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38 results for Certified Professional Coder jobs

Medical Coder

Cedar Rapids, IA
onsite
Temporary / Contract
24 - 26 USD / Hourly
We are looking for a detail-oriented Medical Coder to support billing operations for a Long-term Contract position based in Cedar Rapids, Iowa. This role is responsible for accurately translating patient medical records into standardized codes used for billing, reporting, and compliance. The ideal candidate has a strong understanding of medical terminology, coding systems, and regulatory guidelines, with a commitment to accuracy and efficiency. Key Responsibilities<ul><li>Review medical records, physician notes, and documentation to assign accurate codes for diagnoses and procedures</li><li>Apply ICD-10-CM, CPT, and HCPCS coding standards in accordance with payer and regulatory requirements</li><li>Ensure coding accuracy to support timely billing and reimbursement</li><li>Identify and resolve coding discrepancies or incomplete documentation</li><li>Collaborate with providers, billing teams, and compliance staff to clarify documentation</li><li>Maintain up-to-date knowledge of coding guidelines, payer policies, and healthcare regulations</li><li>Assist with audits and ensure adherence to HIPAA and compliance standards</li></ul>
2026-05-18T00:00:00Z

Clinical Medical Coder

Indianapolis, IN
onsite
Temporary / Contract
19 - 22 USD / Hourly
We are seeking a detail-oriented Clinical Medical Coder to join our healthcare team. This role is responsible for reviewing clinical documentation and accurately assigning appropriate medical codes for diagnoses, procedures, and services to support compliant billing and reimbursement processes. The ideal candidate will have strong knowledge of coding guidelines, excellent analytical skills, and a commitment to accuracy. This role is primarily remote, but candidates must live close enough to attend minimal onsite training and occasional in-person meetings as needed. Hours: Monday - Friday 8am -5pm Key Responsibilities:<ul><li>Review patient medical records and clinical documentation to assign accurate diagnosis and procedure codes</li><li>Ensure coding compliance with payer, regulatory, and organizational guidelines</li><li>Identify and resolve coding edits, discrepancies, and documentation issues</li><li>Work closely with providers and internal departments to clarify documentation when needed</li><li>Maintain coding accuracy and productivity standards</li><li>Stay current on coding updates, regulations, and industry best practices</li></ul>
2026-05-07T00:00:00Z

Inpatient Coding Specialist

Sacramento, CA
remote
Temporary / Contract
30 - 39 USD / Hourly
We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes. Responsibilities:• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.• Abstract required data elements from medical records in alignment with facility-specific guidelines.• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.• Analyze and ensure compliance with coding, billing, and data collection regulations.• Address missing or unclear information by seeking clarification and ensuring proper documentation.• Independently manage workload and prioritize tasks to meet departmental productivity standards.
2026-05-18T00:00:00Z

Surgery Medical Coding Specialist

Indianapolis, IN
remote
Temporary / Contract
19 - 22 USD / Hourly
We are seeking a detail-oriented Surgery Medical Coder to join our team. This role is primarily remote, but candidates must live close enough to attend minimal onsite training and occasional in-person meetings as needed. The ideal candidate will have coding experience in a surgical specialty environment and hold an active coding certification. Hours: Monday - Friday 8am -5pm Responsibilities for the position include the following:<ul><li>Review and accurately code surgical procedures, diagnoses, and related services</li><li>Ensure coding compliance with payer, regulatory, and organizational guidelines</li><li>Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes</li><li>Work closely with providers and staff to clarify documentation as needed</li><li>Maintain productivity and accuracy standards in a remote work environment</li><li>Support billing and reimbursement processes through precise code assignment</li><li>Participate in minimal onsite training sessions and periodic team meetings</li></ul>
2026-05-07T00:00:00Z

Inpatient Coding Auditor

Sharonville, OH
remote
Temporary / Contract
33 - 41 USD / Hourly
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. Key Responsibilities<ul><li>Perform detailed audits of inpatient records to validate ICD-10-CM/PCS coding, 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>
2026-05-05T00:00:00Z

Medical Credentialing Specialist

Santa Monica, CA
onsite
Temporary to Hire
31.97 - 45 USD / Hourly
A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care. MD Staff Software is a MUST. Key Responsibilities:• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.• Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-18T00:00:00Z

