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48 results for Denials Specialist jobs

Medical Denials Specialist

Carmel, IN
onsite
Temporary / Contract
18 - 22 USD / Hourly
We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. In this role, you will be responsible for reviewing, analyzing and resolving denied medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate will have experience working with insurance carriers, payer guidelines, appeals processes and healthcare billing systems. Hours: Monday - Friday 8am -5pm Key Responsibilities<ul><li>Review and investigate denied or underpaid medical claims</li><li>Identify denial trends and root causes to support process improvement</li><li>Prepare and submit claim corrections, reconsiderations and appeals</li><li>Follow up with insurance companies regarding claim status and payment resolution</li><li>Verify coding, billing and documentation accuracy to ensure compliance with payer requirements</li><li>Collaborate with billing, coding, collections and clinical teams to resolve claim issues</li><li>Maintain accurate records of denial activity, appeal outcomes and account updates</li><li>Monitor payer policy changes and reimbursement guidelines</li><li>Meet productivity and quality goals related to denial resolution and accounts receivable follow-up</li></ul>
2026-05-29T00:00:00Z

Claims Specialist

Chesterfield, MO
onsite
Temporary / Contract
30 - 55 USD / Hourly
We are looking for a Claims Specialist to join a growing legal and risk team in Chesterfield, Missouri. This Long-term Contract position is well suited for someone who is detail oriented and can oversee complex claim activity, coordinate with internal and external partners, and maintain strong documentation practices in a fast-moving environment. The role offers broad exposure across multiple operating companies and supports workers’ compensation, auto liability, and general liability matters. You will play an important part in helping the organization manage risk, control claim costs, and improve claims workflows as the business continues to expand. Responsibilities: • Oversee claims from initial notice through final resolution, ensuring each case is documented thoroughly and advanced in a timely manner. • Manage a varied caseload with significant emphasis on workers’ compensation matters, along with auto liability and general liability exposures. • Work closely with third-party administrators, insurance carriers, and outside counsel to support effective claim handling and informed decision-making. • Gather, review, and organize records such as wage information, incident details, and related supporting materials needed for evaluation and processing. • Submit and track claims in alignment with company standards and applicable regulatory obligations, maintaining accuracy throughout the process. • Partner with teams across operations, human resources, legal, and safety to collect facts, resolve open issues, and move claims toward closure. • Monitor milestones, deadlines, reserves, settlement discussions, and litigation-related developments in collaboration with the Claims Manager. • Maintain secure, well-ordered claim files while protecting confidential information and supporting process improvements in a high-volume, evolving organization. The pay range for this position is 30 to 55. Benefits available to contract/contract professionals, include medical, vision, dental, and life and disability insurance. Hired contract/contract professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.
2026-06-08T00:00:00Z

Prior Authorization Specialist

Chandler, AZ
remote
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a Prior Authorization Specialist to support front-end revenue cycle activities for a long-term contract opportunity. This position plays an important role in helping patients move through the care process by confirming coverage, securing required approvals, and clarifying financial responsibility before services are delivered. The position requires strong knowledge of insurance processes, prior authorization workflows, and high-volume healthcare operations. Responsibilities:• Evaluate scheduled patient services and coverage details to determine when pre-service authorization or other financial clearance steps are required.• Obtain initial approvals and follow-up authorizations within required timeframes to prevent delays in care or claim issues.• Verify insurance eligibility, review benefit information, and interpret payer guidelines to support accurate account clearance.• Calculate and communicate patient financial responsibility estimates based on plan coverage, benefits, and service details.• Document authorization activity, verification findings, and account updates within EMR or EHR systems, preferably Epic.• Work across assigned specialty areas such as cardiology, imaging, surgery, or other service lines based on business needs.• Participate in daily remote team huddles and maintain productivity standards in a fast-paced, metrics-driven environment.• Provide guidance to newer team members when needed on payer requirements, workflow expectations, and revenue cycle-related issues.• Support additional work assignments related to financial clearance, insurance review, and pre-service account readiness as needed.
2026-06-09T00:00:00Z

