50 results for Denials Specialist jobs

Appeals Specialist

Lynnwood, WA
remote
Temporary
18 - 21.5 USD / Hourly
We are looking for an experienced Appeals Specialist to join our team on a contract basis. In this role, you will play a critical part in reviewing and processing appeals, ensuring high standards of accuracy and efficiency. This is a remote position based in Washington State, with no onsite training or meeting requirements, except for equipment pickup if local. Responsibilities:• Review and analyze incoming mail and faxes to route them to the appropriate recipient.• Conduct thorough research using reference materials, online tools, and proprietary systems.• Enter and manage new cases in the system, ensuring all production goals are consistently met.• Accurately identify and prioritize expedited appeal requests for timely processing.• Respond to appeals that require claimant authorization, adhering to all privacy guidelines.• Validate and handle privacy-related tasks, including processing authorizations and managing confidential documents.• Assist with office supply orders and scheduling appeal panels as needed.• Help the department meet quality and productivity standards through teamwork and individual contributions.• Perform additional tasks as assigned to support overall team goals.
2026-04-08T00:00:00Z

Referral Specialist

Fort Worth, TX
onsite
Temporary
20 - 22 USD / Hourly
Position: Referral Specialist (CONTRACT)Location: Fort Texas, United States of America, 76109Schedule: 100% Onsite | Monday–Friday | 8:00 AM–5:00 PMPay Range: $20–$22 per hourEmployment Type: Contract (no guarantee of extension or conversion)Position OverviewEssential Duties & Time Allocation (Must Total 100%)Advanced Remittance Duties – 70%<ul><li>Perform exception‑based remittance research and advanced reconciliation of referral fees and NPR.</li><li>Serve as secondary vendor contact for referral fee inquiries and issue resolution.</li><li>Conduct fact‑finding and resolve vendor matters requiring coding corrections or refunds.</li><li>Collaborate with ORM to ensure compliance related to referral fees, vendors, and clients.</li><li>Oversee firm‑wide referral fee payment application processes and inquiries.</li><li>Process refunds for clients when referral fees cannot be retained.</li><li>Maintain and support vendor relationships related to referral clients and fee validation.</li></ul>Training Duties – 15%<ul><li>Manage NPR referral receipt operations including: </li><li>Validation of vendors with ORM for referral fee eligibility.</li><li>Monitoring vendor payments and matching remittance documents to clients and GL accounts.</li><li>Posting client NPR to the GL via journal entries.</li><li>Ensuring referral fee acceptance processes operate correctly firm‑wide.</li><li>Accessing vendor portals to confirm accurate referral client assignments.</li></ul> Reporting & Analysis – 10%<ul><li>Deliver daily and monthly reporting on NPR to Consulting LOB leadership.</li><li>Conduct monthly reconciliation of NPR and related balance sheet accounts for the entire firm.</li></ul>Other Duties – 5%<ul><li>Perform additional tasks as assigned.</li></ul>
2026-03-19T00:00:00Z

Claims Specialist

Duncan, SC
onsite
Permanent
65000 - 80000 USD / Yearly
We are looking for an experienced Claims Specialist to join our team in Duncan, South Carolina. In this role, you will manage and oversee the full lifecycle of worker's compensation claims, ensuring efficient processing and resolution. This position requires expertise in claims management, risk reduction strategies, and effective communication with claimants and stakeholders. Responsibilities: • Handle a high volume of worker's compensation claims from initiation to final resolution, ensuring compliance with applicable regulations. • Conduct thorough investigations and audits to assess claims and mitigate risks. • Collaborate with employees, insurers, and claimants to resolve claims efficiently and effectively. • Provide expert guidance on risk management strategies to help clients minimize future liabilities. • Analyze claims data to identify trends and recommend improvements to reduce overall risk exposure. • Facilitate the claims adjudication process, ensuring timely and accurate processing. • Assist in preparing reports and documentation for audits and compliance purposes. • Serve as a key point of contact for claimants, addressing inquiries and providing support throughout the claims process. • Work closely with internal teams to ensure seamless communication and resolution of claims.
2026-04-01T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-26T00:00:00Z

Eligibility Specialist

Houston, TX
remote
Contract / Temporary to Hire
22.8 - 26.4 USD / Hourly
We are seeking an experienced and detail‑oriented RCM Reimbursement Specialist focused on Appeals and Denials to join our team on a contract-to-hire basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management. Responsibilities<ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul>
2026-04-10T00:00:00Z

