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113 results for Insurance Authorization Specialist jobs

Prior Authorization Specialist

Minneapolis, MN
onsite
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a Prior Authorization Specialist to support front-end revenue cycle operations for a long-term contract opportunity. This is a fully remote role but you must reside in Minnesota or Wisconsin. In this role, you will help secure timely coverage approvals, verify benefits, and clarify financial responsibility before services are delivered. This position works in a remote environment with collaborative team huddles and may support specialty areas such as cardiology, imaging, surgery, or other high-acuity service lines. Responsibilities:• Evaluate scheduled patient services and payer guidelines to determine when pre-service authorization or benefit validation is required.• Obtain initial and follow-up approvals from insurance carriers to help prevent delays, denials, or gaps in coverage prior to treatment.• Confirm medical, pharmacy, and plan benefits while identifying patient out-of-pocket responsibility and documenting accurate estimates when applicable.• Review account details in the electronic medical record, update authorization status, and maintain complete documentation to support billing readiness.• Interpret commercial, Medicare, and Medicaid coverage rules to ensure each case is processed in alignment with payer-specific requirements.• Coordinate with internal teams and participate in daily remote huddles to resolve authorization issues and maintain productivity in a high-volume setting.• Provide guidance to newer team members on authorization workflows, payer expectations, and front-end revenue cycle practices when needed.• Support assigned specialty work queues based on business demand and complete additional related tasks as requested
2026-08-18T00:00:00Z

Prior Authorization Specialist

Plymouth, MN
onsite
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a detail-oriented team member to support patient financial clearance and prior authorization activities. This Long-term Contract position focuses on reviewing scheduled services, confirming coverage requirements, and helping secure approvals before care is delivered whenever possible. The person in this role will work closely with clinical and operational partners in a fast-paced environment that values accuracy, communication, and consistent follow-through. Responsibilities:• Examine upcoming patient service details to determine whether insurance authorization or other financial clearance steps are required before treatment.• Obtain initial and follow-up approvals from payers within required timelines to help prevent delays in care and reimbursement issues.• Verify insurance coverage, interpret plan benefits, and document financial clearance outcomes with a high level of accuracy.• Partner with clinical staff to review supporting documentation needed for authorization requests and resolve missing or incomplete information.• Monitor accounts, work queues, and payer responses to address denials, notifications, and authorization-related issues promptly.• Communicate with internal teams regularly in a remote setting, including team huddles and coordination across specialty-focused work groups such as cardiology, imaging, surgery, and specialty services.• Provide guidance to less experienced team members when needed on revenue cycle practices, payer expectations, and policies that affect front-end clearance activities.
2026-08-18T00:00:00Z

Prior Authorization Specialist

Plymouth, MN
onsite
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a detail-oriented individual to support front-end revenue cycle activities as a Financial Clearance Representative Associate focused on prior authorization. This Long-term Contract position plays an important role in helping patients and providers prepare for services by confirming coverage, securing approvals, and clarifying financial responsibility before care is delivered. The person in this role will work remotely during regular business hours, Monday through Friday, and collaborate with specialized teams that support areas such as cardiology, imaging, surgery, and specialty services. Responsibilities:• Assess scheduled patient services to determine authorization needs, review payer guidelines, and take the necessary steps to obtain approval before the date of service whenever possible.• Verify insurance coverage and interpret plan benefits to confirm eligibility, service requirements, and expected patient cost obligations.• Secure initial and follow-up authorizations within required timelines, while tracking status updates and addressing payer requests for additional information.• Review clinical documentation and coordinate with care teams to gather the records needed to support authorization and financial clearance activities.• Communicate denials, pending issues, or missing information promptly so accounts can be resolved before treatment and avoid delays in care.• Prepare patient financial responsibility estimates and document benefit details accurately within the appropriate work queues and electronic systems.• Maintain productivity and quality standards while managing a high-volume workload across assigned specialty areas in a remote team environment.• Provide guidance to team members when needed on payer rules, revenue cycle questions, and policies that affect authorization workflows
2026-08-18T00:00:00Z

