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47 results for Denials Specialist jobs

Medical Denials Specialist
  • Carmel, IN
  • onsite
  • Temporary
  • 18 - 22 USD / Hourly
  • <p>Join our dynamic healthcare team as a Medical Denials Specialist and play a key role in resolving denied medical claims efficiently and accurately.</p><p><br></p><p>Schedule: Monday–Friday, 8:00 am – 5:00 pm</p><p><br></p><p>Key Responsibilities:</p><ul><li>Review insurance denial notifications and conduct thorough research to resolve outstanding claims issues.</li><li>Analyze denial patterns and root causes, recommending process enhancements to prevent future occurrences.</li><li>Communicate directly with insurance payers to troubleshoot and expedite claim resolutions.</li><li>Prepare, document, and submit appeals for denied claims.</li><li>Work closely with billing teams, healthcare providers, and insurance companies to ensure smooth claims management.</li><li>Stay informed on payer guidelines and current healthcare compliance regulations.</li><li>Consistently maintain adherence to HIPAA requirements and internal policies.</li></ul><p><br></p>
  • 2026-03-04T00:00:00Z
Medical Claims Specialist
  • Denver, CO
  • onsite
  • Temporary
  • 19.95 - 21 USD / Hourly
  • We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
  • 2026-03-02T00:00:00Z
Eligibility Specialist
  • Houston, TX
  • remote
  • Contract / Temporary to Hire
  • 22.8 - 26.4 USD / Hourly
  • <p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> 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.</p><p>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.</p><p><br></p><p><strong>Responsibilities</strong></p><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><p><br></p>
  • 2026-02-20T00:00:00Z
RCM Support Staff Appeals & Denials
  • Houston, TX
  • remote
  • Contract / Temporary to Hire
  • 22.8 - 26.4 USD / Hourly
  • <p>We are seeking a detail-oriented and experienced <strong>RCM Eligibility Specialist</strong> to join our team on a <strong>contract-to-hire</strong> basis. This <strong>fully remote</strong> position plays a critical role in ensuring the timely and accurate financial clearance of patient accounts.</p><p>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.</p><p><br></p><p><strong>Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><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><p><strong>2. Claim Error Processing</strong></p><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>
  • 2026-02-20T00:00:00Z
Conflicts Specialist
  • Minneapolis, MN
  • onsite
  • Temporary
  • 20 - 28 USD / Hourly
  • <p>We are looking for a detail-oriented Conflicts Specialist to support our client on a contract basis. In this role, you will play a key part in ensuring accuracy and efficiency in conflict checking and file management processes. This position offers an opportunity to contribute to a dynamic legal environment while collaborating with the records team.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough conflict checks to identify potential issues and ensure compliance with legal and ethical standards.</p><p>• Manage the opening of new cases and files, maintaining accurate and organized records.</p><p>• Collaborate with the records team to ensure seamless documentation and data management.</p><p>• Utilize case management software to track and update case-related information.</p><p>• Communicate effectively with team members and other stakeholders regarding conflict check results.</p><p>• Follow established protocols for handling sensitive and confidential information.</p><p>• Ensure timely completion of assigned tasks to meet organizational deadlines.</p>
  • 2026-03-06T00:00:00Z
Admissions Specialist
  • New York, NY
  • onsite
  • Temporary
  • 31.6635 - 36.663 USD / Hourly
  • We are looking for a dedicated Admissions Specialist to join our team in New York, New York, on a contract basis. In this role, you will oversee undergraduate admissions operations, leading recruitment efforts and driving enrollment growth. This position requires strong leadership skills, the ability to collaborate cross-departmentally, and a data-driven approach to decision-making.<br><br>Responsibilities:<br>• Lead and manage the undergraduate admissions team, providing coaching, guidance, and support to ensure recruitment targets are met.<br>• Develop and implement effective recruitment strategies, both short-term and long-term, to attract prospective students.<br>• Oversee admissions-related workflows, databases, and communication processes to maintain data integrity and operational efficiency.<br>• Represent the admissions department at both virtual and in-person recruitment events.<br>• Collaborate with departments such as Marketing, Academic Affairs, and Student Financial Services to align strategies and processes.<br>• Monitor and evaluate key performance indicators to assess admissions staff performance and identify areas for improvement.<br>• Conduct regular team and individual meetings to address challenges, provide mentorship, and encourage attention to detail and growth.<br>• Utilize forecasting models and research tools to analyze enrollment trends and inform recruitment strategies.<br>• Manage technology implementations and updates to enhance admissions operations and streamline workflows.<br>• Partner with faculty and staff to cultivate a campus-wide culture that supports recruitment and student retention efforts.