Fraud Specialist

Rochester, NY
onsite
Temporary / Contract
21 - 22 USD / Hourly
We are looking for a Fraud Specialist to support fraud prevention and case resolution efforts for a long-term contract opportunity in Rochester, New York. This position focuses on protecting the organization and its clients by reviewing suspicious activity, researching financial crime concerns, and coordinating timely responses with internal teams and external institutions. The ideal candidate will bring a detail-oriented approach to risk assessment, compliance, and client support while helping reduce financial exposure through thorough investigation and documentation. Responsibilities: • Examine flagged clients and transactions to identify elevated risk, confirm patterns of suspicious behavior, and help stop potentially fraudulent activity before losses occur. • Investigate reports involving check-related fraud, including altered or unauthorized items, and partner with business contacts to guide resolution steps and document outcomes. • Support cases involving exposure of sensitive personal information by following regulatory requirements, coordinating appropriate next steps, and communicating available remediation options. • Assess applicants or new clients who do not pass authentication checks by conducting research into legitimacy, financial standing, and potential risk indicators. • Record fraud incidents accurately in centralized tracking tools to support reporting, pattern analysis, and information sharing across fraud prevention efforts. • Work with financial institutions and internal stakeholders to assist with account restriction, fund recovery efforts, and other actions intended to limit losses. • Provide practical guidance to clients and internal partners on fraud prevention measures, response procedures, and sound security practices. • Compile case details and trend data for recurring reporting needs, helping the team monitor fraud activity and identify areas requiring additional controls.
2026-06-08T00:00:00Z

Fraud Specialist

Rochester, NY
onsite
Temporary / Contract
21 - 22 USD / Hourly
We are looking for a Fraud Specialist to support risk management efforts by identifying, investigating, and resolving suspected fraudulent activity that could affect the organization and its clients. This position focuses on protecting funds, reducing exposure to financial crime, and partnering with internal teams and external institutions to address incidents effectively. Based in Rochester, New York, this is a Long-term Contract opportunity for a detail-oriented individual who can combine analytical judgment, compliance awareness, and strong communication skills in a fast-paced environment. Responsibilities: • Examine high-risk client profiles and transaction activity flagged by fraud prevention controls, and take action to stop potentially harmful activity before losses occur. • Investigate reported fraud incidents, including altered or improperly endorsed checks, while coordinating with internal stakeholders to support timely resolution. • Document case details in centralized tracking systems so information can be used for reporting, trend analysis, and broader fraud prevention efforts. • Partner with financial institutions to help secure affected accounts and support recovery efforts when unauthorized activity is identified. • Review situations involving potential exposure of sensitive personal information and guide appropriate response steps in line with company policy and legal requirements. • Assess onboarding exceptions when clients do not pass authentication checks, using research tools to confirm legitimacy and determine appropriate risk mitigation measures. • Provide practical guidance to internal teams and clients on fraud prevention practices, incident handling procedures, and next-step resolution options. • Compile and monitor incident metrics to identify patterns, recurring threats, and areas where fraud controls can be strengthened.
2026-06-08T00:00:00Z

Medical Insurance Verification Specialist

Saint Paul, MN
remote
Temporary / Contract
15.39 - 18 USD / Hourly
A National Healthcare Company is seeking a detail-oriented Medical Insurance Verification Specialist with 2+ years of experience to join our team in a fully remote capacity. In this role, the Medical Insurance Verification Specialist will be responsible for verifying patient insurance coverage, obtaining benefit information, and ensuring accurate documentation prior to services being rendered. Company-issued equipment will be provided to support your success in this remote position.Key Responsibilities:<ul><li>Verify patient insurance eligibility, benefits, and coverage details prior to appointments or procedures</li><li>Work with a variety of insurance plans, including HMO, PPO, Medicare, and Medicaid</li><li>Confirm referrals, authorizations, copays, deductibles, and out-of-pocket responsibilities</li><li>Communicate with insurance carriers, provider offices, and internal teams to resolve coverage issues</li><li>Accurately document verification details in patient accounts and internal systems</li><li>Identify and escalate discrepancies or denials as needed</li><li>Maintain compliance with HIPAA and company policies</li></ul>
2026-06-10T00:00:00Z

