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345 results for Medical Insurance Claims Specialist jobs

Medical Insurance Claims Specialist

Vancouver, WA
onsite
Temporary / Contract
21 - 24 USD / Hourly
We are looking for a Medical Insurance Claims Specialist to join a healthcare team in Vancouver, Washington. This Contract position is fully onsite and focuses on confirming insurance details before services are provided so billing can be processed accurately and efficiently. The ideal candidate brings strong attention to detail, a solid understanding of coverage verification, and the ability to communicate clearly with patients, providers, and insurance representatives. Responsibilities: • Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered. • Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices. • Enter, verify, and maintain accurate insurance and benefits information within the patient management system. • Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner. • Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission. • Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification. • Follow established healthcare regulations and organizational standards when handling patient information and insurance records.
2026-05-21T00:00:00Z

Medical Claims Resolution Specialist

Indianapolis, IN
remote
Temporary to Hire
21 - 25 USD / Hourly
We are seeking a detail-oriented Medical Claims Resolution Specialist within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement. Hours: Monday - Friday 8am - 5pm *after hours work will be needed at times Responsibilities:<ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
2026-05-19T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent / Full Time
60000 - 65000 USD / Yearly
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] Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? Responsibilities:<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>
2026-05-06T00:00:00Z

Medical Claims Analyst

Raleigh, NC
onsite
Temporary to Hire
26.6 - 30.8 USD / Hourly
We are looking for a detail-oriented Medical Claims Analyst to join a team supporting Medicaid audit and claims review activities in Raleigh, North Carolina. This contract opportunity is ideal for someone who can evaluate provider billing practices, examine payment accuracy, and contribute to compliance-focused reviews with growing independence. The role offers the chance to apply analytical judgment, strengthen audit documentation, and help improve the integrity of Medicaid-related claims operations. Responsibilities: • Review provider billing records and medical claim activity to identify discrepancies, validate payments, and assess adherence to Medicaid guidelines • Carry out structured audit procedures for claims, denials, rejected claims, and billing documentation to support program integrity efforts • Interpret applicable Medicaid requirements and federal regulatory standards when analyzing audit results and determining potential issues • Develop clear working papers, summaries, and preliminary findings that accurately document testing performed and conclusions reached • Partner with internal stakeholders to clarify claim exceptions, address audit questions, and support corrective action recommendations • Analyze medical billing and Medicaid claim data to detect patterns, trends, and areas requiring additional review • Contribute to compliance examinations involving provider assessments, payment verification, and operational claim review activities
2026-05-20T00:00:00Z

Medical Claims Analyst

Raleigh, NC
onsite
Temporary to Hire
27.7115 - 32.087 USD / Hourly
We are looking for a Medical Claims Analyst to join our team in Raleigh, North Carolina on a Contract to permanent basis. This position is ideal for a detail-oriented individual who can evaluate Medicaid-related claims activity, support audit initiatives, and help maintain compliance with healthcare payment standards. The role offers the opportunity to work independently on analytical reviews while partnering with internal teams to strengthen accuracy, documentation, and regulatory alignment. Responsibilities: • Review provider records and claims activity to assess payment accuracy and identify discrepancies requiring follow-up. • Perform audit procedures tied to Medicaid claims, billing practices, denials, and rejected claims to support program integrity efforts. • Interpret Medicaid rules and applicable federal guidance when evaluating findings and determining compliance outcomes. • Prepare organized workpapers, summaries, and preliminary reports that clearly document testing results and supporting analysis. • Investigate claim issues and collaborate with stakeholders to address exceptions, recommend corrective actions, and support resolution plans. • Analyze medical billing and reimbursement data to detect trends, payment concerns, and areas of potential financial risk. • Support compliance reviews involving provider activity, claim adjudication, and payment validation across assigned cases.
2026-05-20T00:00:00Z

Medical Billing Specialist

Beaverton, OR
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment. Responsibilities: • Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness. • Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays. • Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement. • Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable. • Maintain complete and organized billing records in designated systems such as Credible and Qualifacts. • Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands. • Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication. • Monitor account status and identify discrepancies so billing concerns can be resolved efficiently. • Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures.
2026-05-21T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
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. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-05-11T00:00:00Z

