<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
<p>We are seeking a detail-oriented and experienced <strong>Medical Billing Specialist</strong> to join our team in a hybrid capacity. The ideal candidate will be responsible for ensuring accurate and timely billing and reimbursement for healthcare services. This role involves working closely with internal departments and external payers to resolve billing issues and maintain compliance with industry standards.</p><p> </p><p> </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit clean claims to insurance companies using billing software (e.g., Evolv NX, Epic).</li><li>Process remittances and deposits; analyze Explanation of Benefits (EOBs).</li><li>Track and resolve held, denied, or partially paid claims.</li><li>Bill secondary and tertiary payers as needed.</li><li>Maintain accurate records of billing activities and journal entries.</li><li>Communicate with patients regarding balances and payment plans.</li><li>Collaborate with clinical and QA teams to ensure proper documentation and coding.</li><li>Lead internal and external meetings related to billing and collections.</li><li>Generate monthly billing reports and assist with audits.</li></ul><p> </p><p> </p><p><br></p>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>Lana Funkhouser with Robert Half is looking for a skilled Revenue Cycle Manager to oversee and enhance the financial health of our organization in Emmett, Idaho. This role involves leading all aspects of revenue cycle operations, ensuring compliance with regulatory standards, and implementing strategies to improve efficiency and accuracy in billing and coding. The ideal candidate will bring strong expertise in healthcare revenue management and a proven ability to drive results through collaboration and innovation.</p><p><br></p><p>Responsibilities:</p><p>• Develop and execute strategic plans for the Revenue Cycle team, setting clear goals and objectives.</p><p>• Provide expert oversight on CPT and ICD-10 coding, while preparing for the transition to ICD-11 standards.</p><p>• Manage the Chargemaster, ensuring timely updates and accurate coding for all services to support proper billing.</p><p>• Utilize quality improvement tools to monitor billing accuracy, identify concerns, and implement corrective actions.</p><p>• Deliver training to providers and staff on updates to coding and billing practices, particularly for Critical Access Hospitals.</p><p>• Ensure compliance with privacy standards, the No Surprises Act, Hospital Price Transparency Rule, and other federal and state regulations.</p><p>• Build and maintain strong relationships with insurance companies to address issues affecting cash flow, such as claim denials or policy changes.</p><p>• Drive revenue integrity by optimizing charge capture, reimbursement processes, patient collections, and minimizing bad debt.</p><p>• Regularly evaluate team performance, ensuring goals are met and providing feedback for continuous improvement.</p><p>• Act as the subject matter expert on revenue cycle operations, advising leadership on payer relations and regulatory changes.</p><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p><p><br></p>
<p>We are looking for a dedicated Patient Financial Services Supervisor to oversee medical billing operations in a healthcare environment. This long-term contract position is based in French Camp, California, and offers an excellent opportunity to lead a team responsible for ensuring accurate claims processing and maximizing reimbursements. The ideal candidate will have a strong background in medical billing and coding, along with proven leadership skills.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage the daily operations of the medical billing and collections team to ensure efficiency and accuracy.</p><p>• Identify and resolve complex billing issues, including denials, appeals, and system errors.</p><p>• Collaborate with insurance companies, internal departments, and external stakeholders to streamline processes and improve reimbursement outcomes.</p><p>• Train and mentor staff on billing policies, compliance standards, and industry updates.</p><p>• Audit and review claims such as UB-04 and CMS-1500 to ensure accuracy and adherence to guidelines.</p><p>• Monitor account workflows and implement strategies to enhance productivity and cash flow.</p><p>• Prepare detailed reports and analyses on billing performance and account status.</p><p>• Ensure compliance with Medicare, Medicaid, and commercial payer requirements.</p><p>• Leverage billing systems and tools to optimize operations and reduce errors.</p><p><br></p><p>For immediate consideration please call Cortney at 209-225-2014 </p>
