• Examine clinical documentation to identify coding discrepancies, including both missed charges and overreported services, and summarize findings in clear audit reports.<br>• Partner with physicians and other care team members to clarify incomplete or conflicting documentation and support accurate claim submission.<br>• Escalate recurring documentation or coding concerns to revenue cycle leadership or practice management with recommendations for corrective action.<br>• Work closely with billing and revenue cycle staff to resolve account issues, support claim corrections, and improve accounts receivable follow-up efforts.<br>• Evaluate payer reimbursement patterns, fee schedule variances, and denial trends to identify opportunities for process improvement.<br>• Investigate questions related to payer guidelines, coding compliance, denials, and billable services, and provide informed responses to stakeholders.<br>• Deliver education, coaching, and ongoing guidance to providers and staff on documentation standards, coding rules, and third-party payer requirements.<br>• Maintain current knowledge of payer policy updates and communicate relevant changes affecting specialty billing and coding practices.<br>• Protect the confidentiality of patient records and financial information while completing assigned billing and audit duties.
<p>Medical Billing Specialist</p><p><strong>Position Summary</strong></p><p>The Medical Billing Specialist is responsible for the accurate and timely submission, follow-up, and resolution of medical claims to ensure maximum reimbursement and efficient cash collections. This role serves as a key contributor to the organization's revenue cycle by managing billing processes, insurance claims, payment posting, denial resolution, and accounts receivable follow-up. The ideal candidate possesses strong knowledge of healthcare billing practices, payer guidelines, and revenue cycle operations.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance carriers, Medicare, Medicaid, and other third-party payers.</li><li>Verify patient insurance eligibility, benefits, and authorization requirements.</li><li>Ensure claims are coded and billed accurately according to payer guidelines and established procedures.</li><li>Monitor claim status and follow up on unpaid, denied, or underpaid claims.</li><li>Research and resolve billing discrepancies, claim rejections, and denial issues, including submitting appeals when appropriate.</li><li>Post insurance and patient payments accurately and reconcile billing records.</li><li>Manage patient account balances and assist with collection efforts when necessary.</li><li>Respond to patient, provider, and insurance company inquiries regarding billing matters.</li><li>Maintain detailed and accurate documentation of billing activity and collection efforts.</li><li>Review aging reports and prioritize accounts receivable follow-up to improve cash flow.</li><li>Support revenue cycle initiatives by identifying trends in denials, underpayments, and reimbursement delays.</li><li>Ensure compliance with HIPAA, payer regulations, and healthcare billing standards.</li></ul><p><br></p><p><strong>Key Skills</strong></p><ul><li>Medical Billing</li><li>Claims Submission & Follow-Up</li><li>Payment Posting</li><li>Insurance Verification</li><li>Denial Management & Appeals</li><li>Accounts Receivable Follow-Up</li><li>Collections</li><li>Revenue Cycle Management</li><li>Medicare & Medicaid Billing</li><li>Healthcare Reimbursement</li><li>HIPAA Compliance</li><li>Customer Service</li></ul><p><br></p>
We are looking for a Medical Billing Specialist to join a behavioral health organization in Phoenix, Arizona in a contract-to-permanent capacity. This position is ideal for someone who brings strong accounts receivable expertise, thrives in a fast-paced billing setting, and can manage claim activity with accuracy and urgency. The role will focus on medical billing operations, payer follow-up, and revenue cycle support while helping maintain steady cash flow in a high-volume environment.<br><br>Responsibilities:<br>• Manage accounts receivable activities for medical claims, ensuring timely follow-up on outstanding balances and unresolved reimbursements.<br>• Prepare, review, and submit institutional claims, including UB-04 billing, with close attention to accuracy and payer guidelines.<br>• Investigate denied or rejected claims, determine root causes, and take corrective action to improve reimbursement outcomes.<br>• Post payments, reconcile remittances, and verify that billing records align with payer responses and account activity.<br>• Communicate with payers to resolve claim issues, clarify coverage questions, and accelerate payment turnaround.<br>• Use Excel to organize billing data, track aging trends, and produce reports that support revenue cycle performance.<br>• Support a high-volume monthly billing workload by prioritizing tasks effectively and maintaining consistent productivity.<br>• Work within billing platforms and payer portals, including systems such as Solis and Mercy Care when applicable, to manage claim status and account resolution.
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.
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Warwick, Rhode Island. This Contract position is ideal for someone who can manage claims activity, follow billing guidelines, and work accurately in a fast-paced setting. The role will focus on maintaining clean billing records, resolving reimbursement issues, and helping ensure timely payment processing.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance carriers with close attention to accuracy and compliance.<br>• Apply appropriate coding and billing practices to support proper claim processing and reimbursement.<br>• Investigate denied, rejected, or underpaid claims and take corrective action to support resolution.<br>• Follow up with payers and patient accounts to address outstanding balances and collection activity.<br>• Use EPACES and related billing systems to verify claim status, eligibility, and payment details.<br>• Maintain organized billing documentation and update account records to reflect claim activity and payment outcomes.