Certified Payroll

Oakland, CA
onsite
Temporary / Contract
35 - 38 USD / Hourly
Are you a meticulous, detail-oriented payroll detail oriented with a strong understanding of certified payroll and prevailing wage requirements? Robert Half is seeking a highly skilled Certified Payroll Specialist to join our client’s team. In this role, you will play a critical part in ensuring compliance with prevailing wage regulations, state and federal certified payroll reporting, and Department of Industrial Relations (DIR) guidelines.  Prepare, process, and submit accurate certified payroll reports for construction and other prevailing wage projects per state, federal, and DIR guidelines. Monitor and ensure compliance with prevailing wage laws and labor standards, investigating and resolving any discrepancies as needed. Coordinate and manage all Department of Industrial Relations (DIR) submissions while staying updated on any changes to DIR reporting standards. Utilize payroll systems/software to streamline processes and maintain accurate employee records and job/project-specific information. Oversee payroll audits, reconcile discrepancies, and maintain proper documentation for DIR and certified payroll records. Work closely with project managers, HR teams, accounting departments, and external auditors to ensure payroll compliance and timely reporting. Stay current on labor laws, prevailing wage updates, union agreements, and certified payroll guidelines to serve as the subject matter expert.
2026-05-15T00:00:00Z

Certified Payroll

Oakland, CA
onsite
Temporary / Contract
35 - 38 USD / Hourly
Are you a meticulous, detail-oriented payroll detail oriented with a strong understanding of certified payroll and prevailing wage requirements? Robert Half is seeking a highly skilled Certified Payroll Specialist to join our client’s team. In this role, you will play a critical part in ensuring compliance with prevailing wage regulations, state and federal certified payroll reporting, and Department of Industrial Relations (DIR) guidelines.  Prepare, process, and submit accurate certified payroll reports for construction and other prevailing wage projects per state, federal, and DIR guidelines. Monitor and ensure compliance with prevailing wage laws and labor standards, investigating and resolving any discrepancies as needed. Coordinate and manage all Department of Industrial Relations (DIR) submissions while staying updated on any changes to DIR reporting standards. Utilize payroll systems/software to streamline processes and maintain accurate employee records and job/project-specific information. Oversee payroll audits, reconcile discrepancies, and maintain proper documentation for DIR and certified payroll records. Work closely with project managers, HR teams, accounting departments, and external auditors to ensure payroll compliance and timely reporting. Stay current on labor laws, prevailing wage updates, union agreements, and certified payroll guidelines to serve as the subject matter expert.
2026-05-08T00:00:00Z

Credentialing Specialist

Rochester, NY
onsite
Temporary / Contract
23 - 23 USD / Hourly
*THIS POSITION IS NOT REMOTE* We are looking for a Credentialing Specialist to support provider enrollment and credential verification activities for a healthcare organization in Rochester, New York. This Long-term Contract position is ideal for someone who can manage detailed compliance documentation, maintain accurate records across credentialing platforms, and work closely with internal teams to keep provider files current. The role requires strong attention to detail, sound judgment when reviewing documentation, and the ability to help maintain regulatory and organizational standards. Responsibilities:• Review, organize, and process provider credentialing and recredentialing files to support timely approvals and renewals.• Verify licenses, certifications, work history, and other required documentation to ensure provider records meet healthcare and compliance standards.• Maintain accurate information in credentialing databases, CRM tools, EHR systems, and related tracking platforms.• Prepare audit-ready files by monitoring missing items, updating records, and following up with providers or internal stakeholders as needed.• Use CAQH and other credentialing resources to validate provider data and streamline application management.• Generate and manage digital documents using Adobe Acrobat, ensuring forms are complete, accurate, and properly stored.• Support compliance reviews by identifying discrepancies, escalating issues, and helping enforce established credentialing procedures.• Coordinate with cross-functional departments to track application status, resolve documentation gaps, and maintain efficient workflow progress.
2026-05-12T00:00:00Z

