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67 results for Denials Specialist jobs

Billing Analyst
  • Minneapolis, MN
  • onsite
  • Permanent
  • 59000.00 - 75000.00 USD / Yearly
  • <p>We are looking for a skilled Billing Specialist to join a dynamic and detail-oriented services team in Minneapolis, Minnesota. This role is ideal for individuals with a background in accounts receivable and billing processes who are eager to contribute to a stable and growing organization. The position offers flexibility with remote work options three days per week and includes a competitive benefits package.</p><p><br></p><p>Responsibilities:</p><p>• Manage billing activities to ensure timely and accurate invoicing for clients.</p><p>• Perform accounts receivable functions, including tracking, reporting, and resolving discrepancies.</p><p>• Utilize financial software, such as Aderant and Costpoint, to process invoices and maintain records.</p><p>• Communicate with customers to address inquiries or issues related to billing and payments.</p><p>• Collaborate with internal teams to streamline billing processes and improve efficiency.</p><p>• Monitor account balances and follow up on overdue payments to ensure timely collection.</p><p>• Export and analyze customer service data to support billing operations.</p><p>• Generate regular financial reports to provide insights on billing and accounts receivable performance.</p><p>• Assist with implementing improvements to billing systems and workflows.</p><p>• Ensure compliance with company policies and industry standards in all billing activities.</p>
  • 2025-12-05T14:38:54Z
Insurance Referral Coordinator
  • Blue Ash, OH
  • onsite
  • Temporary
  • 19.00 - 22.50 USD / Hourly
  • <p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Blue Ash, Ohio. This role involves managing prior authorization processes, ensuring patients receive timely approvals for prescription medications and other healthcare services. As part of this long-term contract position, you will play a pivotal role in facilitating communication between healthcare providers, patients, and insurance companies.</p><p><br></p><p>Responsibilities:</p><p>• Review and compile necessary medical documentation to support authorization requests, including physician recommendations and patient records.</p><p>• Submit prior authorization requests to insurance providers and diligently follow up to ensure timely approvals for essential medical services.</p><p>• Communicate effectively with healthcare providers, patients, and insurance representatives to address and resolve authorization-related concerns.</p><p>• Track authorization statuses and promptly notify healthcare teams regarding approvals, denials, or pending requests.</p><p>• Stay informed about current insurance policies and regulations to optimize the authorization process.</p><p>• Investigate patterns of denied authorizations and collaborate with teams to handle appeals, escalations, or resubmissions.</p><p>• Maintain organized records and detailed reports of authorization activities, adhering to compliance standards and organizational guidelines.</p>
  • 2025-12-05T21:08:37Z
Billing Clerk
  • Bethlehem, PA
  • onsite
  • Temporary
  • - USD / Hourly
  • <p>We are looking for a dedicated Billing Clerk to join our team in Bethlehem, Pennsylvania. In this long-term contract to hire position, you will play a critical role in managing insurance claims, school billing processes, and ensuring accurate financial operations. The ideal candidate will have experience in Medicaid billing and accounts receivable, with a strong attention to detail and commitment to timely reimbursements and payments.</p><p><br></p><p>Responsibilities:</p><p>• Process insurance claims for commercial and Managed Medicaid reimbursement, including secondary claims, ensuring timely submissions.</p><p>• Assist patients in establishing self-pay arrangements and payment plans tailored to their needs.</p><p>• Post and track payments within the accounts receivable system, maintaining accuracy in financial records.</p><p>• Investigate and resolve billing issues, adhering to payor collection timelines.</p><p>• Coordinate private pay collections following insurance cancellations, denials, or similar issues under the guidance of the Administrative Director.</p><p>• Enter client authorizations and necessary documentation into the billing system, ensuring compliance with school contracts.</p><p>• Track mileage reimbursements and process school billing efficiently.</p><p>• Review and verify staff timesheets for billing purposes, addressing coding errors or overlapping times.</p><p>• Train new employees on billing procedures and system operations to support cross-training initiatives.</p><p>• Maintain and troubleshoot billing platform functionalities, including service codes and authorizations, as required.</p>
  • 2025-12-15T00:43:51Z
Billing Coordinator
  • Smyrna, GA
  • onsite
  • Temporary
  • 22.80 - 26.40 USD / Hourly
  • We are looking for a detail-oriented Billing Coordinator to join our team on a Contract basis in Smyrna, Georgia. In this role, you will oversee and manage the billing process for pharmacy claims, ensuring timely reimbursements from insurance providers and patient payments. Your expertise will be key to maintaining compliance with industry standards while fostering efficient communication between payers, patients, and internal teams.<br><br>Responsibilities:<br>• Submit and monitor pharmacy claims to third-party payers, including commercial insurance, Medicare, and Medicaid, ensuring timely reimbursements.<br>• Track aging reports and follow up on unpaid or partially paid claims to facilitate full payment collection.<br>• Investigate and resolve claim rejections and denials by identifying errors, making corrections, and re-filing or appealing claims as necessary.<br>• Generate patient invoices, explain billing charges, and collect payments while delivering excellent customer service.<br>• Accurately post payments from insurance providers and patients to the appropriate accounts in the billing system.<br>• Reconcile accounts receivable regularly to maintain accurate financial records and address discrepancies promptly.<br>• Communicate with insurance providers to verify coverage details, clarify claim issues, and expedite resolutions.<br>• Maintain organized and detailed records of all billing activities to ensure compliance with pharmacy industry regulations.<br>• Provide clerical support, including sorting, filing, and maintaining departmental reports, to support seamless operations.<br>• Collaborate with management to suggest strategies for improving data accuracy and provide backup assistance to team members when needed.
