<p>Entry-Level Claims Trainee</p><p><strong>Location:</strong> Remote, Florida residents only</p><p><strong>Employment Type:</strong> Contract-to-Hire</p><p><strong>Contract Pay:</strong> $20-$21/hour</p><p><strong>Contract Period:</strong> Approximately 3-6 months</p><p><strong>Permanent Salary:</strong> Approximately $50,000-$55,000</p><p><strong>Schedule:</strong> Monday-Friday, 8:30 AM-5:00 PM, 37.5 hours per week</p><p><strong>Education:</strong> Associate’s degree or higher required</p><p>Position Overview</p><p>We are seeking motivated, entry-level professionals interested in beginning a long-term career in the insurance claims industry. This position is designed as a training and development opportunity with a path toward becoming a <strong>Claims Examiner</strong>.</p><p>During the initial contract period, candidates will receive <strong>paid training and dedicated time to study for their required claims license</strong>. The company will cover the cost of the licensing exam, with the goal of successfully completing the exam within approximately 100 days.</p><p>Responsibilities</p><ul><li>Participate in introductory claims training and development</li><li>Meet regularly with a supervisor for training and guidance</li><li>Study and prepare for the required claims licensing examination</li><li>Learn insurance claims processes, terminology, documentation, and procedures</li><li>Develop the skills necessary to transition into a Claims Examiner position</li><li>Manage multiple assignments and priorities while working remotely</li><li>Maintain accurate and organized work</li><li>Demonstrate consistent progress throughout the training and licensing period</li></ul><p><br></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>
We are looking for a Medical Reimbursement Specialist to join a social services organization in Raleigh, North Carolina. This contract position offers a path to a permanent role and will support payer and contract operations by helping manage reimbursement documentation, coordinating implementation activities, and maintaining accurate contract records across the organization. The role works closely with internal departments and external payer partners to keep contract processes organized, timely, and aligned with operational needs.<br><br>Responsibilities:<br>• Manage electronic and physical contract documentation, ensuring records, amendments, rate updates, and related files remain accurate and accessible.<br>• Oversee key contract milestones such as renewal timelines, notice requirements, effective dates, and follow-up actions to support uninterrupted administration.<br>• Facilitate routing, review, and approval steps for agreements while keeping contract lifecycle tracking tools current.<br>• Partner with payer contacts and internal teams to support contract onboarding, implementation tasks, and communication of reimbursement or agreement changes.<br>• Monitor payer bulletins, policy revisions, and reimbursement updates, then summarize relevant impacts for stakeholders and leadership.<br>• Research contract terms and compile supporting materials to assist with management review, issue resolution, negotiations, and reimbursement analysis.<br>• Help identify and address payment variances, implementation concerns, and other contract-related issues in collaboration with operational and revenue teams.<br>• Work with Finance, Compliance, Credentialing, Quality, Operations, and program leadership to support contract administration, audits, and departmental initiatives.<br>• Contribute to the setup, maintenance, and ongoing use of contract management systems, including Contract Solutions, and assist with workflow readiness activities as needed.
<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 seeking a detail-oriented and organized Medical Insurance Verification Specialist / Authorization Specialist to join our healthcare team. In this role, the Medical Insurance Verification Specialist / Authorization Specialist will verifying patient insurance coverage, obtaining prior authorizations, and ensuring accurate documentation to support timely billing and reimbursement. The ideal candidate has strong knowledge of insurance verification and authorization processes, excellent communication skills, and the ability to work efficiently in a fast-paced medical environment.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Verify patient insurance eligibility, benefits, and coverage prior to appointments, procedures, or treatment.</li><li>Obtain prior authorizations and pre-certifications from insurance carriers for medical services and procedures.</li><li>Review patient accounts for accuracy and completeness of insurance information.</li><li>Communicate with patients, providers, and insurance companies regarding authorization status, coverage details, and financial responsibility.</li><li>Follow up on pending, denied, or incomplete authorizations to ensure timely resolution. .</li><li>Maintain accurate and up-to-date records in the electronic medical record (EMR) and billing systems. Based on general knowledge.</li><li>Identify and resolve insurance-related issues that may delay patient care or reimbursement.</li><li>Ensure compliance with payer guidelines, internal procedures, and regulatory requirements.</li><li>Collaborate with front office, billing, and clinical teams to support smooth patient access and revenue cycle operations.</li></ul><p>This roles is remote in the CST/EST time zone. All equipment will be provided.</p>
We are looking for an Insurance Coverage Attorney to join a legal team in New York, New York. This opportunity is suited for a mid-level attorney who wants to expand their practice in coverage analysis and insurance-related disputes while contributing to a broad mix of litigation matters. The role offers meaningful client interaction, substantive writing responsibilities, and hands-on involvement in case strategy and court proceedings.<br><br>Responsibilities:<br>• Evaluate insurance contracts and prepare well-reasoned coverage assessments and opinion letters.<br>• Partner with senior lawyers on disputes involving coverage questions, claims handling, and related litigation strategy.<br>• Produce litigation documents such as complaints, answers, motions, briefs, and internal legal memoranda.<br>• Take part in key case activities, including depositions, mediation sessions, hearings, and appearances before the court.<br>• Research statutes, case law, and regulatory guidance affecting insurance law and policy interpretation.<br>• Communicate with clients on litigation progress, legal risk, and recommended next steps.<br>• Assist with discovery planning, document review, and development of factual records to support case positions.