  • 2026-03-04T00:00:00Z
Chargebacks Specialist
  • New York, NY
  • onsite
  • Permanent
  • 65000 - 70000 USD / Yearly
  • <p>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.</p><p><br></p><p>Responsibilities:</p><p>• Supervise and guide a small team responsible for account reconciliations and chargeback management.</p><p>• Monitor chargebacks and deductions across major retail accounts such as Costco, Walmart, and JC Penney.</p><p>• Utilize BlueCherry ERP to streamline accounts receivable tasks and ensure data accuracy.</p><p>• Manage account portals to track and resolve chargebacks efficiently.</p><p>• Ensure compliance with factoring agreements and identify non-factored accounts.</p><p>• Maintain precise financial records and reporting for chargebacks and deductions.</p>
  • 2026-03-02T00:00:00Z
Credentialing Specialist
  • Somerville, NJ
  • onsite
  • Temporary
  • 25 - 30 USD / Hourly
  • <p>We are looking for a detail-oriented Credentialing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring healthcare practitioners meet all credentialing and privileging requirements according to state, federal, and accreditation guidelines. This is an excellent opportunity to showcase your organizational skills and contribute to maintaining compliance and efficiency within the credentialing process.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Conduct thorough primary source verification to confirm education, licenses, and training credentials of healthcare practitioners.</li><li>Review and audit applications for accuracy and completeness, ensuring all required information is provided.</li><li>Manage and maintain credentialing records, privileging documentation, and enrollment files with precision.</li><li>Oversee provider enrollment processes for Medicaid, CAQH, and other healthcare systems, ensuring compliance with established procedures.</li><li>Upload and link critical documents in credentialing systems while maintaining accurate data entry.</li><li>Regularly update and audit on-call schedules to ensure accuracy and reliability.</li><li>Collaborate with physicians, advanced practice providers, hospital staff, and external organizations to address credentialing matters.</li><li>Ensure databases are consistently updated and maintained for seamless access and reporting.</li><li>Handle confidential information with discretion and professionalism, addressing urgent matters promptly.</li></ul><p><br></p>
  • 2026-03-03T00:00:00Z
Credentialing Specialist
  • Oconomowoc, WI
  • onsite
  • Contract / Temporary to Hire
  • 25 - 27 USD / Hourly
  • We are looking for a dedicated Credentialing Specialist to join our team in Oconomowoc, Wisconsin. This role focuses on ensuring accurate provider enrollment and credentialing processes, maintaining compliance with regulatory standards, and supporting effective collaboration across departments. As a Contract to permanent position, this opportunity provides the chance to contribute to a dynamic healthcare environment while advancing skills and growth.<br><br>Responsibilities:<br>• Manage provider enrollment applications and maintain accurate practitioner and facility information across multiple systems.<br>• Ensure compliance with privacy practices, medical staff standards, and state and federal regulations during credentialing processes.<br>• Collaborate with colleagues to verify network affiliations and contracted payer details.<br>• Update and recommend changes to policies and procedures related to enrollment and credentialing.<br>• Conduct outreach to onboarding medical staff, detailing enrollment requirements and providing guidance on processes.<br>• Populate, verify, and maintain credentialing software with accurate provider status and demographic information.<br>• Oversee enrollment and revalidation processes for practitioners with government payers using electronic application methods.<br>• Monitor and share updates on provider affiliations, applications, and revalidation statuses.<br>• Communicate accurate facility and provider location information to ensure compliance and alignment with contracted networks.<br>• Maintain confidentiality and protect sensitive information throughout all credentialing activities.