  • 2025-12-09T18:59:30Z
Insurance Biller
  • Tacoma, WA
  • remote
  • Temporary
  • 25.00 - 30.00 USD / Hourly
  • <p>We are seeking a detail-oriented <strong>Insurance Biller</strong> to join our team and ensure accurate billing, timely claims submission, and effective follow-up with insurance providers.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare, review, and submit claims to insurance companies electronically and by paper.</li><li>Verify insurance eligibility, benefits, and coverage requirements.</li><li>Research and resolve claim denials, rejections, and payment discrepancies.</li><li>Post insurance payments and adjustments accurately.</li><li>Communicate with insurance companies, patients, and internal teams regarding billing issues.</li><li>Maintain accurate billing records, reports, and monthly account reconciliations.</li><li>Ensure compliance with payer guidelines, HIPAA regulations, and internal policies.</li><li>Follow up on unpaid claims to ensure timely reimbursement.</li></ul>
  • 2025-12-11T20:28:41Z
Legal Billing Coordinator
  • Oakland, CA
  • remote
  • Temporary
  • 28.00 - 37.00 USD / Hourly
  • <p>Robert Half is seeking a <strong>Legal Billing Specialist</strong> for our client, a local law firm. This contract-to-hire role offers a strong opportunity for professional growth as part of a reputable firm committed to excellence in legal services.</p><p> </p><p><strong>Job Responsibilities:</strong></p><ul><li>Manage and execute end-to-end legal billing functions, ensuring accuracy and compliance with firm protocols.</li><li>Prepare, review, and process detailed client invoices in adherence to client-specific billing guidelines.</li><li>Monitor and track billing timelines, resolving delayed or rejected bills proactively.</li><li>Address inquiries regarding billing discrepancies and collaborate with attorneys and staff for resolution.</li><li>Ensure compliance with electronic billing (e-Billing) systems and resolve e-Billing rejections or adjustments.</li><li>Maintain proper documentation of all billing activities for reporting purposes.</li><li>Offer continuous support to attorneys, paralegals, and other staff regarding billing and time entry best practices.</li></ul><p><br></p>
  • 2025-12-15T17:53:35Z
Billing Clerk
  • Princeton, NJ
  • onsite
  • Permanent
  • 40000.00 - 50000.00 USD / Yearly
  • <p>40,000 - 50,000</p><p><br></p><p>benefits include:</p><ul><li>medical insurance</li><li>dental insurance</li><li>401k</li><li>paid time off</li></ul><p>This role involves preparing and issuing invoices, verifying billing details, resolving discrepancies, and maintaining organized records to uphold financial integrity and compliance with company policies. The specialist collaborates with internal teams and clients to address inquiries, supports financial reporting, and contributes to overall operational efficiency and customer satisfaction. To apply please email a resume in a Word format to Pam Lim </p>
  • 2025-12-03T20:53:37Z
Billing Coordinator
  • Los Angeles, CA
  • onsite
  • Permanent
  • 80000.00 - 100000.00 USD / Yearly
  • <p>We are looking for a skilled Billing Specialist to join our legal team in Los Angeles, California. This role is essential in managing the firm’s billing operations, ensuring the accurate preparation and submission of invoices while maintaining compliance with client-specific requirements. The ideal candidate will collaborate with attorneys, legal secretaries, and finance professionals to streamline billing processes and address any related issues.</p><p><br></p><p>Responsibilities:</p><p>• Generate, review, and finalize monthly pre-bills and invoices for submission to clients using various billing methods.</p><p>• Partner with attorneys, staff, and clients to ensure accurate and timely billing and collection activities.</p><p>• Monitor unbilled fees and aging accounts for assigned partners and clients, addressing any discrepancies.</p><p>• Resolve billing-related issues by coordinating with internal teams and external parties.</p><p>• Prepare detailed billing reports, reconciliations, schedules, and analyses to support financial operations.</p><p>• Apply client retainer funds and process write-offs in compliance with firm policies.</p><p>• Design new billing formats and manage special projects, including complex billing arrangements and client-specific requests.</p><p>• Collaborate with the finance team to address questions and improve the firm’s billing processes.</p><p>• Ensure expertise in electronic billing functions, including split and intricate billing arrangements.</p>
  • 2025-11-26T16:53:44Z
Hospital Medical Billing Associate
  • Los Angeles, CA
  • onsite
  • Contract / Temporary to Hire
