We are looking for a detail-oriented Billing Clerk to support accurate and timely invoicing operations for a Contract position based in Boise, Idaho. This role focuses on reviewing billing information, maintaining organized financial records, and working closely with internal teams to ensure charges are processed correctly. The ideal candidate is comfortable handling billing systems, resolving discrepancies, and contributing to smooth accounts receivable and month-end billing activities.<br><br>Responsibilities:<br>• Generate and distribute customer invoices according to contract terms, service agreements, and established billing timelines.<br>• Examine billing details for accuracy, completeness, and correct coding before invoices are finalized.<br>• Record, update, and maintain billing data within accounting platforms and computerized billing systems.<br>• Compare billing records against supporting documents and internal reports to identify and correct inconsistencies.<br>• Track outstanding or delayed billable items and coordinate with internal departments to obtain missing information.<br>• Investigate billing issues, help resolve discrepancies, and respond to questions from customers and internal stakeholders.<br>• Provide support for accounts receivable tasks, including applying payments and updating account information.<br>• Organize billing documentation and maintain complete files to support audit readiness and record retention.<br>• Assist with month-end billing and revenue-related close activities to ensure accurate financial reporting.<br>• Partner with accounting, operations, and customer service teams to improve billing accuracy and turnaround times.
We are looking for an experienced Accounts Receivable/Credit & Collection specialist to support day-to-day receivables operations. This role focuses on evaluating customer credit, applying payments accurately, and following up on outstanding balances to help maintain healthy cash flow. The ideal candidate brings strong attention to detail, sound judgment, and the ability to communicate effectively with both customers and internal stakeholders.<br><br>Responsibilities:<br>• Assess customer account activity and financial information to evaluate ongoing credit risk and support informed credit decisions.<br>• Review credit applications and related financial documents to determine eligibility for payment terms or credit limits.<br>• Record receivable transactions and apply incoming payments accurately across checks, cash, lockbox receipts, and card payments in accordance with company guidelines.<br>• Prepare, post, and reconcile daily cash receipts to ensure account balances remain current and properly documented.<br>• Maintain regular contact with customers to address payment status, encourage timely remittance, and strengthen account follow-up efforts.<br>• Support collection activities by researching account questions, resolving billing concerns, and coordinating on intercompany items when needed.<br>• Partner with the Accounting Manager on monthly revenue account reconciliations and related reporting tasks.<br>• Investigate payment discrepancies, identify past-due issues, and help resolve outstanding account variances with internal teams.<br>• Generate account status reports and other receivables summaries requested by management.<br>• Contribute to additional accounting and credit-related duties as assigned.
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join a physician billing team in Jacksonville, Florida. This contract-to-permanent opportunity is ideal for someone who thrives in a fast-paced healthcare environment and can manage a high volume of claim follow-up with accuracy and urgency. The person in this role will work closely with payer portals and internal billing systems to research outstanding balances, resolve claim issues, and support steady cash flow through effective accounts receivable management.<br><br>Responsibilities:<br>• Review and follow up on outstanding physician claims to identify delays in payment and drive timely resolution.<br>• Use Availity, insurance carrier websites, and billing platforms such as eClinicalWorks or Insync to investigate claim status and determine next steps.<br>• Analyze denials, underpayments, and unpaid accounts, then take corrective action through appeals, rebilling, or payer outreach.<br>• Post, reconcile, and track cash activity to ensure payments are applied accurately within the accounts receivable process.<br>• Communicate with insurance companies to clarify coverage, verify processing outcomes, and resolve reimbursement discrepancies.<br>• Maintain organized documentation of account activity, claim research, and collection efforts within the EMR or billing system.<br>• Collaborate with a small team to manage a large workload while meeting productivity and quality expectations.<br>• Support billing operations by identifying trends in claim issues and escalating recurring problems that affect reimbursement.<br>• Assist with medical collections efforts for commercial payers and help reduce aging accounts receivable balances.
