<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>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>We are looking for an experienced Certified Payroll Specialist to join our client in Brentwood, California. This role involves handling payroll documentation, ensuring compliance with government regulations, and maintaining accurate wage records. This is a contract to permanent position that can start immediately. </p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Prepare and document certified payroll reports with precision and attention to detail.</p><p>• Calculate wages based on prevailing wage requirements and ensure compliance with applicable laws.</p><p>• Update payroll systems with accurate employee wage and benefit information.</p><p>• Collaborate with government portals or systems, such as prevailing wage trackers, to manage payroll documentation.</p><p>• Maintain accurate records of approved timesheets and wage adjustments.</p><p>• Audit payroll documentation to ensure all information aligns with legal and organizational standards.</p><p>• Support compliance efforts by adhering to government applications and restrictions.</p><p>• Assist in preparing payroll data for processing and ensure all relevant information is recorded accurately.</p><p>• Communicate effectively with team members and stakeholders to address payroll-related inquiries.</p><p>• Monitor and apply updates to payroll systems as required by changes in regulations or internal standards.</p>
<p>Our company is searching for a<strong> Remote Inpatient/DRG Validation Coding Auditor </strong>to join our team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm EST with flexibility </p><p><br></p><p>Responsibilities for the position include the following: </p><ul><li>Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities.</li><li>Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures.</li><li>Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies.</li><li>Research regulatory requirements and provide clear, well-supported recommendations in audit reports.</li><li>Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities.</li><li>Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics.</li><li>Maintain established productivity and quality standards as measured by audit leadership.</li></ul><p><br></p>
<p><strong>Job Summary:</strong></p><p>Our client, a well-established heating and cooling company, is seeking a Certified Payroll Administrator to support payroll operations for public works and prevailing wage projects. This role is responsible for ensuring accurate payroll processing and full compliance with federal, state, and local certified payroll requirements. This is a temp-to-hire opportunity with long-term potential for the right candidate.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Process weekly certified payroll for field and union/non-union employees</li><li>Prepare and submit certified payroll reports in compliance with prevailing wage and public works requirements (DOL, NYS, etc.)</li><li>Ensure accurate wage rates, classifications, fringes, and deductions</li><li>Maintain payroll records and supporting documentation for audits</li><li>Coordinate with project managers and HR to verify job codes, hours, and labor classifications</li><li>Respond to payroll and compliance inquiries from internal teams and agencies</li><li>Assist with general payroll and administrative duties as needed</li></ul>
<p>The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.</p><ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a meticulous Credentialing Specialist to join our team located in the Greater Philadelphia Region. In this Credentialing Specialist contract role, you will play a critical part in ensuring that healthcare providers meet all necessary legal and detailed requirements. Your expertise will help maintain compliance and uphold high standards within the credentialing process.</p><p><br></p><p>Here’s how you’ll contribute each day: </p><p>• Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.</p><p>• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.</p><p>• Maintain accurate and up-to-date records in the credentialing database.</p><p>• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.</p><p>• Prepare and review applications for credentialing and re-credentialing.</p><p>• Ensure timely submission of documentation to meet deadlines and regulatory requirements.</p><p>• Monitor changes in credentialing standards and implement updates as needed.</p><p>• Provide support during audits and inspections related to credentialing.</p><p>• Communicate effectively with providers to address inquiries and clarify credentialing requirements.</p><p>• Ensure adherence to organizational policies and procedures throughout the credentialing process.</p>
<p>THIS IS AN ONSITE POSITION - We are looking for a skilled Health Information Technician to join our team in SeaTac, Washington. In this role, you will play a critical part in ensuring the accuracy, organization, and accessibility of medical records, contributing directly to high-quality patient care. This is a long-Term Contract position Monday - Friday, 8am-5pm.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and organize incoming medical documents for scanning by sorting, removing staples, and ensuring legibility.</p><p>• Digitize paper-based medical records and documentation using specialized scanning systems.</p><p>• Accurately index scanned documents to the correct patient charts within electronic record systems, ensuring proper categorization.</p><p>• Review digital images for completeness, clarity, and proper alignment with organizational documentation standards.</p><p>• Collaborate with team members to resolve issues such as errors, duplicates, or misfiled records.</p><p>• Uphold strict confidentiality and compliance with state, federal, and organizational regulations regarding patient records.</p><p>• Assist in releasing medical information in accordance with regulatory guidelines and organizational policies.</p><p>• Provide excellent customer service to patients and other stakeholders by addressing inquiries and facilitating access to records.</p><p>• Participate in team and departmental activities aimed at process improvement and operational excellence.</p><p>• Support general health information management functions, such as filing, retrieving, or organizing medical records.</p>