<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>
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>We are looking for a detail-oriented Medical Biller to support billing and coding operations in California. This is a contract position beginning at approximately 20 hours per week, with the potential to move into a permanent schedule based on business needs and performance. The person in this role will help maintain accurate claim processing, coding quality, and follow-up with commercial payers while supporting steady revenue cycle operations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims using accurate coding and billing practices for outpatient services.</p><p>• Review clinical and billing information to assign appropriate ICD-10 and CPT codes and reduce claim errors.</p><p>• Manage follow-up activities for unpaid or underpaid claims, including collection efforts with commercial insurance carriers.</p><p>• Investigate billing discrepancies, correct claim issues, and resubmit documentation when needed to support reimbursement.</p><p>• Use Quicken to maintain organized financial records and assist with billing-related tracking tasks.</p><p>• Communicate with insurers and internal stakeholders to resolve payment questions and support timely account resolution.</p><p>• Monitor account status and take action on outstanding balances to improve collections performance.</p><p><br></p><p>If you are interested in this role, please apply today and call us at (510) 470-7450</p>
<p>Our client is seeking a detail-oriented <strong>Medical Denials Specialist</strong> with strong experience in <strong>insurance collections</strong> to join their healthcare revenue cycle team. This role is responsible for researching, appealing, and resolving denied medical claims to ensure maximum reimbursement from insurance carriers. The ideal candidate will have a solid understanding of payer guidelines, claims follow-up, and the collections process within a medical billing environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review and analyze denied, underpaid, and rejected insurance claims</li><li>Investigate denial reasons and take appropriate corrective action</li><li>Prepare and submit claim appeals with supporting documentation</li><li>Perform follow-up with commercial insurers, government payers, and other third-party payers</li><li>Work insurance aging reports and prioritize outstanding accounts for collection</li><li>Resolve claim edits, authorization issues, coding discrepancies, and eligibility problems</li><li>Document all account activity accurately and thoroughly in the billing system</li><li>Collaborate with billing, coding, and provider office teams to identify denial trends and improve reimbursement</li><li>Maintain knowledge of payer rules, reimbursement policies, and regulatory requirements</li><li>Meet productivity and collection goals while ensuring accuracy and compliance</li></ul><p><br></p>
<p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Biller to join its growing team. The ideal Hospital Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Hospital Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients' insurance coverage.</p><p>• Insurance follow up, appeals and denials. </p><p>• Determine the patient's financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
We are looking for a detail-oriented Medical Billing Specialist to support patient account operations in Michigan. This contract opportunity with permanent potential is ideal for someone who can manage billing activity with accuracy, stay current on payer requirements, and provide responsive support to both patients and internal teams. The person in this role will help keep claims moving efficiently, address account discrepancies, and contribute to timely reimbursement across medical and dental services.<br><br>Responsibilities:<br>• Process insurance payments, denials, and related remittance activity by retrieving information from payer portals and entering it accurately into the practice management system.<br>• Investigate outstanding or missing reimbursements by coordinating with clearinghouses and insurance carriers to resolve payment issues and posting discrepancies.<br>• Reconcile account activity, including payer recoupments, credit balances, and daily deposits, while maintaining complete records of payment transactions for review.<br>• Review patient accounts for billing readiness by confirming demographics, coverage details, and required documentation, and partner with clinical staff to resolve missing information.<br>• Follow up on unpaid or delayed claims within filing deadlines to reduce aging accounts receivable and improve collection outcomes.<br>• Respond to patient billing inquiries, explain charges, address account concerns, and arrange payment plans when appropriate.<br>• Support provider enrollment and credentialing work by preparing applications, maintaining contract and provider records, and tracking status updates to protect reimbursement.<br>• Assist with coding and documentation review activities to help ensure billed services are supported, compliant, and properly recorded.<br>• Provide administrative support for dental billing processes such as authorization-related documentation, treatment plan coordination, claim attachments, and point-of-service payment collection.
