<p>The Prior Authorization Specialist is responsible for obtaining and processing all prior authorization requests, coordinating phone calls, entering, and tracking data from insurance providers and health plans regarding authorization, expedited reviews, and appeals. The Prior Authorization Specialist is required to document and track all communication attempts with insurance providers and health plans, follow up on all denials while working to ensure services are validated Duties and Responsibilities.</p><p><br></p><p>o Reviews accounts, and initiate pre-authorizations, and other requirements related to managed care; route to appropriate departments as needed.</p><p>o Collects demographic, insurance, and clinical information to ensure that all reimbursement requirements are met.</p><p>o Assists in monitoring utilization services to assure cost effective use of medical resources through processing prior authorizations.</p><p>o Assists with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.</p><p>o Provides consistent and comprehensive information (both in writing and verbally) to facilitate approvals.</p><p>o Ensures insurance carrier documentation requirements are met and authorization documentation is entered and recorded in the patient's records. </p><p>o Appeals pre-authorization denials and/or set-up peer to peer reviews. </p><p>o Maintains extensive knowledge and expertise of insurance companies and billing authorization requirements.</p><p>o Submitting Authorization as required and ensuring all applicable codes, and information required were submitted to the appropriate payer.</p>
<p>We are looking for a dedicated Pre-Authorization Specialist to join our team in Miramar, Florida. In this contract-to-hire position, you will play a key role in coordinating insurance authorizations and ensuring accurate patient documentation for medical equipment delivery. This role requires exceptional organizational skills and a strong understanding of insurance policies and billing processes.</p><p><br></p><p>Responsibilities:</p><p>• Review clinical denials, including cases related to referrals, pre-authorizations, medical necessity, and non-covered services.</p><p>• Prepare and submit medical necessity determinations to health plans or medical directors by analyzing clinical documentation in adherence to Medicare, Medicaid, and third-party payer guidelines.</p><p>• Maintain and update referral information while tracking changes in patient status.</p><p>• Verify patient eligibility and ensure insurance benefits are appropriately identified.</p><p>• Coordinate callbacks to patients regarding inquiries and provide clear guidance.</p><p>• Ensure all required documentation, such as prescriptions and physician notes, is obtained prior to medical equipment delivery.</p><p>• Determine delivery methods for medical equipment, including direct delivery to homes, physician offices, hospitals, or the company office.</p><p>• Track inventory of medical equipment and oversee shipping processes.</p><p>• Collaborate closely with nursing coordinators and instructors to support patient needs.</p><p>• Assist with general office operations to ensure smooth workflows.</p>
<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>Summer is here! Want to be with a company that will ensure you get to enjoy this beautiful weather? You don't have to be a 'people person' to want to work for a company that prioritize cultivating a healthy work environment for their employees while emphasizing the importance of a work-life balance. </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>
Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
<p><strong>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
<p>We are seeking a <strong>Patient Administrative Specialist</strong> to join our front office team in an outpatient clinic environment. As a <strong>Patient Administrative Specialist</strong>, you will play a vital role in ensuring smooth daily operations through coordination of new patients, surgery scheduling, and administrative support. This <strong>Patient Administrative Specialist</strong> position is ideal for someone who excels in communication, multitasking, and thrives in a patient-centered setting.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Serve as the first point of contact at the front desk for patient check-in and check-out.</li><li>Welcome and assist patients with appointment-related inquiries, payments, and schedules.</li><li>Answer and manage multi-line phone system; direct calls, take messages, and route appropriately.</li><li>Confirm that insurance verifications and authorizations are completed before appointments.</li><li>Coordinate with providers to manage scheduling preferences and urgent patient requests.</li><li>Support provider-patient interactions using internal reference materials.</li><li>Perform administrative tasks such as updating databases, maintaining directories, and processing forms.</li><li>Operate electronic medical records and phone systems efficiently.</li><li>Uphold high standards of service and meet departmental expectations.</li><li>Respond to non-clinical CRMs and escalate when necessary.</li><li>Handle incoming faxes, mail distribution, and filing of clinic documentation.</li></ul>
