117 results for Insurance Authorization Specialist jobs

Insurance Authorization Coordinator

Pewaukee, WI
onsite
Contract / Temporary to Hire
23 - 25 USD / Hourly
We are looking for a dedicated Insurance Authorization Coordinator to join our team in Pewaukee, Wisconsin. In this Contract to permanent position, you will play a critical role in managing insurance-related tasks and ensuring accurate billing practices for ambulance services. This role requires a detail-oriented individual with strong communication skills and a solid understanding of medical insurance processes. Responsibilities: • Analyze denied or underpaid claims and prepare detailed appeals with supporting documentation to secure proper reimbursement. • Verify patient insurance coverage, benefits, and authorization requirements before or after transport to ensure claims are submitted accurately. • Handle inbound calls from patients to address account balances, explain charges, and provide guidance on payment options or necessary corrections. • Document all actions, conversations, and next steps thoroughly in the billing system to maintain accurate account records. • Collaborate with team members and supervisors to gather required information, clarify service details, and resolve payer concerns. • Ensure compliance with industry regulations and internal procedures to maintain adherence to billing standards. • Utilize billing software and payer portals effectively to process claims and manage account information. • Conduct additional tasks as needed to support the billing department and overall operations.
2026-03-17T00:00:00Z

Insurance Authorizations

Brea, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a skilled Prior Authorization Specialist to support healthcare operations in Brea, California. This role involves ensuring insurance approvals for medical services, diagnostic testing, and treatments, as well as maintaining compliance with payer guidelines. As a long-term contract to hire position, this opportunity offers stability and the chance to contribute to patient care in a meaningful way. Key Responsibilities:• Review clinical documentation, physician orders, and patient charts to identify insurance authorization requirements.• Submit and track prior authorization requests for treatments, medications, procedures, and diagnostic tests.• Verify insurance eligibility, benefits, and coverage details to ensure patients receive appropriate care.• Act as a liaison between insurance providers, healthcare teams, and patients to communicate authorization statuses.• Follow up on pending authorizations, addressing inquiries or resolving denials as needed.• Maintain detailed records of approvals, denials, and supporting documentation in electronic health systems.• Collaborate with clinical and scheduling teams to confirm services are authorized before they are provided.• Monitor updates to payer policies and guidelines to ensure compliance with insurance requirements.• Initiate appeals for denied authorization requests when justified.• Uphold confidentiality standards and organizational compliance in all aspects of patient care. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-24T00:00:00Z

Insurance Services Representative

Shrewsbury, MA
onsite
Permanent
40000 - 60000 USD / Yearly
A Banking client of ours who has an Insurance Agency in its portfolio is seeking an experienced Insurance Service Representative to support and grow our Property & Casualty insurance business. This role focuses on servicing existing clients, quoting new business, handling endorsements and renewals, and delivering exceptional member experiences. What You’ll Do<ul><li>Quote, bind, and service P&C insurance policies</li><li>Manage endorsements, renewals, billing, and registry transactions</li><li>Handle inbound calls, emails, and in-person member requests</li><li>Identify cross-sell and upsell opportunities</li><li>Partner with senior team members on remarkets and complex accounts</li><li>Meet service and turnaround standards (24–48 hours)</li></ul>
2026-03-18T00:00:00Z

Insurance Verification Specialist

Baltimore, MD
onsite
Temporary
18 - 23 USD / Hourly
Our client in the local government and healthcare sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team! Responsibilities:<ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul>
2026-03-09T00:00:00Z

Insurance Verification Specialist

Torrance, CA
onsite
Temporary
21 - 30 USD / Hourly
We are seeking an Insurance Verification Specialist to join a dynamic healthcare team in Los Angeles, California. This position is ideal for professionals who excel in a fast-paced medical setting and are committed to ensuring accurate and efficient patient insurance processing. The Insurance Verification Specialist plays a vital role in supporting patient access to care and helping the clinic maintain smooth, compliant operations. Key Responsibilities:<ul><li>Verify patient insurance coverage and eligibility with carriers for medical services.</li><li>Obtain pre-authorizations or referrals as required by insurance providers.</li><li>Accurately document insurance details and update patient records in the system.</li><li>Communicate benefit information, coverage details, or out-of-pocket requirements to patients as needed.</li><li>Collaborate with clinical and administrative staff to resolve insurance issues and support timely patient scheduling.</li><li>Assist with claim submissions by ensuring all required information is documented and filed appropriately.</li><li>Maintain strict compliance with HIPAA regulations and office confidentiality standards.</li><li>Support the front office team by answering patient or carrier questions and handling related administrative tasks.</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-12T00:00:00Z