Medical Authorizations Specialist

Los Angeles, CA
onsite
Temporary / Contract
24.07 - 30.12 USD / Hourly
A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment. Responsibilities:• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.
2026-08-19T00:00:00Z

Insurance Verification Specialist

Eden Prairie, MN
remote
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a detail-oriented individual to support pre-registration and financial clearance activities for patients receiving care in Minnesota. This Long-term Contract opportunity is well suited for someone who understands front-end healthcare revenue cycle work and can confidently explain insurance coverage, eligibility, and patient payment expectations. The person in this role will join a collaborative remote imaging team that stays closely connected through regular team huddles while managing a high-volume workload. Success in this position requires strong communication skills, sound judgment, and the ability to document accurately within electronic health record systems, preferably Epic. Responsibilities: • Conduct pre-registration conversations with patients to gather demographic, insurance, and appointment-related information, then enter complete and accurate records into the appropriate system. • Review active insurance coverage by validating eligibility, checking plan details, and documenting findings for upcoming visits or procedures. • Analyze benefit information to determine covered services, policy effective dates, authorization requirements, exclusions, and expected patient out-of-pocket costs. • Prepare clear cost estimates in advance of service and help patients understand deductibles, co-insurance, co-pays, and other financial obligations. • Explain important patient-facing guidelines and required documentation, including consent-related information and general care policies when applicable. • Identify cases involving limited or insufficient coverage and connect patients or family members with financial counseling or available assistance programs. • Maintain productivity and accuracy standards while handling a steady volume of work in a remote, team-based environment. • Offer guidance to newer team members when needed by sharing knowledge related to payer rules, revenue cycle practices, and job-specific procedures. • Complete additional administrative or operational tasks assigned in support of patient access and financial clearance functions.
2026-08-18T00:00:00Z

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>
2026-08-11T00:00:00Z

Insurance Coverage Attorney

New York, NY
onsite
Permanent / Full Time
160000 - 195000 USD / Yearly
We are looking for a skilled Insurance Coverage Attorney to join our team in New York, New York. This position is ideal for mid-level attorneys who want to enhance their expertise in insurance coverage and litigation while working on a variety of challenging legal matters. You will play a critical role in providing legal analysis and representation to clients, ensuring their interests are effectively protected. Responsibilities: • Analyze insurance policies and prepare detailed coverage opinions. • Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes. • Draft legal documents such as pleadings, motions, and memoranda. • Participate in depositions, mediations, and court proceedings as needed. • Conduct in-depth legal research on insurance law and coverage-related issues. • Maintain clear and effective communication with clients regarding case strategies and updates.
2026-08-05T00:00:00Z

Insurance Coverage Attorney

Seattle, WA
onsite
Permanent / Full Time
165000 - 200000 USD / Yearly
We are looking for an accomplished attorney to join a boutique law firm in Downtown Seattle, with a strong focus on insurance coverage matters. This position offers the opportunity to advise clients on complex policy issues, manage sophisticated disputes, and contribute to high-level litigation strategy. The ideal candidate brings sound judgment, strong research abilities, and a proven background handling insurance-related claims and coverage analysis. Responsibilities:• Advise clients on insurance coverage questions, including policy interpretation, claims evaluation, and dispute management strategies.• Handle a portfolio of insurance coverage and related litigation matters from early assessment through resolution.• Perform in-depth legal research and translate findings into practical recommendations, motions, briefs, and case strategy.• Represent clients in court proceedings, mediations, settlement discussions, and other contested matters.• Review insurance policies, endorsements, and supporting records to assess rights, obligations, and potential exposure.• Monitor legal and regulatory developments affecting insurance law and incorporate those changes into client guidance and case planning.• Work closely with attorneys, paralegals, and administrative professionals to move matters forward efficiently and effectively. Firm offers lower billable goal than most firms and generous benefits including 3 weeks PTO, profit sharing bonuses, 401K with matching, year end bonuses, transportation stipend, hybrid work from home model, and quicker partnership track! For a confidential conversation about this opening please send your resume to Sam(dot)Sheehan(at)RobertHalf(dot)(com)
2026-08-10T00:00:00Z