<p>We are looking for a detail-oriented Medical Billing Specialist to join a collaborative healthcare team. This contract-to-permanent opportunity is ideal for someone who can manage a high-volume workload, communicate clearly with patients when needed, and support billing operations across a variety of clinical service lines. The right candidate will be comfortable handling claims activity, resolving payment issues, and contributing to an organization focused on quality patient care.</p><p><br></p><p>Responsibilities:</p><p>• Process medical claims accurately and timely for multiple healthcare services, including primary care, infectious disease, pharmacy, and behavioral health support.</p><p>• Investigate denied or unpaid claims, identify the cause of billing issues, and take appropriate action to secure reimbursement.</p><p>• Post payments and maintain billing records with a high degree of accuracy, including basic spreadsheet updates in Microsoft Excel.</p><p>• Conduct insurance follow-up with commercial carriers as well as Medicare and Medicaid to ensure claims move efficiently through the revenue cycle.</p><p>• Communicate clearly with patients regarding billing questions or account concerns while providing attentive and respectful service.</p><p>• Prioritize multiple tasks in a fast-paced environment and manage daily workload with minimal supervision.</p><p>• Partner closely with team members to support shared billing goals and maintain smooth departmental operations.</p><p><br></p><p><br></p><p><strong><u>If interested in this role please apply, then call (423)244-0726!</u></strong></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>
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in a contract-to-permanent position located in New Orleans, Louisiana. This role focuses on accurate claim processing, timely follow-up on unpaid balances, and effective resolution of billing issues across medical and dental accounts. The ideal candidate brings strong knowledge of insurance verification, coding support, and reimbursement workflows while maintaining a high standard of accuracy and customer service.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical and dental claims to insurance carriers with close attention to accuracy and compliance.</p><p>• Investigate denied, rejected, or underpaid claims and take appropriate action through corrections, appeals, or rebilling activities.</p><p>• Follow up on outstanding accounts to support collections efforts and help reduce aging receivables.</p><p>• Verify patient coverage, benefits, and plan details to ensure claims are billed correctly the first time.</p><p>• Apply knowledge of medical coding and dental terminology to support proper documentation and reimbursement.</p><p>• Communicate with insurance representatives, patients, and internal staff to resolve billing discrepancies and payment questions.</p><p>• Maintain organized billing records, update account information, and track claim status through resolution.</p><p>• Use Microsoft Excel and related systems to monitor billing activity, reconcile data, and prepare routine reports.</p>
<p>We are 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>
Are you an experienced Medical Biller available for contract work in Temperance MI. If so, this role might be ideal for you. Our client in Temperance is in need of a Medical Billing Specialist to assist with medical and dental billing. Monday - Friday 9am - 5pm. This role is FULLY ONSITE only. NO remote option. Pay up to $22/hr depending on experience. <br><br>Qualifications<br>Medical and Billing Coding experience of 1 year or more<br>Knowledge of insurance<br>E-Clinical Works (ECW) experience preferred <br>Knowledge of CPT and ICD10 Coding.<br>Working knowledge of coding, billing and collection of claims.<br>Strong organizational skills with solid problem solving skills.<br>Proficient computer skills and EMR experience.<br>Billing and Coding Certificate required <br>Associate Degree / Certificate from a technical school for billing and /or coding.
