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138 results for Insurance Authorization Specialist jobs

Legal Billing Coordinator
  • Oakland, CA
  • remote
  • Temporary
  • 30.00 - 35.00 USD / Hourly
  • <p>Robert Half is seeking a <strong>Legal Billing Specialist</strong> for our client, a local law firm. This contract-to-hire role offers a strong opportunity for professional growth as part of a reputable firm committed to excellence in legal services.</p><p> </p><p><strong>Job Responsibilities:</strong></p><ul><li>Manage and execute end-to-end legal billing functions, ensuring accuracy and compliance with firm protocols.</li><li>Prepare, review, and process detailed client invoices in adherence to client-specific billing guidelines.</li><li>Monitor and track billing timelines, resolving delayed or rejected bills proactively.</li><li>Address inquiries regarding billing discrepancies and collaborate with attorneys and staff for resolution.</li><li>Ensure compliance with electronic billing (e-Billing) systems and resolve e-Billing rejections or adjustments.</li><li>Maintain proper documentation of all billing activities for reporting purposes.</li><li>Offer continuous support to attorneys, paralegals, and other staff regarding billing and time entry best practices.</li></ul>
  • 2025-08-21T15:24:41Z
Billing Specialist
  • Dover, NH
  • onsite
  • Permanent
  • - USD / Yearly
  • We are looking for a skilled and detail-focused Billing Specialist to manage client billing operations in a dynamic environment. In this role, you will handle the entire billing process, ensuring accuracy and compliance with company policies while maintaining strong communication with internal teams. This position offers an opportunity to contribute to process improvements and support financial operations through cross-functional collaboration.<br><br>Responsibilities:<br>• Manage the complete client billing process, from initial setup to final invoice issuance, ensuring accuracy and adherence to company guidelines.<br>• Review, edit, and finalize pre-bills based on internal feedback, ensuring all necessary adjustments are made.<br>• Verify supporting documentation for invoices to ensure compliance with billing policies and regulations.<br>• Process and apply client payments accurately while complying with Trust account rules.<br>• Maintain and update client records, ensuring all information is current and properly documented.<br>• Monitor outstanding receivables and follow up professionally to ensure timely payments in alignment with company policies.<br>• Identify opportunities for improving billing procedures and assist in implementing streamlined processes.<br>• Cross-train with team members and document billing workflows to enhance operational efficiency.<br>• Compile reports and support finance-related tasks or projects as assigned.
  • 2025-08-22T20:38:48Z
Medical Billing Specialist
  • Emmett, ID
  • onsite
  • Temporary
  • 25.00 - 28.00 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Emmett, Idaho. In this long-term contract position, you will play a crucial role in managing payment posting processes, ensuring accuracy in patient accounts, and maintaining balanced daily logs. If you have a strong background in medical billing and a commitment to excellence, we invite you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Retrieve remittance advice from clearing houses daily and ensure timely processing.</p><p>• Organize and calculate insurance payment batches to confirm deposit accuracy.</p><p>• Export electronic remittance files to revenue cycle software and assist in developing electronic payment posting systems.</p><p>• Post payments manually and electronically while verifying patient details such as account numbers, dates of service, and other identifiers.</p><p>• Apply adjustments to patient accounts for deductibles, copays, coinsurance, and contractual obligations, while directing denials to the appropriate team.</p><p>• Reconcile and balance posted payment batches daily, ensuring accounts are accurate and properly closed.</p><p>• Analyze and interpret Explanation of Benefits (EOBs) to post payments correctly to patient accounts.</p><p>• Research unidentified payments and recoupments to determine proper transactions, including refund requests and takebacks.</p><p>• Collaborate with the Controller to balance daily, weekly, and monthly financial totals.</p><p>• Assist with billing work queues, insurance follow-ups, and other assigned tasks as needed.</p><p>Cerner and TruBridge knowledge preferred</p>
  • 2025-08-22T20:29:20Z