<p>obert Half is seeking a detail-oriented <strong>Medical Accounts Receivable (AR) Specialist</strong> for a role focused on claims review, underpayment analysis, and reimbursement resolution. This position is ideal for someone who thrives in a fast-paced environment, enjoys investigative work, and can manage the full lifecycle of claim review from research through resolution.This position is <strong>onsite</strong> but does have the potential to be hybrid following the training period (2 days from home and 3 days onsite)</p><p><br></p><p><strong>Hours</strong>: 7a-930a start time – then work your 8 hours + Flex Time</p><p><br></p><p>Responsibilities include: </p><ul><li>Review, verify, and audit documentation including EOBs, payer contracts, and out-of-state hospital claims to identify underpayments and reimbursement discrepancies.</li><li>Investigate why claims were underpaid and determine the root cause, including payer processing issues or hospital contract load discrepancies.</li><li>Escalate claim issues as needed to support recovery of underpayments owed by insurance carriers.</li><li>Lead the claims review process from initial investigation through final resolution while working with both internal teams and external partners, including hospitals and insurance groups.</li><li>Organize and analyze claim information to ensure complete and efficient processing.</li><li>Manage an assigned portion of client accounts and maintain ownership of claim outcomes.</li><li>Collaborate with team members to identify new ways to leverage internal technology, improve workflows, and create more efficient solutions.</li><li>Bring a fresh perspective to current processes and recommend improvements where appropriate.</li></ul><p><br></p><p><br></p>
<p>We are looking for an AP/AR/Billing Specialist to manage a broad range of accounting operations in Bellevue, Washington. This position is well suited for someone who can confidently oversee payables, receivables, invoicing, and reconciliations with strong attention to accuracy and follow-through. The ideal candidate brings a self-directed approach, communicates effectively with vendors and internal partners, and thrives in a collaborative environment that values teamwork and balance.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the full cycle of accounts payable activities, including reviewing invoices, entering data accurately, and coordinating timely payments.</p><p>• Manage accounts receivable processes by tracking outstanding balances, applying payments, and following up on open items as needed.</p><p>• Prepare and distribute billing in a timely manner, ensuring invoices are accurate, complete, and aligned with client or matter-specific requirements.</p><p>• Perform regular account reconciliations to resolve discrepancies and maintain reliable financial records.</p><p>• Maintain vendor relationships by responding to questions, addressing payment issues, and ensuring supporting documentation is properly organized.</p><p>• Assist with year-end reporting tasks, including preparing and processing Form 1099 documentation in compliance with applicable guidelines.</p><p>• Support tax-related filings and other routine accounting obligations with a high level of independence and accountability.</p><p>• Use QuickBooks and related accounting tools to record transactions, update financial information, and produce organized documentation.</p><p>• Contribute to specialized accounting activities within a legal or client services setting, including work that may involve trust-related records or attorney billing support.</p><p><br></p><p>The salary range for this position is $85,000 to $95,000.</p><p><br></p><p>Benefits:</p><p>Medical/Dental/Vision - 100% paid for employee</p><p>401k</p><p>2 weeks PTO</p><p>11 paid holidays</p>
We are looking for a detail-oriented Imaging/Coding Associate (Scanning Clerk) to support document processing and digital records work in Chicago, Illinois. This is a Contract position focused on preparing physical files for imaging, creating accurate electronic records, and maintaining strong quality standards throughout the process. The ideal candidate is comfortable working with scanning equipment, handling high-volume document tasks, and supporting organized archival practices.<br><br>Responsibilities:<br>• Prepare paper records for imaging by organizing, sorting, and reviewing documents before scanning<br>• Operate sheet-fed and thermal scanning equipment to convert physical files into clear digital images<br>• Check scanned output for completeness, readability, and accuracy to help protect data integrity<br>• Apply indexing details and coding information so electronic records can be retrieved efficiently<br>• Create CDs or other requested media outputs when document files need to be distributed or archived<br>• Support records management activities by maintaining orderly digital and physical document workflows<br>• Use imaging tools and related software to process files in accordance with established procedures