<p>We are looking for a detail-oriented Medical Billing Specialist to support billing operations for a healthcare facility in Fayetteville, North Carolina. This Long-term Contract position is ideal for someone who can manage claim processing accurately, follow up on outstanding balances, and help maintain efficient revenue cycle activities. The person in this role will work closely with internal teams to help ensure billing records are complete, timely, and compliant with healthcare billing standards.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims with a high level of accuracy to support timely reimbursement</p><p>• Review billing documentation for completeness and resolve discrepancies before claim submission</p><p>• Monitor unpaid or denied claims and take appropriate follow-up actions to improve collections</p><p>• Communicate with insurance carriers, patients, and internal staff to address billing questions and payment issues</p><p>• Post payments, adjustments, and other billing updates while maintaining organized account records</p><p>• Assist with account reconciliation and help identify billing trends or recurring issues that affect revenue cycle performance</p>
We are looking for a Medical Billing Specialist to join a healthcare team in Syracuse, New York. This contract opportunity is ideal for someone with experience in medical billing and coding who can manage claim preparation, account follow-up, and reimbursement support with accuracy and care. The role requires close attention to documentation, insurance guidelines, and patient account details to help maintain efficient revenue cycle operations.<br><br>Responsibilities:<br>• Assign accurate medical billing and diagnostic codes for daily physician charges based on clinical documentation.<br>• Review charts and evaluate charges thoroughly before claims are submitted to help ensure billing accuracy.<br>• Verify patient demographic details and insurance information while completing required billing system entries in accordance with office procedures.<br>• Monitor daily encounter activity to identify missing charges and follow up to resolve gaps promptly.<br>• Enter and attach authorization information needed for claim submission to support timely processing.<br>• Respond to patient inquiries regarding account balances, billing questions, and claim-related concerns in a courteous manner.<br>• Submit supporting records and other documentation to insurance carriers to help secure appropriate reimbursement.<br>• Use payer portals and online insurance tools to review claim status, investigate unpaid balances, and confirm patient eligibility.<br>• Participate in coding audits and collaborative meetings focused on billing quality, compliance, and process improvement.
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations in North Charleston, South Carolina. This contract-to-permanent opportunity is ideal for someone who can manage claims processing, payment posting, and account follow-up with accuracy and professionalism. The person in this role will work closely with internal teams and external payors to resolve billing issues, maintain compliant records, and help ensure timely reimbursement.<br><br>Responsibilities:<br>• Generate and submit clean, accurate claims for services rendered while meeting established billing timelines.<br>• Investigate unpaid, rejected, or denied claims and take appropriate action to secure resolution and reimbursement.<br>• Communicate with insurers, Medicaid, managed care organizations, and other funding sources to address denials, payment variances, recoupments, and claim corrections.<br>• Review ERAs and EOBs and post payments, contractual adjustments, and denials with a high level of accuracy.<br>• Analyze billing and reimbursement discrepancies, reconcile accounts, and support financial closeout activities across applicable contract arrangements.<br>• Maintain organized billing documentation, contract-related records, and workflow processes in alignment with company standards and regulatory requirements.<br>• Partner with clinical, admissions, finance, and case management teams to resolve billing concerns and improve claim outcomes.<br>• Safeguard patient, financial, and organizational information by following privacy requirements and confidentiality standards.
Our client in the medical billing industry is seeking multiple Medical Billing Clerks to join their growing team. This is an excellent opportunity for candidates with experience in the medical field who are looking to build a long-term career with a company that offers strong training, stability, and an outstanding benefits package. <br> The Medical Billing Clerk will be responsible for supporting billing operations, assisting patients and insurance carriers, and ensuring claims are processed accurately and efficiently. The ideal candidate will have prior exposure to medical office or healthcare-related environments and be comfortable handling billing inquiries, claims follow-up, and payment discrepancies. <br> Key Responsibilities: <br> Process and submit medical claims to insurance companies Review accounts for billing accuracy and correct billing discrepancies Perform data entry related to patient information, charges, payments, and account updates Handle inbound and outbound customer service calls regarding billing questions and account status Interpret and explain Explanation of Benefits (EOBs) Work with insurance companies to resolve claim issues and payment delays Assist with collections activity on outstanding balances in a detail oriented manner Maintain accurate billing records and documentation Support internal billing functions and ensure timely claim submission and follow-up Qualifications: <br> Some prior experience working in the medical field is required Previous experience in medical billing, medical office support, or healthcare administration preferred Knowledge of medical billing terminology and Explanation of Benefits (EOBs) required Experience with customer phone support Strong data entry and administrative skills Requires all candidates required to undergo drug screening and all candidates required to undergo background check process Familiarity with claims submissions and insurance company processes Ability to identify and resolve billing discrepancies detail oriented communication skills and strong attention to detail Comfortable handling some collections responsibilities Training Provided: <br> In-house training on medical codes In-house training on billing software