Medical Billing Specialist

Bowling Green, OH
onsite
Temporary / Contract
22 - 25 USD / Hourly
We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement.Responsibilities<ul><li>Submit and manage medical claims</li><li>Verify insurance eligibility and benefits</li><li>Resolve claim denials and billing discrepancies</li><li>Post payments and maintain accurate records</li><li>Communicate with patients and insurance providers</li></ul>
2026-05-11T00:00:00Z

Medical Billing Specialist

Middletown, RI
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up. Responsibilities: • Process medical claims with accuracy and ensure billing information is complete before submission. • Review coding and billing details to identify discrepancies and resolve issues that could delay payment. • Follow up on unpaid or underpaid accounts with payers to support timely collections. • Maintain billing records and update account documentation to reflect claim status and payment activity. • Use EPACES and related systems to verify claim information and assist with billing workflows. • Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
2026-05-06T00:00:00Z

Medical Billing Specialist

Charlotte, NC
onsite
Temporary / Contract
20 - 25 USD / Hourly
We are seeking a detail-oriented Medical Biller with strong customer service skills to support billing operations and provide a positive experience for patients and internal partners. This role requires accuracy, professionalism, and the ability to communicate clearly while resolving billing questions and issues. This is a part-time role only. Responsibilities<ul><li>Process and submit medical claims accurately and timely to insurance carriers</li><li>Review patient accounts and insurance payments to ensure correct posting and follow-up</li><li>Respond to patient billing inquiries with professionalism, empathy, and clear explanations</li><li>Resolve billing issues, payment discrepancies, and rejected or denied claims</li><li>Coordinate with insurance companies, providers, and internal teams to resolve account issues</li><li>Maintain accurate documentation and notes within billing systems</li><li>Follow HIPAA guidelines and maintain confidentiality of patient information</li></ul>
2026-04-24T00:00:00Z

Medical Billing Specialist

Merrillville, IN
onsite
Temporary to Hire
19 - 22 USD / Hourly
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently. Responsibilities: • Prepare and submit medical claims accurately and on schedule to support timely reimbursement. • Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission. • Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes. • Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances. • Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system. • Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements. • Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward. • Support billing operations using Athena software and contribute to process updates within the department as needed.
2026-05-19T00:00:00Z

Medical Billing Specialist

Auburn Hills, MI
remote
Temporary / Contract
20 - 24 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment. Responsibilities: • Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness. • Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays. • Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances. • Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission. • Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information. • Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts. • Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution.
2026-05-15T00:00:00Z

Medical Billing Specialist

Chattanooga, TN
onsite
Temporary to Hire
19 - 22 USD / Hourly
We are seeking a Medical Billing Specialist to join our team immediately. This is a great opportunity for someone who thrives in a fast-paced, team-oriented healthcare environment and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee** Position OverviewThe Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in Medicare and Medicaid billing and claims. We are looking for someone adaptable, self-directed, and ready to grow with the team. Key Responsibilities<ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</li></ul>
2026-05-22T00:00:00Z

Sr. Claims Specialist

Hinsdale, IL
remote
Temporary / Contract
38 - 44 USD / Hourly
We are looking for an experienced Sr. Claims Specialist to support insurance follow-up operations in Hinsdale, Illinois. This Long-term Contract position is ideal for someone who is detail oriented and can independently manage complex claim activity, assess supporting evidence, and make sound decisions in fast-paced environments. The role blends traditional claims investigation with the use of AI-enabled tools to strengthen fraud analysis, claim evaluation, and documentation quality. Responsibilities:• Oversee an active caseload of claims, maintaining consistent review and follow-up to move files efficiently through investigation and resolution.• Examine claim records, supporting documents, statements, images, and prior file history to identify key facts, inconsistencies, and potential exposure.• Determine appropriate claim outcomes by applying policy guidance and evidence, including approvals, denials, or referral for legal escalation when warranted.• Use AI-supported resources such as fraud scoring, severity forecasting, image review, and document extraction tools to inform claim handling decisions.• Assess automated insights critically, confirming accuracy and using careful judgment to adjust or override recommendations when necessary.• Perform detailed fraud-related analysis on flagged claims to support fair, compliant, and well-documented decision-making.• Navigate both established claims applications and newer digital platforms to complete case activity and maintain workflow continuity.• Gather evidence manually across multiple systems and data sources when automated information is incomplete or requires verification. The salary range for this position is $70,000 to $100,000. 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 roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.
2026-05-19T00:00:00Z

