<p>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.</p><p><br></p><p>Responsibilities:</p><p>• 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.</p><p>• Verify insurance coverage and interpret plan benefits to confirm eligibility, service requirements, and expected patient cost obligations.</p><p>• Secure initial and follow-up authorizations within required timelines, while tracking status updates and addressing payer requests for additional information.</p><p>• Review clinical documentation and coordinate with care teams to gather the records needed to support authorization and financial clearance activities.</p><p>• Communicate denials, pending issues, or missing information promptly so accounts can be resolved before treatment and avoid delays in care.</p><p>• Prepare patient financial responsibility estimates and document benefit details accurately within the appropriate work queues and electronic systems.</p><p>• Maintain productivity and quality standards while managing a high-volume workload across assigned specialty areas in a remote team environment.</p><p>• Provide guidance to team members when needed on payer rules, revenue cycle questions, and policies that affect authorization workflows</p>
<p>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.</p><p><br></p><p><strong>What You’ll Do</strong></p><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>
<p><em>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]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><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><p> </p>
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.<br><br>Responsibilities:<br>• Analyze insurance policies and prepare detailed coverage opinions.<br>• Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes.<br>• Draft legal documents such as pleadings, motions, and memoranda.<br>• Participate in depositions, mediations, and court proceedings as needed.<br>• Conduct in-depth legal research on insurance law and coverage-related issues.<br>• Maintain clear and effective communication with clients regarding case strategies and updates.
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Advise clients on insurance coverage questions, including policy interpretation, claims evaluation, and dispute management strategies.</p><p>• Handle a portfolio of insurance coverage and related litigation matters from early assessment through resolution.</p><p>• Perform in-depth legal research and translate findings into practical recommendations, motions, briefs, and case strategy.</p><p>• Represent clients in court proceedings, mediations, settlement discussions, and other contested matters.</p><p>• Review insurance policies, endorsements, and supporting records to assess rights, obligations, and potential exposure.</p><p>• Monitor legal and regulatory developments affecting insurance law and incorporate those changes into client guidance and case planning.</p><p>• Work closely with attorneys, paralegals, and administrative professionals to move matters forward efficiently and effectively.</p><p><br></p><p>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!</p><p><br></p><p>For a confidential conversation about this opening please send your resume to Sam(dot)Sheehan(at)RobertHalf(dot)(com)</p>
<p>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.</p><p><br></p><p>For immediate consideration, please email your resume directly to Justin Rambert, VP - Permanent Placement at <strong><u>justin . rambert @ robert half com</u></strong></p>
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.<br><br>Responsibilities:<br>• Analyze and interpret insurance policies to deliver comprehensive coverage opinions.<br>• Manage complex insurance coverage litigation from initiation through resolution.<br>• Draft pleadings, motions, and detailed coverage position letters to support legal strategies.<br>• Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy.<br>• Offer strategic counsel to insurers on high-stakes claims and exposure issues.<br>• Work closely with litigation teams to address overlapping defense and coverage matters.<br>• Conduct thorough legal research to support case strategies and recommendations.<br>• Ensure compliance with relevant laws and regulations while advising clients.<br>• Collaborate with clients to develop tailored solutions for intricate coverage disputes.