Insurance Verification Specialist

Portland, OR
onsite
Temporary
23 - 26 USD / Hourly
Overview:Our team is seeking an Insurance Verification Specialist to join our healthcare operations. This role is responsible for verifying patient insurance coverage, ensuring accuracy in data entry, and supporting patient intake and billing processes. The ideal candidate has strong attention to detail and a customer-focused attitude.Key Responsibilities:<ul><li>Verify insurance eligibility, benefits, and authorizations through phone, online portals, and direct contact with payers</li><li>Update and maintain patient records with accurate insurance information</li><li>Communicate coverage details to patients, providers, and internal staff</li><li>Coordinate with billing department to ensure claims are submitted correctly and timely</li><li>Resolve insurance verification issues and follow up on pending cases</li><li>Ensure compliance with all relevant regulations and privacy standards</li></ul>
2026-03-03T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent
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>
2026-03-19T00:00:00Z

Insurance Premium Specialist

Virginia Beach, VA
onsite
Temporary
20.9 - 24.2 USD / Hourly
We are looking for an experienced Insurance Premium Specialist to join our team in Virginia Beach, Virginia. In this long-term contract position, you will play a crucial role in managing insurance billing processes, ensuring accurate account reconciliation, and providing outstanding customer service. This opportunity is ideal for professionals with a strong accounting background and excellent communication skills. Responsibilities: • Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards. • Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively. • Perform detailed account reconciliations to maintain accurate financial records. • Collaborate with internal teams to address discrepancies and improve billing processes. • Ensure timely and accurate completion of all billing functions. • Monitor and report on account activities and discrepancies to relevant stakeholders. • Assist in maintaining accounting records and documentation for audits and compliance purposes. • Provide exceptional customer service by addressing client concerns and ensuring satisfaction. • Review and analyze financial data related to insurance premiums. • Identify opportunities for process improvements within the accounting and billing functions.
2026-03-25T00:00:00Z

Insurance Coverage Attorney

Seattle, WA
onsite
Permanent
145000 - 190000 USD / Yearly
A multi-office law firm in Seattle is seeking an experienced Insurance Coverage Attorney to join their team. The salary range for the role is 145-190k base with additional structured bonus earnings on a standard billable target of 1800. The firm offers medical, dental, vision and life insurance, unlimited PTO, 401k plus company match, transportation benefits and other perks. They offer a flexible hybrid work structure, allowing attorneys to regularly work-from-home weekly if desired.
2026-03-17T00:00:00Z

Prior Authorization Coordinator

Minneapolis, MN
onsite
Temporary
20 - 28 USD / Hourly
Overview:The Prior Authorization Coordinator plays a critical role in ensuring timely access to care by coordinating and securing insurance authorizations for medical procedures, treatments, and prescriptions. This role serves as a liaison between healthcare providers, patients, and insurance companies to streamline the authorization process and minimize delays.Key Responsibilities:<ul><li>Review and process prior authorization requests for medical services, procedures, and medications.</li><li>Gather and compile relevant documentation from medical records to support authorization requests.</li><li>Submit authorization requests to insurance companies and follow up on pending approvals.</li><li>Communicate authorization status updates to providers and patients and escalate urgent cases as needed.</li><li>Respond to payer inquiries, request additional information, and manage appeals for denied claims.</li><li>Maintain accurate records of submitted requests, outcomes, and correspondence.</li><li>Collaborate with medical and administrative teams to resolve issues and maintain workflow efficiency.</li></ul>
2026-03-10T00:00:00Z

Insurance Referral Coordinator

Kingsburg, CA
onsite
Temporary
19 - 23 USD / Hourly
We are looking for a dedicated Insurance Referral Coordinator to join our team in Kingsburg, California. This role focuses on supporting patients with referrals, pre-authorizations, and guiding them through the process to ensure high-quality care. As this is a long-term contract position, you will have the opportunity to make a meaningful impact on patient satisfaction and healthcare coordination. Responsibilities: • Facilitate the referral process by assisting patients with completing necessary documentation and addressing any related inquiries. • Coordinate and verify insurance referrals to ensure proper authorization and compliance with healthcare policies. • Schedule and confirm patient appointments while maintaining accurate records in the system. • Educate patients on referral processes and pre-authorization requirements to provide clarity and enhance their experience. • Collaborate with healthcare providers to process referrals efficiently and ensure timely patient care. • Maintain up-to-date patient medical records and ensure the accurate documentation of referral details. • Monitor referral statuses and follow up with patients and providers when necessary. • Support patients by checking them in and addressing any concerns related to insurance or appointments. • Review and verify referral authorization details to ensure alignment with healthcare standards. • Assist in coordinating care between patients and providers to optimize service delivery.
2026-03-25T00:00:00Z