RCM Support Staff Appeals & Denials

Houston, TX
remote
Contract / Temporary to Hire
22.8 - 26.4 USD / Hourly
We are seeking a detail-oriented and experienced RCM Eligibility Specialist to join our team on a contract-to-hire basis. This fully remote position plays a critical role in ensuring the timely and accurate financial clearance of patient accounts.The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has a strong background in eligibility verification, claim error resolution, and clean claim submission. Responsibilities1. Eligibility Verification<ul><li>Conduct thorough reviews of patient insurance coverage and benefit eligibility for laboratory services.</li><li>Communicate with teammates, clinics, patients, and insurance companies to verify coverage and resolve discrepancies.</li><li>Accurately document eligibility information within the revenue cycle management system.</li></ul>2. Claim Error Processing<ul><li>Analyze and resolve claim errors identified by the RCM system, including coding and billing discrepancies.</li><li>Collaborate with teammates to resolve errors and ensure compliance with internal policies and procedures.</li><li>Identify and resolve issues related to medical necessity.</li><li>Perform other duties as assigned.</li></ul>
2026-04-10T00:00:00Z

Chargebacks Specialist

New York, NY
onsite
Permanent
65000 - 75000 USD / Yearly
Dynamic New York City organization is currently seeking a Chargebacks Specialist to join their team in New York, New York. In this role, you will oversee accounts receivable processes, manage chargebacks, and ensure accurate tracking of deductions. This position offers a dynamic work environment and the opportunity to lead a small team while contributing to the efficiency of our financial operations. Responsibilities:• Supervise and guide a small team responsible for account reconciliations and chargeback management.• Monitor chargebacks and deductions across major retail accounts such as Costco, Walmart, and JC Penney.• Utilize BlueCherry ERP to streamline accounts receivable tasks and ensure data accuracy.• Manage account portals to track and resolve chargebacks efficiently.• Ensure compliance with factoring agreements and identify non-factored accounts.• Maintain precise financial records and reporting for chargebacks and deductions.
2026-04-03T00:00:00Z

Credentialing Specialist

Philadelphia, PA
remote
Temporary
21 - 22 USD / Hourly
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. Here’s how you’ll contribute each day: • Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.• Maintain accurate and up-to-date records in the credentialing database.• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.• Prepare and review applications for credentialing and re-credentialing.• Ensure timely submission of documentation to meet deadlines and regulatory requirements.• Monitor changes in credentialing standards and implement updates as needed.• Provide support during audits and inspections related to credentialing.• Communicate effectively with providers to address inquiries and clarify credentialing requirements.• Ensure adherence to organizational policies and procedures throughout the credentialing process.
2026-04-09T00:00:00Z

Credentialing Specialist

Englewood, CO
onsite
Contract / Temporary to Hire
24 - 25 USD / Hourly
Enrollment Specialist We are looking for a Enrollment Specialist to join our team in Greenwood Village, Colorado. This is a contract-to-permanent position within the detail-oriented services industry, offering an opportunity to play a pivotal role in ensuring smooth credentialing processes for healthcare providers. The ideal candidate will bring a blend of organizational skills, attention to detail, and familiarity with healthcare credentialing standards. Responsibilities: • Accurately prepare and submit both paper and electronic forms related to payor credentialing. • Complete contracting credentialing requests with precision and adherence to assigned deadlines. • Coordinate with Operations, Legal, and Compliance teams to collect necessary licensing and documentation. • Track and manage credentialing workflows using company-provided software tools. • Safeguard confidentiality while maintaining up-to-date company information. • Conduct research, compile data, and create detailed reports as required. • Participate in special projects and handle additional tasks as assigned. • Follow all company policies and procedures to ensure compliance and consistency.
2026-04-10T00:00:00Z