Billing Clerk
  • Martinez, CA
  • onsite
  • Temporary
  • 25.00 - 28.50 USD / Hourly
  • <p><strong>Job Posting: Billing and Productivity Specialist</strong></p><p><strong>Employment Type:</strong> Contract</p><p><strong>Pay Rate:</strong> $25 - $28.50 hourly</p><p> </p><p><strong>About the Role</strong></p><p>Join our clients through Robert Half as a <strong>Billing and Productivity Specialist</strong> and become an integral part of their accounting operations. This position is perfect for individuals with strong organizational, analytical, and communication skills. In this role, you'll focus on invoice preparation, cost reporting, productivity tracking, and labor rate development to ensure seamless processes and accurate client billing. You'll collaborate closely with multiple teams to drive financial transparency and efficiency within projects.</p><p> </p><p><strong>Key Responsibilities</strong></p><p> </p><p><strong>Invoice Compilation</strong></p><ul><li>Prepare billing packages with required documentation, including labor reports, subcontractor invoices, and material records.</li><li>Review, interpret, and implement client-specific billing guidelines.</li><li>Utilize proprietary software for invoicing processes, providing feedback to developers for program enhancements.</li><li>Verify electronic time reports weekly for T& M and GMP billing projects, coordinating with payroll teams.</li><li>Generate draft invoices and collaborate with project managers for review before submission.</li><li>Investigate and resolve any questionable invoice data before finalizing and submitting invoices.</li><li>Upload invoice documents into client portals to ensure timely payment.</li><li>Obtain monthly lien releases for all subcontractors and vendors on assigned projects.</li><li>Respond to audit requests for invoices submitted by clients and internal audits.</li></ul><p> </p><p><strong>Cost Control Reporting</strong></p><ul><li>Use proprietary software for providing project cost analysis, as required by project managers.</li><li>Monitor and report accounts receivable (AR) aging for assigned projects.</li><li>Proactively follow up with clients to ensure timely collections of payments.</li><li>Support and understand electronic work order processes.</li><li>Compile pricing for additional work activities using electronic timekeeping data from the field.</li><li>Attend monthly accounting software development training, offering meaningful feedback for process improvements.</li></ul><p> </p><p><strong>Productivity Reporting</strong></p><ul><li>Generate weekly reports analyzing productivity for active commercial projects.</li><li>Follow up with teams to complete missing production reports and ensure accuracy for analysis.</li><li>Maintain year-over-year project manager productivity metrics.</li><li>Assist Division Managers in developing project performance metrics as needed.</li></ul><p> </p><p><strong>Labor Rate Development</strong></p><ul><li>Develop and manage project-specific labor billing rates.</li><li>Communicate labor rate updates to clients throughout project progression.</li><li>Apply project insurance programs and implement required insurance deductions to labor rate calculations.</li><li>Incorporate allowable markups, inclusions, and exclusions for project-specific labor billing requirements.</li></ul><p><br></p>
  • 2025-08-29T19:09:13Z
Billing Specialist
  • Suwanee, GA
  • onsite
  • Temporary
  • 25.00 - 27.00 USD / Hourly
  • We are looking for a dedicated Billing Specialist to join our team in Suwanee, Georgia. This is a long-term contract position offering an excellent opportunity to contribute to key financial operations. The ideal candidate will have a strong background in billing, accounts receivable, and financial processes, with the ability to thrive under deadlines in a fast-paced environment.<br><br>Responsibilities:<br>• Generate and distribute accurate invoices in alignment with established timelines.<br>• Identify and resolve billing discrepancies to ensure compliance with organizational policies.<br>• Monitor accounts receivable and proactively follow up on overdue payments to maintain cash flow.<br>• Collaborate with internal teams to address billing issues and provide timely updates.<br>• Support month-end closing activities by preparing detailed reports and ensuring accuracy in revenue recognition.<br>• Maintain up-to-date customer billing profiles by verifying contracts, agreements, and payment terms.<br>• Deliver outstanding customer support by addressing billing inquiries and resolving disputes promptly.