<p>We are looking for an experienced Cobol Systems Programmer to join our team in Downtown Des Moines, Iowa. In this Contract to permanent position, you will play a critical role in maintaining, developing, and optimizing mainframe systems to support our business operations. This role requires a strong technical background in COBOL programming and mainframe environments, coupled with expertise in finance and accounting systems.</p><p><br></p><p>Responsibilities:</p><p>• Develop, test, and debug COBOL programs to ensure smooth functionality within mainframe systems.</p><p>• Analyze and enhance existing applications to improve performance and reliability.</p><p>• Collaborate with users and stakeholders to gather requirements and design effective solutions.</p><p>• Prepare and maintain detailed documentation for program code and system procedures.</p><p>• Perform regular system evaluations to identify areas for improvement and implement necessary modifications.</p><p>• Provide technical support and troubleshooting for mainframe systems and applications.</p><p>• Ensure compliance with organizational standards and industry best practices during development processes.</p><p>• Manage on-call responsibilities to address urgent system issues and minimize downtime.</p><p>• Work closely with cross-functional teams to integrate mainframe systems with other business applications.</p><p>• Deliver regular project updates and status reports to keep management informed.</p>
<p>We are seeking a detail-oriented and motivated professional to join our team as a Medical Biller. In this role, you will contribute to the smooth and efficient handling of billing processes. The ideal candidate will possess strong organizational skills and thrive in a fast-paced setting.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately process medical billing and claims submissions.</li><li>Monitor and follow up on outstanding payments or claims.</li><li>Assist in resolving billing discrepancies and issues.</li><li>Maintain well-organized records and documentation.</li><li>Work collaboratively with internal teams to ensure adherence to procedures and compliance standards.</li></ul><p><br></p>
<p>A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office.</p><p><br></p><ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role.</li></ul><p><br></p><p><br></p>
<p>A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office.</p><p><br></p><ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role. </li></ul><p><br></p><p><br></p><p><br></p>
<p>Join our team as an OBGYN Medical Biller and play a key role in supporting women’s health clinics. We are looking for an experienced medical billing professional who understands the complexities of OBGYN coding and has proven expertise in Medi-Cal insurance and reimbursement processes.</p><p>Responsibilities:</p><ul><li>Accurately enter and process medical bills for OBGYN visits, procedures, and ancillary services</li><li>Review and validate ICD-10, CPT, and HCPCS codes specific to OBGYN care</li><li>Ensure compliance with Medi-Cal guidelines and regulations for claims submission</li><li>Track, follow up, and resolve denials and rejections for Medi-Cal claims</li><li>Maintain clear communication with providers, payers, and patients regarding billing issues</li><li>Collaborate with clinical and administrative staff to ensure proper documentation</li><li>Generate and review monthly billing reports for accuracy and completeness</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are looking for a 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><strong>Job Summary:</strong></p><p> We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for preparing and submitting accurate medical claims, following up on unpaid claims, and ensuring timely reimbursement from insurance providers and patients. The ideal candidate has strong knowledge of medical billing processes, coding systems, and payer requirements, along with excellent organizational and communication skills.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>Prepare, review, and submit medical claims to insurance companies in a timely manner</p><p> Verify patient insurance coverage, eligibility, and benefits</p><p> Ensure accurate coding using CPT, ICD-10, and HCPCS codes</p><p> Follow up on unpaid or denied claims and resolve billing issues</p><p> Post payments, adjustments, and denials accurately into the system</p><p> Communicate with insurance companies and patients regarding billing questions or discrepancies</p><p> Maintain accurate and organized patient billing records</p><p> Work with internal teams to resolve documentation or coding issues</p><p> Support month-end reporting and reconciliation processes</p><p> Ensure compliance with healthcare regulations and billing guidelines</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>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Spokane, Washington. In this role, you will focus on Medicare billing and reconciliation tasks, ensuring accuracy and compliance in all processes. This position is expected to last several weeks, with the possibility of extension based on project requirements.<br><br>Responsibilities:<br>• Accurately prepare and submit Medicare billing claims to ensure timely processing.<br>• Evaluate claims for accuracy, compliance, and proper coding prior to submission.<br>• Conduct regular reconciliations for billing, payments, and adjustments to maintain accurate records.<br>• Investigate and resolve billing discrepancies, denials, and variances by identifying root causes.<br>• Verify patient eligibility and coverage details to support proper billing.<br>• Organize and maintain detailed billing documentation for audits and reporting purposes.<br>• Collaborate with finance and program teams to ensure accurate coding and revenue recognition.<br>• Provide updates and insights on billing trends, outstanding claims, and reconciliation progress.
<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>
<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>
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>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>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.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a contract basis in Bridgeport, Connecticut. This role focuses on managing accounts receivable functions, ensuring accurate record-keeping, and overseeing payment processes. If you have strong organizational skills and experience in medical billing, this position offers an excellent opportunity to contribute to the financial operations of a healthcare setting.<br><br>Responsibilities:<br>• Oversee accounts receivable activities, including managing payment records and ensuring accuracy.<br>• Process and reconcile cash receipts efficiently while maintaining up-to-date financial records.<br>• Conduct follow-up inquiries on outstanding payments to ensure timely resolution.<br>• Prepare and review month-end financial reports to maintain balanced accounts.<br>• Perform data entry tasks with precision to update patient and billing information.<br>• Utilize Epic systems for hospital billing processes and data management.<br>• Apply medical terminology knowledge to ensure proper billing and coding.<br>• Provide exceptional customer care by addressing billing inquiries and resolving issues.<br>• Collaborate with other departments to streamline billing operations and optimize workflows.<br>• Maintain compliance with healthcare regulations and practices in all billing activities.