Insurance Coverage Attorney

Chicago, IL
onsite
Permanent / Full Time
120000 - 150000 USD / Yearly
We're partnering with a large, national AV-rated law firm who is seeking to hire an Associate Attorney with at least 2-4+ years of experience to join their third-party property coverage group in Chicago. This firm specializes in insurance coverage and defense litigation with 15 offices across the US. The ideal candidate should have a strong understanding of the insurance business with prior experience handling insurance coverage, preferably third-party property coverage. Responsibilities of the position include assessing coverage issues, drafting coverage opinions, litigating coverage disputes, taking/defending depositions, and drafting other legal documents. Our client offers a highly flexible hybrid WFH schedule and a great team culture. The position is paying between $120-150K with strong bonus potential. In addition, the firm offers a comprehensive benefits package including medical, dental, vision, 401K (plus match), PTO, LT/ST Disability, Life Insurance, and more. For immediate consideration, please email your resume directly to Justin Rambert, VP - Permanent Placement at justin . rambert @ robert half com
2026-08-03T00:00:00Z

Insurance Coverage Counsel

New York, NY
onsite
Permanent / Full Time
200000 - 225000 USD / Yearly
We are looking for an experienced Insurance Coverage Counsel to join our dynamic legal team in New York, New York. In this role, you will provide strategic legal expertise to insurance carriers and self-insured entities, focusing on complex insurance coverage matters and litigation. This is an excellent opportunity for an experienced attorney to work on high-profile cases and collaborate with a team of skilled professionals. Responsibilities: • Analyze and interpret insurance policies to deliver comprehensive coverage opinions. • Manage complex insurance coverage litigation from initiation through resolution. • Draft pleadings, motions, and detailed coverage position letters to support legal strategies. • Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy. • Offer strategic counsel to insurers on high-stakes claims and exposure issues. • Work closely with litigation teams to address overlapping defense and coverage matters. • Conduct thorough legal research to support case strategies and recommendations. • Ensure compliance with relevant laws and regulations while advising clients. • Collaborate with clients to develop tailored solutions for intricate coverage disputes.
2026-08-19T00:00:00Z

Insurance Coordinator

San Jose, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for an Insurance Coordinator to support insurance-related workflows for a service-focused team in San Jose, California. This Long-term Contract position is ideal for someone who is highly organized, detail-oriented, and experienced in reviewing coverage information to help ensure efficient coordination of services. The person in this role will work closely with patients, providers, and payers to confirm benefits, secure approvals, and maintain accurate documentation. Responsibilities: • Confirm active medical coverage and benefit details with insurance carriers before services are scheduled or delivered. • Obtain required prior authorizations and referrals to prevent delays in service and support timely care coordination. • Review payer guidelines and plan rules to determine eligibility, coverage limits, and out-of-pocket responsibilities. • Communicate with internal teams, patients, and insurance representatives to resolve verification issues and missing information. • Maintain complete and accurate records of insurance activity, authorization status, and follow-up actions in appropriate systems. • Track pending approvals and proactively follow up with payers to ensure decisions are received within expected timeframes. • Escalate complex coverage or authorization concerns when additional review or intervention is needed.
2026-08-20T00:00:00Z