<p>Robert Half client is in need of an Accounts Receivable Specialist for a contract. Ideal skillset will include business-to-business collections, and journal entries.</p><p> </p><p><strong>Responsibilities </strong></p><ul><li>Generating timely and accurate customer invoices on a monthly basis</li><li>Maintaining accounts receivable records to ensure aging is up to date</li><li>Verifying invoices for appropriate documentation prior to payment</li><li>Monitoring incoming payments and ensuring they are applied correctly</li><li>Reconciling accounts receivable ledger with the general ledger</li><li>Resolving discrepancies between customer payments and invoices</li><li>Handling customer inquiries regarding bills or payments</li><li>Assisting with month-end closing activities such as preparing journal entries</li><li>Developing reports related to accounts receivable activity</li><li>Working with other departments to resolve billing issues or disputes</li><li>Ensuring compliance with all applicable laws and regulations related to accounts receivable activities</li></ul><p><br></p>
We are looking for an Accounts Receivable specialist to support timely payment activity, accurate billing, and strong account stewardship for our New Jersey location. This role partners with customers and internal teams to keep receivables current, address payment issues efficiently, and maintain reliable financial records. The ideal candidate brings a detail-oriented approach, sound judgment, and the ability to balance customer service with effective collections practices.<br><br>Responsibilities:<br>• Prepare and issue customer invoices accurately and on schedule while following agreed billing terms and company standards.<br>• Post incoming payments from multiple channels and apply funds to the appropriate customer accounts with a high degree of accuracy.<br>• Review receivable balances regularly, reconcile subledger activity to the general ledger, and research any mismatches or unapplied amounts.<br>• Work closely with sales, accounting, operations, and customer service teams to resolve invoice questions, short payments, and account discrepancies.<br>• Monitor open balances, follow up on overdue accounts, and provide management with clear updates on aging trends and collection activity.<br>• Maintain complete and current customer account records while ensuring adherence to internal financial controls and policies.<br>• Assess customer credit profiles using financial information and external references to support credit decisions and establish suitable limits.<br>• Identify higher-risk accounts early and coordinate escalation efforts, including outside collections or legal support when appropriate, to reduce potential losses.
<p>We’re partnering with a well-established organization in Bonita Springs that is seeking an experienced <strong>Accounts Receivable Specialist</strong> to support ongoing collection and credit activities. This is a <strong>long-term contract opportunity</strong> ideal for someone who excels at balancing <strong>customer communication, account analysis, and problem resolution</strong>.</p><p>This role plays a key part in protecting company cash flow by monitoring receivables, resolving discrepancies, and driving timely collections.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Maintain accurate and up-to-date <strong>customer credit records</strong> to support effective decision-making</li><li>Assess customer creditworthiness using financial data and third-party reporting tools</li><li>Execute <strong>collections outreach</strong> on assigned accounts to drive prompt payment</li><li>Document all collection activity, communications, and follow-ups with consistency</li><li>Investigate and resolve <strong>billing discrepancies and disputed charges</strong></li><li>Reconcile account balances and payment activity to ensure accuracy</li><li>Serve as a point of contact for <strong>credit and payment inquiries</strong> from internal teams and customers</li><li>Identify and escalate <strong>delinquent accounts</strong> requiring additional collection action</li><li>Monitor for potential <strong>bad debt exposure</strong> and communicate risks proactively</li></ul>
We are currently seeking an experienced and detail-oriented Accounts Receivable Specialist to support a growing finance department in Miami, Florida. This role is ideal for a detail oriented with strong billing, collections, and cash application experience who thrives in a fast-paced environment.