Medical Biller/Collections Specialist

Mount Laurel, NJ
onsite
Temporary / Contract
24 - 27.5 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis in Mt. Laurel Township, New Jersey. In this role, you will play a key part in managing billing and accounts receivable tasks for Medicare and Medicaid while ensuring accuracy and compliance with healthcare regulations. This position offers an excellent opportunity to contribute to the financial health of a respected organization. Responsibilities:• Process and submit claims for Medicare and Medicaid reimbursement, ensuring accuracy and adherence to regulatory requirements.• Monitor accounts receivable and follow up on outstanding claims to ensure timely payment.• Investigate and resolve medical billing denials and appeal claims when necessary.• Collaborate with healthcare providers and insurance companies to address discrepancies or issues in billing.• Maintain accurate and up-to-date records of billing activities and payment statuses.• Handle hospital billing tasks, including verifying patient information and coding procedures correctly.• Provide support for resolving patient billing inquiries and concerns with strong attention to detail.• Stay informed about changes in healthcare billing regulations and industry standards.• Assist in identifying process improvements to enhance billing efficiency and reduce errors.
2026-05-15T00:00:00Z

Medical Biller/Collections Specialist

Mount Laurel, NJ
onsite
Temporary / Contract
24 - 27.5 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply. Responsibilities:• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.• Handle accounts receivable tasks, including tracking and resolving outstanding balances.• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.• Prepare and submit medical appeals to recover denied or underpaid claims.• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.• Maintain detailed records of billing and collection activities for auditing purposes.• Collaborate with healthcare providers and administrative teams to streamline billing processes.• Identify opportunities to improve efficiency within the billing and collections workflow.• Provide regular updates on accounts and collections to management.
2026-04-24T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary / Contract
21 - 24 USD / Hourly
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
2026-05-21T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 28.99 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-05-18T00:00:00Z

Medical Biller/Collections Specialist

Cordova, TN
onsite
Temporary / Contract
24 - 24 USD / Hourly
We are looking for a detail-focused Medical Biller/Collections Specialist to join a Contract assignment in Cordova, Tennessee. This opportunity is ideal for someone who can take ownership of older receivables, investigate unresolved balances, and move claims toward timely payment. The person in this role will support billing and collections efforts by working through denied accounts, following up with payers, and helping improve the status of outstanding claims. Responsibilities: • Oversee billing activity for assigned accounts and monitor claim progress through the reimbursement cycle. • Pursue unpaid balances by reviewing aging reports and taking action to bring overdue accounts closer to current status. • Investigate denied, rejected, or delayed claims and complete the necessary follow-up to secure resolution. • Communicate with insurance carriers to clarify claim issues, verify status updates, and obtain payment outcomes. • Manage collection efforts across government and commercial payers, including Medicare Part B and private insurance plans. • Research account discrepancies, identify barriers to reimbursement, and apply practical solutions to close open items. • Maintain accurate documentation on account activity, payer responses, and next steps for follow-up. • Collaborate with internal billing stakeholders as needed to address outstanding receivables and support account cleanup efforts.
2026-05-15T00:00:00Z

Medical Biller/Collections Specialist

Kirkland, WA
onsite
Temporary to Hire
28 - 31 USD / Hourly
We are looking for a detail-oriented Medical Biller/Collections Specialist to join a healthcare team in Washington. This contract-to-permanent opportunity is ideal for someone with hands-on experience in medical billing, payment posting, credits review, and insurance-related collections work. The person in this role will help resolve outstanding credit balances, support refund processing, and ensure account activity is researched and documented accurately. Success in this position requires strong Excel skills, sound judgment when evaluating payer and patient payments, and the ability to work efficiently across multiple reports and billing systems. Responsibilities: • Review account data across assigned tracking reports to identify payment discrepancies, open credits, and refund-related issues. • Post and reconcile incoming payments while verifying that transactions are applied correctly within the billing system. • Investigate credit balances to determine the cause, confirm whether adjustments are needed, and recommend appropriate account resolution. • Process payer and patient refunds by validating overpayments, confirming responsible parties, and following each payer’s required refund method. • Prepare and submit refund documentation, including special forms or retraction requests when a payer does not accept standard reimbursement processing. • Use billing system tools and research resources to analyze account history, payment activity, and collection details with accuracy. • Maintain organized records of account actions, findings, and next steps to support timely follow-up and financial accuracy. • Collaborate with team members handling payment posting and refund work to ensure consistent resolution of accounts and backlog priorities.
2026-05-21T00:00:00Z

