<p>We are looking for a skilled Clinical Consultant to join our team on a contract basis.This role focuses on supporting a strategic benefit digitization initiative, ensuring consistent and accurate coding practices across diverse markets. As part of a healthcare organization advancing its digital transformation, you will play a vital role in optimizing member and provider experiences while ensuring compliance with regulatory standards.</p><p><br></p><p>Responsibilities:</p><p>• Apply standardized coding practices to interpret and digitize benefit structures effectively.</p><p>• Develop and manage groupings of procedures and service codes to ensure accurate alignment with benefit plans.</p><p>• Maintain and update industry-standard codes quarterly and annually, along with benefit plan modifications throughout the year.</p><p>• Execute coding solutions for benefit administration across multiple markets, including customized coding for nonstandard requests.</p><p>• Ensure coding practices comply with regulatory mandates and support updates as needed.</p><p>• Provide expert consultation on coding inquiries to project teams and business partners.</p><p>• Collaborate with cross-functional project teams to contribute coding expertise for successful implementations.</p><p>• Support benefit digitization initiatives by leveraging advanced coding methodologies and tools.</p><p>• Assist in designing and implementing digital capabilities that align with organizational goal</p>
<p>We are looking for a detail-oriented Medical Administrative Assistant to join our team in Boca Raton, Florida. As part of this contract position, you will play a key role in supporting daily operations by managing administrative tasks and ensuring seamless communication within the office. This role requires a proactive individual who thrives in a healthcare or medical setting.</p><p><br></p><p>Responsibilities:</p><p>• Collect, document, and organize detailed information to maintain accurate records.</p><p>• Manage scheduling tasks, including appointments and follow-ups, to ensure efficient office operations.</p><p>• Perform data entry and maintain databases with precision and accuracy.</p><p>• Support reception duties by answering inbound calls and addressing inquiries in a thorough and attentive manner.</p><p>• Collaborate with team members to streamline administrative processes and enhance workflow.</p><p>• Provide general office assistance, including handling correspondence and managing supplies.</p><p>• Adapt quickly to new systems and procedures to meet evolving needs.</p>
<p>Join our team as a <strong>Remote Inpatient Coding Specialist</strong> and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul>
<p><strong>Healthcare Medical Assistant</strong></p><p><strong>About the Role:</strong></p><p>We are seeking a dedicated Medical Assistant with a passion for patient care in a fast-paced healthcare environment.</p><p><strong>Responsibilities:</strong></p><ul><li>Room patients and record vitals</li><li>Assist providers with exams and procedures</li><li>Perform administrative tasks such as appointment scheduling</li><li>Maintain patient charts and medical records</li></ul>
<p>The Inpatient/DRG Validation Coding Auditor is responsible for reviewing acute inpatient medical records to ensure accurate coding, compliant documentation, and appropriate DRG assignment. The role focuses on identifying coding errors, ensuring regulatory compliance, optimizing reimbursement, and providing education and feedback to coders and CDI teams.</p><p><br></p><p>Key Responsibilities</p><ul><li>Perform detailed audits of inpatient records to validate <strong>ICD-10-CM/PCS coding</strong>, DRG assignment (MS-DRG, APR-DRG, TRICARE), and clinical documentation accuracy.</li><li>Ensure documentation supports coded diagnoses, procedures, severity of illness, and resource utilization.</li><li>Identify overpayments and underpayments through claim analysis (including 30-day lookbacks).</li><li>Provide clear, compliant audit recommendations aligned with Official Coding Guidelines and AHA Coding Clinics.</li><li>Partner with CDI specialists to identify documentation improvement and query opportunities.</li><li>Maintain productivity, quality standards, and client turnaround expectations.</li><li>Stay current on regulatory changes, reimbursement policies, and coding updates.</li><li>Contribute to process improvement initiatives and compliance risk identification.</li></ul><p><br></p>
<p>Robert Half is seeking a proactive and organized Medical Scheduler with hands-on EPIC experience for a leading healthcare client. The ideal candidate will play a key role in ensuring efficient daily scheduling operations and delivering excellent service to both patients and clinical staff.</p><p>Key Responsibilities:</p><ul><li>Coordinate, schedule, and confirm patient appointments using the EPIC electronic health records (EHR) system</li><li>Review, update, and maintain patient records to ensure accuracy and compliance with healthcare regulations</li><li>Liaise with clinical staff to prioritize urgent scheduling needs and optimize provider schedules</li><li>Act as a friendly, knowledgeable point of contact for patient scheduling inquiries, appointment changes, and general information requests</li><li>Collaborate with administrative and medical teams to streamline scheduling workflows and improve the patient experience</li><li>Demonstrate expertise in electronic records management, patient access workflows, and multitasking in a high-volume environment</li></ul><p><br></p>