We are looking for a Medical Biller/Collections Specialist to join our team in Kirkland, Washington. This Contract-to-permanent position offers an opportunity to work on critical processes such as payment posting, credit reconciliation, and refunds management. The ideal candidate will bring expertise in medical billing, collections, and insurance processes while demonstrating proficiency with tools like Excel and specialized billing systems.<br><br>Responsibilities:<br>• Post payments accurately by working off spreadsheets and reconciling credits within the system.<br>• Investigate and resolve credit balances, determining whether adjustments or refunds are required.<br>• Manage refund processes, ensuring compliance with payer-specific procedures and requirements.<br>• Research and reconcile overpayments, verifying amounts and issuing refunds to appropriate parties.<br>• Utilize proprietary billing systems to perform detailed analysis and tracking of credits and payments.<br>• Conduct audits to ensure accurate payment posting and adherence to payer guidelines.<br>• Collaborate with team members to streamline processes related to billing, collections, and refunds.<br>• Generate accurate reports and documentation to support financial transactions and reconciliations.<br>• Stay updated on insurance policies and regulations to ensure compliance in all billing activities.<br>• Provide support for special projects related to patient accounts and refunds.
<p>We are seeking a <strong>Patient Billing & Resolution Specialist</strong> for a temporary position dedicated to resolving hospital and professional billing issues with a high level of customer care. The <strong>Patient Billing & Resolution Specialist</strong> will be responsible for ensuring billing accuracy, managing patient accounts, and delivering excellent service in a fast-paced environment. If you are an experienced <strong>Patient Billing & Resolution Specialist</strong> with a background in collections and healthcare billing, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><ul><li>Respond to HB (Hospital Billing) and PB (Professional Billing) inquiries, including insurance benefits, billing/payment issues, and authorizations.</li><li>Perform timely and efficient self-pay collections via phone and offer payment arrangement options.</li><li>Request and process adjustments, contractual write-offs, bad debt transfers, and presumptive charity determinations.</li><li>Document steps taken on each account accurately and consistently.</li><li>Ensure productivity standards are met by managing daily assigned accounts.</li><li>Follow established policies, procedures, and applicable regulations (federal, state, and local).</li><li>Maintain strong knowledge of billing practices, including third-party payer procedures and requirements.</li><li>Handle technical issues and system navigation with minimal supervision.</li><li>Other duties as assigned.</li></ul>
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
We are looking for an Insurance Follow-Up Specialist to join our team in Tampa, Florida. In this Contract to permanent position, you will play a vital role in ensuring timely insurance claim processing and maintaining strong relationships with partners. If you have a knack for organization, persistence, and excellent communication, this opportunity is designed for you.<br><br>Responsibilities:<br>• Pursue prompt collection of signatures and necessary documents from funeral home partners to expedite claim processing.<br>• Investigate delays in insurance claims and provide solutions with a proactive and detail-oriented approach.<br>• Build and nurture strong partnerships with insurance representatives and funeral home stakeholders.<br>• Maintain comprehensive and accurate records to ensure all cases are tracked and managed effectively.<br>• Collaborate with the Concierge team to provide additional follow-up support as needed.