  • 2026-03-06T00:00:00Z
Benefits Specialist
  • Rochester, NY
  • onsite
  • Temporary
  • 20 - 30 USD / Hourly
  • <ul><li>Administer and coordinate employee benefits programs, including health, dental, vision, life insurance, disability, flexible spending, and retirement plans</li><li>Serve as the primary point of contact for employee benefits inquiries, providing accurate and timely information</li><li>Support open enrollment processes, including communications, system updates, and responding to employee questions</li><li>Ensure compliance with federal, state, and local benefit regulations (COBRA, HIPAA, ACA, ERISA, etc.)</li><li>Maintain accurate benefits records and process enrollments, changes, and terminations in HRIS and with third-party providers</li><li>Collaborate with payroll to ensure correct benefit deductions and resolve discrepancies</li><li>Assist with benefits-related vendor and invoice management</li><li>Support the development of benefits communications and educational materials for employees</li><li>Participate in benchmarking, plan evaluations, and special benefits projects as needed</li></ul><p><br></p>
  • 2026-03-03T00:00:00Z
Benefits Specialist
  • Pasadena, TX
  • onsite
  • Contract / Temporary to Hire
  • 34 - 38 USD / Hourly
  • <p>We are looking for a skilled Sr. Benefits Specialist to join our team in Pasadena, Texas. In this Contract to permanent position, you will play a key role in administering and optimizing employee benefits programs, ensuring smooth operations and compliance across various offerings. Your expertise in benefits coordination and administration will significantly contribute to enhancing employee satisfaction and the overall efficiency of our organization.</p><p><br></p><p>Responsibilities:</p><p>• Administer comprehensive benefits programs, including health, dental, vision, life, disability, and voluntary options, ensuring accuracy and compliance.</p><p>• Manage employee enrollment processes, handle status changes, and resolve claims efficiently.</p><p>• Maintain updated and accessible benefits resources across internal platforms to support employees.</p><p>• Oversee retirement plans such as 401(k), including enrollments, loans, withdrawals, and reporting.</p><p>• Provide guidance and support to employees regarding FMLA and other leave policies.</p><p>• Collaborate with payroll and HR teams to ensure seamless integration and execution of benefits.</p><p>• Analyze benefit packages and provide recommendations to optimize offerings.</p><p>• Verify and monitor employee benefits to ensure eligibility and accuracy.</p><p>• Utilize ADP Workforce Now to manage benefits administration tasks effectively.</p><p>• Conduct regular audits and reporting to ensure compliance with regulations and company policies.</p>
  • 2026-03-06T00:00:00Z
Benefits Specialist
  • South San Francisco, CA
  • onsite
  • Temporary
  • 42 - 42 USD / Hourly
  • <p>We are looking for an experienced Benefits Specialist to join our team in San Leandro, California. In this contract position, you will play a vital role in supporting employee benefits, managing leave administration, and ensuring smooth operations for benefit-related tasks. If you have a strong background in benefits coordination and enjoy providing exceptional service to employees, this role offers a great opportunity to contribute to a dynamic manufacturing environment.</p><p><br></p><p>Responsibilities:</p><p>• Address daily employee inquiries related to benefits, providing accurate information and ensuring timely resolution.</p><p>• Perform data entry tasks, including updating employee records, processing benefit changes, and generating reports such as 401(k) enrollment summaries.</p><p>• Manage administrative functions, such as maintaining leave of absence spreadsheets, reconciling healthcare invoices, and supporting accurate billing processes.</p><p>• Oversee leave of absence cases with up to 20 active files, ensuring deadlines are met, documentation is complete, and communication is clear.