<p>A boutique <strong>family medicine and wellness practice</strong> in <strong>Rancho Santa Fe</strong> is looking for a reliable and detail-oriented <strong>Medical Biller</strong> to join their administrative team. This role will handle end-to-end billing functions including claim submission, payment posting, and patient collections for a small but high-volume private office.</p><p>The ideal candidate will be self-sufficient, organized, and knowledgeable in both insurance and private-pay billing processes.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately process and submit insurance claims through clearinghouses and payer portals.</li><li>Verify patient eligibility and benefits prior to appointments.</li><li>Post insurance and patient payments; reconcile deposit logs.</li><li>Manage denials, rejections, and appeals with appropriate documentation.</li><li>Generate patient statements and follow up on outstanding balances.</li><li>Maintain compliance with HIPAA and practice policies.</li><li>Communicate with patients regarding billing inquiries in a professional manner.</li><li>Coordinate with the front office and clinical staff to resolve coding or authorization discrepancies.</li><li>Maintain accurate digital and paper billing files.</li></ul>
<p>We are looking for a Certified Medical Coder to join our team in Sacramento, California. This is a long-term contract position that requires expertise in accurately translating medical information into standardized codes for billing and insurance purposes. The ideal candidate will bring precision, attention to detail, and a commitment to maintaining compliance with coding regulations.</p><p><br></p><p><strong>** Must have experience coding for a surgery center or hospital ** For immediate consideration, apply and contact Julian Sanchez on LinkedIn **</strong></p><p><br></p><p>Responsibilities:</p><p>• Review medical records and reports to assign accurate numeric and alphanumeric codes.</p><p>• Translate patient diagnoses, procedures, and medical histories into standardized codes for billing purposes.</p><p>• Prepare and submit insurance claims while ensuring proper documentation and compliance.</p><p>• Conduct audits and reviews of coding practices to ensure accuracy and adherence to regulations.</p><p>• Provide training and mentorship to less experienced coders as needed.</p><p>• Collaborate with healthcare professionals to verify diagnostic information and clarify medical data.</p><p>• Stay informed on updates to medical coding policies, regulations, and software.</p><p>• Maintain confidentiality and uphold ethical standards in handling patient information.</p><p>• Utilize coding software and tools such as 3M, Cerner, and Allscripts to ensure efficient operations.</p>
We are looking for a meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity to contribute to the efficient management of radiology billing and insurance processes while ensuring compliance with industry standards. The ideal candidate will excel in communication and collaboration, supporting both patients and clinical staff in navigating complex billing and authorization procedures.<br><br>Responsibilities:<br>• Verify patient insurance eligibility and coverage for scheduled radiology exams, ensuring all checks are completed ahead of schedule.<br>• Initiate and secure prior authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation.<br>• Follow up proactively with insurance providers to obtain approvals and communicate authorization status to patients and clinical teams.<br>• Address patient billing inquiries, assist with payment collections, and resolve discrepancies in claims or appeals.<br>• Process denied claims and write appeals for radiology procedures, ensuring timely follow-through on billing issues.<br>• Generate zero balance bills upon request and provide financial support to patients as needed.<br>• Maintain clear and precise communication with patients, physician offices, insurance companies, and internal staff.<br>• Document all interactions and updates accurately in electronic health and billing systems.<br>• Stay informed about changes in insurance regulations, payer policies, and coding guidelines relevant to radiology services.<br>• Ensure all processes adhere to compliance standards and organizational guidelines.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical claims, collections, and coding. Based in New Orleans, Louisiana, this position offers an opportunity to contribute your expertise to a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Process medical claims with accuracy and efficiency, adhering to industry standards and regulations.<br>• Conduct medical coding to ensure proper classification and compliance with billing requirements.<br>• Manage collections by following up on outstanding balances and resolving discrepancies.<br>• Utilize Epaces and other systems to monitor claims and maintain data integrity.<br>• Communicate effectively with healthcare providers and insurance companies to address billing issues.<br>• Verify patient information and insurance details to facilitate accurate billing.<br>• Identify and resolve errors in claims submissions to minimize delays and denials.<br>• Maintain up-to-date knowledge of billing policies, procedures, and regulatory changes.<br>• Generate reports to track billing performance and identify areas for improvement.<br>• Collaborate with team members to streamline billing processes and enhance operational efficiency.