<p>We are looking for a Medical Reimbursement Specialist to join our client on a contract-to-hire basis in Langhorne, PA. This opportunity is ideal for someone who brings strong knowledge of insurance reimbursement, claims resolution, and payer compliance in a fast-paced medical billing environment. The person in this role will help improve collections performance by addressing outstanding claims, resolving denials, and supporting accurate reimbursement outcomes. You will work closely with internal teams to ensure billing activity is documented thoroughly and aligned with Medicare and commercial insurance requirements.</p><p><br></p><p>Responsibilities:</p><p>• Review outstanding accounts receivable and take timely action to secure payment on unresolved medical claims.</p><p>• Investigate denied or underpaid claims, identify patterns, and prepare well-supported appeals to improve reimbursement results.</p><p>• Apply Medicare and commercial payer guidelines to evaluate claim status and determine appropriate next steps for resolution.</p><p>• Partner with billing and operational team members to strengthen collection efforts and support shared performance goals.</p><p>• Use explanation of benefits details, billing records, and payer feedback to correct claim issues and reduce payment delays.</p><p>• Maintain complete and accurate account documentation to support follow-up activity and meet payer compliance standards.</p><p>• Leverage knowledge of medical terminology, coding elements, and modifier usage to resolve reimbursement discrepancies.</p><p>• Track reimbursement activity and account progress using reporting tools such as Microsoft Excel to support account management.</p><p>• Assist with high-volume billing and payment follow-up tasks while maintaining accuracy and productivity in an in-office setting.</p>
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.<br><br>Responsibilities:<br>• Confirm active medical coverage and benefit details with insurance carriers before services are scheduled or delivered.<br>• Obtain required prior authorizations and referrals to prevent delays in service and support timely care coordination.<br>• Review payer guidelines and plan rules to determine eligibility, coverage limits, and out-of-pocket responsibilities.<br>• Communicate with internal teams, patients, and insurance representatives to resolve verification issues and missing information.<br>• Maintain complete and accurate records of insurance activity, authorization status, and follow-up actions in appropriate systems.<br>• Track pending approvals and proactively follow up with payers to ensure decisions are received within expected timeframes.<br>• Escalate complex coverage or authorization concerns when additional review or intervention is needed.
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.<br><br>Responsibilities:<br>• Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule.<br>• Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations.<br>• Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays.<br>• Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement.<br>• Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts.<br>• Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed.<br>• Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors.<br>• Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.
<p>We are seeking a detail-oriented <strong>Medical Claims Denial Specialist</strong> to manage a high volume of medical insurance denials and follow up with payers to secure timely reimbursement. This role is responsible for researching denied claims, resolving billing issues, appealing denials, and working directly with insurance companies to ensure accurate and prompt payment. Based on general knowledge.</p><p><strong>Key Responsibilities</strong></p><ul><li>Review, analyze, and work a high volume of denied medical claims from commercial, government, and managed care payers. Based on general knowledge.</li><li>Contact insurance companies by phone, portal, or written correspondence to resolve claim denials, underpayments, and payment delays. Based on general knowledge.</li><li>Investigate denial reasons and determine appropriate corrective action, including rebilling, resubmission, and appeal preparation. Based on general knowledge.</li><li>Prepare and submit timely, accurate appeals with all required supporting documentation. Based on general knowledge.</li><li>Verify claim status, eligibility, authorization, coding, and billing accuracy to identify root causes of denials. Based on general knowledge.</li><li>Work closely with billing, coding, payment posting, and revenue cycle teams to resolve account issues and prevent future denials. Based on general knowledge.</li><li>Document all account activity, follow-up efforts, and resolution details in the billing system. Based on general knowledge.</li><li>Maintain productivity and quality standards while managing aging accounts receivable and prioritizing high-dollar or timely filing accounts. Based on general knowledge.</li><li>Identify denial trends and escalate recurring payer issues to leadership as needed. Based on general knowledge.</li><li>Ensure compliance with HIPAA, payer regulations, and internal policies when handling patient and claim information. Based on general knowledge.</li></ul><p><br></p>
We are looking for a motivated Direct Insurance Sales Agent to join a growing health insurance sales team in Tempe, Arizona. In this role, you will guide individuals and families through coverage options, provide tailored recommendations, and create a confident, customer-focused buying experience. This opportunity is well suited for a sales specialist who enjoys consultative conversations, works well in a fast-moving call center environment, and is eager to build a long-term career in insurance sales.<br><br>Responsibilities:<br>• Respond to primarily inbound sales inquiries generated through marketing campaigns and partner channels, helping prospective customers explore available coverage options.<br>• Conduct thoughtful needs assessments by asking targeted questions, identifying protection gaps, and aligning customers with suitable health and supplemental insurance products.<br>• Review existing policies when appropriate and suggest adjustments or additional coverage that better supports each customer’s current situation.<br>• Achieve established sales objectives by maintaining strong conversion performance and increasing adoption of complementary insurance offerings.<br>• Foster lasting customer trust through clear, effective communication and a consultative approach during every interaction.<br>• Provide basic policy support and account-related assistance to ensure a smooth and positive customer experience from initial contact through follow-up.<br>• Stay dependable and prepared during scheduled shifts while maintaining strong attendance and punctuality standards.<br>• Balance call volume, follow-up tasks, and deadlines effectively in a high-energy sales setting.<br>• Complete additional assignments and support special projects as business needs evolve.