</p><p>• Administer benefits programs, including handling invoicing, mail management, and providing support for 401(k) plan processes.</p><p>• Act as a primary resource for employee-facing benefits questions, directing inquiries to appropriate team members or external partners.</p><p>• Collaborate closely with internal teams, such as the Benefits Coordinator, Total Rewards Manager, and external brokers, to ensure seamless operations.</p><p>• Provide operational support by maintaining organized workflows, prioritizing communication, and adapting to changing needs.</p><p>• Ensure compliance with company policies and procedures in all benefits-related activities.</p><p>• Deliver high-quality administrative services aligned with the organization’s culture of flexibility and professionalism.</p>
  • 2026-02-25T00:00:00Z
Benefits Specialist
  • Rochester, NY
  • onsite
  • Permanent
  • 52000 - 57000 USD / Yearly
  • <p>We are looking for an experienced Benefits Specialist to join our team in Rochester, NY. This role is essential in ensuring employees have access to comprehensive and compliant benefit programs, while maintaining confidentiality and building trust across all levels of the organization. The ideal candidate will have strong organizational skills, excellent communication abilities, and a proactive approach to problem-solving.</p><p><br></p><p>Responsibilities:</p><p>• Administer and manage employee benefit programs, ensuring compliance with applicable laws and regulations.</p><p>• Provide guidance and support to employees regarding benefits options, processes, and eligibility requirements.</p><p>• Foster trust and maintain confidentiality when handling sensitive employee information.</p><p>• Collaborate with internal teams to streamline benefits coordination and address employee inquiries effectively.</p><p>• Analyze and evaluate current benefit offerings to propose improvements and align with industry best practices.</p><p>• Manage benefits-related processes such as onboarding, FMLA administration, and other leave policies.</p><p>• Utilize Microsoft Office and organizational systems to maintain accurate benefit records and reports.</p><p>• Ensure timely communication of benefits updates and changes to employees.</p><p>• Develop and implement strategies to enhance employee understanding and engagement with benefit programs.</p><p>• Stay informed on legal and regulatory changes affecting compensation and benefits.</p>
  • 2026-02-18T00:00:00Z
Benefits Specialist
  • Kansas City, MO
  • onsite
  • Contract / Temporary to Hire
  • 26.6 - 30.8 USD / Hourly
  • We are looking for a Benefits Specialist to join our team in Kansas City, Missouri. In this Contract to permanent position, you will oversee the administration and management of employee benefits programs, including workers’ compensation and family leave policies. This role requires close collaboration with the human resources and business office departments to ensure seamless support for employees and compliance with regulations.<br><br>Responsibilities:<br>• Administer a variety of employee benefits programs, including workers’ compensation and Family and Medical Leave Act (FMLA) policies.<br>• Resolve employee inquiries and issues related to benefits by providing timely and accurate information.<br>• Collaborate with human resources and business office teams to coordinate benefits processes and ensure compliance with company policies.<br>• Maintain accurate records and reconcile discrepancies in benefits reporting.<br>• Provide detailed guidance to new and existing employees regarding available benefits and enrollment procedures.<br>• Communicate effectively with providers and administrators to ensure smooth operation of benefits programs.<br>• Utilize automated insurance systems to manage benefits processes efficiently.<br>• Stay informed about changes in employee benefits laws and regulations to ensure compliance.<br>• Develop and implement strategies to improve benefits administration and employee satisfaction.<br>• Organize and prioritize tasks to meet deadlines and maintain high levels of accuracy.