Credentialing Specialist

Indianapolis, IN
remote
Temporary / Contract
23 - 25 USD / Hourly
We are seeking an experienced Credentialing Specialist to assist with a credentialing backlog project. This is a short-term contract opportunity expected to last approximately two months, with the possibility of extension depending on workload and project progress.Key Responsibilities<ul><li>Perform Primary Source Verification (PSV) for initial and recredentialing provider files.</li><li>Review, audit, and maintain provider credentialing files to ensure accuracy and completeness.</li><li>Verify provider licenses, certifications, education, training, work history, and other required credentials.</li><li>Ensure all credentialing documentation meets regulatory, accreditation, and organizational compliance standards.</li><li>Support the credentialing team in processing a high volume of backlog files.</li><li>Conduct outbound calls to providers, facilities, and verification sources as needed.</li><li>Perform accurate data entry and maintain credentialing records within designated systems.</li><li>Follow established credentialing policies, procedures, and turnaround time requirements.</li></ul>
2026-06-08T00:00:00Z

Lien Specialist

Barefoot Beach, FL
onsite
Temporary / Contract
19.7885 - 25 USD / Hourly
We are looking for a skilled Lien Specialist to join our team in Bonita Springs, Florida. In this long-term contract position, you will play a key role in ensuring compliance with lien and bond rights, supporting accounts receivable collections, and assisting with the resolution of at-risk accounts. This role is ideal for detail-oriented professionals with a background in legal risk management and a commitment to accuracy and collaboration. Responsibilities:• Evaluate whether lien and bond rights should be pursued based on customer account risks and outstanding accounts receivable.• Verify the eligibility of equipment for lien or bond claims in compliance with state statutes.• Conduct ownership and contractor research to ensure the accuracy of Preliminary Notices.• Collaborate with field teams to confirm and update jobsite information in internal systems.• Document all activities in designated systems to maintain accurate and accessible records.• Monitor and meet critical deadlines and service level agreements (SLAs).• Assess business types to determine eligibility for lien and bond claims.• Provide appropriate lien releases to customers based on job details and payment status.• Assist the Legal Services Team in resolving at-risk accounts by preparing payment plans and final demand letters.• Promote and actively participate in the company’s safety culture, ensuring the well-being of team members and customers.
2026-05-27T00:00:00Z

Benefits Specialist

Bridgewater, NJ
onsite
Temporary / Contract
35 - 38 USD / Hourly
We are looking for a Benefits Specialist to support benefits administration and employee enrollment activities for a Long-term Contract position in Bridgewater, New Jersey. This role will play an important part in guiding a smooth open enrollment cycle, helping maintain accurate records, and assisting employees with benefits-related updates. The ideal candidate brings hands-on experience with benefits processes, strong attention to detail, and a practical understanding of compliance requirements in a fast-paced HR environment. Responsibilities:• Coordinate day-to-day benefits administration tasks with a focus on supporting the open enrollment period for the upcoming plan year.• Review employee benefit elections and related documentation to help ensure records are complete, accurate, and aligned with established policies.• Enter and validate benefits data in HR and benefits systems, checking manual updates carefully to reduce errors.• Assist staff members with self-service benefit changes by providing clear guidance through online enrollment tools when needed.• Prepare and maintain spreadsheets for data tracking, reporting, and file uploads tied to benefits activity.• Support enrollment changes associated with updated carrier offerings and revised plan options during the enrollment cycle.• Monitor handling of electronic and paper forms to help maintain compliance with benefits administration standards.• Partner with internal stakeholders to address employee questions and resolve routine benefits-related issues efficiently.
2026-05-28T00:00:00Z