<p>We are looking for an organized and detail-oriented Medical Administrator to join our team in Syracuse, New York. This contract position offers the opportunity to contribute to the healthcare industry by providing essential administrative support to clinical supervisors and team members. The ideal candidate will play a key role in coordinating patient services, managing referrals, and ensuring accurate data entry to support our operations.</p><p><br></p><p>Responsibilities:</p><p>• Accurately review and input authorization data into the database, ensuring timely management of expiring authorization reports.</p><p>• Coordinate patient services by scheduling and communicating with appropriate agencies, as directed by the clinical team.</p><p>• Actively engage in performance improvement initiatives and contribute to continuous quality enhancement activities.</p><p>• Generate and manage various organizational reports as requested by supervisors.</p><p>• Perform general clerical tasks, such as filing, typing, copying, faxing, and message-taking, to support day-to-day operations.</p><p>• Communicate regularly with members to address their needs and collaborate with team members to provide comprehensive support.</p><p>• Participate in team meetings and offer recommendations to optimize operational processes.</p><p>• Maintain confidentiality while handling sensitive information and adhering to organizational policies.</p><p>• Carry out additional duties as assigned by the supervisor to ensure the smooth functioning of the department.</p>
<p>ONSITE POSITION – We are looking for a highly-organized Medical Records Administrative Assistant to support our client in SeaTac, Washington. This strictly back-office role is dedicated to effective record-keeping, quality checks, and support activities—not patient interaction or Release of Information requests. This is a long-term contract, Monday – Friday, 8am–5pm.</p><p><strong>Responsibilities:</strong></p><ul><li>Scan, upload, and index incoming medical documents to the appropriate records within the EHR and document management platforms.</li><li>Routinely audit records for accuracy and completeness, flagging discrepancies for team review.</li><li>Maintain updated databases and inventory logs for both paper and electronic files.</li><li>Support the organization, purging, and archiving of inactive records in line with retention schedules and policies.</li><li>Coordinate with team members to reconcile duplicate entries, resolve filing errors, or update missing documentation.</li><li>Prepare files for internal audits, compliance reviews, or routine departmental checks.</li><li>Assist with ongoing records system improvement projects strictly within the records group.</li><li>Always adhere to HIPAA, state laws, and organizational privacy/security protocols for all record handling.</li></ul>
<p>We are looking for a detail-oriented Medical Admin with expertise in medical coding to join our team in Emeryville, California. In this long-term contract position, you will play a key role in ensuring accurate processing of medical claims and invoices while contributing to the smooth operation of healthcare administrative tasks. This opportunity is ideal for bilingual professionals fluent in Spanish who are certified in medical billing and coding.</p><p><br></p><p>Responsibilities:</p><p>• Accurately input medical claims data into relevant systems to ensure timely processing.</p><p>• Perform detailed invoice data entry for billing purposes.</p><p>• Utilize coding systems such as ICD-10, ICD-9 CPT-4, and ICDM CPT to classify and process medical documentation.</p><p>• Conduct audits to ensure compliance with billing standards and regulatory requirements.</p><p>• Collaborate with healthcare teams to manage claims and resolve discrepancies.</p><p>• Apply software tools like 3M, Cerner Technologies, and Allscripts to streamline administrative operations.</p><p>• Assist in managing workers' compensation claims and related documentation.</p><p>• Generate charts, graphs, and reports to support clinical trial operations and billing functions.</p><p>• Maintain up-to-date knowledge of coding practices and healthcare administrative standards.</p><p>• Ensure secure handling and confidentiality of sensitive medical data.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450</p>
<p>THIS IS AN ONSITE POSITION – We are seeking a detail-oriented Medical Records Clerk to support our client in Tukwila, Washington. In this role, you will be responsible for the accurate, secure, and organized processing of all health information records strictly within the records department—supporting compliance and ensuring data integrity. This is a long-term contract position, Monday – Friday, 8am–5pm.</p><p><strong>Responsibilities:</strong></p><ul><li>Receive, review, and organize all incoming medical documents (paper and electronic) in line with established records protocols.</li><li>Prepare documents for scanning by removing fasteners, checking page order, and ensuring legibility.</li><li>Scan documents into the electronic health record (EHR) system, accurately indexing them to the appropriate file.</li><li>Conduct routine quality checks to ensure digitized records are complete and compliant with organizational standards.</li><li>File, archive, and retrieve records for internal departmental processes, maintaining accurate logs of records movement.</li><li>Maintain retention schedules by preparing files for archiving or secure destruction as necessary.</li><li>Identify and resolve filing errors, duplicates, or missing information in collaboration with your records team.</li><li>Strictly safeguard all information in accordance with HIPAA and organizational privacy policies.</li><li>Participate in regular team projects, such as audits or process improvements, relating specifically to records control.</li></ul>
<p>Robert Half is looking for a dedicated Health Information Management (HIM) Clerk to complete a project in Pasco, WA. This role involves handling and organizing medical records with precision and efficiency, ensuring compliance with retention requirements and facilitating smooth record management processes.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough reviews of boxes of medical records to ensure compliance with retention policies.</p><p>• Accurately label and categorize records, including marking destruction dates for future reference.</p><p>• Organize documents to facilitate efficient storage and eventual disposal processes.</p>
<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. </p><p><br></p><p>DUTIES AND RESPONSIBILITIES</p><p> -Performs full cycle billing and collection functions for Surgical professional fees</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission</p><p> -Performs all data entry and charge posting functions for surgical services as needed </p><p> -Performs all third party follow-up functions for all products and surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p> -Provides the correct ICD-10M code to identify the provider's narrative diagnosis</p><p> -Provides the correct HCPCS code to identify medications and supplies </p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p> - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons</p>
