We are looking for a Medical Coder to join a healthcare organization in Sacramento, California in a Contract to permanent capacity. In this role, you will translate clinical documentation into accurate diagnostic and procedural codes that support compliant billing and reimbursement. This opportunity is ideal for someone who can balance productivity with precision while working closely with providers and revenue cycle partners.<br><br>Responsibilities:<br>• Examine clinical records and determine the correct diagnosis and procedure codes for charge capture within required turnaround times.<br>• Apply ICD-10, CPT, and evaluation and management coding standards to physician and provider documentation with a strong focus on accuracy and compliance.<br>• Sequence diagnoses and procedures appropriately to support ethical billing practices and proper reimbursement outcomes.<br>• Investigate complex, uncommon, or unclear cases to identify the most accurate coding approach using current industry guidance and reference tools.<br>• Recognize services that require billing modifiers, including special reporting situations, and ensure they are reflected correctly on coded encounters.<br>• Communicate with physicians and other providers to resolve incomplete, conflicting, or ambiguous documentation before finalizing codes.<br>• Monitor accounts with missing documentation and follow through to help move encounters toward accurate coding and billing completion.<br>• Support claims follow-up activities by addressing coding edits, denials, audit requests, and other reimbursement-related inquiries.<br>• Contribute to compliance reviews, internal audits, and ongoing education efforts while staying current on regulatory and payer guideline updates.
We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.<br><br>Responsibilities:<br>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.<br>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.<br>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.<br>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.<br>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.<br>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.<br>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.<br>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.<br>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.
<p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p>Must be located in Washington state. Inpatient coding experience is required. </p><p><br></p><p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.</p><p>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.</p><p>• Abstract required data elements from medical records in alignment with facility-specific guidelines.</p><p>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.</p><p>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.</p><p>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.</p><p>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.</p><p>• Analyze and ensure compliance with coding, billing, and data collection regulations.</p><p>• Address missing or unclear information by seeking clarification and ensuring proper documentation.</p><p>• Independently manage workload and prioritize tasks to meet departmental productivity standards.</p>
<p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p>We are seeking a detail-oriented <strong>Surgery Medical Coder</strong> to join our team. This role is primarily remote, but candidates must live close enough to Indianapolis, IN 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.</p><p><br></p><p><strong>PLEASE NOTE</strong>: One of the following certifications is required:</p><ul><li>Certified Professional Coder (CPC)</li><li>Certified Coding Specialist – Physician-based (CCS-P)</li><li>Certified Orthopedic Surgery Coder (COSC)</li></ul><p><br></p><p><br></p><p><strong>Hours</strong>: Monday - Friday, 8am -5pm</p><p><br></p><p><strong>Responsibilities for the position include the following</strong>:</p><ul><li>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>
<p>Are you a meticulous, detail-oriented payroll professional 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.</p>
We are looking for a Credentialing Specialist to join our team in Dallas, Texas in a contract role with the potential to become permanent. This position focuses primarily on coordinating provider credentialing activities for veterinarians while also supporting onboarding, offboarding, and day-to-day administrative operations. The ideal candidate brings prior credentialing experience, preferably from a healthcare setting, and can apply practical judgment to improve manual processes and keep work moving efficiently.<br><br>Responsibilities:<br>• Manage the credentialing and re-credentialing process for veterinarians, ensuring required documentation is collected, reviewed, and maintained accurately.<br>• Coordinate onboarding and offboarding activities for veterinary professionals placed in relief assignments, keeping records current and compliant.<br>• Track application progress, follow up on outstanding items, and communicate with internal teams and providers to prevent delays.<br>• Support HR-related tasks such as personnel documentation, status updates, and general employee lifecycle administration.<br>• Assist with office and administrative operations by organizing files, maintaining records, and handling routine coordination tasks.<br>• Review credentialing materials for completeness and accuracy, resolving discrepancies and escalating issues when needed.<br>• Help identify practical ways to streamline manual workflows and improve overall efficiency within credentialing and administrative processes.
We are looking for a Medical Records Technician to support the integrity and organization of resident health information in Portola Valley, California. This contract opportunity with permanent potential is ideal for someone who is highly attentive to detail and comfortable working in a busy healthcare setting where accuracy and compliance are essential. In this role, you will help maintain complete, timely, and regulation-ready records while partnering with clinical and administrative teams to secure missing documentation and resolve inconsistencies.<br><br>Responsibilities:<br>• Review resident files related to admissions, transfers, and discharges to confirm completeness, accuracy, and adherence to healthcare regulations.<br>• Examine clinical materials such as physician documentation, medication administration records, laboratory results, charts, and treatment notes for consistency and proper filing.<br>• Work closely with nurses, physicians, and outside care providers to gather outstanding records and ensure required documentation is received promptly.<br>• Maintain orderly paper and electronic record systems and update information accurately within the organization's EHR platform.<br>• Investigate documentation issues, correct record discrepancies, and support reporting activities tied to compliance and health information management.<br>• Assist with coding-related record review and help prepare documentation for audits, inspections, and internal quality checks.
