Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent position offers an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the contract assignment, with potential for long-term placement.<br><br>Responsibilities:<br>• Accurately post insurance payments by line item to the patient account system, ensuring all entries are precise and compliant.<br>• Verify payment amounts against contracts and organizational policies to ensure correctness.<br>• Process patient payments efficiently and update records within the designated system.<br>• Record denials, zero payments, and flag accounts for follow-up by the Medical Collections team.<br>• Apply takebacks and recoupments in accordance with established policies.<br>• Identify and communicate trends in payment discrepancies, denials, or short payments to leadership for resolution.<br>• Balance daily payment entries against settlement reports to maintain accurate financial records.<br>• Route payer correspondence to the appropriate team members for timely follow-up.<br>• Utilize knowledge of contracts and policies to ensure proper application during payment posting.
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. In this contract position, you will play a key role in ensuring accurate and efficient billing processes for healthcare providers. This opportunity is ideal for professionals with strong medical billing experience who thrive in fast-paced environments and are committed to maintaining compliance with industry standards. TMHP Or EVV software knowledge is required for this position. </p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing, including coding verification, charge entry, claim submission, and reconciliations.</p><p>• Accurately submit government claims while adhering to established billing guidelines and compliance standards.</p><p>• Review and correct errors on claims prior to submission deadlines to ensure timely processing.</p><p>• Track and complete billing within a 5-7 day payment cycle to maintain efficiency.</p><p>• Collaborate with internal teams to address inquiries and ensure seamless billing operations.</p><p>• Analyze claim denials and implement corrective actions to resolve discrepancies.</p><p>• Verify insurance coverage and eligibility to streamline claim submissions.</p><p>• Utilize electronic billing systems and tools such as Epaces to optimize workflows.</p><p>• Ensure proper application of CPT codes and ICD standards during billing processes.</p><p>• Maintain detailed records and documentation for compliance and audits.</p>
<p>Our client is seeking an experienced <strong>Medicaid Compliance Specialist</strong> to join their healthcare team. This role focuses on Medicaid billing operations, compliance audits, and reimbursement optimization, with an emphasis on Brightree software. The ideal candidate will bring strong expertise in Medicaid billing processes, cash applications, adjudications, denials, and write-offs, ensuring compliance and operational efficiency across programs.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Process Medicaid billing using <strong>Brightree software</strong>, including cash applications, denials, adjudications, and write-offs.</li><li>Conduct internal and external Medicaid audits to ensure accuracy, compliance, and optimized reimbursement.</li><li>Develop and maintain systems for tracking administrative reviews, compliance metrics, and corrective action plans.</li><li>Ensure adherence to state contracts, Medicaid regulations, and accreditation standards.</li><li>Support standardized program practices and organizational compliance initiatives.</li><li>Prepare performance and compliance reports for leadership.</li><li>Lead or assist in special projects related to compliance, budgeting, and staffing as needed.</li></ul><p><br></p>
<p>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
<p><strong>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
<p>Our recruiting firm is proud to represent a leading <strong>medical services client in North San Diego County</strong> who is seeking a detail-oriented and professional <strong>Collections Specialist</strong>. This role offers an exciting opportunity to contribute to the financial health of an organization that directly impacts patient care and community well-being.</p><p><br></p><p><strong><u>Role Overview</u></strong></p><p>The Collections Specialist will be responsible for managing the collections process for outstanding medical accounts, maintaining accurate records, and providing respectful, empathetic communication with patients and insurance providers. This is a <strong>temp-to-hire</strong> role with a client that values both professionalism and compassion in financial operations.</p><p><br></p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Contact patients and insurance companies regarding outstanding balances.</li><li>Negotiate payment arrangements while adhering to company policies and healthcare compliance standards.</li><li>Research and resolve billing discrepancies or insurance denials.</li><li>Maintain accurate documentation of all communications and payment activity.</li><li>Collaborate with the billing department and revenue cycle team to ensure timely collections.</li><li>Provide professional and empathetic customer service to patients.</li></ul>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections Specialist will play a vital role in managing the revenue cycle for Skilled Nursing Facility services, ensuring claims are processed accurately and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a meticulous individual to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to insurance payers with accuracy and timeliness, focusing on Skilled Nursing Facility services.</p><p>• Investigate and resolve denied claims by identifying root causes and implementing corrective measures to reduce future denials.</p><p>• Draft and submit appeals for claim denials to secure appropriate reimbursements.</p><p>• Maintain comprehensive and accurate patient billing records in compliance with Medicare, Medi-Cal, and payer-specific requirements.</p><p>• Follow up with insurance companies and payers to resolve outstanding claims and ensure timely reimbursements.</p><p>• Stay up-to-date on federal, state, and local billing regulations to ensure strict adherence to compliance standards.</p><p>• Collaborate with administrative and clinical teams to streamline billing workflows and improve documentation processes.</p><p>• Generate detailed account reports that outline billing trends, claim statuses, and resolution timelines for management review.</p>
<p>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
<p>The Robert Half Healthcare Practice is working with a healthcare organization to add a <strong>Medical Coder</strong> to their team. This is a fully remote position aside from an <strong>8 week onsite training.</strong> This candidate will be an excellent communicator and a strong attention to detail. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li><strong>Assign codes:</strong> Accurately assign ICD-10-CM, CPT, and HCPCS II codes.</li><li><strong>Review documentation:</strong> Verify medical record documentation supports coding.</li><li><strong>Ensure compliance:</strong> Adhere to all coding guidelines and regulations (e.g., CMS, HIPAA).</li><li><strong>Optimize reimbursement:</strong> Apply coding knowledge for ethical reimbursement.</li><li><strong>Support billing:</strong> Help resolve coding-related claim denials.</li><li><strong>Participate in audits:</strong> Engage in internal and external coding audits.</li><li><strong>Maintain data:</strong> Ensure accurate entry of coded information into systems.</li><li><strong>Uphold confidentiality:</strong> Protect patient information per HIPAA.</li></ul><p><br></p>
<p>Are you an experienced healthcare billing professional looking to join a team dedicated to providing exceptional patient care? We are seeking a detail-oriented <strong>Accounts Receivable Specialist</strong> to become a vital part of our client's revenue cycle team. This dynamic role involves managing billing and coding processes, resolving denied claims, submitting appeals, and working collaboratively with internal and external customers to ensure smooth operations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Stay up-to-date with current coding and billing practices to troubleshoot and resolve denied claims efficiently.</li><li>Process claim rejections held within the third-party clearinghouse system and ensure all necessary adjustments are completed.</li><li>Post and address claim denials identified during accounts receivable (AR) review.</li><li>Submit appeals for denied claims and process overpayments from third-party payers.</li><li>Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims.</li><li>Assist with eligibility and benefit verification for in-office surgical procedures, including calculating surgical estimates for patients.</li><li>Manage authorization requests for insurance carriers related to in-office surgeries and patch allergy testing.</li><li>Collaborate closely with the Surgery Coordinator team to ensure patients receive timely care and approval for necessary procedures.</li><li>Participate in team workshops to support project assignments and process improvements.</li><li>Provide support to internal and external customers via phone, billing help desk, and team emails.</li></ul><p>If you would like to be considered for this opportunity, please reach out to Victor Granados directly at 719-249-5153.</p>