  • 2025-08-19T14:44:07Z
Billing Specialist
  • Indianapolis, IN
  • onsite
  • Permanent
  • 60000.00 - 65000.00 USD / Yearly
  • We are offering an exciting opportunity for a Billing Specialist in Indianapolis, Indiana. As a Billing Specialist, your primary role will be to manage and execute full-cycle billing functions and collaborate with various team members for efficient operations. You will also be expected to analyze financial data, ensure adherence to client billing requirements, and contribute to process improvements. <br><br>Responsibilities:<br><br>• Accurately execute full-cycle billing functions, including client bills, client statements, and audit letters.<br>• Collaborate effectively with the Finance Director, Billing Manager, and attorneys to ensure adherence to client billing requirements in monthly invoices.<br>• Actively participate in discussions related to client budgets and client rates.<br>• Analyze and address deductions to bills in collaboration with attorneys.<br>• Proactively contribute to improving the billing process to minimize future deductions.<br>• Monitor and update information for new clients and matters regarding billing guidelines, invoice formats/settings, discount, and rate arrangements.<br>• Assist the Billing Manager with mid-month and month-end proforma runs.<br>• Maintain professionalism and responsiveness to provide best-in-class service to attorneys, staff, vendors, and clients.<br>• Understand and efficiently use the Firm’s electronic billing system to process ebilling invoices.<br>• Identify performance trends and issues in relation to practice group profitability and client fee agreements.<br>• Generate reports, analyze data, and prepare spreadsheets.<br>• Analyze financial data to propose effective billing solutions.<br>• Understand discounting, rates, pricing, and volume discounts.<br>• Support team members and proactively assist others to meet deadlines.<br>• Process electronic invoicing of clients using client-determined external websites.<br>• Understand and utilize billing software to maintain information.<br>• Highlight aging WIP to Management and analyze for handling mainly during year-end close.
  • 2025-08-12T21:08:41Z
Billing Specialist
  • Kansas City, MO
  • onsite
  • Permanent
  • 65000.00 - 75000.00 USD / Yearly
  • We are looking for a meticulous Billing Specialist to join our team in Kansas City, Missouri. In this role, you will play a key part in ensuring accurate and timely billing processes while maintaining exceptional communication with clients and internal teams. This position requires strong technical skills, precision, and a proactive approach to improving workflows.<br><br>Responsibilities:<br>• Generate, review, and distribute billing drafts in accordance with company policies and guidelines.<br>• Revise billing drafts based on instructions, executing complex adjustments while adhering to deadlines.<br>• Prepare and issue finalized client invoices with accuracy and efficiency.<br>• Collaborate with the eBilling department to resolve rejected electronic invoices.<br>• Respond to client and attorney inquiries regarding billing issues, ensuring high-quality customer service.<br>• Identify and correct errors or discrepancies in billing processes to maintain accuracy.<br>• Attend scheduled meetings with billing attorneys to discuss and address billing matters.<br>• Utilize tools and systems such as 3E, Proforma Tracker, InTapp Time, and Microsoft Office applications effectively.<br>• Volunteer for special projects and actively seek opportunities for skill development.<br>• Suggest improvements to streamline billing procedures and optimize system workflows.
  • 2025-08-21T18:29:01Z
Billing Specialist
  • Washington, DC
  • onsite
  • Permanent
  • 90000.00 - 105000.00 USD / Yearly
  • We are looking for a detail-oriented Billing Specialist to join our team in Washington, District of Columbia. The ideal candidate will play a key role in managing billing processes, ensuring accuracy in financial records, and maintaining clear and effective communication with clients. This is a great opportunity for someone with a strong background in billing systems and collection processes.<br><br>Responsibilities:<br>• Prepare, review, and issue accurate billing statements for clients in a timely manner.<br>• Manage the end-to-end billing process, including invoicing and reconciliation of accounts.<br>• Monitor and follow up on outstanding payments to ensure timely collection of receivables.<br>• Maintain and update billing records in computerized systems, ensuring all information is accurate and up-to-date.<br>• Identify and resolve discrepancies in billing and payment records to maintain financial accuracy.<br>• Collaborate with internal teams to address any billing-related inquiries or issues.<br>• Generate reports related to billing activities and provide insights to support decision-making.<br>• Ensure compliance with company policies and financial regulations in all billing operations.<br>• Assist in the development and improvement of billing procedures and systems as needed.