  • 22.31 - 30.01 USD / Hourly
  • <p>We are looking for a dedicated Hospital Medical Billing Associate to join our healthcare team in Los Angeles, California. The Hospital Medical Billing Associate will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. This is a Hybrid/Remote role someone with expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
  • 2025-12-12T20:33:44Z
Billing Clerk
  • New York, NY
  • onsite
  • Temporary
  • 20.00 - 25.00 USD / Hourly
  • We are looking for a detail-oriented Billing Clerk to join a non-profit organization in New York, NY. In this contract position, you will play a critical role in supporting the clinical billing department by managing data entry tasks and ensuring the accuracy of financial and patient information. This is an excellent opportunity for individuals who excel at precision and are passionate about contributing to the operational success of healthcare services.<br><br>Responsibilities:<br>• Enter patient data, diagnosis codes, procedure codes, and other billing-related information accurately into the system.<br>• Verify all entered information against source documents to ensure compliance with billing and coding standards.<br>• Collaborate with coding specialists to confirm the proper classification of diagnosis and procedure codes.<br>• Perform routine checks to identify and correct errors, discrepancies, or incomplete entries in the database.<br>• Maintain up-to-date records and ensure timely updates to patient and financial data.<br>• Generate reports to support billing operations and provide insights into data accuracy.<br>• Assist in resolving issues related to billing discrepancies or missing information.<br>• Follow established protocols and guidelines for data entry and quality assurance.<br>• Support the team in meeting deadlines and achieving departmental goals.
  • 2025-12-19T17:14:09Z
Billing Clerk
  • Oceanside, CA
  • onsite
  • Temporary
  • 23.00 - 27.00 USD / Hourly
  • <p>We are seeking a <strong>Billing Clerk</strong> to support daily invoicing and billing operations for a manufacturing and distribution company in Oceanside. This position is ideal for someone earlier in their accounting or finance career who enjoys structured work, consistency, and contributing to accurate financial operations. You’ll work closely with billing specialists and accounting staff to ensure invoices are processed correctly, records are maintained, and data is entered accurately. This role provides an excellent opportunity to grow within an accounting or finance team.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Generate and distribute customer invoices based on orders and shipping documentation</li><li>Enter billing data accurately into accounting and ERP systems</li><li>Verify pricing, quantities, and customer information prior to invoicing</li><li>Maintain organized billing files and electronic records</li><li>Assist with resolving basic billing discrepancies</li><li>Support AR and accounting teams with data requests</li><li>Assist with month-end billing preparation and reporting</li></ul>
  • 2025-12-16T19:08:40Z
Medicare Biller
  • Boca Raton, FL
  • remote
  • Temporary
  • 21.85 - 25.30 USD / Hourly
  • We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
  • 2025-12-20T00:33:37Z
Billing Clerk
  • Farmers Branch, TX
  • onsite
  • Temporary
  • 23.75 - 27.50 USD / Hourly
  • We are looking for an organized and detail-oriented Billing Clerk to join our team on a contract basis in Farmers Branch, Texas. This role involves supporting our billing operations by processing service work orders and ensuring accurate customer invoicing. The ideal candidate will have experience in billing functions, preferably within the manufacturing or plumbing industry, and be comfortable working in an office setting.<br><br>Responsibilities:<br>• Process service work orders and ensure timely and accurate customer billing.<br>• Utilize billing software to manage and track invoices effectively.<br>• Collaborate with internal teams to resolve billing discrepancies and ensure customer satisfaction.<br>• Maintain organized records of billing activities and financial transactions.<br>• Generate and review billing statements to ensure accuracy and compliance with company policies.<br>• Support the implementation and use of Microsoft D365 Customer Engagement for billing processes.<br>• Assist with AIA billing and other specialized invoicing tasks as needed.<br>• Monitor and analyze billing data to identify areas for improvement.<br>• Ensure adherence to industry standards and company procedures in billing operations.<br>• Provide administrative support related to billing functions, including data entry and reporting.