<p>Robert Half is seeking a detail-oriented and proactive Accounts Receivable Specialist<strong> </strong>to join our client. This role is responsible for managing the full-cycle AR process, ensuring timely collection of payments, and maintaining accurate financial records.</p><p><br></p><p>Duties:</p><p><br></p><p>Generate and distribute customer invoices accurately and on time</p><p>Post cash receipts and apply payments to customer accounts</p><p>Monitor aging reports and follow up on past-due balances</p><p>Communicate with customers regarding billing discrepancies and payment issues</p><p>Perform account reconciliations and resolve variances</p><p>Maintain accurate customer account records in the system</p><p>Collaborate with internal teams (sales, operations, accounting) to resolve issues</p><p>Assist with month-end close processes related to AR</p><p>Support audit requests and documentation as needed</p>
<p>💼 Invoicing Specialist (Client Billing)</p><p><br></p><p>💡 Love numbers, details, and getting invoices out the door <em>just right</em>?</p><p>We’re looking for an Invoicing Specialist who takes pride in accuracy, keeps things organized, and knows that every detail matters when it comes to billing clients.</p><p>If you’re the person who double-checks everything (and then checks it again just to be sure), this could be your perfect fit.</p><p><br></p><p>🌟 Why You’ll Love It Here:</p><ul><li>Team that values accuracy <em>and</em> collaboration</li><li>Stable, growing company with room to learn</li><li>Work that makes a direct impact on cash flow and client satisfaction</li><li>Supportive environment where your attention to detail is appreciated</li></ul><p>🚀 What You’ll Be Doing:</p><ul><li>Generate and send accurate, timely invoices to clients</li><li>Review billing details (rates, hours, contracts) to ensure everything lines up</li><li>Catch and resolve discrepancies <em>before</em> invoices go out</li><li>Partner with internal teams to gather and verify billing information</li><li>Respond to client billing questions with professionalism and clarity</li><li>Keep billing records organized and audit-ready</li></ul><p><br></p>
<p>We are seeking an Invoicing Specialist to manage accurate, timely billing for a high‑volume environment. This role focuses on invoice creation, verification, and reconciliation while working closely with internal teams to resolve discrepancies and support strong revenue processes.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Prepare, review, and issue customer invoices in accordance with contract terms and billing schedules</li><li>Verify pricing, quantities, tax, and supporting documentation prior to invoice release</li><li>Resolve invoice discrepancies, short pays, and billing adjustments</li><li>Apply payments and maintain accurate billing and customer account records</li><li>Respond to internal and external inquiries related to invoicing and billing status</li><li>Maintain clear, audit‑ready documentation and support month‑end close activities</li><li>Collaborate with sales, operations, and accounting to ensure billing accuracy and process consistency</li></ul><p><br></p>
<p>Robert Half is seeking a detail-oriented <strong>Claims Processing Specialist</strong> for a contract opportunity with one of our clients in Honolulu. This position will provide critical back-office support to help address a backlog of disability-related claims and assist with day-to-day claims administration.</p><p><br></p><p>The ideal candidate will have experience in claims processing, insurance support, or high-volume administrative work. This role focuses on accurate data entry, documentation review, eligibility verification, payment calculation support, and follow-up on outstanding internal claim requirements. This is a non-customer-facing position with no direct contact with external parties.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Provide back-office support for the processing of disability-related claims</li><li>Review claim documentation for completeness and accuracy</li><li>Enter and update claim information in the appropriate systems</li><li>Verify eligibility requirements based on established guidelines</li><li>Assist with benefit calculation and payment processing support</li><li>Track and follow up on missing or outstanding documentation internally</li><li>Help reduce claims backlog by processing work efficiently and accurately</li><li>Maintain confidentiality and exercise sound judgment with sensitive information</li><li>Support internal claims operations and administrative tasks as needed</li></ul>