  • 2025-09-03T21:43:53Z
Billing Specialist
  • Middleton, WI
  • onsite
  • Permanent
  • 24.00 - 26.00 USD / Hourly
  • <p>We are looking for a detail-oriented Billing Specialist to join our team in Madison, Wisconsin. In this role, you will oversee the preparation, submission, and management of billing processes for various services, ensuring accuracy and compliance with contract terms. This position requires strong organizational skills and a proactive approach to maintaining financial records and resolving discrepancies.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit invoices for Landscape Construction, Landscape Maintenance, and Snow Removal services in alignment with contractual agreements.</p><p>• Create and manage progress billings, including G702/G703 forms, ensuring all supporting documentation is accurate and complete.</p><p>• Monitor payment schedules, track retainage, and update schedules of values as needed.</p><p>• Enter contract and sales data into Microsoft Business Central and other contractor-specific systems, ensuring accuracy and completeness.</p><p>• Verify billing packet information, address discrepancies, and make necessary updates to contracts and invoices.</p><p>• Record and track change orders, purchase orders, and partial billings to ensure precise invoice creation and documentation.</p><p>• Act as a notary public for pay requests and related documents, as required.</p><p>• Maintain and update job planning lines and associated financial data.</p><p>• Organize and manage billing records and knowledge management systems to ensure accuracy and accessibility.</p><p>• Provide administrative support, including data entry and correspondence, to uphold billing and contract compliance.</p>
  • 2025-08-26T22:35:13Z
Invoicing Specialist
  • San Ramon, CA
  • onsite
  • Permanent
  • 55000.00 - 75000.00 USD / Yearly
  • We are seeking an Invoicing Specialist to join our team based in San Ramon, California. The role involves maintaining and adjusting accounts, handling invoice discrepancies, and resolving issues related to invoicing. This role is pivotal within our organization and focuses on ensuring accurate and efficient processing and reconciliation of invoices. <br><br>Responsibilities:<br>• Accurately process invoices and enter them into the database.<br>• Analyze account balances to ensure accuracy and adjust accounts as necessary.<br>• Handle invoice discrepancies and rectify them promptly.<br>• Monitor and resolve invoice-related issues.<br>• Maintain accurate records of all invoice-related activities.<br>• Perform reconciliation of invoices to ensure accuracy. <br>• Review and monitor customer accounts regularly. <br>• Take appropriate action based on account monitoring results. <br>• Assist in maintaining an accurate account balance. <br>• Collaborate with the team to improve invoicing processes.