<p>A Behavioral Health Company in Long Beach is in the need of a Lead Medical Billing Operations Coordinator. The Lead Medical Billing Operations Coordinator will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead Medical Billing Operations Coordinator must have behavioral health experience. </p><p><br></p><p>Responsibilities:</p><p>• Supervise and provide daily guidance to billing staff, ensuring adherence to established procedures.</p><p>• Conduct training, coaching, and performance evaluations for team members, supporting their growth and attention to detail.</p><p>• Review billing documentation and workflows to ensure accuracy and compliance with established protocols.</p><p>• Address claim denials by analyzing monthly revenue reports and implementing corrective measures.</p><p>• Collaborate with Quality Assurance staff to update administrative sections of client files as needed.</p><p>• Process electronic billing efficiently, ensuring clean and accurate claims using available technology.</p><p>• Reconcile billing reports for the Department of Mental Health and Behavioral Health Services, ensuring compliance with agency standards.</p><p>• Partner with the Billing Director to implement new procedures and provide operational feedback.</p><p>• Organize and facilitate departmental meetings and training sessions to improve team performance.</p><p>• Attend required meetings and training sessions to stay updated on internal and external systems relevant to billing operations.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position offers an excellent opportunity for detail-oriented individuals with expertise in medical billing, accounts receivable, and claims processing to contribute to a dynamic environment. The ideal candidate will possess strong technical skills and the ability to interpret complex healthcare regulations while maintaining exceptional attention to detail and customer service.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage billing functions, ensuring compliance with healthcare regulations and accuracy in all claims.</p><p>• Research and resolve complex issues related to accounts receivable, appeals, and benefit functions.</p><p>• Utilize advanced knowledge of billing systems, including Allscripts, Cerner Technologies, and EHR systems, to manage patient data effectively.</p><p>• Maintain and update records using computerized filing systems, ensuring consistency and organization.</p><p>• Prepare and review detailed reports, including insurance claims and treatment authorization forms, with precision.</p><p>• Perform coding and data entry tasks that align with departmental procedures and healthcare policies.</p><p>• Collect and reconcile payments, adjust accounts as necessary, and ensure proper documentation of financial transactions.</p><p>• Provide exceptional customer service by addressing patient inquiries and explaining billing procedures in a clear and thorough manner.</p><p>• Train and support team members in technical processes, fostering a collaborative and efficient work environment.</p><p>• Develop and maintain spreadsheets and databases to track financial and statistical data for reporting purposes.</p><p>For immediate consideration please contact Cortney 209-225-2014 </p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>Robet Half is looking for a skilled Medical Billing Specialist to join to join a team based in Philadelphia, Pennsylvania. This contract Medical Billing Specialist position as potential for long-term employment and is ideal for professionals who excel in managing medical billing processes and ensuring the accuracy of patient and insurance data. The successful Medical Billing Specialist candidate will play a critical role in maintaining efficient billing workflows and supporting compliance with healthcare regulations. If you are looking for an opportunity to get your career moving in the right direction and put your talents to the test then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013410775.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems.</p><p><br></p><p>• Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness.</p><p><br></p><p>• Apply knowledge of medical codes to ensure accurate data entry and validation.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims.</p><p><br></p><p>• Prepare billing data for claim submission while adhering to established guidelines.</p><p><br></p><p>• Maintain compliance with healthcare privacy policies and organizational standards.</p><p><br></p><p>• Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues.</p><p><br></p><p>• Support the optimization of billing workflows to enhance operational efficiency.</p><p><br></p><p>• Assist in audits, reporting, and specialized data cleanup projects as needed.</p>
<p>We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices</li></ul><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.</p><p>• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.</p><p>• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.</p><p>• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.</p><p>• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.</p><p>• Maintain secure and compliant records of Protected Health Information used in billing activities.</p><p>• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.</p><p>• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.</p><p>• Collaborate with internal teams to streamline billing processes and improve efficiency.</p>
<ul><li>Accurately process claims, invoices, and patient billing statements</li><li>Review medical records and documentation for billing compliance</li><li>Verify insurance coverage and eligibility</li><li>Follow up on unpaid claims and resolve billing discrepancies</li><li>Maintain up-to-date knowledge of billing codes (ICD, CPT, HCPCS) and regulatory requirements</li><li>Collaborate with internal teams and external partners to ensure timely reimbursement</li><li>Respond to patient inquiries regarding billing and insurance</li></ul><p><br></p>