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care. </p><p> </p>
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care. </p>
<p><em>The salary range for this position is $85,000-$90,000 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> </p><p>You know what’s awesome? Sweater weather. You know what else is awesome? A high-paying job that respects your work-life balance so you can enjoy your holiday season. This role has perks that are unmatched by its competitors. Plus, this position doubles as a fast-track career advancement opportunity as they prefer to promote from within. </p><p><em> </em></p><p><strong>Job Description:</strong></p><p>We are seeking a highly motivated Client Relationship Specialist to provide high-touch client service and dedicated operational support to a team of highly motivated Financial Advisors and their High-Net-Worth individual clients.</p><p> </p><p><strong>Responsibilities:</strong></p><ul><li>Client onboarding, including preparation of new account paperwork and client information-gathering</li><li>Account maintenance, including any account registration and account profile changes</li><li>Asset movement processing, including journals, wire transfers and EFTs</li><li>Assist with quarterly billing and performance reporting</li><li>Client issue resolution</li><li>Gathering tax information for clients and assisting with tax reporting</li><li>Relationship management, including regular client contact</li><li>General administrative functions, including but not limited to:</li><li>Maintaining information in the Client Relationship Management System</li><li>Exception report review</li><li>Preparation of miscellaneous paperwork, such as letters of authorization, check-writing applications, operational documents, etc.</li><li>Communicating with supervisors regarding compliance matters and miscellaneous regulatory inquiries</li><li>Trade execution and trade error resolution, as may be applicable and required</li></ul><p><em> </em></p>
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p>We are looking for a skilled Medical Payment Poster Specialist to join our client's team near Cincinnati, Ohio. In this long-term contract position, you will play a vital role in accurately managing patient account payments, including electronic remittance advice (ERAs), explanations of benefits (EOBs), and manual checks. This is an excellent opportunity for professionals with experience in medical billing and payment posting who thrive in a collaborative, fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post payments, denials, and adjustments from ERAs, EOBs, and manual checks to patient accounts.</p><p>• Ensure daily claim batching and deposits are completed and reconciled with bank deposits.</p><p>• Verify and apply appropriate write-offs based on EOBs while making necessary adjustments to accounts.</p><p>• Assist in resolving cash application issues and support billing requests.</p><p>• Participate in month-end reconciliation processes to ensure accuracy.</p><p>• Respond to inquiries from patients, insurance companies, and clients regarding billing and insurance matters.</p><p>• Maintain detailed and accurate records while adhering to established procedures.</p><p>• Collaborate with team members to address and resolve any discrepancies.</p><p>• Handle other billing and finance-related tasks as required.</p>
<p>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Devens, Massachusetts. In this role, you will play a vital part in ensuring accurate and timely billing processes while addressing appeals and denials. This position offers an opportunity to contribute to a dynamic healthcare environment.<br><br>Responsibilities:<br>• Handle medical billing tasks, including claims processing and submissions.<br>• Manage appeals and denials to ensure proper resolution and reimbursement.<br>• Conduct thorough reviews of medical claims for accuracy and compliance.<br>• Collaborate with insurance providers and patients to address billing inquiries.<br>• Maintain up-to-date knowledge of medical coding standards and billing regulations.<br>• Utilize Epaces and other systems to track and manage claims effectively.<br>• Perform follow-ups on outstanding collections and payments.<br>• Assist with special projects related to billing operations as needed.<br>• Ensure confidentiality and security of patient billing information.
<p><em>The salary for this position is up to $100,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance.</em></p><p><strong>Job Description</strong></p><p><strong>Essential Duties and Responsibilities:</strong></p><ul><li>Tracks and reports on timekeeper hours</li><li>Prepares prebills and reviews edits by billing partner(s)</li><li>Verifies the accuracy of billing entries and supporting documentation.</li><li>Prepares invoices for submission to clients via various Ebilling platforms or by email, dependent on client requirements</li><li>Monitors accounts receivable and collection efforts</li><li>Submits budgets per client requirements</li><li>Works closely with billing partners on bill appeals</li></ul><p><strong> </strong></p><p><strong>Skills/Qualifications:</strong></p><ul><li>Detail-oriented, with excellent organizational skills</li><li>Working knowledge of various Ebilling platforms, including: ASCENT, LSS, TyMetrix, Legal-X, Legal Tracker, etc. </li><li>Working knowledge of PCLaw or similar billing application</li><li>Ability to work well under pressure, i.e., managing conflicting and fluctuating deadlines, and effectively prioritizing multiple tasks of equal urgency and importance with minimal supervision</li><li>Experience in effective problem-solving, actively using sound judgment in decision-making processes</li><li>Ability to handle confidential matters discreetly, in a mature and responsible manner conducive to the position</li><li>Effective communication skills, including the ability to be courteous in handling situations patiently and tactfully, with all audiences including partners, associates, staff and external clients and vendors</li><li>Experience with troubleshooting minor technology issues, including hardware and software</li><li>Ability to occasionally work more than 40 hours per week to perform the essential duties of the position; may require irregular hours</li></ul><p><br></p>