<p>Robert Half is partnering with a St. Paul, Minnesota based healthcare client that is in search of a Professional Coding Specialist in a fully remote capacity for 3+ months. Candidates with prior hospital coding experience that have supported physician groups, specialty clinics or who have done complex chart review to ensure all codes are captured are encouraged to apply. The ideal candidate will bring strong outpatient coding knowledge, sound judgment, and a well rounded understanding of the full revenue cycle process. </p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Analyze and interpret complex medical records and physician notes to assign accurate procedure and diagnosis codes.</li><li>Apply evaluation and management, diagnostic, and procedural coding standards.</li><li>Ensure codes are accurately assigned for insurance claim processing and reimbursement.</li><li>Identify and resolve coding and billing errors with strong attention to detail.</li><li>Ensure coding practices align with hospital policies and government regulations.</li><li>Communicate clearly with staff across diverse departments and functions regarding coding issues.</li><li>Handle both routine and complex coding concerns using sound problem-solving skills.</li><li>Maintain productivity and manage workload independently with strong organizational skills.</li><li>Adapt to changing responsibilities and evolving job requirements.</li><li>Collaborate with team members while also working effectively with minimal supervision.</li><li>Take a proactive approach to completing assignments accurately and on time.</li></ul>
<p><strong><u>Medical Records Coordinator – Personal Injury – Fully On-Site – Newport Beach</u></strong></p><p><br></p><p><strong>About the Firm</strong></p><p>Established mid-sized personal injury firm with a collaborative team environment handling both complex litigation matters and pre-litigation cases. The firm offers strong tenure, long-term stability, and opportunities for internal growth and advancement.</p><p><br></p><p><strong>Work Plan</strong></p><p>Fully onsite, full-time job</p><p><br></p><p><strong>Position Overview</strong></p><p>This is an excellent entry-level legal opportunity for someone organized, professional, and interested in growing within a law firm environment. The role supports a litigation team and focuses heavily on obtaining, organizing, and maintaining medical records for personal injury matters.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Retrieve and organize medical records from hospitals, doctors’ offices, and other providers</li><li>Communicate with medical providers and clients regarding records requests and follow-up</li><li>Review records for completeness and identify gaps in treatment or documentation</li><li>Maintain and organize digital files and exhibits within the case management system</li><li>Ensure confidential handling of sensitive medical information</li><li>Assist with record summaries, chronologies, and billing summaries as needed</li><li>Work closely with attorneys and paralegals on active litigation matters</li></ul><p><strong>Training & Support</strong></p><ul><li>Hands-on training provided by the current records team and paralegals</li><li>Ongoing support from supervising paralegal and litigation team</li></ul><p><strong>Compensation & Benefits</strong></p><ul><li>Pay up to $28/hour</li><li>Year-end bonus opportunity</li><li>Performance reviews with growth and raise potential</li><li>Medical, dental, and vision benefits</li><li>401(k) with employer contribution options</li><li>Paid parking</li><li>Paid holidays, vacation, and sick time</li><li>Employee appreciation events, team outings, and strong office culture</li></ul><p><strong>Growth Opportunity</strong></p><p>The firm promotes from within and offers a long-term path into legal assistant and paralegal roles for strong performers.</p>
We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract to permanent position based in Lincolnwood, Illinois. This role focuses on reviewing claim information, coordinating billing-related activities, and helping ensure accurate handling of medical insurance documentation. The ideal candidate brings strong knowledge of claims processing and can work efficiently in a fast-paced healthcare environment. <br> Responsibilities: • Review medical claims for accuracy, completeness, and proper supporting documentation before submission or follow-up. • Process billing and claim-related records while maintaining compliance with healthcare and insurance guidelines. • Investigate claim discrepancies and resolve issues by coordinating with internal teams, providers, and insurance contacts. • Verify medical insurance details and confirm coverage information to support timely claim handling. • Maintain organized claim administration records and update case information within designated systems. • Monitor claim status, track outstanding items, and follow through to support prompt resolution and payment activity. • Respond to inquiries related to claims and billing matters with professionalism, accuracy, and attention to detail.