<p>A Regional Hospital is looking for a skilled Medical Collections Specialist to join the medical revenue cycle team. In this role, the Medical Collections Specialist will be tasked with managing and processing medical insurance claims for acute care facilities, ensuring accuracy and efficiency in collections. The Medical Collections Specialist position offers an opportunity to utilize your expertise in UB-04 claims while collaborating with internal and external stakeholders to resolve outstanding balances.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the collection process for medical insurance claims, ensuring timely and accurate submissions.</p><p>• Handle UB-04 claim forms for acute care facilities, verifying compliance with regulatory standards.</p><p>• Conduct follow-ups with insurance providers to address unpaid claims, denials, or payment discrepancies.</p><p>• Collaborate with internal teams and external payers to resolve outstanding account balances.</p><p>• Ensure all claims adhere to insurance and regulatory requirements.</p><p>• Maintain thorough documentation and records of claim statuses within organizational systems.</p><p>• Analyze and address issues related to medical billing, appeals, and denials.</p><p>• Provide expertise in managing hospital billing for both inpatient and outpatient services.</p><p>• Support the optimization of the hospital revenue cycle through accurate collections processes.</p><p><br></p><p>This company believes in its employee moral offering tuition reimbursement, medical/dental insurance and 15% 401k retirement matching,</p>
<p>We are looking for a detail-oriented Broker Agent Service Analyst to support Medicare Retirement agent onboarding and service operations. This long-term contract position focuses on reviewing agent submissions, validating documentation, and delivering responsive support to both internal teams and external partners. The role is well suited for someone who can manage complex administrative workflows, interpret compliance standards, and help improve processing efficiency through thoughtful analysis.</p><p><br></p><p>Responsibilities:</p><p>• Review agent onboarding packets, contracts, and related records to confirm all required materials are complete, accurate, and ready for processing.</p><p>• Evaluate submitted documentation against eligibility standards and identify missing information or discrepancies that may affect approval.</p><p>• Apply federal and state compliance requirements when handling paperwork to help ensure processing activities meet regulatory expectations.</p><p>• Investigate processing issues, assess potential risks, and recommend practical solutions by using sound judgment and process knowledge.</p><p>• Track daily case activity and communicate status updates, outstanding items, and next steps to agents and other key stakeholders.</p><p>• Contribute to cross-functional initiatives, including updates that affect production workflows, to support operational consistency.</p><p>• Analyze existing procedures and propose improvements that enhance turnaround time, quality, and the overall stakeholder experience.</p><p>• Maintain departmental productivity and accuracy targets while following established business processes and quality standards.</p><p>• Prepare reporting insights and share recommendations that support ongoing operational improvement and team objectives.</p>
<p>We are seeking a detail-oriented <strong>Medical Denials Specialist</strong> to manage a high volume of medical insurance denials and follow up with payers to secure timely reimbursement. This role is responsible for researching denied claims, resolving billing issues, appealing denials, and working directly with insurance companies to ensure accurate and prompt payment. Based on general knowledge.</p><p><strong>Key Responsibilities</strong></p><ul><li>Review, analyze, and work a high volume of denied medical claims from commercial, government, and managed care payers. Based on general knowledge.</li><li>Contact insurance companies by phone, portal, or written correspondence to resolve claim denials, underpayments, and payment delays. Based on general knowledge.</li><li>Investigate denial reasons and determine appropriate corrective action, including rebilling, resubmission, and appeal preparation. Based on general knowledge.</li><li>Prepare and submit timely, accurate appeals with all required supporting documentation. Based on general knowledge.