Credentialing Specialist

Nashville, TN
onsite
Temporary / Contract
22 - 26 USD / Hourly
We are seeking a Credentialing Specialist for a short term contract in Nashville. This role is responsible for managing and maintaining provider credentials to ensure compliance with regulatory, accreditation, and payer requirements. This role supports timely provider onboarding, payer enrollment, and recredentialing while ensuring accuracy, confidentiality, and adherence to healthcare standards.<ul><li>Coordinate and process initial credentialing, recredentialing, and payer enrollment for healthcare providers</li><li>Collect, verify, and maintain provider documentation including licenses, certifications, education, training, work history, NPIs, and DEA registrations</li><li>Prepare and submit credentialing and enrollment applications to insurance payers, hospitals, and regulatory bodies</li><li>Monitor credential expirations and proactively manage renewals to maintain continuous provider eligibility</li><li>Maintain accurate and up‑to‑date credentialing records in credentialing software and internal databases</li><li>Serve as a liaison between providers, payers, medical staff offices, and internal departments</li><li>Track application statuses, follow up on outstanding items, and resolve credentialing or enrollment issues</li><li>Ensure compliance with CMS, NCQA, Joint Commission, state, and payer credentialing requirements</li><li>Support audits and accreditation reviews by preparing and providing credentialing documentation</li><li>Maintain strict confidentiality of sensitive provider information</li></ul>
2026-05-13T00:00:00Z

Credentialing Specialist

Phoenix, AZ
onsite
Temporary / Contract
24 - 31 USD / Hourly
The Privileging Coordinator is responsible for all aspects of the privileging processes for all medical providers who provide care at Health Care Center. The Privileging Coordinator also maintains up-to-date data for each provider in online systems while ensuring timely renewal of licenses and certifications.Essential Functions• Compiles, evaluates, coordinates, and maintains current and accurate data and credentials for all clinicians. Enables timely onboarding of providers and ongoing maintenance of credentialing thereafter.• Completes Primary Source Verification on all clinicians.• Sets up and maintains provider information in online CAQH databases and system.• Tracks and monitors license, DEA, board certification expirations for all providers to ensure timely renewals.• Maintains files and processes applications for appointment and reappointment of privileges to the Health Care Center.• Provides Cerner Access to all Providers and Staff for medical records.• Monitors NPDB/OIG for any adverse actions or reprimands against any provider.• Prepares files for board meetings.• Provides privileging verification.• Maintains essential lists and reports necessary for reporting to various outside agencies and entities in accordance with federal, state, or local laws.• Maintains regular and predictable attendance.• Performs other duties as required.
2026-05-14T00:00:00Z

Credentialing Specialist

Plainview, NY
remote
Temporary / Contract
19.95 - 21 USD / Hourly
We are looking for a Credentialing Specialist to support provider enrollment and credentialing activities for healthcare practitioners. This Credentialing Specialist contract position is remote and will focus on validating qualifications with careful attention to detail, maintaining complete provider files, and helping ensure practitioners meet applicable regulatory and organizational standards. The ideal Credentialing Specialist candidate brings strong attention to detail, sound judgment, and the ability to manage multiple credentialing timelines in a fast-paced healthcare environment. Here’s how you’ll contribute each day: • Manage credentialing activities from initial intake through renewals and periodic reappointments for healthcare providers across multiple practices.• Examine licenses, certifications, education records, training details, and employment history to confirm accuracy and completeness.• Maintain organized and up-to-date provider information within a secure web-based credentialing platform.• Partner with physicians, providers, and practice contacts to collect missing documents and resolve inconsistencies in submitted materials.• Track application progress and follow up proactively to support timely completion and adherence to required deadlines.• Apply current regulatory and accreditation guidelines to daily credentialing work and escalate issues when compliance concerns arise.• Prepare recurring updates and summary reports for leadership and compliance stakeholders regarding credentialing status and outstanding items.• Serve as a knowledgeable resource for credentialing-related questions across affiliated practices and internal teams.
2026-05-08T00:00:00Z

Healthcare Data Entry Specialist

Brooklyn, NY
onsite
Temporary / Contract
22 - 22 USD / Hourly
In this role, your accuracy directly impacts healthcare operations and financial processing. As part of a secure, high-volume data entry team, you’ll work with billing records and EOBs to ensure critical information is entered, validated, and audit-ready. This is a strong fit for someone who is detail-driven, dependable, and comfortable working under strict compliance standards. Key Responsibilities<ul><li>Accurately enter and verify healthcare data, including billing information and Explanation of Benefits (EOBs)</li><li>Review and correct OCR-scanned documents to ensure data integrity</li><li>Audit records for accuracy while meeting daily production and quality targets</li><li>Maintain strict adherence to HIPAA and data security protocols</li><li>Identify and escalate discrepancies or data issues as needed</li></ul>
2026-05-18T00:00:00Z