  • 2025-12-19T21:08:58Z
Claims Adjustor
  • Des Moines, IA
  • onsite
  • Temporary
  • 20.90 - 24.20 USD / Hourly
  • We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
  • 2025-11-20T20:17:54Z
Insurance Defense Senior Associate
  • Philadelphia, PA
  • onsite
  • Permanent
  • 125000.00 - 175000.00 USD / Yearly
  • <p>We are looking for an experienced attorney to join our client's well-respected law firm on their General Liability team in Philadelphia, Pennsylvania. This role offers an exciting opportunity for a mid-level lawyer to handle a variety of insurance defense and liability litigation matters. The ideal candidate will bring strong analytical skills, legal expertise, and a commitment to delivering excellent results.</p><p><br></p><p>Responsibilities:</p><p>• Manage a diverse range of general liability litigation cases from inception to resolution.</p><p>• Draft and file legal pleadings, motions, and briefs with precision and attention to detail.</p><p>• Conduct thorough discovery processes, including reviewing documents and preparing responses.</p><p>• Take depositions to gather essential case information and build effective legal strategies.</p><p>• Represent clients in arbitrations, trials, and other legal proceedings.</p><p>• Provide expert advice on insurance defense matters, ensuring compliance with relevant laws and regulations.</p><p>• Collaborate with senior attorneys and legal teams to develop case strategies and solutions.</p><p>• Maintain clear and consistent communication with clients regarding case progress and legal options.</p><p>• Stay updated on legal trends and changes in liability and insurance defense laws.</p><p>• Contribute to the firm's growth by mentoring less experienced team members and sharing expertise.</p>
  • 2025-12-01T17:38:44Z
Medical Biller II
  • Los Angeles, CA
  • onsite
  • Contract / Temporary to Hire
  • 25.65 - 31.70 USD / Hourly
  • <p>We are looking for a dedicated Medical Biller II to join our healthcare team in Los Angeles, California. The Medical Biller II will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. The ideal person for the Medical Biller II role must have expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
  • 2025-12-15T22:14:03Z
Medicare Biller
  • Lexington, KY
  • onsite
  • Temporary
  • 19.79 - 22.91 USD / Hourly
  • We are looking for a detail-oriented Medicare Biller to join our team in Lexington, Kentucky. In this long-term contract position, you will play a critical role in ensuring compliance with Medicare regulations and guidelines, particularly in the context of research billing and financial processes. This role requires collaboration with various teams to maintain billing integrity, secure adequate funding, and uphold the highest standards of fiscal compliance for research projects.<br><br>Responsibilities:<br>• Conduct comprehensive Medicare Coverage Analysis to determine appropriate billing classifications for routine and research services.<br>• Collaborate with research management, finance personnel, and study teams to secure sufficient funding from research sponsors.<br>• Advise principal investigators and departmental staff on compliant billing practices and fiscal responsibilities for research projects.<br>• Partner with revenue integrity and charge capture teams to ensure proper coding and billing processes within the electronic medical record system.<br>• Review and analyze research protocols to create accurate project-specific budgets, ensuring all procedural and labor costs are accounted for.<br>• Negotiate contracts and budgets with research sponsors to align with institutional financial policies and goals.<br>• Maintain tracking databases and provide timely updates to leadership and study teams regarding project progress.<br>• Identify and implement process improvements to enhance performance and customer satisfaction.<br>• Resolve contract and budget-related issues stemming from amendments or regulatory changes.<br>• Ensure compliance with federal, state, and local regulations affecting Medicare billing practices.
  • 2025-12-11T14:54:37Z
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