Benefits Specialist

Pittsburgh, PA
onsite
Temporary / Contract
26 - 31 USD / Hourly
Our Pittsburgh client is seeking a Benefits Specialist for a hybrid, contract opportunity. This role will support the administration of employee benefits programs and play a key role in open enrollment, employee education, and ongoing benefits support. The ideal candidate is detail-oriented, service-focused, and comfortable working directly with employees and vendors. Hours: 40 hours a week, M-F. Hours are flexible: 7-3. 8-4, 9-5, or 10-6 with a half hour lunch. Pay: $26–31/hr Free parking available and easily accessible by bus.
2026-05-29T00:00:00Z

Benefits Specialist

Woodbridge, NJ
remote
Temporary / Contract
50 - 55 USD / Hourly
We are looking for an experienced Benefits Specialist to support benefit education and client engagement within the financial services industry in Iselin, New Jersey. This Long-term Contract position is ideal for a knowledgeable specialist who can clearly explain benefit offerings through virtual presentations while providing accurate, timely guidance to participants. The role also includes maintaining benefit-related materials and responding to questions with a high level of subject matter expertise. Responsibilities:• Deliver virtual benefit presentations to clients and participants, explaining plan options, key provisions, and enrollment details in a clear and thorough manner.• Serve as a subject matter expert on benefit programs by addressing questions and providing accurate guidance on available offerings and related processes.• Review benefit documents on a regular basis and update content to ensure accuracy, consistency, and compliance with current program information.• Coordinate benefit-related activities and support communication efforts that help clients understand compensation and benefits programs.• Analyze benefit information and participant needs to provide informed responses and practical recommendations.• Assist with administration tied to leave-related topics, including general support associated with FMLA matters when applicable.• Maintain organized records of presentations, communications, and document revisions to support operational efficiency and audit readiness.
2026-06-05T00:00:00Z

Reconciliation Specialist

Columbia, SC
onsite
Temporary / Contract
26.6 - 30.8 USD / Hourly
We are looking for a Reconciliation Specialist to join a long-term contract opportunity based in Columbia, South Carolina. This position supports critical banking operations by researching account discrepancies, resolving teller-related imbalances, and maintaining accurate general ledger activity across deposit operations. The ideal candidate brings strong banking and accounting knowledge, sound judgment, and the ability to deliver clear resolutions while managing multiple priorities in a fast-paced environment. Responsibilities: • Conduct thorough balancing and analysis of deposit operations accounts, including teller-related ledgers, suspense accounts, and other general ledger activity. • Investigate transaction variances, teller outages, and unresolved account differences, then document and communicate final resolutions to appropriate business partners. • Manage operational workflows involving exception items, returned transactions, check adjustments, dormant checks, and high-value item review. • Support branch and operations teams with debit card servicing, dispute handling, card maintenance, and related customer account research. • Perform fraud-related review activities and help maintain compliance with Regulation E and other applicable banking standards. • Process legal and regulatory items such as levies, garnishments, subpoenas, escheatment activity, and tax-related notices in accordance with policy requirements. • Execute specialized banking functions that may include wire activity, foreign item handling, remittance processing, and periodic payout administration. • Assist with reconciliation process enhancements, certification activities, and cross-functional operational support for online banking, treasury services, and network-related tasks.
2026-06-08T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent / Full Time
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>
2026-06-10T00:00:00Z

Grants Specialist

Waterloo, IA
onsite
Temporary to Hire
28 - 35 USD / Hourly
We are looking for a dedicated and detail-oriented Grants Specialist to join our client's team in Waterloo, Iowa. This is a contract opportunity with the ability to earn a permanent seat for the right person! You will be part of a team that leads the full grant lifecycle—identifying funding sources, crafting competitive proposals, managing timelines, and coordinating submissions from idea to award. Key responsibilities include, but are not limited to:<ul><li>Collaborating with internal resource development and foundation staff to align public and private funding opportunities with institutional priorities.</li><li>Researching, interpreting, sharing, pursuing, developing, submitting, and supporting the implementation of grant opportunities at the local, state, and national levels.</li><li>Assisting with planning, developing, writing, and editing grant proposals, including narrative and budget components.</li><li>Coordinating with internal and external partners to gather, analyze, and present data needed for grant applications.</li><li>Supporting and implementing institutional grant development processes that address strategic needs and priorities.</li><li>Maintaining accurate records of submitted and awarded grant proposals.</li><li>Serving as a point of contact and institutional representative in communications with funding agencies.</li><li>Participating in committees, workgroups, or projects as assigned.</li><li>Performing related duties as needed.</li></ul>
2026-05-29T00:00:00Z