  • 2026-03-06T00:00:00Z
Reconciliation Specialist
  • McKeesport, PA
  • onsite
  • Temporary
  • 25 - 30 USD / Hourly
  • Job Title: Reconciliations Specialist (Part-Time, Onsite)<br><br>Location: East of Pittsburgh, PA<br><br>Schedule: 20 hours/week (Monday–Friday, flexible within business hours)<br><br>Position Summary: Our client is seeking an experienced Reconciliations Specialist to support year-end closing for 2025 and assist in month-end close processes. In this key accounting role, you’ll be responsible for ensuring all financial records are accurate, current, and fully reconciled. Your primary focus will include reconciling the trial balance, general ledger account balances, and bank statements, ensuring all discrepancies are promptly addressed in accordance with municipal financial policies and auditing requirements.<br><br>Responsibilities:<br>Perform month-end and year-end closing activities, with a major focus on 2025 year-end close.<br>Reconcile the trial balance to general ledger account balances and to all related bank statements, investigating and resolving variances.<br>Prepare supporting schedules and documentation for reconciliations to ensure completeness and accuracy.<br>Collaborate with finance, treasury, and other municipal departments to gather required information and resolve outstanding issues.<br>Ensure adherence to municipal internal controls, policies, and procedures.<br>Document reconciliation processes and provide suggestions for process improvements as needed.<br>Assist in preparation for audits, providing necessary reconciliation reports and backup documentation.<br><br>Requirements:<br>Proven experience in reconciliations, accounting, or bookkeeping; municipal or public sector experience strongly preferred.<br>Strong knowledge of accounting principles and demonstrated ability to reconcile complex account structures.<br>Proficiency with accounting software, ERP systems, and Microsoft Excel.<br>Excellent analytical, problem-solving, and organizational skills.<br>Attention to detail and accuracy.<br>Ability to work independently and manage time effectively within part-time, flexible scheduling parameters.<br><br>If you are a detail-oriented accounting professional with a strong background in reconciliations who is looking for a part-time, flexible opportunity to make a direct impact in the public sector, we encourage you to apply today!<br><br>f you are interested in being considered for this Reconciliation Specialist position and you have the appropriate background, please apply online via the Robert Half website or via the Robert Half app. After applying to this accounting/finance role, please CALL immediately at 412-471-5946 to confirm your application has been received! Ask for Carrie, Dan or Aimee and please reference Job # 03730-0013392574 when calling!<br> <br>If you visit the Robert Half website and see any other Accounting or Finance jobs in the greater Pittsburgh area that you would like to learn more about, please call 412-471-5946.
  • 2026-03-06T00:00:00Z
Insurance Billing Specialist
  • Mundelein, IL
  • onsite
  • Permanent
  • 60000 - 65000 USD / Yearly
  • <p><em>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]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><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><p> </p>
  • 2026-02-09T00:00:00Z
Medical Eligibility Specialist
  • Long Beach, CA
  • onsite
  • Contract / Temporary to Hire
  • 18.2115 - 23 USD / Hourly
  • <p>A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. </p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings for incoming clients to determine eligibility and financial liability.</p><p>• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.</p><p>• Maintain and update client financial records in electronic health record systems.</p><p>• Organize and track annual re-evaluations of client financial information.</p><p>• Follow up with clinical staff to ensure completion of required documentation for financial folders.</p><p>• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.</p><p>• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).</p><p>• Audit financial folders upon client discharge to ensure compliance and accuracy.</p><p><br></p>
  • 2026-03-06T00:00:00Z
Insurance Authorization Specialist
  • Carmel, IN
  • onsite
  • Temporary
  • 18 - 22 USD / Hourly
  • <p>We are seeking a motivated Insurance Authorization Specialist to join our expanding healthcare team in Carmel, IN. In this position, you will verify patient insurance coverage, secure pre-authorizations for medical services, and act as a critical link between our office, patients, and insurance companies. Your attention to detail and communication skills will help facilitate efficient billing and timely patient care.</p><p><br></p><p><strong>Schedule</strong>: Monday – Friday, 8:00 a.m. – 5:00 p.m.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Confirm patient insurance eligibility and benefits before appointments and procedures.</li><li>Request, track, and follow up on prior authorizations for medical services.</li><li>Maintain accurate records of all communications with insurers, payers, and patients.</li><li>Provide timely status updates and coverage information to providers, billing staff, and patients.</li><li>Collaborate to resolve denied authorizations or address appeals quickly.</li><li>Stay current on insurance policies, pre-authorization rules, and payer guidelines.</li><li>Adhere to HIPAA regulations and protect patient privacy at every step.</li></ul><p><br></p>