</li><li>Verify claim status, eligibility, authorization, coding, and billing accuracy to identify root causes of denials. Based on general knowledge.</li><li>Work closely with billing, coding, payment posting, and revenue cycle teams to resolve account issues and prevent future denials. Based on general knowledge.</li><li>Document all account activity, follow-up efforts, and resolution details in the billing system. Based on general knowledge.</li><li>Maintain productivity and quality standards while managing aging accounts receivable and prioritizing high-dollar or timely filing accounts. Based on general knowledge.</li><li>Identify denial trends and escalate recurring payer issues to leadership as needed. Based on general knowledge.</li><li>Ensure compliance with HIPAA, payer regulations, and internal policies when handling patient and claim information. Based on general knowledge.</li></ul><p><br></p>
We are looking for a Policy Service Specialist to support annuity and life insurance operations in Las Vegas, Nevada. This Contract to Permanent position is ideal for someone who combines strong customer service instincts with careful administrative follow-through and clear communication. In this role, you will work closely with clients and insurance carriers, helping move policies forward while maintaining accuracy, responsiveness, and a high standard of service.<br><br>Responsibilities:<br>• Communicate with clients regularly to provide timely updates on application progress and coordinate prompt follow-up with insurance carriers.<br>• Review incoming leads and policy-related information, verify details for completeness and accuracy, and keep related tasks moving to completion.<br>• Manage administrative support activities connected to annuity and life insurance servicing while maintaining organized and current records.<br>• Use Microsoft Outlook, Word, Excel, and related systems to document interactions, monitor workflow, and prepare basic reports or status tracking.<br>• Respond to client questions with empathy and solution-focused communication that supports a positive service experience.<br>• Maintain a high level of accuracy when entering, reviewing, and updating policy and client information across multiple systems.<br>• Adjust effectively to changing business needs and contribute to special assignments or process-related projects as requested by leadership.<br>• Represent the organization in a detail-focused manner through dependable service, strong communication, and consistent attention to client needs.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
We are looking for a Medical Billing Specialist to support revenue cycle operations for a healthcare team in Richmond, Virginia. This contract-to-permanent position is ideal for someone who can manage insurance billing activity, resolve claim issues efficiently, and maintain a strong focus on reimbursement accuracy and patient service. The role requires close attention to account follow-up, timely claims processing, and effective communication with insurance representatives and patients when needed.<br><br>Responsibilities:<br>• Monitor aged accounts and take action on patient balances beginning at 60 days from the date of service, using accounts receivable reports to drive timely follow-up.<br>• Submit primary and secondary insurance claims through electronic billing systems on a daily basis to support prompt payment.<br>• Examine claims for accuracy and completeness, making corrections as needed before resubmission.<br>• Investigate and resolve rejected, returned, denied, or partially paid claims within five business days to reduce delays in reimbursement.<br>• Prepare and send rebilled claims and route them to the correct insurance carrier based on coverage details.<br>• Draft and submit appeals for claim denials, ensuring supporting documentation and written communication are clear and thorough.<br>• Research payer-related issues, including eligibility concerns, network limitations, workers' compensation matters, and other claim processing obstacles.<br>• Communicate with insurance carriers and third-party representatives to move claims toward resolution and reconcile outstanding account activity.<br>• Track unresolved or suspended claims, provide status updates, and report weekly productivity results to leadership.