Benefits Specialist

Dalton, GA
onsite
Contract / Temporary to Hire
21.85 - 25.3 USD / Hourly
Benefits Administrator (Bilingual Preferred)Contract-to-Hire | Corporate Office | Nationwide Manufacturing Organization Are you a customer-focused professional who thrives in a fast-paced, people-first environment? Do you enjoy helping others understand and maximize their benefits? We’re partnering with a leading nationwide manufacturing company to find a Benefits Administrator who is passionate about delivering exceptional service and making a meaningful impact on employees’ lives. This is an exciting opportunity to join a collaborative corporate team where your expertise in customer support, benefits administration, and systems navigation will directly support employees and their families. As a Benefits Administrator, you will serve as a key point of contact for employees, HR partners, and family members—providing guidance and support across health and total rewards programs.<ul><li>Manage inbound and outbound calls through the Genesys service center platform</li><li>Respond to employee inquiries via a shared email inbox with professionalism and accuracy</li><li>Deliver high-level customer service on health plan and total rewards benefits</li><li>Process and manage benefit change events within Workday (HRIS system)</li><li>Utilize carrier portals to verify eligibility, request ID cards, and review claims</li><li>Ensure timely and accurate handling of benefit-related tasks and documentation</li><li>Partner with internal HR teams to resolve complex or escalated issues</li></ul>What You Bring (Top Must-Haves)<ul><li>Strong Customer Service Experience</li><li>Proven ability to handle high-volume calls, including escalations, while maintaining professionalism and a solutions-oriented mindset</li><li>HRIS & Systems Proficiency</li><li>Experience navigating systems like Workday (or similar HRIS platforms) to retrieve, manage, and update employee information</li><li>Exceptional Multitasking & Time Management Skills</li><li>Ability to prioritize competing tasks, manage deadlines, and stay organized in a dynamic environment</li></ul>Preferred Qualifications<ul><li>Bilingual in English and Spanish (highly preferred)</li><li>Experience or working knowledge of employee benefits (health plans, eligibility, claims, etc.)</li><li>Familiarity with service center environments and ticketing systems</li></ul>Who Will Thrive Here We’re looking for someone who is:<ul><li>Personable and approachable – builds trust quickly with employees and teammates</li><li>An active listener – understands concerns and responds thoughtfully</li><li>A team player – collaborates well and supports shared goals</li><li>Proactive and solution-driven – takes initiative and follows through</li><li>Receptive to feedback – committed to continuous improvement</li><li>Sound in judgment – handles sensitive information with care and professionalism</li></ul>Why This Opportunity?<ul><li>Join a stable, growing organization with a nationwide presence</li><li>Gain exposure to corporate HR and benefits operations</li><li>Work in a collaborative, supportive team environment</li><li>Opportunity to transition into a long-term role</li></ul>If you’re ready to bring your customer service expertise and benefits knowledge to a role where you can truly make a difference, we’d love to connect with you.
2026-04-10T00:00:00Z

Benefits Specialist

La Jolla, CA
onsite
Temporary
30 - 35 USD / Hourly
Our company is seeking a meticulous and service-oriented Benefit Specialist to join our human resources team. In this role, you will support benefit administration and assist employees with inquiries related to health, retirement, and wellness programs. Responsibilities:<ul><li>Administer employee benefit programs including health, dental, vision, life insurance, and retirement plans.</li><li>Serve as the primary point of contact for employees regarding benefits-related questions.</li><li>Coordinate open enrollment activities and assist with onboarding/offboarding processes.</li><li>Maintain accurate benefit records and ensure compliance with all regulatory requirements.</li><li>Partner with external providers and manage vendor relationships.</li><li>Prepare benefits communications, reports, and presentations.</li><li>Support wellness initiatives and assist with benefits-related projects as needed.</li></ul>
2026-04-08T00:00:00Z

Reconciliation Specialist

Rochester, NY
onsite
Permanent
50000 - 70000 USD / Yearly
Tess Gilmore with Robert Half is looking for a detail-oriented Reconciliation Specialist to join her client's team in Rochester, New York. In this role, you will be responsible for managing key financial processes, including daily reconciliations and compliance tracking. This position offers an excellent opportunity to contribute to the organization's financial integrity and operational efficiency. Responsibilities:• Perform daily bank reconciliations to ensure accurate tracking and reporting of cash flow activities.• Manage and maintain loan amortization schedules, monitor payments, and verify adherence to loan covenants and agreements.• Collaborate with cross-functional teams to collect and analyze financial data that supports strategic decision-making.• Identify opportunities to streamline financial processes and implement improvements to enhance accuracy and efficiency.• Conduct payments reconciliation to verify transactions and resolve discrepancies promptly.• Compile and organize financial data for reporting and projections.• Utilize NetSuite and other financial tools to ensure accurate documentation and compliance.• Assist in creating financial projections and forecasts to support organizational goals.• Monitor and ensure compliance with contractual financial obligations and reporting requirements. For immediate and confidential consideration either apply today or contact Tess Gilmore with Robert Half's Rochester, NY Branch today!
2026-03-27T00:00:00Z