  • 2025-08-08T15:04:41Z
Billing Clerk
  • Roseville, MN
  • remote
  • Temporary
  • 22.05 - 25.60 USD / Hourly
  • <p>Are you interested in developing a career in finance as a Billing Clerk? If you have strong attention to detail and a knack for prioritizing and organizing your workload, this job might be the one for you. Robert Half has a Billing Clerk opportunity available with a flourishing company so call today if you're a motivated professional eager to get your career off the ground. This Billing Clerk position will consist of reviewing bills and performing data entry into spreadsheets and accounting software. This position for a temporary / contract to hire Billing Clerk is based in the Roseville, MN area.</p><p> </p><p>What you get to do every single day:</p><p>- Investigate, process, and evaluate bills or invoices for services rendered</p><p>- Work closely with other functional teams to ensure data quality and accuracy</p><p>- Evaluate billing documents and other data for accuracy and completeness, obtain missing or correct data when necessary</p><p>- Build financial controls and procedures</p><p> </p><p>*Please note that all candidates are required to provide 2 recent supervisor or manager references in order to be considered for employment.</p><p> </p><p>Please submit your resume and call 651-293-3973 for review and consideration. </p>
  • 2025-09-04T12:44:13Z
Billing Specialist
  • Wilmington, DE
  • onsite
  • Permanent
  • - USD / Yearly
  • <p>Robert Half has partnered with a growing firm within the Wilmington Delaware area on their search for a multi-tasking, Billing Specialist with e-billing expertise. As the Billing Specialist, you will oversee client invoicing, assist with the collections process, handle billing inquiries, assist with calendar management, complete accounts receivable/payable transactions, perform legal research, complete account reconciliations, and prepare legal documents as needed. The ideal candidate should have strong attention to detail, excellent organizational skills, and the ability to solve problems quickly. </p><p><br></p><p>What you get to do everyday</p><p>·      Data entry of billing tickets/order entry</p><p>·      Enter daily invoice transactions</p><p>·      Process and reconcile billing</p><p>·      Send and receive FedEx packages</p><p>·      Update and maintain client accounts</p><p>·      Provide administrative support</p><p>·      Email follow-up on client inquiries</p><p>·      Assist with billing projects as needed</p>
  • 2025-08-20T18:54:08Z
Billing Specialist
  • Wilmington, DE
  • onsite
  • Permanent
  • - USD / Yearly
  • <p>Robert Half has partnered with a growing firm within the Wilmington Delaware area on their search for a multi-tasking, Billing Specialist with law firm billing expertise. As the Legal Billing Specialist, you will oversee client invoicing, assist with the collections process, handle legal billing inquiries, assist with calendar management, complete accounts receivable/payable transactions, perform legal research, complete account reconciliations, and prepare legal documents as needed. The ideal candidate should have strong attention to detail, excellent organizational skills, and the ability to solve problems quickly. </p><p><br></p><p>What you get to do everyday</p><p>·      Data entry of billing tickets/order entry</p><p>·      Enter daily invoice transactions</p><p>·      Process and reconcile billing</p><p>·      Update and maintain client accounts</p><p>·      Provide administrative support</p><p>·      Email follow-up on client inquiries</p><p>·      Assist with billing projects as needed</p>
  • 2025-08-20T19:59:08Z
Billing Specialist
  • Wilmington Nt, DE
  • onsite
  • Permanent
  • - USD / Yearly
  • <p>Growing manufacturer in the Wilmington Delaware area is looking to staff a Billing Specialist with billing, pricing, and invoicing experience. As the Billing Specialist you will oversee the status of accounts and balances, distribute bills/invoices, post payments, provide solutions to client inquiries, and organize financial records. The ideal candidate should have strong attention to detail, excellent organizational skills, and the ability to solve problems quickly. </p><p><br></p><p>What you get to do everyday</p><p>• Enter daily invoice transactions</p><p>• Process and reconcile payments</p><p>• Generate client invoices</p><p>• Update and maintain client accounts</p><p>• Process improvement initiatives</p><p>• Coordinate system pricing as needed</p><p>• Send delinquent communication as needed</p><p>• Resolve client inquiries</p>
  • 2025-08-14T14:40:51Z
Hospital Medical Biller
  • Van Nuys, CA
  • onsite
  • Contract / Temporary to Hire
  • 24.00 - 32.00 USD / Hourly
  • <p>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
  • 2025-09-05T22:58:43Z
Medical Front Desk / Billing Clerk
  • Auburn, ME
  • onsite
  • Permanent
  • - USD / Yearly