Medical Biller

Old Bridge, NJ
onsite
Permanent / Full Time
50000 - 56000 USD / Yearly
benefits:<ul><li>paid time off</li><li>paid holiday</li><li>medical insurance</li><li>dental</li><li>vision</li></ul>Responsibilities:<ul><li>Submit medical claims to insurance companies in a timely manner</li><li>Review and verify patient information, coverage, and billing details</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Post payments, adjustments, and patient payments accurately</li></ul>
2026-05-13T00:00:00Z

Medical Biller

York Springs, PA
onsite
Temporary / Contract
26 - 36 USD / Hourly
We are seeking a Medical Biller to support accurate and timely billing operations for a healthcare organization. This role is responsible for claim submission, payment posting, follow‑up, and resolving billing discrepancies to ensure clean claims and steady revenue flow. Why This Role:<ul><li>Join a stable healthcare organization with established billing processes</li><li>Opportunity to make a direct impact on revenue and operational efficiency</li><li>Collaborative environment with room for growth based on performance</li></ul>Key Responsibilities:<ul><li>Prepare, review, and submit medical claims to insurance carriers and government payers</li><li>Verify patient demographics, insurance coverage, and authorization prior to billing</li><li>Post payments, adjustments, and denials accurately in the billing system</li><li>Follow up on unpaid or underpaid claims and resolve billing rejections</li><li>Review EOBs/ERAs and research discrepancies or payer issues</li><li>Work closely with coding, registration, and clinical teams to correct errors and reduce denials</li><li>Maintain clear, compliant billing documentation and audit‑ready records</li><li>Ensure adherence to payer requirements, HIPAA guidelines, and internal billing policies</li></ul>
2026-05-01T00:00:00Z

Medical Biller

Eugene, OR
onsite
Temporary / Contract
24 - 29 USD / Hourly
Position Overview:We are looking for a motivated professionals to handle medical billing tasks within our clients around Eugene. Successful candidates 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. Responsibilities:<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>
2026-04-30T00:00:00Z

Medical Billing

Scranton, PA
onsite
Temporary / Contract
0 - 0 USD / Yearly
We are seeking a detail-oriented Medical Billing Specialist to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments, adjustments, and denials accurately</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies</li><li>Review Explanation of Benefits (EOBs) for accuracy</li><li>Communicate with insurance companies, patients, and internal teams regarding billing questions</li><li>Maintain patient confidentiality and comply with HIPAA regulations</li><li>Ensure billing practices align with payer guidelines and company policies</li></ul>
2026-05-18T00:00:00Z

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

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

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

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

Richmond, VA
remote
Temporary to Hire
23 - 24 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Richmond, Virginia. This contract opportunity with permanent potential is ideal for someone who brings strong knowledge of medical claims, insurance billing, and account follow-up in a fast-paced office setting. The person in this role will help drive timely reimbursement, resolve claim issues efficiently, and deliver a high standard of service to patients and insurance partners. Responsibilities: • Monitor aging reports and proactively pursue patient account balances that remain unpaid beyond 60 days from the date of service. • Submit electronic primary and secondary insurance claims accurately and consistently to support prompt payment processing. • Investigate rejected, returned, or denied claims and take corrective action quickly, including resubmission and account adjustment when needed. • Prepare and submit claim appeals with clear supporting documentation to improve reimbursement outcomes. • Review billing details for accuracy, completeness, coding alignment, and insurance selection before claims are finalized. • Work directly with insurance carriers and third-party contacts to resolve denials, partial payments, suspended claims, and other reimbursement barriers. • Research payer-related issues such as coverage questions, network concerns, and workers' compensation claim challenges. • Reconcile accounts and address correspondence within established turnaround expectations to maintain efficient collections activity. • Share weekly productivity updates and maintain organized documentation of billing follow-up efforts. • Provide billing and eligibility guidance related to coding, payer requirements, and insurance coverage questions.
2026-05-13T00:00:00Z

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 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

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