<p>Are you an experienced medical billing professional ready to make an impact? Robert Half is hiring a Medical Billing Specialist for a contract role supporting our client in Holyoke, MA. This is an excellent opportunity to apply your billing and reimbursement expertise with a respected organization.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Process and submit medical claims accurately and promptly</li><li>Review patient information and insurance details for validity and completeness</li><li>Resolve claim discrepancies and follow up on outstanding accounts</li><li>Collaborate with healthcare providers, insurers, and patients to secure accurate payments</li><li>Ensure compliance with HIPAA and industry billing standards</li><li>Manage billing software and maintain up-to-date records in the electronic health record system</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models.<br><br>Responsibilities:<br>• Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections.<br>• Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers.<br>• Conduct quality assurance checks and audits of billing tasks performed by team members.<br>• Handle out-of-network billing and provide support for concierge-model practices.<br>• Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog.<br>• Assist with collections and reimbursement strategies to optimize revenue.<br>• Maintain detailed and accurate billing records, including comprehensive account documentation.<br>• Ensure compliance with payer policies, industry standards, and internal workflows.<br>• Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
<p>A client is seeking a detail-oriented medical billing specialist to support billing operations. The ideal candidate will play a key role in ensuring accurate, timely billing and maintaining efficient processes in a fast-paced setting.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately process medical billing and submit claims.</li><li>Follow up on outstanding payments and claims as needed.</li><li>Assist in identifying and resolving billing discrepancies.</li><li>Maintain well-organized records and documentation.</li><li>Collaborate with internal teams to ensure adherence to established policies and procedures.</li></ul><p><br></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in French Camp, California. In this role, you will handle complex billing procedures, ensure accurate claims processing, and provide exceptional customer service to patients and stakeholders. This is a Contract to permanent position within the healthcare industry, offering an opportunity to contribute to vital administrative functions while ensuring compliance with regulations.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage complex medical billing procedures, including accounts receivable functions and claim submissions.</p><p>• Review and verify insurance claims, applying advanced knowledge of reimbursement codes and policies.</p><p>• Research and resolve billing discrepancies to ensure accurate and timely payment processing.</p><p>• Maintain and update patient records using electronic health record (EHR) systems such as Allscripts and Cerner Technologies.</p><p>• Generate detailed reports and statistical data to support departmental operations and budget planning.</p><p>• Provide specialized program-related information to patients, clients, and outside agencies in a detail-oriented manner.</p><p>• Collaborate with team members to improve billing processes and ensure compliance with healthcare regulations.</p><p>• Train and assist other staff in billing procedures and system usage as needed.</p><p>• Handle appeals and benefit functions, ensuring proper documentation and resolution.</p><p>• Utilize software tools such as Dynamic Data Exchange (DDE) and Epaces for efficient billing and data management.</p><p><br></p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>Join Robert Half to support a leading client in West Springfield, MA as a Medical Billing Specialist! We are seeking a detail-driven professional to manage medical billing processes, ensure timely reimbursement, and contribute to the financial health of the organization. This is a contract opportunity with immediate impact.</p><p>Key Responsibilities:</p><ul><li>Accurately process medical claims, payments, and billing statements</li><li>Review and verify patient information, insurance coverage, and medical records</li><li>Resolve billing discrepancies and collaborate with healthcare providers, patients, and insurers</li><li>Maintain compliance with HIPAA and industry regulations</li><li>Manage account follow-up and collections to maximize revenue cycle efficiency</li><li>Utilize electronic health records (EHR), billing software, and related systems</li></ul><p><br></p>
<p>The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. </p><p>Essential Duties:</p><p>• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.</p><p>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.</p><p>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.</p><p>• Reverses balance to credit or debit if charges were improperly billed.</p><p>• Contacts insurance carriers as necessary to determine correct payment application.</p><p>• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.</p><p>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.</p><p>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.</p><p>• Communicates issues related to payment posting and refunds from payers to management.</p><p>• Updates correct payer and resubmits claims to the payers.</p><p>• Consistently meets/exceeds productivity and quality standards.</p><p>• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.</p><p>• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.</p><p>• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.</p><p>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.</p><p>• Special billing and collections for LOAs.</p><p>• Special billing and collections for Case Rates.</p><p>• Special billing and collections for Embassy Services.</p><p>• Performs other related duties as assigned by management team.</p>