<p>We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations. This Long-term Contract position focuses on accurate claim handling, proactive insurance verification, and timely follow-up to help reduce payment delays and improve reimbursement outcomes. The ideal candidate brings strong knowledge of medical billing workflows, coding review, and patient-facing service while working efficiently in a fast-paced environment. <strong>Part-time role only </strong>(20 hours)</p><p><br></p><p>Responsibilities:</p><p>• Review denied and rejected medical claims, identify the source of billing or coding discrepancies, make necessary corrections, and submit claims again within required timeframes.</p><p>• Confirm patient insurance eligibility and benefit details before services are provided to help prevent avoidable claim issues and support accurate cost estimates.</p><p>• Apply medical billing and coding knowledge to ensure claim information is complete, compliant, and aligned with payer requirements.</p><p>• Monitor claim status and pursue outstanding balances through consistent follow-up with insurance carriers and other payers.</p><p>• Support collection efforts by investigating unpaid accounts and coordinating appropriate next steps for resolution.</p><p>• Use billing platforms and tools such as EPACES to access coverage information, review claim activity, and maintain accurate account updates.</p><p>• Communicate clearly with patients, payers, and internal teams to address billing questions and resolve account concerns professionally.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in West Chester, Pennsylvania. This long-term contract opportunity is ideal for someone who enjoys managing billing accuracy, supporting reimbursement workflows, and working closely with insurance processes in a fast-paced setting. The role follows a hybrid schedule with on-site work Monday through Thursday and remote work on Friday.</p><p><br></p><p>Responsibilities:</p><p>• Review patient billing information for accuracy and submit claims in a timely manner to support consistent reimbursement.</p><p>• Verify insurance coverage and confirm eligibility details before services are processed or billed.</p><p>• Investigate claim issues, resolve denials, and follow up on unpaid balances with payers as needed.</p><p>• Apply medical billing and coding knowledge to ensure charges are entered correctly and aligned with documentation.</p><p>• Manage collection-related activities by tracking outstanding accounts and communicating with appropriate parties to secure payment.</p><p>• Use ePaces and related billing systems to maintain records, monitor claim status, and update account details.</p><p>• Assist with billing workflow adjustments and system-related process updates when required by the department.</p><p>• Collaborate with internal staff to address discrepancies, improve claim outcomes, and keep account information current.</p>
<p>Our client is seeking an experienced Medical Billing Specialist to support daily revenue cycle operations. The ideal candidate will have a strong background in medical billing, claims follow-up, insurance verification, denial resolution, and collections. This position requires excellent attention to detail, strong communication skills, and the ability to work effectively in a fast-paced healthcare environment.</p><p><br></p><p><u>What you'll do:</u></p><ul><li>Submit and track insurance claims to ensure timely reimbursement.</li><li>Follow up on unpaid, denied, or rejected claims with insurance carriers.</li><li>Verify patient insurance eligibility and benefits.</li><li>Post payments and adjustments accurately within the billing system.</li><li>Research and resolve billing discrepancies and account issues.</li><li>Manage accounts receivable and work aging reports to reduce outstanding balances.</li><li>Communicate with patients regarding billing questions and payment arrangements.</li><li>Maintain accurate documentation of claim activity and follow-up efforts.</li><li>Work closely with providers, office staff, and insurance representatives to resolve billing concerns.</li><li>Ensure compliance with HIPAA regulations and payer requirements.</li></ul>
<p>Robert Half is partnering with a respected healthcare client in the Rochester area to hire a <strong>Medical Billing Specialist</strong>. This is an excellent opportunity for a detail-oriented professional with medical billing experience who enjoys working in a fast-paced healthcare environment while ensuring accurate claims processing, reimbursement, and exceptional patient account support.</p><p>The ideal candidate is organized, knowledgeable of medical billing procedures, and committed to maintaining accuracy and compliance.</p><p>Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance carriers, Medicare, and Medicaid.</li><li>Verify patient insurance eligibility, benefits, and demographic information.</li><li>Review medical documentation and coding to ensure accurate billing and claim submission.</li><li>Monitor claim status and follow up on unpaid or denied claims.</li><li>Research and resolve billing discrepancies, claim denials, and payment variances.