We are looking for a meticulous Medical Billing Specialist to join our team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise.<br><br>Responsibilities:<br>• Prepare and submit medical claims to insurance providers using accurate coding practices.<br>• Verify and update patient insurance information within internal systems.<br>• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.<br>• Review insurance claim denials and initiate corrections or appeals to ensure payment.<br>• Coordinate with third-party payers for authorizations and eligibility verification.<br>• Accurately post payments to patient accounts, including deductibles and copay amounts.<br>• Generate and send patient statements for outstanding balances.<br>• Address patient inquiries regarding billing concerns with professionalism and clarity.<br>• Ensure compliance with federal, state, and insurance-specific regulations.<br>• Create detailed reports on billing activities and accounts receivable trends for management review.
<p>Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! </p><p> </p><p>Responsibilities:</p><ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol><p><br></p>
<p>We are looking for a detail-oriented Billing Clerk to join our team in Cleveland, Ohio. In this role, you will be responsible for managing billing processes, maintaining vendor relationships, and ensuring timely payments. The ideal candidate will excel in data entry, have experience with clinical billing, and act as a liaison between community services and the finance team. This is a direct hire position with standard business hours. Please apply TODAY if you are interested! </p><p><br></p><p>Responsibilities:</p><p>• Manage vendor relationships to ensure smooth communication and effective collaboration.</p><p>• Oversee payment processes, ensuring timely and accurate transactions.</p><p>• Gain familiarity with grants and their associated billing processes to ensure compliance.</p><p>• Perform accurate data entry for billing tasks, maintaining integrity and precision.</p><p>• Handle clinical billing related to social worker services, ensuring proper documentation and coding.</p><p>• Act as a liaison between community service teams and the finance department to facilitate seamless operations.</p><p>• Address and resolve billing discrepancies, ensuring accuracy in reports and systems.</p><p>• Monitor compliance with medical coding regulations and insurance policies.</p><p>• Coordinate with clinical staff to verify services are accurately captured and billed promptly.</p><p>• Develop and implement improvements to streamline and enhance billing efficiency.</p><p><br></p><p><br></p><p>They do offer a full benefits package with multiple options to pick for medical, dental, vision, 401K, PTO, and sick days. </p>
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
<p>We are seeking a few highly skilled and detail-oriented Revenue Integrity Analyst(s)/Senior Analysts to join our consulting team with a possible permanent position at our client. This role is essential in ensuring the integrity of revenue processes by focusing on charge capture, clinical documentation management, compliance, denial prevention, and reducing revenue leakage. The ideal candidate will play a critical role in safeguarding operational efficiency, improving reimbursement, and supporting organizational goals through their expertise in claims analysis, coding audits, and charge master processes.</p><p><br></p><p>Key Metrics of Success:</p><p><br></p><p>Reduction in denial rates through improved claims management and appeal processes.</p><p>Minimization of revenue leakage through accurate charge capture and coding audits.</p><p>Enhanced clinical documentation that aligns with coding and billing requirements.</p><p>Proactive</p><p><br></p><p>Qualifications:</p><p><br></p><p>Strong knowledge of healthcare revenue cycle, coding standards (e.g., ICD-10, CPT, and HCPCS), and billing regulations. Exposure/experience Epic, Cerner, etc.</p><p>Experience with charge description master management, claims denial analytics, and workflows associated with clinical charge capture.</p><p>Familiarity with payer guidelines and regulatory compliance in revenue cycles.</p><p><br></p><p><br></p><p>Revenue integrity ensures a healthcare organization receives accurate and compliant reimbursement for all services provided by maintaining high standards in clinical documentation, coding, billing, and payer relations. It involves continuous</p><p>monitoring, auditing, and training to prevent revenue leakage, reduce errors and denials, and ensure operational efficiency, ultimately supporting financial stability while adhering to regulatory standards.