Insurance Authorization Specialist

Indianapolis, IN
onsite
Temporary / Contract
18 - 22 USD / Hourly
We are seeking a detail-oriented Insurance Authorization Specialist to support timely and accurate insurance verification and prior authorization processes. This role is responsible for reviewing patient and provider information, obtaining required authorizations, confirming coverage, and helping ensure claims are processed efficiently. The ideal candidate has strong knowledge of insurance guidelines, excellent communication skills, and the ability to manage multiple cases in a fast-paced environment. Hours: Monday - Friday 8am -5pm Key Responsibilities<ul><li>Verify insurance eligibility, benefits, and coverage details</li><li>Obtain prior authorizations and pre-certifications for services, procedures, and medications</li><li>Communicate with insurance carriers, providers, patients, and internal teams regarding authorization requirements and status updates</li><li>Review documentation for completeness and accuracy before submission</li><li>Track authorization requests, approvals, denials, and expirations</li><li>Follow up on pending and denied authorizations and escalate issues as needed</li><li>Maintain accurate records in billing, practice management, or electronic health record systems</li><li>Ensure compliance with payer guidelines, healthcare regulations, and company policies</li><li>Assist with appeals and supporting documentation for denied requests</li><li>Collaborate with clinical, billing, and administrative teams to reduce delays in service and reimbursement</li></ul>
2026-05-29T00:00:00Z

Intake Specialist

Lynnwood, WA
onsite
Permanent / Full Time
62000 - 72000 USD / Yearly
Intake Specialist (Legal) – Estate Planning & ProbateRobert Half is partnering with a well-established and highly regarded law firm to identify an experienced Intake Specialist to join their growing team. This is a key, client-facing role responsible for managing the initial client experience and ensuring a seamless onboarding process for new matters.The Intake Specialist serves as the first point of contact for prospective clients, playing a critical role in shaping the firm’s client relationships from the outset. This position offers strong visibility and the opportunity to work closely with attorneys and legal staff while leveraging modern practice management tools.Key Responsibilities<ul><li>Serve as the primary contact for all incoming inquiries via phone, email, and online channels, delivering a high level of professionalism and client care</li><li>Conduct detailed intake interviews to gather relevant information, assess legal needs, and evaluate urgency</li><li>Open and manage new matters within the firm’s practice management system (Clio), including running conflict checks and coordinating scheduling</li><li>Maintain accurate, organized client records throughout the intake and onboarding process</li><li>Collaborate with attorneys and paralegals to communicate intake status and ensure efficient handoff of new matters</li><li>Proactively follow up with prospective clients and track conversion from inquiry to engagement</li><li>Support ongoing improvements to intake workflows and client experience processes</li></ul>Qualifications<ul><li>Minimum of 2+ years of experience in a legal intake, client services, or front-facing law firm role</li><li>Prior exposure to estate planning, probate, or elder law strongly preferred</li><li>Experience with legal practice management systems required; Clio Manage preferred, with Clio Grow a plus</li><li>Exceptional communication skills, with the ability to interact with clients in a professional, empathetic, and clear manner</li><li>Highly organized with strong attention to detail and the ability to manage multiple priorities in a fast-paced environment</li><li>Technologically proficient and adaptable to new systems and workflows</li><li>Proven ability to handle sensitive and confidential information with discretion</li><li>Team-oriented approach with a positive, collaborative mindset</li></ul>Why This OpportunityThis is an excellent opportunity for a legal intake professional who enjoys client interaction and wants to play a meaningful role in delivering a high-quality client experience. The firm offers a collaborative team environment, modern systems, and a strong commitment to service excellence. Firm offers full benefits including 2 weeks PTO, 401K with matching, profit sharing, fully paid medical/dental/vision coverage, and chance for long-term growth in the role.
2026-06-02T00:00:00Z