  • 2026-03-04T00:00:00Z
Insurance Follow-Up Specialist
  • Springfield, MA
  • remote
  • Temporary
  • 19 - 22 USD / Hourly
  • <p>Our client in Springfield, MA is seeking an experienced Insurance Follow-Up Specialist for a contract position. This is an excellent opportunity to contribute your expertise with a respected organization, ensuring the timely and accurate management of insurance claims and reimbursement processes.</p><p>Key Responsibilities:</p><ul><li>Investigate and resolve unpaid or delayed insurance claims</li><li>Communicate effectively with insurance carriers to obtain status updates, claim resolutions, and clarification of denials</li><li>Review and analyze explanation of benefits (EOBs) and remittance advice to determine appropriate follow-up</li><li>Appeal denied claims in accordance with payer-specific guidelines</li><li>Document all interactions and claim actions in the billing system accurately</li><li>Collaborate with internal teams, such as billing and collections, to ensure coordinated efforts</li><li>Maintain up-to-date knowledge of insurance regulations and payer requirements</li></ul><p><br></p>
  • 2026-03-06T00:00:00Z
Medical Billing Specialist
  • Basking Ridge, NJ
  • onsite
  • Contract / Temporary to Hire
  • 25.3365 - 29.337 USD / Hourly
  • <p>Our client is seeking an experienced <strong>Medical Billing Specialist </strong>to join their healthcare team in <strong>Basking Ridge, New Jersey. </strong>In this role, you will handle <strong>Medicare billing processes </strong>for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities.</p><p><br></p><p><strong>Medicaid Medical Biller Responsibilities:</strong></p><p>• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.</p><p>• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.</p><p>• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.</p><p>• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.</p><p>• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.</p><p>• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.</p><p>• Monitor accounts receivable aging and escalate high-risk accounts when necessary.</p><p>• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.</p><p>• Ensure timely and accurate submissions by verifying all claim data for completeness.</p><p>• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.</p>
  • 2026-03-04T00:00:00Z
Medical Billing Specialist
  • Addison, TX
  • onsite
  • Temporary
  • 19.7885 - 22.913 USD / Hourly
  • We are looking for a dedicated Medical Billing Specialist to join our team on a contract basis in Addison, Texas. This role requires working fully onsite to support billing operations at a psychiatry healthcare facility. The ideal candidate will ensure accurate billing processes while providing exceptional communication with patients and maintaining detailed records.<br><br>Responsibilities:<br>• Enter billing slips into Practice Suites with precision and efficiency.<br>• Verify patient insurance benefits and ensure accurate documentation.<br>• Communicate professionally with patients regarding account balances and payment inquiries.<br>• Maintain and update patient profiles to reflect current information.<br>• Collaborate with the team to address billing discrepancies and resolve issues.<br>• Ensure compliance with healthcare billing regulations and standards.<br>• Handle sensitive patient information with confidentiality and care.<br>• Provide support in utilizing Practice Suites and other billing systems effectively.<br>• Assist in improving billing workflows to enhance overall efficiency.
  • 2026-03-04T00:00:00Z
Medical Billing Specialist
  • Oklahoma City, OK
  • onsite
  • Contract / Temporary to Hire
  • 18 - 25 USD / Hourly
  • <p><strong>Job Title:</strong> Medical Billing Clerk (Temp to Hire)</p><p><strong>Location:</strong> 100% Onsite – North Oklahoma City, OK</p><p><strong>Schedule:</strong> Monday – Friday, 8:00am – 5:00pm</p><p><strong>Pay:</strong> $18–$22 per hour, DOE</p><p><strong>Assignment:</strong> 90-day Temp to Hire Opportunity</p><p>Robert Half is seeking an experienced Medical Billing Clerk for a local client in North OKC. This is a full-time, onsite position—with the potential to become a permanent role after 90 days. The ideal candidate is detail-oriented, reliable, and has hands-on experience with Medicaid, Medicare, and true medical accounts receivable (AR) functions.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit accurate medical claims to Medicaid, Medicare, and commercial insurance carriers</li><li>Review and post payments, reconcile accounts, and resolve discrepancies</li><li>Manage insurance denials, appeals, and follow-up on outstanding claims to ensure timely reimbursement</li><li>Maintain and update patient billing records and related documentation</li><li>Assist with patient billing inquiries, statements, and collections as needed</li><li>Support compliance with HIPAA and other industry regulations</li></ul>