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>Revenue Integrity Oversight: Perform daily activities to uphold and enhance the organization's revenue integrity processes, ensuring accurate charge capture and clinical documentation management.</p><p>Charge Capture Analysis: Monitor and optimize charge capture workflows to ensure all procedures and services are accurately billed, minimizing missed opportunities and revenue leakage.</p><p>Clinical Documentation Management: Partner with clinical teams to ensure accurate and complete clinical documentation that supports appropriate coding practices and maximizes reimbursement.</p><p>Claims Review and Denial Prevention: Regularly analyze claims data to identify trends in denials and missed reimbursements; implement proactive solutions to reduce denial rates and appeal claims as necessary.</p><p>Coding Audit Integrity: Conduct thorough audits of coding practices and records to ensure compliance with all regulatory standards and accuracy in reimbursement. Provide feedback and recommendations for corrective action where discrepancies are identified.</p><p>Revenue Leakage Prevention</p><p>Charge Description Master (CDM) Management: Collaborate with CDM management teams to ensure accurate and up-to-date maintenance of the charge description master. Partner with clinical and billing departments to resolve discrepancies or errors.</p><p>Claim and Reporting Analysis</p>
<p>We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.</p><p> </p><p>Responsibilities:</p><ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul><p><br></p>
<p>The Robert Half Healthcare Practice is working with a healthcare organization to add a <strong>Medical Coder</strong> to their team. This is a fully remote position aside from an <strong>8 week onsite training.</strong> This candidate will be an excellent communicator and a strong attention to detail. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li><strong>Assign codes:</strong> Accurately assign ICD-10-CM, CPT, and HCPCS II codes.</li><li><strong>Review documentation:</strong> Verify medical record documentation supports coding.</li><li><strong>Ensure compliance:</strong> Adhere to all coding guidelines and regulations (e.g., CMS, HIPAA).</li><li><strong>Optimize reimbursement:</strong> Apply coding knowledge for ethical reimbursement.</li><li><strong>Support billing:</strong> Help resolve coding-related claim denials.</li><li><strong>Participate in audits:</strong> Engage in internal and external coding audits.</li><li><strong>Maintain data:</strong> Ensure accurate entry of coded information into systems.</li><li><strong>Uphold confidentiality:</strong> Protect patient information per HIPAA.</li></ul><p><br></p>
<p>Robert Half has a new direct-hire opportunity for a Medical Accounts Receivable and Billing Specialist. This role will support a growing department. Our client offers great work-life balance and ability to work in a fast-paced environment where your work will make a big impact. This position sits on-site full-time Monday-Friday.</p><p><br></p><ul><li>Responsible for billing and coding</li><li>Collecting on past due balances</li><li>Insurance company follow-up</li><li>Maintain up to date information from insurance companies and customers</li><li>Reduce AR aging</li><li>Special project as assigned</li><li>Provide and obtain necessary documentation as needed</li></ul><p><br></p>
<p>Nationally recognized hospital system is seeking a dedicated and experienced <strong>Medical Insurance Collections Specialist</strong> to join our dynamic team. In this critical role, you will be responsible for handling insurance collections, ensuring accurate claims processing, and collaborating with internal departments to resolve outstanding accounts. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient accounts to identify unpaid claims and follow up with insurance providers for resolution.</li><li>Resolve denials and claim discrepancies by researching and resubmitting claims where necessary.</li><li>Communicate with patients and insurance companies regarding outstanding balances and payment plans.</li><li>Maintain accurate and up-to-date records of all collections activities in compliance with company policies and healthcare regulations.</li><li>Collaborate with the billing, coding, and accounts receivable teams to address any billing issues and expedite payments.</li><li>Analyze insurance claims to identify trends, minimize denials, and maximize collections efficiency.</li><li>Ensure compliance with HIPAA and all applicable regulations in handling sensitive healthcare and financial information.</li></ul><p><br></p>