Enrollment Specialist

Santa Barbara, CA
onsite
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for an Enrollment Specialist to support client access to healthcare-related community services in Santa Barbara, California. This Long-term Contract position focuses on enrollment coordination, eligibility monitoring, documentation accuracy, and service quality oversight for individuals receiving homeless services. The person in this role will help maintain compliance with program standards while partnering with staff to improve workflows and support timely reimbursement activities. Responsibilities:• Guide eligible clients through enrollment into programs, completing and processing required forms accurately and on time.• Partner with homeless services teams to monitor ongoing client eligibility, update records, and help prevent interruptions in approved coverage or support.• Examine case management documentation to confirm services are properly recorded, clinically appropriate, and aligned with reimbursement standards.• Coordinate with program and case management staff to track authorization timelines and support timely submission of renewal requests before expiration.• Review claims-related records and supporting documentation in the Health Management Information System to promote accurate billing and complete file maintenance.• Participate in meetings with internal teams and external partners to address service quality, operational needs, and continuous improvement efforts.• Provide additional administrative and program support as needed to assist with successful day-to-day execution of CalAIM initiatives.
2026-06-08T00:00:00Z

Insurance Follow-Up Specialist

Danville, KY
onsite
Temporary to Hire
15.675 - 18.15 USD / Hourly
We are looking for an Insurance Follow-Up Specialist to join a healthcare revenue cycle team in Kentucky. This contract opportunity with potential for a permanent role is ideal for someone who can manage insurance billing activity with accuracy, persistence, and strong attention to detail. The person in this role will help drive timely reimbursement by reviewing claims, resolving payer issues, and working outstanding balances through consistent follow-up. Responsibilities: • Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule. • Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations. • Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays. • Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement. • Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts. • Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed. • Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors. • Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.
2026-06-01T00:00:00Z

Sr. Claims Specialist

Hinsdale, IL
remote
Temporary / Contract
38 - 44 USD / Hourly
We are looking for an experienced Sr. Claims Specialist to support insurance follow-up operations in Hinsdale, Illinois. This Long-term Contract position is ideal for someone who is detail oriented and can independently manage complex claim activity, assess supporting evidence, and make sound decisions in fast-paced environments. The role blends traditional claims investigation with the use of AI-enabled tools to strengthen fraud analysis, claim evaluation, and documentation quality. Responsibilities:• Oversee an active caseload of claims, maintaining consistent review and follow-up to move files efficiently through investigation and resolution.• Examine claim records, supporting documents, statements, images, and prior file history to identify key facts, inconsistencies, and potential exposure.• Determine appropriate claim outcomes by applying policy guidance and evidence, including approvals, denials, or referral for legal escalation when warranted.• Use AI-supported resources such as fraud scoring, severity forecasting, image review, and document extraction tools to inform claim handling decisions.• Assess automated insights critically, confirming accuracy and using careful judgment to adjust or override recommendations when necessary.• Perform detailed fraud-related analysis on flagged claims to support fair, compliant, and well-documented decision-making.• Navigate both established claims applications and newer digital platforms to complete case activity and maintain workflow continuity.• Gather evidence manually across multiple systems and data sources when automated information is incomplete or requires verification. The salary range for this position is $70,000 to $100,000. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.
2026-06-01T00:00:00Z