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Ridgefield, Connecticut. This position, lasting 4–5 months, and will be roughly 30 hours per week, the role will involve accurately posting payments and reconciling billing data within a healthcare setting. If you have a strong background in medical billing and a keen eye for detail, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post both insurance and patient payments into the practice management system.</p><p>• Identify discrepancies in contracted rates and underpaid claims, ensuring proper resolution.</p><p>• Reconcile daily payment batches to maintain accurate financial records.</p><p>• Examine explanation of benefits (EOBs) and electronic remittance advice (ERAs) to ensure correct posting.</p><p>• Prepare appeals for denied claims and follow up with insurance payers as needed.</p><p>• Perform additional billing-related tasks as assigned by the supervisor.</p><p>• Collaborate with team members to streamline billing workflows and improve accuracy.</p>
<p>Robert Half has partnered with a small firm on their search for a proactive, Legal Billing Specialist. As the Legal Billing Specialist, you will oversee client invoicing, assist with the collections process, update ERP system, perform mail merges, complete accounts receivable transactions, review and assign sales tax codes, perform account reconciliations, prepare supporting documents, and provide solutions to client inquiries. The ideal candidate should have strong attention to detail, excellent organizational skills, and the ability to solve problems quickly. </p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and issue accurate billing statements, ensuring all client accounts are properly updated.</p><p>• Manage trust accounts, client escrow funds, and fiduciary transactions with precision and adherence to regulations.</p><p>• Utilize QuickBooks Desktop or Online to process financial records and maintain organized bookkeeping.</p><p>• Execute mail merges efficiently to streamline communication and billing processes.</p><p>• Collaborate closely with legal teams and clients to resolve billing inquiries and discrepancies.</p><p>• Monitor and collect outstanding payments while maintaining clear and effective communication with clients.</p><p>• Generate and analyze financial reports to identify trends and improve billing operations.</p><p>• Ensure compliance with legal billing standards and maintain confidentiality of sensitive financial information.</p>
<p>We are in search of a Billing Specialist to become an integral part of our team. This role entails maintaining precise and up-to-date financial records with a focus on billing operations. The position is situated in Indianapolis, Indiana, where you will be using unique accounting software systems, and handling customer queries and issues efficiently.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Handle the billing for complex customers, ensuring accuracy and efficiency at all times</p><p>• Facilitate the processing of customer credit applications, ensuring accuracy and efficiency at all times</p><p>• Oversee and manage customer credit records, maintaining their accuracy consistently</p><p>• Handle and resolve customer inquiries, providing timely and suitable solutions</p><p>• Monitor and manage customer accounts, taking necessary actions when required</p><p>• Utilize accounting software systems for various accounting functions</p><p>• Efficiently handle and respond to inbound calls from customers</p><p>• Use computerized billing systems to ensure efficient and error-free billing procedures</p><p><br></p>
<p>Our client, an invaluable non-profit, is in need for a Grant Billing Specialist to join their team on a temp-to-hire basis! This is a great opportunity to be part of an organization that is not only growing in Southern Arizona, but also making an impact in the community. This is located Central/East side of Tucson.</p><p><br></p><p>Responsibilities:</p><p>The Grants Billing Specialist is responsible for the billing of agency contracts and grants</p><p>• Resolution of customer inquiries in a timely and detail oriented manner</p><p>• Prepare grants and contracts invoices in compliance with program guidelines</p><p>• Conducting billing functions with accuracy and efficiency</p><p>• Utilizing Accounting Software Systems and CRM for various tasks</p><p>• Reconcile grants and contracts payments and expenses</p><p>• Monitor grants and contracts expenses and activities</p><p>• Using Donor Perfect and CRM in daily operations</p><p>• Create and maintain positive work relationships with program staff and collaborate with them to accomplish organizational grant goals</p>