</li><li>Post insurance payments, patient payments, adjustments, and contractual write-offs.</li><li>Reconcile patient accounts and maintain accurate billing records.</li><li>Communicate with insurance companies, patients, and healthcare providers regarding billing inquiries.</li><li>Ensure compliance with HIPAA regulations and payer guidelines.</li><li>Assist with month-end reporting and other revenue cycle activities as needed</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team. This contract opportunity with permanent potential is ideal for someone who can manage billing activities with accuracy, support timely reimbursement, and provide responsive service to patients and payers. The role involves a mix of claims processing, account follow-up, payment reconciliation, and coordination with internal staff to keep billing operations running smoothly.<br><br>Responsibilities:<br>• Prepare and submit insurance claims accurately, ensuring accounts move to billable status without unnecessary delays.<br>• Record insurance, contractual, and patient payments in the practice management system while maintaining precise financial data.<br>• Investigate missing remittances, denials, rejections, and payer recoupments by coordinating with clearinghouses and insurance carriers.<br>• Reconcile daily deposits and complete payment posting documentation within established timelines.<br>• Review credit balances and work queues to determine appropriate refunds or account adjustments.<br>• Update patient demographics and insurance information, and obtain any missing records needed for clean claim submission.<br>• Follow up on outstanding accounts receivable, address billing discrepancies, and respond to patient questions including payment plan support.<br>• Complete provider enrollment and recredentialing activities, maintain contract data, and monitor application progress to avoid reimbursement interruptions.<br>• Assist with coding and outpatient documentation reviews to support compliant billing and accurate charge capture.<br>• Support dental-related administrative billing tasks such as prior authorizations, treatment estimate preparation, claim attachments, and point-of-service collections.
<p>We are seeking a Medical Accounts Receivable Specialist to support revenue cycle operations for a healthcare organization in Westbury, New York. This contract opportunity with permanent potential is ideal for someone who can manage outstanding balances, apply payments accurately, and follow through on commercial insurance collections in a fast-paced setting. The position plays an important role in maintaining cash flow, resolving billing issues, and reducing aged receivables through consistent follow-up and detailed account review.</p><p><br></p><p>Key Duties:</p><p>• Review and manage medical accounts receivable balances to identify unpaid claims and prioritize follow-up activities.</p><p>• Post and reconcile incoming payments with accuracy, ensuring cash applications are reflected correctly in patient and payer accounts.</p><p>• Communicate with commercial insurance carriers to research claim status, secure payment, and address outstanding reimbursement issues.</p><p>• Investigate denied or underpaid claims, determine root causes, and take corrective action to support timely resolution.</p><p>• Prepare and submit billing corrections when needed to improve claim acceptance and accelerate payment turnaround.</p><p>• Monitor aging reports and work assigned account inventories to reduce past-due balances and support collection goals.</p><p>• Maintain complete and organized documentation of collection efforts, account updates, and payer communications.</p><p>• Collaborate with internal billing and revenue cycle teams to resolve discrepancies that affect account payment or claim processing.</p>
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare team in Massachusetts. This contract opportunity with permanent potential is ideal for someone who is comfortable managing insurance authorizations, resolving claim denials, and working within a fast-paced healthcare setting. The person in this role will help keep billing activity accurate and timely while providing dependable administrative support tied to reimbursement processes.<br><br>Responsibilities:<br>• Process insurance authorization requests through the MassHealth portal using appropriate billing and procedure codes.<br>• Review denied claims, investigate the cause of rejections, and take corrective action to support successful reimbursement.<br>• Handle day-to-day medical billing activities with close attention to accuracy, compliance, and timely follow-up.<br>• Maintain documentation related to authorizations, claim status updates, and billing actions in accordance with healthcare standards.<br>• Communicate with payers, internal staff, and other stakeholders to clarify billing issues and move claims toward resolution.<br>• Monitor outstanding claims and support denial management efforts to reduce delays in payment.<br>• Apply medical billing, coding, and collections knowledge to assist with clean claim submission and account follow-up.