  • 2026-03-06T00:00:00Z
Medical Billing Specialist
  • Philadelphia, PA
  • onsite
  • Temporary
  • 0 - 0 USD / Yearly
  • We are seeking a detail-oriented Medical Biller specializing in billing and follow-up for IBC, Keystone, Auto, Workers&#39; Compensation, and Commercial Insurances. This position plays a vital role in the hospital’s revenue cycle by ensuring accurate claim submission and timely reimbursement from various insurance payers. The hours for this position are 8am-4:30pm, on-site in 19154 zip code area. <br>Key Responsibilities:<br>• Prepare, review, and submit medical claims to IBC, Keystone, Auto, Workers&#39; Compensation, and commercial insurance providers, ensuring all claims are accurately completed and compliant with payer requirements.<br>• Perform thorough and timely follow-up on unpaid or denied claims, working directly with insurance representatives to resolve issues and secure reimbursement.<br>• Identify and correct billing errors and discrepancies; resubmit corrected claims promptly.<br>• Maintain up-to-date knowledge of payer contracts, medical coding (ICD-10, CPT), and state/federal billing regulations.<br>• Respond to insurance inquiries, provide requested documentation, and communicate with clinical, registration, and coding teams as needed to ensure successful claim processing.<br>• Track account status and payments, posting remittances and reconciling patient and payer accounts.<br>• Document all actions, communications, and status updates in the billing/account system.<br>• Participate in audits and assist with denial management efforts.<br>Requirements:<br>• 2+ years’ experience in hospital or physician billing, with a focus on multi-payer environments (IBC, Keystone, Auto, Work Comp, Commercial).<br>• Proficiency in electronic medical records (EMR), hospital billing systems, and payer web portals.<br>• Strong understanding of insurance claims processes, medical coding, and relevant regulations.<br>• Excellent written and verbal communication skills; professional, courteous telephone etiquette.<br>• High attention to detail and organizational skills; ability to handle high-volume work and meet deadlines.<br><br>For immediate consideration please call Christine at the Trevose PA office of Robert Half at 215-244-1870. Or send your updated resume to christine.macmahon@roberthalf com Thank you!
  • 2026-03-05T00:00:00Z
Medical Billing Specialist
  • Raeford, NC
  • onsite
  • Temporary
  • 15 - 17 USD / Hourly
  • <p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract position, you will play a vital role in ensuring accurate billing procedures and supporting the financial operations of a local healthcare facility. This opportunity is ideal for individuals with a strong background in medical billing who are committed to maintaining high standards of professionalism and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing claims accurately and efficiently to ensure timely reimbursement.</p><p>• Review and verify essential patient information and insurance details before submitting claims.</p><p>• Investigate and resolve billing discrepancies to ensure smooth operations.</p><p>• Collaborate with healthcare staff to clarify billing issues and improve processes.</p><p>• Maintain up-to-date knowledge of billing codes, insurance policies, and regulations.</p><p>• Generate detailed billing reports to track revenue and identify trends.</p><p>• Communicate effectively with insurance companies to address denied claims or appeals.</p><p>• Ensure confidentiality and security of patient billing records.</p><p>• Assist in optimizing billing workflows to enhance overall productivity.</p>
  • 2026-02-13T00:00:00Z
Medical Billing Specialist
  • Raeford, NC
  • onsite
  • Temporary
  • 15 - 17 USD / Hourly
  • <p>We are looking for a dedicated Medical Billing Specialist to join our team at a healthcare facility in Fayettevlle, North Carolina. In this long-term contract position, you will play a crucial role in managing billing processes and ensuring accuracy in financial transactions. This is an excellent opportunity for professionals with experience in medical billing who are eager to contribute to the smooth operation of a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with accuracy and efficiency.</p><p>• Verify patient insurance coverage and eligibility for services.</p><p>• Resolve billing discrepancies and follow up on unpaid claims to ensure timely payments.</p><p>• Maintain detailed records of financial transactions and patient accounts.</p><p>• Collaborate with healthcare providers to ensure proper coding and documentation for billing purposes.</p><p>• Respond to inquiries from patients and insurance companies regarding billing issues.</p><p>• Analyze billing reports to identify patterns and improve processes.</p><p>• Ensure compliance with industry regulations and standards in all billing activities.</p><p>• Participate in audits and reviews to ensure accuracy and compliance.</p><p>• Provide support and training to staff on billing procedures as needed.</p>
  • 2026-02-13T00:00:00Z
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