<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
<p>We are looking for a Patient Admin Specialist (PAS)/Medical Scheduler to support front-office operations for an outpatient clinic in Palo Alto, California. This short-term Contract position focuses on delivering a welcoming patient experience while coordinating registration, scheduling, and essential administrative support. The ideal candidate is organized, responsive, and comfortable managing a high-volume environment with professionalism and accuracy.</p><p><br></p><p>The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced, high-volume healthcare environment while providing excellent patient service.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Review Epic scheduling reports and work queues to identify patients requiring pre-anesthesia appointments </li><li>Contact patients via phone to schedule appointments in a timely, professional manner </li><li>Determine appropriate appointment types (in-person vs. virtual) based on established guidelines </li><li>Accurately document all scheduling activities within Epic </li><li>Request and track medical records, ensuring proper documentation in the system </li><li>Collaborate with schedulers, patient care coordinators, and clinical teams to optimize workflows </li><li>Maintain high standards of customer service and patient communication </li><li>Follow clinic workflows, standard operating procedures, and escalation protocols </li></ul>
<p>Our client, a community-focused healthcare organization, is seeking a <strong>Medical Scheduler</strong> to support daily front office operations in a fast-paced clinical environment. This position is responsible for coordinating patient appointments, managing check-in and check-out, verifying insurance information, collecting payments, and ensuring accurate patient data entry. The ideal candidate will bring strong administrative experience, excellent customer service skills, and the ability to thrive in a high-volume setting serving a diverse patient population.</p><p><br></p><p>This role is especially important within a Federally Qualified Health Center environment, where patients may require assistance with insurance verification, eligibility documentation, and access to affordable care services. The Medical Scheduler will help create an efficient, welcoming, and patient-centered experience while supporting providers and clinical staff.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Schedule and confirm patient appointments</li><li>Manage patient check-in and check-out processes</li><li>Collect patient payments and prepare payment batches for posting</li><li>Verify insurance eligibility and enter insurance information accurately into the system</li><li>Gather and update patient demographic and registration details</li><li>Answer incoming calls, direct calls appropriately, and document messages</li><li>Monitor voicemail and respond or escalate as needed</li><li>Maintain accurate phone notes within patient records</li><li>Scan and upload documentation into electronic charts</li><li>Complete prior authorizations for insurance as required</li><li>Receive lab cases and coordinate pickups with lab vendors</li><li>Support medical records and other administrative functions as assigned</li><li>Provide front office coverage for absent team members when needed</li><li>Participate in staff meetings and team communications</li><li>Maintain an organized, professional, and confidential work environment</li><li>Deliver excellent service to patients, visitors, and coworkers</li><li>Perform additional duties as assigned</li></ul><p><br></p>
We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
We are looking for a detail-oriented Medical Collections Specialist to support revenue cycle efforts for a healthcare organization in Henrico, Virginia. This Long-term Contract position focuses on resolving outstanding patient and insurance balances, reviewing claim issues, and helping improve reimbursement outcomes. The ideal candidate brings hands-on experience in medical billing, denials management, appeals, and insurance follow-up, along with proficiency in eClinicalWorks.<br><br>Responsibilities:<br>• Pursue outstanding insurance and patient accounts by conducting timely follow-up and documenting all collection activity accurately.<br>• Investigate unpaid or underpaid claims to identify billing discrepancies, denial causes, and reimbursement obstacles.<br>• Prepare and submit claim reconsiderations and appeals with supporting documentation to maximize payment recovery.<br>• Work closely with billing and internal revenue cycle teams to correct account issues and move claims toward resolution.<br>• Review insurance responses, payment postings, and account histories to determine next steps for collection efforts.<br>• Maintain accurate records in eClinicalWorks and ensure account notes reflect current status and actions taken.<br>• Communicate professionally with payers, patients, and internal stakeholders regarding balances, claim status, and account resolution.<br>• Monitor aging reports and prioritize accounts that require immediate follow-up to reduce outstanding receivables.
<p>A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.</p><p>The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.</p><p>Key Responsibilities</p><ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul><p><br></p>