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.
2026-08-13T00:00:00Z

Insurance Processing Admin

McCarran, NV
onsite
Temporary to Hire
24 - 25 USD / Hourly
We are looking for an organized Insurance Processing Admin to support subcontractor compliance activities in McCarran Nevad near USA Parkway. This contract opportunity with potential for a permanent role is ideal for someone who enjoys managing documentation, coordinating follow-up, and keeping detailed records accurate in a fast-moving environment. You will work closely with project teams and external partners to help ensure required insurance and compliance materials are complete and up to date. Responsibilities:• Evaluate insurance certificates and related paperwork submitted by subcontractors to confirm completeness and accuracy.• Compare received documents against company compliance standards and identify missing or incomplete items.• Conduct consistent outreach with subcontractors to obtain outstanding materials and move files toward completion.• Oversee a large volume of active subcontractor records, priorities, and deadline-driven follow-up activities.• Record conversations, status updates, and document activity within internal company systems.• Collaborate with Project Managers and other internal teams to help resolve compliance issues and keep projects on track.• Maintain orderly electronic files and ensure records are current, accessible, and well documented.
2026-08-21T00:00:00Z

Medical Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
23.12 - 28 USD / Hourly
We are seeking a detail-oriented Medical Credentialing Specialist to support the credentialing and recredentialing process for healthcare providers. This role is responsible for ensuring providers meet all regulatory, accreditation, and payer requirements so they can deliver services and receive reimbursement. .Key Responsibilities:<ul><li>Manage the initial credentialing and recredentialing process for physicians, nurses, and allied health professionals. </li><li>Verify provider qualifications, including licenses, certifications, education, work history, malpractice coverage, and references. </li><li>Prepare and submit credentialing applications to hospitals, health plans, and insurance networks. </li><li>Maintain accurate provider records and ensure all documentation is current and compliant. </li><li>Track application status and follow up with payers, licensing boards, and other agencies as needed. </li><li>Monitor expiration dates for licenses, DEA registrations, board certifications, and insurance documents. </li><li>Ensure compliance with internal policies, payer standards, NCQA, CMS, and other regulatory guidelines. </li><li>Serve as a point of contact for providers and internal departments regarding credentialing status and requirements. </li><li>Assist with audits and reporting related to provider enrollment and credentialing files. .</li></ul>
2026-08-14T00:00:00Z

Medical Denials Specialist

Carmel, IN
onsite
Temporary / Contract
18 - 24 USD / Hourly
We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. This role is responsible for reviewing, researching, and resolving denied or underpaid medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate has strong knowledge of payer guidelines, appeals processes, and healthcare billing workflows. Hours: Monday - Friday 8am -5pm Key Responsibilities:<ul><li>Review denied, rejected, or underpaid insurance claims and identify root causes</li><li>Investigate payer denials related to coding, authorizations, eligibility, timely filing, medical necessity, and billing errors</li><li>Prepare and submit appeals with appropriate supporting documentation</li><li>Communicate with insurance carriers, patients, providers, and internal departments to resolve claim issues</li><li>Monitor and track denial trends and escalate recurring issues for process improvement</li><li>Maintain accurate and detailed account documentation in billing and practice management systems</li><li>Follow up on outstanding appeals and denied claims to ensure timely resolution</li><li>Partner with billing, coding, and patient access teams to reduce future denials</li><li>Ensure compliance with payer requirements, HIPAA, and internal policies</li></ul>
2026-08-06T00:00:00Z

Insurance Account Support Representative

Moline, IL
onsite
Temporary to Hire
18 - 23 USD / Hourly
Insurance Account Support Representative Location: Quad Cities Area (Hybrid after training) A growing insurance agency is seeking an Insurance Account Support Representative to join its service team. This is a great opportunity for someone who enjoys building relationships, solving problems, and helping customers understand and manage their insurance coverage. In this service-focused role, you'll support existing policyholders by answering questions, processing policy changes, coordinating with carriers, and delivering a high level of customer care throughout the life of their policies. This is a service-focused position, not a sales role. You'll support existing policyholders by answering questions, processing policy changes, coordinating with carriers, and ensuring customers receive outstanding support. What You'll Do<ul><li>Serve as a primary point of contact for policyholders regarding coverage, billing, claims questions, and policy changes</li><li>Process endorsements, renewals, and policy updates</li><li>Coordinate with insurance carriers to obtain information, documentation, and approvals</li><li>Review policies for accuracy and completeness</li><li>Document customer interactions and maintain accurate records</li><li>Assist customers by explaining coverage options and policy details in an easy-to-understand manner</li><li>Communicate with clients through phone, email, and other digital channels</li><li>Partner with internal teams to ensure excellent customer service and timely resolution of requests</li></ul>Why Consider This Opportunity?<ul><li>Established and growing insurance organization</li><li>Collaborative team environment</li><li>Strong training and onboarding program</li><li>Hybrid work flexibility after training</li><li>Opportunity to make a direct impact on the customer experience</li></ul>Apply today or call our team to learn more: 563-359-3995!
2026-08-20T00:00:00Z