Managed Care Medical Billing Specialist

Los Angeles, CA
onsite
Temporary to Hire
23.75 - 32.51 USD / Hourly
A leading hospital in Los Angeles is seeking a detail-oriented Managed Care Medical Billing Specialist to join its revenue cycle team. This role is responsible for ensuring accurate and timely claim submission, follow-up, and resolution of managed care billing issues. The ideal Managed Care Medical Billing Specialist will have strong knowledge of medical billing processes, payer requirements, and accounts receivable follow-up within a hospital environment. Key Responsibilities: <ul><li>Demonstrate the ability to determine the accuracy of pertinent medical, coding, eligibility, authorization, demographic, and financial information, and make any required corrections. </li><li>Determine payer documentation requirements for payment and ensure all necessary supporting documentation is available for claim submission. </li><li>Transmit and submit clean claims to payers within three working days of receipt, while maintaining a productivity standard of 200 claims per day.</li><li>Update the computer system to reflect claim submission and transmission activity. </li><li>Review payer correspondence and provide corrections and/or additional documentation within three working days. </li><li>Review payment data for suspensions, underpayments, and denials, and submit appropriate responses, including corrected insurance forms and rebills as needed. </li><li>Review bi-monthly accounts receivable reports to identify claims that have been submitted but remain unresolved or unacknowledged, as well as claims that have not yet been submitted, and take appropriate action to ensure timely resolution</li><li>Preepare adjustments needed to ensure account balances reflect payable amounts and forward them to management for review and authorization. </li></ul>
2026-05-20T00:00:00Z

Medical Collections Specialist

Sacramento, CA
onsite
Temporary to Hire
24 - 26 USD / Hourly
We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance. Responsibilities: • Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication. • Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability. • Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution. • Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities. • Draft compelling appeals to challenge claim denials and secure appropriate reimbursements. • Maintain a thorough understanding of various insurance products, including Medicare Advantage plans. • Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals. • Collaborate with team members to handle complex claims and develop effective solutions. • Utilize analytical skills to make informed decisions on resolving claims and account discrepancies. • Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
2026-05-20T00:00:00Z

Medical Collections Specialist

North Hollywood, CA
onsite
Temporary / Contract
23.19 - 30.01 USD / Hourly
A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.Key Responsibilities<ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul>
2026-05-18T00:00:00Z

Insurance Follow-Up Specialist

Danville, KY
onsite
Temporary to Hire
15.675 - 18.15 USD / Hourly
We are looking for an Insurance Follow-Up Specialist to join a healthcare revenue cycle team in Kentucky. This contract opportunity with potential for a permanent role is ideal for someone who can manage insurance billing activity with accuracy, persistence, and strong attention to detail. The person in this role will help drive timely reimbursement by reviewing claims, resolving payer issues, and working outstanding balances through consistent follow-up. Responsibilities: • Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule. • Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations. • Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays. • Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement. • Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts. • Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed. • Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors. • Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.
2026-04-27T00:00:00Z

Medical Billing/Claims/Collections

Plymouth, NH
onsite
Temporary / Contract
18 - 20 USD / Hourly
We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support patient financial services for a healthcare organization in Plymouth, New Hampshire. This Contract position focuses on assisting patients with billing matters, maintaining accurate insurance and account information, and helping ensure smooth coordination of financial and referral-related processes. The ideal candidate is comfortable communicating with patients, handling administrative tasks, and addressing questions related to insurance coverage, balances, and payment arrangements. Responsibilities:• Confirm insurance details and accurately record billing information in the appropriate system to support timely claims processing.• Guide patients through intake documentation by reviewing forms with them and clearly explaining required paperwork.• Coordinate and submit internal service referrals to help patients access additional care as needed.• Speak with patients about account balances, billing concerns, and available options for resolving outstanding charges.• Arrange payment plans based on patient needs and collect past-due balances in a courteous and respectful manner.• Respond to questions related to insurance, billing statements, and payment expectations with clear and helpful information.
2026-05-06T00:00:00Z