  • <p>We are looking for a detail-oriented Medical Front Desk / Billing Clerk to join a thriving healthcare team in Portland, Maine. This role offers a unique opportunity to grow professionally in a supportive environment, with potential advancement into an Office Manager position. Enjoy a four-day work week with Fridays off, alongside generous benefits that include health insurance, paid vacation, and more.</p><p><br></p><p>Responsibilities:</p><p>• Manage front desk operations, including greeting patients and handling inquiries with professionalism and care.</p><p>• Process medical billing tasks accurately and efficiently, ensuring compliance with industry standards.</p><p>• Maintain and update patient records, ensuring confidentiality and attention to detail.</p><p>• Coordinate patient scheduling to optimize office workflows and enhance service delivery.</p><p>• Handle insurance claims and related documentation, resolving discrepancies as needed.</p><p>• Provide exceptional customer service, addressing patient concerns and fostering positive relationships.</p><p>• Utilize computer systems and software for administrative tasks, demonstrating strong technical skills.</p><p>• Collaborate with healthcare staff to ensure seamless communication and efficient operations.</p><p>• Uphold a high level of organization and attention to detail in all administrative duties.</p><p>• Contribute to the overall success of the office by supporting team goals and adapting to evolving needs.</p>
  • 2025-08-25T18:29:10Z
Billing Clerk
  • Forest Hills, NY
  • onsite
  • Temporary
  • 25.00 - 27.00 USD / Hourly
  • <p>We are looking for a detail-oriented Billing Clerk to join our team in Forest Hills, New York. This is a long-term contract position within the healthcare sector, offering an opportunity to contribute to essential billing operations. The ideal candidate will possess strong organizational skills and a solid understanding of electronic medical records (EMR).</p><p><br></p><p>Responsibilities:</p><p>• Process billing statements and invoices with accuracy and efficiency.</p><p>• Ensure compliance with healthcare industry regulations and organizational guidelines.</p><p>• Maintain and update patient billing information in the electronic medical records (EMR) system.</p><p>• Collaborate with other departments to resolve billing discrepancies and ensure timely payments.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Generate reports related to billing activities for internal review.</p><p>• Provide support in auditing and reconciling billing records.</p><p>• Respond to inquiries from patients and insurance providers regarding billing issues.</p>
  • 2025-08-19T16:59:15Z
Licensed Insurance Claims Investigator/Adjuster
  • Los Angeles, CA
  • remote
  • Temporary
  • 35.00 - 48.00 USD / Hourly
  • <p>We are looking for a Licensed Insurance Claims Investigator/Adjuster to join our team on a remote contract basis. In this role, you will leverage your expertise to assess and manage risks, analyze complex insurance and/or litigation claims, and provide strategic recommendations. This position offers an opportunity to contribute to the resolution of challenging cases while ensuring compliance with industry regulations. This is a 3-month contract position. 100% REMOTE.</p><p><br></p><p><strong><u>Licensed Insurance Claims Investigator/Adjuster (remote contract role):</u></strong></p><p>Responsibilities:</p><p>• Evaluate and manage diverse insurance claims, including general liability, construction liability, and third-party bodily injury cases.</p><p>• Conduct contractual analysis, interpret policy provisions, and draft comprehensive Reservation of Rights letters and coverage declinations.</p><p>• Analyze complex litigation claims related to auto, garagekeepers, employers liability, and liquor liability.</p><p>• Provide expert insights on state regulations and standard operating procedures to ensure compliance.</p><p>• Collaborate with stakeholders to identify risks and develop effective mitigation strategies.</p><p>• Apply critical thinking to assess data and make sound decisions based on established guidelines and policies.</p><p>• Obtain necessary insurance adjuster licenses within the required timeframe, including completing state-mandated tests.</p><p>• Stay updated on industry trends and engage in continuous development to enhance expertise.</p><p>• Utilize problem-solving skills to challenge the status quo and improve processes.</p><p>• Support the organization by ensuring accurate policy interpretation and adherence to risk management practices.</p>
  • 2025-08-26T22:43:46Z
Underwriter & Claims Assistant
  • Yarmouth Port, MA
  • onsite
  • Permanent
  • - USD / Yearly
  • <p>Are you detail-oriented, communicative, and experienced in insurance? Join my clients team as an Underwriting & Claims Assistant and support claims, underwriting, billing, and client services! This role suits someone with homeowners insurance expertise who thrives on policy investigations, issue resolution, and relationship-building with agents and policyholders.</p><p><br></p><p>Key Responsibilities:</p><p>Claims Support: Process adjuster reports, payments, and communicate claim processes to policyholders.</p><p>Underwriting: Handle policy transactions, review inspections, and assist agents with inquiries.</p><p>Billing: Resolve billing questions, process payments, and manage proof of insurance requests.</p><p><br></p>
  • 2025-09-08T16:34:20Z
DMH Medical Biller
  • Lynwood, CA
  • onsite
  • Contract / Temporary to Hire
  • 25.17 - 34.23 USD / Hourly
  • A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, remote work opportunities may be available.<br><br>Key Responsibilities:<br><br>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.<br>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.<br>Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed.<br>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.<br>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.<br>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.<br>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.