<p>A growing healthcare organization is seeking a detail-oriented Medical Biller to join their team. This role is ideal for someone who enjoys working behind the scenes to ensure accurate billing, timely reimbursements, and smooth revenue cycle operations.</p><p><br></p><p>Why Consider This Opportunity:</p><ul><li>Stable, in-demand role within the healthcare industry</li><li>Collaborative team environment</li><li>Opportunity to grow within billing or broader revenue cycle roles</li><li>Competitive compensation and benefits offered</li></ul><p>Key Responsibilities:</p><ul><li>Prepare and submit accurate medical claims to insurance companies (commercial, Medicare, Medicaid)</li><li>Review patient accounts for completeness and proper documentation</li><li>Follow up on outstanding claims, denials, and rejections to ensure timely payment</li><li>Post payments, adjustments, and reconcile accounts</li><li>Investigate and resolve billing discrepancies and errors</li><li>Communicate with insurance carriers regarding claim status and appeals</li><li>Work with internal teams to obtain missing or updated information</li><li>Maintain accurate billing records and ensure compliance with regulations</li><li>Support general administrative and revenue cycle functions as needed</li></ul><p><br></p>
<p>We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul><p><br></p>
<p><strong>Job Description:</strong></p><p>We are seeking a detail-oriented and results-driven <strong>Medical Biller / Collections Specialist</strong> to join our team in <strong>Boca Raton, Florida. </strong>This role is responsible for accurate medical billing, claims submission, insurance follow-up, and collections to ensure timely reimbursement and optimized cash flow. The ideal candidate has strong knowledge of insurance processes, excellent communication skills, and a proactive approach to resolving outstanding accounts.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit medical claims to primary, secondary, and tertiary insurance carriers for timely reimbursement </li><li>Verify patient information, insurance coverage, and eligibility to ensure billing accuracy</li><li>Monitor claim status and conduct follow-up on denied, rejected, or unpaid claims, including appeals and resubmissions </li><li>Investigate and resolve billing discrepancies by working with payers, patients, and internal teams </li><li>Post payments, adjustments, and denials while reconciling accounts and ensuring proper allocation</li><li>Manage accounts receivable by reviewing aging reports and prioritizing outstanding balances</li><li>Contact insurance companies and patients to collect payments and resolve overdue accounts </li><li>Negotiate payment plans and provide billing explanations to patients as needed </li><li>Maintain accurate documentation of all billing and collection activity in compliance with regulations</li><li>Ensure compliance with HIPAA and all federal/state billing and collection guidelines</li></ul>
<p>We are seeking a detail-oriented <strong>Medical Billing Specialist</strong> 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.</p><p>Key Responsibilities</p><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><p><br></p>
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul>
<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 detail-oriented Medical Billing Specialist to join a healthcare team in West Chester, Pennsylvania. This long-term contract opportunity is ideal for someone who enjoys managing billing accuracy, supporting reimbursement workflows, and working closely with insurance processes in a fast-paced setting. The role follows a hybrid schedule with on-site work Monday through Thursday and remote work on Friday.</p><p><br></p><p>Responsibilities:</p><p>• Review patient billing information for accuracy and submit claims in a timely manner to support consistent reimbursement.</p><p>• Verify insurance coverage and confirm eligibility details before services are processed or billed.</p><p>• Investigate claim issues, resolve denials, and follow up on unpaid balances with payers as needed.</p><p>• Apply medical billing and coding knowledge to ensure charges are entered correctly and aligned with documentation.</p><p>• Manage collection-related activities by tracking outstanding accounts and communicating with appropriate parties to secure payment.</p><p>• Use ePaces and related billing systems to maintain records, monitor claim status, and update account details.</p><p>• Assist with billing workflow adjustments and system-related process updates when required by the department.</p><p>• Collaborate with internal staff to address discrepancies, improve claim outcomes, and keep account information current.</p>
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul><p><br></p>
<p><strong>We’re hiring: Coordination of Benefits Specialist (Remote, Utah)</strong></p><p>Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way.</p><p><br></p><p><strong>About the Role</strong></p><p>As a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul><p><br></p>