Insurance Referral Coordinator

Cincinnati, OH
onsite
Temporary
19 - 22 USD / Hourly
We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care. Responsibilities:• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.• Provide support in identifying process improvements to streamline prior authorization workflows.
2026-03-25T00:00:00Z

Insurance Referral Coordinator

Oakland, CA
onsite
Temporary
23.75 - 26 USD / Hourly
We are looking for 10 dedicated Insurance Referral Coordinators to join our healthcare client in Oakland, California. In this is a 3–4-month contract role, you will play a vital part in ensuring seamless coordination of patient care by managing insurance referrals and related administrative tasks. This position offers an excellent opportunity to grow within the healthcare industry while working in a collaborative and dynamic environment. Responsibilities:• Coordinate referral appointments for patients, ensuring all necessary details are accurately documented.• Maintain and update patient records to reflect referral and insurance information.• Verify insurance eligibility and benefits to support patient care processes.• Obtain prior authorizations for referrals and procedures as required.• Make outbound calls to patients and providers, with an average of 60+ calls daily.• Provide administrative support to the healthcare team, ensuring efficient workflow.• Deliver exceptional customer service to patients and providers, addressing inquiries promptly.• Collaborate with colleagues to streamline referral generation and authorization processes. Scope of Assignment<ul><li>Focus exclusively on scheduling external referrals currently pending (approximately 2,500 referrals).</li><li>Contact specialty offices to secure appointments.</li><li>Document scheduling activity accurately in the EMR system and Transportation Calendar.</li><li>Collaborate with internal teams to ensure referral progression.</li></ul> Productivity Expectations<ul><li>GOAL: Schedule of 30 appointments per day.</li><li>Meet or exceed daily outreach and documentation targets.</li><li>Contribute to measurable reduction of referral backlog within the 90-day assignment period.</li><li>Maintain accuracy and timeliness in documentation to support regulatory compliance.</li></ul>If you are interested in this role please apply today and call us at (510) 470-7450
2026-03-24T00:00:00Z

Prior Authorization

Brea, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a dedicated and detail-oriented Prior Authorization Clerk to join our team in Brea, California. This long-term contract position requires someone who excels in customer service and has experience in sales-related activities such as promotional sales and making sales calls. If you are organized, proactive, and thrive in a fast-paced environment, we encourage you to apply. Key Responsibilities:• Handle patient admissions efficiently and with a focus on providing excellent customer service.• Conduct outbound sales calls to promote services and engage potential clients.• Assist in managing promotional sales campaigns to drive customer interest.• Collaborate with team members to ensure smooth operational processes.• Maintain accurate records and documentation related to admissions and sales activities.• Communicate effectively with patients and staff to address inquiries and resolve issues.• Ensure compliance with organizational policies and procedures during all processes.• Provide superior customer service by addressing client needs promptly and professionally.• Identify opportunities to improve workflows and enhance patient satisfaction.• Support the team in achieving departmental goals and objectives. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-24T00:00:00Z

Medical Billing / Insurance Specialist

Davenport, IA
onsite
Contract / Temporary to Hire
17 - 20 USD / Hourly
We’re partnering with a small, well‑established medical practice seeking a Medical Billing & Insurance Specialist who takes pride in doing things right the first time. This is a highly visible role in a close‑knit office where accuracy, reliability, and professionalism truly matter. If you’re someone who doesn’t shy away from picking up the phone, enjoys problem‑solving with insurance companies, and wants to be valued for your contributions — this could be a great long‑term fit. What You’ll Be Doing• Processing insurance claims accurately to ensure timely payment• Following up on denied or delayed claims and resolving issues proactively• Communicating directly with insurance companies to understand and prevent recurring denials• Navigating multiple insurance websites and portals• Managing medical billing through an established (older) billing system• Supporting patient billing and related administrative tasks (for full‑time role) Schedule & Flexibility• Typical hours: 8:00 a.m. – 4:30 p.m.• Billing workload generally takes 5–6 hours per day• Open to part‑time candidates for the right fit• Full‑time roles may take on additional patient billing responsibilities Why This Opportunity • Hourly compensation aligned with experience, with growth potential• Ongoing performance is reviewed and rewarded• Robust benefits package provided Additionally, when you partner with Robert Half, you’re not just taking on a new role—you’re joining a team that genuinely cares about your experience and long-term success.• Ongoing support from a dedicated recruiting team that checks in and stays engaged throughout your assignment• Continuous learning and skill-building opportunities to help you grow professionally• A trusted partner invested in making sure your role remains a great fit—not just on day one, but as it evolves
2026-03-18T00:00:00Z