Reconciliation Specialist

Kansas City, MO
onsite
Temporary
25.118 - 29.084 USD / Hourly
We are looking for a detail-oriented Reconciliation Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a pivotal part in ensuring accurate financial records and compliance with established policies. The ideal candidate will bring expertise in reconciling accounts, maintaining records, and supporting organizational efficiency. Responsibilities: • Develop and implement effective reconciliation processes to ensure the accuracy of financial records. • Perform daily, monthly, and periodic account reconciliations for bank accounts, credit cards, and other financial transactions. • Investigate and resolve discrepancies in financial data and records. • Maintain detailed and organized documentation of all reconciliation activities. • Collaborate with relevant departments to streamline reconciliation workflows and improve efficiency. • Train staff on reconciliation procedures and compliance standards. • Ensure compliance with federal, state, and local financial regulations. • Conduct audits to verify the accuracy of reconciliations and adherence to policies. • Manage systems and tools used for financial reconciliation and recordkeeping. • Provide timely reporting and analysis to support organizational decision-making.
2026-04-07T00:00:00Z

Leave of Absence Specialist

Van Nuys, CA
onsite
Temporary
27 - 35 USD / Hourly
The Leave of Absence (LOA) Specialist is responsible for administering and managing all aspects of employee leave programs. This role ensures a smooth, compliant, and employee-centered leave process while partnering closely with HR, managers, and external vendors. Key Responsibilities:<ul><li>Administer end-to-end leave of absence processes, including FMLA, state leaves, disability, and company-sponsored leave programs</li><li>Serve as the primary point of contact for employees and managers regarding leave policies, eligibility, and procedures</li><li>Review, track, and maintain accurate leave documentation and records in compliance with applicable laws and internal policies</li><li>Coordinate with third-party administrators, payroll, and benefits teams to ensure accurate leave processing and pay continuity</li><li>Monitor leave timelines, extensions, and return-to-work processes, including accommodations when applicable</li><li>Ensure compliance with federal, state, and local regulations, including FMLA, ADA, and other applicable leave laws</li><li>Provide guidance to managers on employee leave situations and best practices</li><li>Identify opportunities for process improvement and contribute to HR projects and initiatives</li><li>Maintain confidentiality while handling sensitive employee information</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-10T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent
60000 - 65000 USD / Yearly
The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected] Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? Responsibilities:<ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul>
2026-03-19T00:00:00Z

Grants Specialist

Waterloo, IA
onsite
Temporary
26 - 33 USD / Hourly
Why This Role?This is an exciting opportunity to step into a high‑impact, long‑term role supporting a well‑established, collaborative grants team. The Grants Specialist will play a meaningful role in securing funding that fuels programs, innovation, and long‑term growth.This assignment is designed for someone who wants more than a short‑term contract. For the right individual, this role offers the chance to demonstrate value, grow with the team, and be considered for a permanent seat. If you thrive in fast‑paced, mission‑driven environments and enjoy seeing your work turn into real outcomes, this could be the opportunity you’ve been looking for. What You’ll DoDrive Funding Success<ul><li>Research and identify compelling public and private funding opportunities</li><li>Contribute to a strong, forward‑looking grants pipeline</li><li>Support grant strategy and long‑term funding goals</li></ul>Create Winning Proposals<ul><li>Write, edit, and assemble high‑quality grant proposals and letters of intent</li><li>Partner with subject‑matter experts to gather stories, data, and budgets</li><li>Ensure submissions are polished, compelling, and aligned with funder guidelines</li></ul>Support Post‑Award Excellence<ul><li>Assist with managing awarded grants, tracking milestones and deliverables</li><li>Help prepare progress reports, outcomes summaries, and final submissions</li><li>Support grant compliance and documentation efforts</li></ul>Keep Everything Organized & Moving<ul><li>Maintain accurate grant records and tracking tools</li><li>Monitor deadlines, renewals, and reporting requirements</li><li>Use grants management systems to support visibility and efficiency</li></ul>Be a Key Part of the Team<ul><li>Work closely with an experienced, supportive grants team</li><li>Collaborate across programs and stakeholders</li><li>Contribute ideas that improve processes and strengthen results</li></ul>
2026-04-03T00:00:00Z