Medical Billing Specialist

Lantana, FL
remote
Temporary to Hire
24.7 - 28.6 USD / Hourly
We are looking for a Medical Billing Specialist to support billing operations for a senior living and skilled nursing environment in Florida. This contract opportunity with permanent potential is ideal for someone with hands-on experience managing skilled nursing facility claims and receivables in a remote setting. The person in this role will help maintain accurate billing workflows, resolve claim issues efficiently, and contribute to timely reimbursement across healthcare billing systems. Responsibilities: • Prepare, review, and submit medical claims for skilled nursing and long-term care services with close attention to accuracy and payer requirements. • Investigate billing discrepancies, correct claim errors, and follow through on denied or rejected submissions to improve reimbursement outcomes. • Manage account follow-up activities, including collections work, payment research, and resolution of outstanding balances. • Use billing platforms and clearinghouse tools to process claims and monitor claim status. • Verify coding and claim details before submission to help reduce delays, underpayments, and avoidable denials. • Coordinate with internal teams to gather documentation, clarify billing questions, and support complete and compliant claim processing. • Track remittance activity, post payment information as needed, and reconcile billing records to maintain organized account data. • Support electronic billing workflows involving systems when required for payer communication and claim review.
2026-06-05T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-06-02T00:00:00Z

Medical Billing Specialist

Merrillville, IN
onsite
Temporary to Hire
19 - 22 USD / Hourly
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently. Responsibilities: • Prepare and submit medical claims accurately and on schedule to support timely reimbursement. • Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission. • Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes. • Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances. • Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system. • Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements. • Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward. • Support billing operations using Athena software and contribute to process updates within the department as needed.
2026-05-19T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Temporary to Hire
0 - 0 USD / Yearly
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. Key Responsibilities Review and submit hospital claims to third‑party payers Resolve claim edits generated by EHR and clearinghouse systems Reconcile claim acceptance and rejection reports Maintain assigned work queues to meet productivity and quality standards Ensure compliance with payer requirements and billing regulations Coordinate with internal departments to resolve missing or incorrect claim information Document claim activity and follow‑up in billing systems Apply payer‑specific billing rules and reimbursement guidelines Qualifications High School Diploma or GED required 2+ years of medical billing or healthcare accounts receivable experience Working knowledge of ICD‑10, CPT, and HCPCS coding Experience with healthcare billing or patient accounting systems Proficiency with Microsoft Office, including Excel Strong attention to detail, organization, and time management skills Ability to manage high‑volume workloads accurately For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
2026-06-05T00:00:00Z

Medical Billing Specialist

Red Lion, PA
onsite
Temporary / Contract
24 - 29 USD / Hourly
A well-established healthcare organization in the Central PA area is seeking a detail-oriented Medical Billing Specialist to support accurate and timely claims processing. This role is ideal for someone who understands the full revenue cycle and enjoys working in a fast-paced, team-oriented environment. Key Responsibilities:<ul><li>Prepare and submit insurance claims (electronic and paper) in a timely manner</li><li>Review charges, coding, and documentation for accuracy prior to billing</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Post payments and adjustments while ensuring proper allocation</li><li>Communicate with insurance companies, patients, and internal teams regarding billing inquiries</li><li>Maintain compliance with healthcare regulations and payer requirements (HIPAA, etc.)</li></ul>
2026-05-27T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Temporary to Hire
20.9 - 22 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a non-profit organization located in the Greater Philadelphia Region. This contract opportunity has the potential to become permanent and is ideal for someone with experience reviewing billing activity, tracking payment outcomes, and helping resolve claim-related issues. The Medical Billing Specialist candidate in this role will work closely with internal teams to monitor receivables, organize denial information, and contribute to accurate financial reporting. What you get to do every single day:• Maintain revenue tracking records by gathering payment and non-payment information from organizational reports and updating departmental fiscal year spreadsheets.• Prepare recurring denial summaries that outline newly identified, outstanding, and unresolved issues affecting insurance claims to support internal review discussions.• Compile targeted data sets for special projects involving claim denials and related reporting requests from other departments.• Examine accounts receivable reports to identify payment variances and provide clear explanations for discrepancies.• Support follow-up efforts on billing exceptions by organizing documentation and escalating trends that may require corrective action.• Coordinate with internal stakeholders to ensure billing records, denial details, and reimbursement updates remain accurate and current.
2026-06-03T00:00:00Z