Medical Eligibility Specialist

Long Beach, CA
onsite
Contract / Temporary to Hire
18.2115 - 23 USD / Hourly
A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. Responsibilities:• Conduct financial screenings for incoming clients to determine eligibility and financial liability.• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.• Maintain and update client financial records in electronic health record systems.• Organize and track annual re-evaluations of client financial information.• Follow up with clinical staff to ensure completion of required documentation for financial folders.• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).• Audit financial folders upon client discharge to ensure compliance and accuracy.
2026-03-25T00:00:00Z

Tax Specialist - Surplus Lines

Short Hills, NJ
onsite
Permanent
90000 - 140000 USD / Yearly
We are looking for a detail-oriented Tax Specialist to join our team in Short Hills, New Jersey. In this role, you will handle various tax-related tasks, including preparing and reviewing income tax provisions, compliance filings, and financial statement disclosures. The ideal candidate will have a strong background in tax accounting and a commitment to ensuring compliance with federal, state, and local regulations. Responsibilities: • Prepare and assist in the review of federal and state income tax accruals, including reconciliations and inter-company settlements. • Develop quarterly and annual financial statement disclosures in compliance with statutory and regulatory guidelines. • Handle federal and state income tax compliance tasks, including the preparation of returns, estimated tax payments, and extensions. • Coordinate the gathering and submission of audit support documentation for federal and state audits. • Conduct internal analysis related to federal and state tax matters. • Manage compliance for state and local taxes, including preparing final returns, estimates, and extensions. • Support department compliance efforts by updating process narratives and conducting related test work. • Optimize tax processes by streamlining files to enhance automation in accrual and compliance procedures. • Prepare and assist with audits for Forms 5500 and 990, covering pension, benefit, and welfare plans.
2026-03-06T00:00:00Z

Medical Billing Specialist

Rochester, NY
onsite
Temporary
20 - 28 USD / Hourly
Job Summary: We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for preparing and submitting accurate medical claims, following up on unpaid claims, and ensuring timely reimbursement from insurance providers and patients. The ideal candidate has strong knowledge of medical billing processes, coding systems, and payer requirements, along with excellent organizational and communication skills. Key Responsibilities:Prepare, review, and submit medical claims to insurance companies in a timely manner Verify patient insurance coverage, eligibility, and benefits Ensure accurate coding using CPT, ICD-10, and HCPCS codes Follow up on unpaid or denied claims and resolve billing issues Post payments, adjustments, and denials accurately into the system Communicate with insurance companies and patients regarding billing questions or discrepancies Maintain accurate and organized patient billing records Work with internal teams to resolve documentation or coding issues Support month-end reporting and reconciliation processes Ensure compliance with healthcare regulations and billing guidelines
2026-03-17T00:00:00Z

Medical Billing Specialist

Basking Ridge, NJ
onsite
Contract / Temporary to Hire
25.3365 - 29.337 USD / Hourly
Our client is seeking an experienced Medical Billing Specialist to join their healthcare team in Basking Ridge, New Jersey. In this role, you will handle Medicare billing processes for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities. Medicaid Medical Biller Responsibilities:• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.• Monitor accounts receivable aging and escalate high-risk accounts when necessary.• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.• Ensure timely and accurate submissions by verifying all claim data for completeness.• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.
2026-03-25T00:00:00Z

Medical Billing Specialist

Auburn, MA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Auburn, Massachusetts. In this role, you will handle billing and collections across various payers, ensuring compliance with healthcare regulations and organizational policies. The ideal candidate will possess a strong background in medical billing and a keen attention to detail. Responsibilities: • Manage billing processes for Medicaid, Medicare, commercial insurance providers, and self-pay accounts. • Post payments and file claims accurately and efficiently. • Collaborate with the Director of Patient Financial Services to address billing issues and improve workflows. • Ensure compliance with billing regulations and guidelines across all payers. • Maintain accurate records and documentation in electronic health systems. • Resolve discrepancies in billing and collections through effective communication with insurance companies and patients. • Utilize Microsoft Office and other relevant software to prepare reports and analyze data. • Stay updated on changes in Medicare, Medicaid, managed care, and commercial insurance policies. • Provide support in maintaining billing compliance and adhering to healthcare standards. • Assist with training or onboarding processes related to billing procedures as needed.
2026-03-25T00:00:00Z