Intake Specialist

San Jose, CA
onsite
Temporary
25 - 32 USD / Hourly
OverviewThis is an immediate start as early as 3/23/26. The Family Law Intake Specialist will be the first point of contact for clients seeking legal assistance in family law matters they are responsible for managing and prioritizing multiple tasks while maintaining a high level of professionalism. The Family Law Intake Specialist collaborates with attorneys and other team members to ensure a seamless client experience. This role requires strong communication skills, and the ability to manage sensitive information with confidentiality. Key ResponsibilitiesInitial Client Contact:• Answering inquiries via phone, email, or web with empathy and professionalism.• Conducting interviews to gather essential details about marital history, assets, and custody concerns to determine if a case is a good fit.• Provide clients with information about our services, processes, and expectations.Information Gathering:• Collecting essential client details (e.g., marriage dates, assets, child information) to help attorneys prepare.• Document and organize client information, ensuring accuracy and compliance with legal standards Case Management & Scheduling:• Entering data into systems and managing attorney calendars to reduce missed consultations.• Maintaining supportive, consistent communication to keep prospects engaged during the stressful decision-making phase.• Schedule appointments for attorneys and follow up with clients, as necessary. Administrative Tasks:• Conduct potential client conflict checks and follow-ups.• Manage new client intakes, follow up on incomplete questionnaire information, and confirm appointments.• Send Zoom links, distribute Limited Consultation Agreements, and prepare engagement letters.• Ensure proper collection and handling of retainer fees and unpaid consultation fees.• Manage client files, saving them to Net Docs and organizing file transfers.• Update legal management software (ProLaw & Crowther) with new client matters. Client Support:• Update legal management software (ProLaw & Crowther) with new client matters.• Arrange client hospitality, including parking and reserving meeting spaces.• Facilitate notary signings for in-house clients.• Save outgoing pleadings in designated files and handle disengagement letters.• Assist attorneys with billing and receivables.
2026-03-18T00:00:00Z

Enrollment Specialist

Buena Park, CA
onsite
Contract / Temporary to Hire
24 - 29 USD / Hourly
We are looking for a dedicated Enrollment Specialist to join our team in Buena Park, California. The Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs like Covered California and Medi-Cal. This is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Key Responsibilities:• Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal.• Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions.• Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies.• Maintain up-to-date records of enrollment activity and manage data entry into internal systems.• Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes.• Collaborate with community outreach teams to support enrollment initiatives and drive awareness.• Deliver excellent customer service by addressing patient inquiries and concerns promptly.• Stay informed about changes in health insurance policies to provide accurate guidance to patients. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-10T00:00:00Z

Sr. Claims Specialist

Chicago, IL
remote
Temporary
25 - 40 USD / Hourly
We are looking for a fully remote Senior Workers’ Compensation Claims Specialist to assist our client with a long-term project. Candidates must hold a valid New York adjuster's license. This person will be responsible for managing a complex caseload of workers’ compensation claims from inception through resolution. This role ensures compliance with applicable laws and regulations, delivers excellent customer service, and works closely with internal stakeholders, injured employees, medical providers, and legal counsel to facilitate timely and cost-effective claim outcomes.Key Responsibilities<ul><li>Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases.</li><li>Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability.</li><li>Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines.</li><li>Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments.</li><li>Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives.</li><li>Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed.</li><li>Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status.</li></ul>
2026-03-25T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
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. As a Medical Billing Specialist Your Responsibilities will include but are not limited to:• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems. • Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness. • Apply knowledge of medical codes to ensure accurate data entry and validation. • Investigate and resolve discrepancies in patient accounts, insurance details, or claims. • Prepare billing data for claim submission while adhering to established guidelines. • Maintain compliance with healthcare privacy policies and organizational standards. • Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues. • Support the optimization of billing workflows to enhance operational efficiency. • Assist in audits, reporting, and specialized data cleanup projects as needed.
2026-03-30T00:00:00Z

Medical Billing Specialist

Bethesda, MD
onsite
Temporary
22 - 23 USD / Hourly
A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office. <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>
2026-04-10T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / 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
2026-04-01T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
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. Responsibilities:• Process and manage billing functions, ensuring compliance with healthcare regulations and accuracy in all claims.• Research and resolve complex issues related to accounts receivable, appeals, and benefit functions.• Utilize advanced knowledge of billing systems, including Allscripts, Cerner Technologies, and EHR systems, to manage patient data effectively.• Maintain and update records using computerized filing systems, ensuring consistency and organization.• Prepare and review detailed reports, including insurance claims and treatment authorization forms, with precision.• Perform coding and data entry tasks that align with departmental procedures and healthcare policies.• Collect and reconcile payments, adjust accounts as necessary, and ensure proper documentation of financial transactions.• Provide exceptional customer service by addressing patient inquiries and explaining billing procedures in a clear and thorough manner.• Train and support team members in technical processes, fostering a collaborative and efficient work environment.• Develop and maintain spreadsheets and databases to track financial and statistical data for reporting purposes.For immediate consideration please contact Cortney 209-225-2014
2026-04-01T00:00:00Z

Medical Billing Specialist

West Des Moines, IA
onsite
Temporary
20 - 24 USD / Hourly
Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy. Responsibilities:<ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul>
2026-04-09T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary
25 - 35 USD / Hourly
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. Key Responsibilities:<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>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-31T00:00:00Z