<p>Advance Your Medical Billing Career</p><p><br></p><p>Robert Half is partnering with a respected healthcare organization in the Quad Cities area to identify an experienced<strong> Medical Billing Specialist</strong>. This is an excellent opportunity for a billing professional who enjoys ownership of the revenue cycle, working denials and appeals, analyzing reimbursement issues, and driving successful insurance collections.</p><p><br></p><p>If you have a strong understanding of medical billing, insurance reimbursement, and claims processing, we'd love to connect with you.</p><p><br></p><p><strong>What You'll Do</strong></p><ul><li>Submit medical claims electronically to commercial and government payers</li><li>Post insurance and patient payments accurately and timely</li><li>Research, resolve, and appeal denied or rejected claims</li><li>Follow up with insurance carriers regarding outstanding balances</li><li>Monitor and manage accounts receivable aging</li><li>Identify underpayments, overpayments, and reimbursement discrepancies</li><li>Process refunds and credit balances as needed</li><li>Partner with coding and business office teams to help ensure accurate claim submission</li><li>Support ongoing billing accuracy and compliance initiatives</li><li>Maintain confidentiality and compliance with HIPAA regulations</li></ul><p><br></p><p><strong>Why This Opportunity?</strong></p><p>✅ Stable healthcare organization with a patient-focused mission</p><p>✅ Opportunity to make a direct impact on revenue cycle performance</p><p>✅ Collaborative team environment</p><p>✅ Full-time, long-term career opportunity</p><p>✅ Competitive compensation and benefits package</p><p><br></p><p><strong>Ready to Learn More?</strong></p><p><br></p><p>If you're passionate about healthcare administration and enjoy solving reimbursement challenges while helping organizations maintain financial excellence, we'd welcome the opportunity to discuss this position with you. Apply today to be considered. Candidates may also call our team direct at (563) 359-3995 to discuss your short- and long-term goals! </p>
<p>We are looking for a Health Plan Specialist to support members through a high-volume inbound service environment. This position is focused on helping individuals understand Medicare-related benefits, billing, and enrollment questions while delivering accurate and compassionate assistance. The role is well suited to someone who communicates clearly, stays organized under pressure, and can manage each issue through to completion. Candidates should be comfortable working scheduled shifts Monday through Friday and participating in virtual training with camera use required.</p><p><br></p><p>Responsibilities:</p><p>• Handle a steady volume of inbound member calls, especially during open enrollment periods, while maintaining a detail-focused and supportive approach.</p><p>• Guide members through questions related to Medicare benefits, premium billing, eligibility, and enrollment matters with clear and accurate explanations.</p><p>• Take full ownership of each inquiry from initial contact through final resolution, ensuring follow-up is completed within expected timeframes.</p><p>• Record call details thoroughly and maintain precise documentation so that member interactions and outcomes are properly tracked.</p><p>• Use multiple digital tools and on-screen resources efficiently to research information and resolve issues during live conversations.</p><p>• Address complex member situations with sound judgment, empathy, and attention to detail while protecting service quality.</p><p>• Participate in virtual onboarding and training activities, including live sessions, team collaboration exercises, and required video participation.</p><p>• Maintain a distraction-free remote work setting and consistently use employer-provided equipment to meet performance and communication expectations.</p>
<p>We are looking for a customer-focused Health Plan Specialist to support members through a high-volume inbound service environment. This Long-term Contract position is ideal for someone who can confidently guide callers through benefit, billing, and enrollment questions while delivering accurate, empathetic assistance. The role requires strong attention to detail, consistent follow-through, and the ability to manage complex member concerns in a fast-paced setting.</p><p><br></p><p>Responsibilities:</p><p>• Handle a steady volume of inbound member calls, especially during peak enrollment periods, while maintaining a detail-oriented and helpful approach.</p><p>• Investigate and resolve questions related to Medicare benefits, billing matters, and enrollment concerns from initial contact through final resolution.</p><p>• Record interactions thoroughly and maintain complete documentation so each case is tracked accurately and resolved on time.</p><p>• Use multiple digital tools and system resources at the same time to research issues, confirm details, and provide clear next steps to members.</p><p>• Deliver courteous, respectful service on every interaction and communicate complex information in a way members can easily understand.</p><p>• Follow up on open issues as needed to ensure members receive complete answers and a seamless service experience.</p><p>• Participate fully in virtual training, team sessions, and video-based meetings while remaining engaged and camera-ready.</p><p>• Support operational needs by working assigned weekday shifts within the designated service window and adhering to attendance expectations.</p>