Medical Billing Specialist

Loveland, CO
onsite
Temporary
22.8 - 24 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our healthcare team in Loveland, Colorado. In this contract role, you will contribute to the accuracy and efficiency of medical billing operations, ensuring compliance with industry standards and supporting patient care. This position is ideal for professionals with expertise in medical billing systems, a keen eye for detail, and a commitment to delivering exceptional service. Responsibilities: • Process and submit insurance claims with precision, adhering to regulatory guidelines. • Monitor accounts receivable, address discrepancies, and ensure timely resolution of outstanding balances. • Utilize medical billing software, including Allscripts and Cerner Technologies, to manage billing tasks effectively. • Follow up on denied claims, manage appeals, and secure payments from insurance providers. • Perform medical coding and ensure documentation aligns with established industry standards. • Oversee third-party billing and maintain communication with insurance companies for seamless operations. • Verify patient benefits and eligibility while assisting with related administrative tasks. • Enter numeric data accurately and maintain detailed records of billing transactions. • Respond to inquiries from patients and healthcare providers, delivering excellent customer service. • Collaborate with colleagues to streamline billing processes and enhance workflow efficiency.
2026-03-23T00:00:00Z

Medical Billing Specialist

Syracuse, NY
onsite
Temporary
20 - 25 USD / Hourly
Position Description:This Billing Specialist is an experienced support role with expertise in Home Health Care billing processes, including PDGM, episodic, and institutional claims. The Billing Specialist will have work tasks and responsibilities with accounts receivable (AR) and revenue cycle management, combined with advanced knowledge of electronic billing and claims management systems. This role requires exceptional attention to detail, analytical problem-solving skills, and the ability to ensure accurate and timely claims submission and payment processing. Performance Responsibilities and Standards:1. Review and analyze claims for accuracy and completeness, obtain and/or correct any missing or inaccurate information related to Home Health Care (PDGM, Episodic, Institutional Claims) 2. Compile and submit claims/invoices to appropriate payors/clients within the timeframe designated within the department billing schedule. 3. Must have prior experience in AR/Revenue cycle to ensure timely follow up on claims/invoices. 4. Research and work/appeal unpaid claims when appropriate to ensure optimum collections. 5. Post payments timely with 100% accuracy. 6. Knowledge of electronic billing, billing exceptions and EDI software (Waystar) to ensure claims are submitted and followed up timely. 7. Communicate billing, payment and collections issues to Billing Manager on a current basis. 8. Utilize agency IT systems to carry out job requirements. 9. Attend meetings and workshops as required. 10. Required to bill and collect within the payor filing requirements. 11. All other duties as assigned
2026-03-04T00:00:00Z

Medical Billing Specialist

Nashville, TN
onsite
Temporary
18.2115 - 21.087 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a crucial part in ensuring accurate billing processes, verifying insurance coverage, and supporting financial counselors in assessing patient financial responsibilities. This position is based in Nashville, Tennessee, and offers an opportunity to contribute to the healthcare industry. Responsibilities: • Confirm patient eligibility and collaborate closely with the front desk and authorization team to ensure billing accuracy. • Distinguish between various insurance contracts and payer systems, including Medicare, Medicaid, and private insurance. • Communicate effectively with insurance companies to determine coverage details and resolve discrepancies. • Verify patient insurance information and relay necessary data to Patient Financial Counselors for financial responsibility assessments. • Utilize tools such as Availity to process claims efficiently and maintain organized records. • Handle medical claims, coding, and collections with precision to support revenue cycle processes. • Ensure accurate processing of copays and deductions to minimize errors. • Stay updated on healthcare billing regulations and compliance requirements. • Provide support in resolving billing issues and addressing patient inquiries. • Collaborate with team members to improve workflows and optimize billing practices.
2026-03-11T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-03-24T00:00:00Z

Medical Billing Specialist

Brockton, MA
onsite
Temporary
22.8 - 26.4 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team in Brockton, Massachusetts. In this long-term contract role, you will play a critical part in ensuring accurate billing, coding, and claims processing for medical services. This position offers the opportunity to contribute to the efficiency of healthcare operations while working in a supportive and dynamic environment. Responsibilities: • Process and submit medical claims accurately and promptly to ensure timely reimbursements. • Review and verify patient information and medical records for billing purposes. • Utilize medical coding systems to assign appropriate codes to diagnoses and procedures. • Investigate and resolve discrepancies or denied claims with insurance providers. • Collaborate with healthcare professionals to ensure billing compliance and accuracy. • Maintain up-to-date knowledge of industry regulations and billing practices. • Handle medical collections, ensuring outstanding balances are appropriately managed. • Use systems such as ePACES to facilitate claims processing and eligibility checks. • Generate and analyze billing reports to monitor financial performance. • Communicate effectively with patients and insurance companies to address billing inquiries.
2026-03-25T00:00:00Z