We are looking for a skilled Medical Claims Examiner II to join our team in Roseburg, Oregon. This Contract-to-permanent position involves analyzing and processing healthcare claims to ensure compliance with organizational policies and industry regulations. The role requires excellent attention to detail and the ability to collaborate effectively with healthcare providers, insurance representatives, and other stakeholders.<br><br>Responsibilities:<br>• Review and assess complex medical claims to verify coverage, eligibility, and payment accuracy in accordance with contractual agreements.<br>• Analyze medical records, billing statements, and supporting information to validate claims and ensure compliance with established standards.<br>• Investigate discrepancies in claims, resolve billing issues, and identify fraudulent activities.<br>• Communicate clearly and professionally with healthcare providers, patients, and insurance representatives to address claims-related inquiries.<br>• Collaborate with internal teams, such as billing, collections, and compliance, to resolve escalated claims and investigate claim histories.<br>• Maintain comprehensive electronic records of claims and related documentation for auditing and quality assurance purposes.<br>• Stay informed on healthcare billing practices, insurance policies, and regulatory updates to ensure adherence to current standards.<br>• Propose enhancements to existing processes to improve the efficiency and accuracy of claims handling.
<p>We are looking for a dedicated Revenue Billing Cycle Manager to oversee and optimize the revenue cycle processes for our healthcare organization in Hilo, Hawaii. This role requires a strategic thinker who can lead teams effectively, analyze financial data, and ensure compliance with industry regulations. If you have a strong background in revenue management and are passionate about improving operational efficiency, we encourage you to apply by calling us at 808-531-8056. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage all aspects of the revenue cycle, including patient registration, coding, claims submission, payer relations, and collections.</p><p>• Supervise and mentor a team of 30 or more staff members, fostering growth and collaboration.</p><p>• Analyze financial data to identify trends and implement strategies for revenue cycle optimization.</p><p>• Ensure compliance with healthcare regulations and standards throughout all billing and financial processes.</p><p>• Collaborate with internal and external stakeholders to address billing issues and improve operational workflows.</p><p>• Utilize advanced software systems like Sunquest, XiFin, and Epic to streamline revenue management operations.</p><p>• Develop and oversee budgets, ensuring efficient allocation of resources.</p><p>• Monitor accounts receivable and auditing processes to maintain financial accuracy and transparency.</p><p>• Implement solutions to resolve denials and improve claims management.</p><p>• Conduct regular performance reviews and provide actionable feedback to enhance team productivity.</p>
<p>We are seeking a <strong>Patient Billing & Resolution Specialist</strong> for a temporary position dedicated to resolving hospital and professional billing issues with a high level of customer care. The <strong>Patient Billing & Resolution Specialist</strong> will be responsible for ensuring billing accuracy, managing patient accounts, and delivering excellent service in a fast-paced environment. If you are an experienced <strong>Patient Billing & Resolution Specialist</strong> with a background in collections and healthcare billing, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><ul><li>Respond to HB (Hospital Billing) and PB (Professional Billing) inquiries, including insurance benefits, billing/payment issues, and authorizations.</li><li>Perform timely and efficient self-pay collections via phone and offer payment arrangement options.</li><li>Request and process adjustments, contractual write-offs, bad debt transfers, and presumptive charity determinations.</li><li>Document steps taken on each account accurately and consistently.</li><li>Ensure productivity standards are met by managing daily assigned accounts.</li><li>Follow established policies, procedures, and applicable regulations (federal, state, and local).</li><li>Maintain strong knowledge of billing practices, including third-party payer procedures and requirements.</li><li>Handle technical issues and system navigation with minimal supervision.</li><li>Other duties as assigned.</li></ul>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