  • 2025-08-25T19:04:57Z
DMH Medical Biller
  • Lynwood, CA
  • onsite
  • Contract / Temporary to Hire
  • 26.00 - 34.00 USD / Hourly
  • <p>A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, <strong>remote work opportunities may be available</strong>.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.</li><li>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.</li><li>Manage <strong>denials and appeals</strong>, researching root causes, documenting issues, and resubmitting claims as needed.</li><li>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.</li><li>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.</li><li>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.</li><li>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.</li></ul><p><br></p>
  • 2025-08-23T20:59:04Z
Claims Director
  • Livonia, MI
  • remote
  • Permanent
  • - USD / Yearly
  • <p>A prominent Michigan-based organization in the insurance sector is looking for a dynamic <strong>Claims Director</strong>. This position is ideal for an experienced leader with expertise in claims management, litigation oversight, and operational strategy.</p><p><br></p><p><strong><u>*This is a remote position; however, candidates must currently reside in Michigan to be considered.*</u></strong></p><p><br></p><p><strong>Responsibilities: </strong></p><p>Responsible for overseeing all operations of the Assigned Claims Program and related organizational tasks. Serves as a member of the senior leadership team, providing strategic and day-to-day oversight of claims functions, litigation, servicing insurers, third-party administrators (TPAs), vendors, and staff. Manages multi-million-dollar budgets, ensures compliance with regulations, and supports the executive team with personnel, technology, and policy initiatives. This role involves managing litigation processes, supervising claims activities, and ensuring compliance with industry regulations and organizational standards. The ideal candidate will possess strong leadership skills, a deep understanding of insurance claims, and expertise in litigation management.</p><p><br></p><ul><li>Direct daily operations of the assigned claims unit, including staff management, workflow, and quality control.</li><li>Develop and manage program budgets, expenses, and financial reporting.</li><li>Oversee litigation strategy, appeal processes, and counsel/vendor partnerships.</li><li>Monitor servicing insurers and TPAs to ensure compliance, performance, and effective claims handling.</li><li>Lead committees, task forces, and organizational initiatives, including No-Fault Reform strategy.</li><li>Provide training, coaching, performance management, and employee engagement initiatives for staff.</li><li>Oversee technology and IT projects supporting claims operations.</li><li>Represent the organization in litigation, industry groups, and external committees as needed.</li><li>Ensure policies, procedures, and statutory requirements are up to date and enforced.</li><li>Review vendor contracts, legal billing, and claims documents to ensure accuracy and compliance.</li><li>Support the executive director and collaborate with leadership on organizational strategy and initiatives.</li></ul>
  • 2025-08-27T15:04:14Z
Billing Triage
  • Houston, TX
  • remote
  • Contract / Temporary to Hire
  • 20.90 - 24.20 USD / Hourly
  • <p>Are you a detailed and proactive professional with experience in medical billing and revenue cycle management? Our client in downtown Houston is seeking a <strong>Medical Billing Specialist</strong> for a <strong>contract-to-hire, remote</strong> position. Join their Billing Triage team and play a vital role in ensuring accurate and timely revenue processes.</p><p><strong>About the Role</strong></p><p>As a member of the Billing Triage team, you'll be responsible for addressing and resolving missing information in physician and site orders. This includes gathering patient demographics, diagnosis codes, and other critical data necessary for finalizing claims. You’ll work collaboratively with clients, access payor portals, and support leadership with ongoing reporting to ensure that orders can be efficiently completed for billing.