Claims Specialist

Sharonville, OH
onsite
Temporary to Hire
22 - 24 USD / Hourly
We are looking for an Claims Specialist to join a financial services organization in Blue Ash, Ohio in a contract-to-permanent capacity. This role supports claimants, beneficiaries, agents, and related partners by guiding them through the claims process with empathy, accuracy, and professionalism. The position is responsible for managing life insurance claim activity from initial notice through payment and policy closure while ensuring documentation is complete and decisions align with policy terms and applicable regulations. Responsibilities:• Serve as a primary point of contact for claimants, beneficiaries, agents, and funeral homes by explaining benefit information, outlining required paperwork, and clarifying the next steps after a reported death.• Drive claims toward resolution by following up on missing documents, responding to inbound inquiries, and maintaining consistent communication with all involved parties.• Handle sensitive or emotional conversations with professionalism, using sound judgment and clear communication to address concerns and provide accurate guidance.• Oversee the end-to-end claims workflow, including gathering proof of death, reviewing policy provisions, determining benefit eligibility, and processing payments in accordance with state requirements.• Build and maintain well-organized claim files that include applications, beneficiary records, correspondence, supporting materials, and all required evidence.• Review payment calculations for accuracy, document supporting details, and prepare files for internal approval before funds are released.• Update policy administration records after claim approval, including completing policy status changes and final termination activities when appropriate.• Maintain claim tracking tools, audit imaged records, and complete required reconciliation tasks to support timely, accurate, and fully documented claim handling.• Investigate questionable matters when needed, perform policy research, and elevate concerns related to contestability, potential fraud, or rescission with clear supporting recommendations.
2026-08-21T00:00:00Z

Provider Enrollment Specialist

El Segundo, CA
onsite
Temporary / Contract
23 - 28 USD / Hourly
A healthcare company is seeking Provider Enrollment Specialists to provide immediate support to a growing healthcare team managing a significant backlog. This Provider Enrollment Specialist is ideal for professionals with prior provider enrollment and healthcare credentialing experience who can step in quickly, work independently, and help improve turnaround times and overall workflow. Key Responsibilities:<ul><li>Process provider enrollment applications and related documentation for health plans, payers, and networks. </li><li>Support credentialing and recredentialing activities as needed to ensure providers are properly enrolled and maintained.</li><li>Review provider files for accuracy, completeness, and compliance with payer and regulatory requirements. </li><li>Verify licenses, certifications, education, training, and other required provider documentation. </li><li>Track application status, renewals, expirables, and follow-up items to ensure timely completion. </li><li>Communicate with providers, payers, and internal departments regarding enrollment status, missing items, and issue resolution. </li><li>Maintain accurate records and update provider information in internal databases and systems. </li><li>Assist in reducing enrollment and credentialing backlog while meeting quality and productivity expectations. </li><li>Ensure all activities are completed in accordance with organizational policies, payer guidelines, and regulatory standards.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-19T00:00:00Z