<p>Review and interpret Explanation of Benefits (EOBs) to determine:</p><p>-Services billed</p><p>-Insurance coverage and adjustments</p><p>-Payment amounts</p><p>-Patient responsibility</p><p><br></p><p><br></p><p>Manage and work denial and collections queues within EPIC</p><p>Investigate and resolve denied or underpaid claims promptly</p><p>Follow up with insurance companies to resolve discrepancies and secure payment</p><p>Ensure timely resubmission of claims and appeals to avoid timely filing issues</p><p>Maintain accurate documentation of collection activity within the system</p><p>Support overall Accounts Receivable (AR) performance and aging goals</p><p><br></p><p><br></p><p>Qualifications</p><p><br></p><p>1+ years of medical collections or AR experience</p><p>Strong understanding of EOBs and insurance claim processing</p><p>Experience working in EPIC (highly preferred)</p><p>Ability to navigate denials and payer communications effectively</p><p>Detail-oriented with strong problem-solving skills</p><p>Comfortable working in a fast-paced, growth-oriented environment</p><p><br></p><p><br></p><p>Work Environment & Benefits</p><p><br></p><p>Onsite position with a collaborative team (approximately 36 employees)</p><p>Opportunity for career growth and advancement</p><p>Upon permanent hire, eligible for:</p><p><br></p><p>Health, Dental, and Vision insurance</p><p>401(k)</p><p>PTO accrual (beginning after 90 days)</p>
We are looking for a Medical Billing Specialist to support a healthcare organization through a contract assignment. This position focuses on accurate billing operations, follow-up on outstanding accounts, and timely resolution of claim issues to help maintain steady revenue flow. The ideal candidate brings strong knowledge of medical billing practices and can manage denials, appeals, and related projects with a high level of accuracy and organization.<br><br>Responsibilities:<br>• Manage billing activity for medical claims, ensuring charges are processed accurately and submitted within required timelines.<br>• Monitor accounts receivable balances and follow up on unpaid or underpaid claims to support prompt reimbursement.<br>• Investigate denied claims, determine root causes, and prepare corrected submissions or formal appeals as needed.<br>• Perform collection efforts on outstanding balances while maintaining clear communication with payers and relevant parties.<br>• Review coding and claim details for completeness and accuracy before resubmission or escalation.<br>• Use EPACES and related billing tools to verify claim status, eligibility, and payment information.<br>• Assist with reporting, documentation, and special projects related to billing operations and revenue cycle performance.
We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement.<br>Key Responsibilities<br><br>Review and submit hospital claims to third‑party payers<br>Resolve claim edits generated by EHR and clearinghouse systems<br>Reconcile claim acceptance and rejection reports<br>Maintain assigned work queues to meet productivity and quality standards<br>Ensure compliance with payer requirements and billing regulations<br>Coordinate with internal departments to resolve missing or incorrect claim information<br>Document claim activity and follow‑up in billing systems<br>Apply payer‑specific billing rules and reimbursement guidelines<br><br>Qualifications<br>High School Diploma or GED required<br>2+ years of medical billing or healthcare accounts receivable experience<br><br>Working knowledge of ICD‑10, CPT, and HCPCS coding<br>Experience with healthcare billing or patient accounting systems<br>Proficiency with Microsoft Office, including Excel<br>Strong attention to detail, organization, and time management skills<br>Ability to manage high‑volume workloads accurately<br><br>For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare team in Massachusetts. This contract opportunity with permanent potential is ideal for someone who is comfortable managing insurance authorizations, resolving claim denials, and working within a fast-paced healthcare setting. The person in this role will help keep billing activity accurate and timely while providing dependable administrative support tied to reimbursement processes.<br><br>Responsibilities:<br>• Process insurance authorization requests through the MassHealth portal using appropriate billing and procedure codes.<br>• Review denied claims, investigate the cause of rejections, and take corrective action to support successful reimbursement.<br>• Handle day-to-day medical billing activities with close attention to accuracy, compliance, and timely follow-up.<br>• Maintain documentation related to authorizations, claim status updates, and billing actions in accordance with healthcare standards.<br>• Communicate with payers, internal staff, and other stakeholders to clarify billing issues and move claims toward resolution.<br>• Monitor outstanding claims and support denial management efforts to reduce delays in payment.<br>• Apply medical billing, coding, and collections knowledge to assist with clean claim submission and account follow-up.
<p>Review and interpret Explanation of Benefits (EOBs) to determine:</p><p>-Services billed</p><p>-Insurance coverage and adjustments</p><p>-Payment amounts</p><p>-Patient responsibility</p><p><br></p><p><br></p><p>Manage and work denial and collections queues within EPIC</p><p>Investigate and resolve denied or underpaid claims promptly</p><p>Follow up with insurance companies to resolve discrepancies and secure payment</p><p>Ensure timely resubmission of claims and appeals to avoid timely filing issues</p><p>Maintain accurate documentation of collection activity within the system</p><p>Support overall Accounts Receivable (AR) performance and aging goals</p><p><br></p><p><br></p><p>Work Environment & Benefits</p><p><br></p><p>Onsite position with a collaborative team (approximately 36 employees)</p><p>Business casual dress code (jeans permitted)</p><p>Opportunity for career growth and advancement</p><p>Upon permanent hire, eligible for:</p><p><br></p><p>Health, Dental, and Vision insurance</p><p>401(k)</p><p>PTO accrual (beginning after 90 days)</p>