</p><p><strong>Key Responsibilities</strong></p><ul><li>Identify and resolve missing information in physician/site orders, including diagnosis codes, patient demographics, and hospital/clinical codes.</li><li>Connect with clients via phone or fax to request and retrieve essential billing details.</li><li>Access payor web portals to gather additional missing information for billing purposes.</li><li>Maintain proper follow-up procedures and finalize all billing processes accurately.</li><li>Prepare and share routine reports with Revenue Cycle Management leadership.</li><li>Troubleshoot and correct errors related to orders, such as tests not accessioned due to front-end errors or unlocked TNPs.</li><li>Adhere to the company's Code of Conduct as outlined in the Compliance Program.</li><li>Perform other job-related duties as assigned.</li></ul><p><br></p>
  • 2025-08-15T17:58:50Z
Claims Adjuster
  • Spokane, WA
  • onsite
  • Temporary
  • 25.00 - 27.00 USD / Hourly
  • <p>We are looking for a skilled Claims Adjuster to join our team in Spokane, Washington. This is a long-term contract position that requires expertise in medical claims, billing, and insurance processes. The ideal candidate will play a key role in ensuring the accurate and efficient handling of claims while adhering to industry standards and regulations.</p><p><br></p><p>Responsibilities:</p><p><br></p><p> Review, analyze, and adjudicate medical and vision claims in accordance with plan</p><p>documents, policies, and industry standards.</p><p> Interpret complex benefit language and apply judgment in determining appropriate claim</p><p>outcomes.</p><p> Enter and verify claim information in the system with a high degree of accuracy.</p><p> Respond to telephone and written inquiries from providers, members, and internal</p><p>departments in a timely and professional manner.</p><p>Identify discrepancies, research data issues, and make necessary adjustments or referrals</p><p>for resolution.</p><p> Process electronic and paper claims and maintain data integrity across systems.</p><p> Generate and review provider correspondence, including system-generated letters and</p><p>explanation of benefits (EOBs).</p><p> Collaborate with internal teams to support compliance, audit readiness, and customer</p><p>satisfaction goals.</p><p> Support continuous improvement by identifying process inefficiencies and contributing</p><p>to best practice discussions.</p><p><br></p>
  • 2025-09-03T00:49:20Z
Medical Billing Insurance Clerk
  • Barton, VT
  • remote
  • Temporary
  • 18.18 - 21.05 USD / Hourly
  • We are looking for a detail-oriented Medical Billing Insurance Clerk to join our team on a contract basis in Barton, Vermont. In this role, you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position is ideal for someone with a strong understanding of medical billing processes and experience working with insurance claims.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and compliance with established guidelines.<br>• Utilize billing software to manage data entry and track claim statuses.<br>• Verify insurance coverage details and resolve claim discrepancies efficiently.<br>• Handle collections and follow up on outstanding payments from insurance providers.<br>• Maintain confidentiality of patient information and billing records.<br>• Collaborate with team members to ensure seamless operations and timely claim submissions.<br>• Generate and analyze reports related to billing and insurance claims.<br>• Manage Medicaid and commercial insurance billing processes, adhering to specific regulations.<br>• Update and maintain spreadsheets for tracking billing activities and payment records.<br>• Communicate effectively with insurance companies and healthcare providers to address billing concerns.
  • 2025-08-22T13:38:53Z
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