Health Benefits Implementation Specialist

Exeter, NH
remote
Permanent / Full Time
120000 - 150000 USD / Yearly
We are looking for a Health Benefits Implementation Specialist to guide new clients through the setup and launch of self-funded medical, dental, and ancillary benefit programs in Exeter, New Hampshire. This role blends hands-on benefits expertise with strong project coordination, ensuring each implementation moves forward accurately, on time, and with clear communication. The ideal candidate is comfortable managing several workstreams at once, partnering with clients and vendors, and keeping complex onboarding efforts organized from kickoff through go-live. Responsibilities: • Lead onboarding activities for new benefit clients by coordinating timelines, deliverables, and communication across internal teams and external partners. • Build and maintain detailed implementation schedules, status trackers, and supporting documentation to keep projects progressing according to plan. • Collect, organize, and confirm client requirements so benefit plans and related services are configured correctly before launch. • Facilitate kickoff sessions, working meetings, and client presentations to align stakeholders on scope, milestones, and next steps. • Monitor open items, dependencies, and potential risks, then work with the appropriate parties to resolve issues in a timely manner. • Oversee the setup of self-funded medical, dental, and ancillary offerings, helping ensure data, vendor connections, and plan details are ready for go-live. • Document decisions, action items, and implementation updates clearly to support accurate execution and smooth handoffs. • Contribute to process improvements by refining templates, tools, and documentation standards used by the implementation team.
2026-08-14T00:00:00Z

Medical Billing Specialist

Boca Raton, FL
remote
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues. Responsibilities:• Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines.• Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports.• Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices.• Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up.• Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance.• Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture.• Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered.• Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements.• Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information
2026-08-21T00:00:00Z

Medical Billing Specialist

Hopkins, MN
onsite
Permanent / Full Time
50000 - 65000 USD / Yearly
We are looking for a detail-oriented Medical Billing Specialist to support healthcare claims and reimbursement activities in Bloomington, Minnesota. This role focuses on preparing, submitting, and tracking billing for a range of home and community-based services while helping ensure claims are accurate, timely, and fully supported by required documentation. The ideal candidate brings strong knowledge of medical billing workflows, payer requirements, and follow-up practices that improve cash flow and resolve claim issues efficiently. Responsibilities:• Examine service records, authorizations, care plans, and supporting documents to confirm claims are ready for submission to Minnesota Medical Assistance and other applicable payers.• Process and track claims for home care and related community-based services using payer portals, clearinghouses, and revenue cycle platforms.• Investigate unpaid, denied, rejected, underpaid, or recouped claims and take appropriate action to secure correct reimbursement.• Conduct account reviews for aged receivables, including outstanding balances over 30 days, and document follow-up activity in assigned tracking tools.• Analyze remittance information to identify payment variances, denials, adjustments, spend-down impacts, and reimbursement discrepancies.• Resolve billing exceptions by correcting claim details and submitting original, replacement, corrected, or voided claims in line with payer rules.• Review unbilled service lines regularly to ensure eligible charges are captured and submitted without unnecessary delay.• Respond to billing-related questions from internal teams and external partners, including payers, case managers, coordinators, and other stakeholders.• Maintain compliance with state and federal billing standards, documentation expectations, coding requirements, confidentiality obligations, and fraud prevention guidelines.• Escalate high-risk account concerns, authorization mismatches, documentation deficiencies, database inaccuracies, and payer-related barriers to leadership when needed.
2026-07-28T00:00:00Z

Medical Billing Specialist

Sandy, UT
onsite
Temporary to Hire
19 - 22 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a busy healthcare team in Sandy, Utah. This contract-to-permanent position is ideal for someone who is comfortable managing billing tasks, maintaining accurate patient and insurance records, and working efficiently in a fast-paced environment. The role offers an opportunity to contribute to daily revenue cycle operations while helping ensure claims and payments are processed accurately and on time. Responsibilities: • Review patient billing information and prepare accurate insurance claims for submission to carriers. • Enter and update high volumes of billing, payment, and patient data while maintaining strong attention to detail. • Track claim status, follow up on unpaid balances, and support collection efforts to improve reimbursement timelines. • Resolve billing discrepancies by researching account details and coordinating with internal teams or insurance representatives. • Maintain electronic medical record and billing documentation to support complete and accurate account records. • Assist with processing claim corrections, resubmissions, and other billing adjustments as needed. • Support department workflows related to medical data entry and ongoing billing system activities.
2026-08-18T00:00:00Z

Medical Billing Specialist

Portland, OR
onsite
Temporary / Contract
23 - 30 USD / Hourly
We are seeking a detail oriented Medical Billing Specialist in the Portland area. This role is responsible for managing the billing process from claim submission through payment posting and follow up, helping ensure accurate reimbursement, reduced claim denials, and a positive patient financial experience. The ideal candidate has experience working with insurance providers, understands medical billing regulations, and thrives in a fast-paced environment where accuracy and customer service are equally important.Key Responsibilities<ul><li>Prepare, review, and submit accurate medical claims to insurance carriers</li><li>Verify insurance eligibility, benefits, and coverage information</li><li>Monitor claim status and follow up on unpaid or denied claims</li><li>Research and resolve billing discrepancies, denials, and payment issues</li><li>Post payments, adjustments, and patient payments accurately</li><li>Maintain patient billing records and documentation</li><li>Communicate with patients regarding billing questions and account balances</li><li>Work closely with providers, clinical staff, and insurance companies to resolve claim issues</li><li>Ensure compliance with HIPAA and healthcare billing regulations</li><li>Assist with month end reporting and revenue cycle activities as needed</li></ul>
2026-08-21T00:00:00Z

Medical Billing Specialist

Shelton, WA
onsite
Temporary to Hire
25.3365 - 29.337 USD / Hourly
We are looking for a Medical Billing Specialist to join our team in Shelton, Washington in a contract capacity with the potential for a permanent role. This onsite position supports a tribal healthcare setting and plays an important role in keeping billing operations accurate, timely, and compliant. The person in this role will help manage claims, authorizations, referrals, and revenue cycle activities while working closely with patients, providers, and payers. This opportunity is ideal for someone who is comfortable balancing billing detail, insurance coordination, and patient support in a fast-paced clinic environment. Responsibilities: • Oversee the full claims process for medical, dental, Medicare, Medicaid, and commercial coverage, from submission through payment resolution. • Review remittance details, post payments accurately, and investigate denied, rejected, or underpaid claims to secure proper reimbursement. • Track outstanding receivables, follow up on unpaid balances, and take timely action to reduce aging accounts. • Confirm insurance information, patient demographics, and service authorization needs before billing or referral processing begins. • Obtain and manage prior approvals for services while coordinating with clinics, insurers, and external care providers. • Support compliant billing practices by maintaining accurate documentation and applying appropriate coding and privacy standards. • Coordinate referral-related activities, including eligibility review, purchase order processing, claim support, and follow-up with outside providers when needed. • Assist patients with billing questions, insurance-related concerns, and benefit enrollment support, including Healthplanfinder guidance. • Contribute to reporting, audit preparation, reconciliations, and general front-office coverage as needed to support clinic operations.
2026-08-21T00:00:00Z

Medical Billing Specialist

Englishtown, NJ
onsite
Temporary / Contract
22 - 25 USD / Hourly
Robert Half is working with a long-time partner for a medical billing specialist. This position is ideal for someone who is comfortable working with billing systems, insurance documentation, and patient account information in a fast-paced environment. The person in this role will help maintain accurate claims activity, coordinate with internal partners, and contribute to timely reimbursement processes. Responsibilities:• Manage billing activity for assigned patient accounts, ensuring charges and reimbursement details are processed accurately.• Prepare and transmit claims to insurance carriers and issue billing statements to patients in a timely manner.• Review account information, payment activity, and supporting documentation to help resolve billing discrepancies.• Partner with cross-functional teams to maintain consistency and accuracy across billing and patient data records.• Enter and update information in electronic billing and medical record systems while preserving data integrity.• Examine explanation of benefits documents and apply findings to account follow-up and payment posting activities.
2026-08-17T00:00:00Z