We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<p>Job Posting: Claims Adjuster – Remote</p><p>Join our team to support a leading pet insurance organization as a Claims Adjuster. This is a fully remote role offering the opportunity to help pet parents by efficiently managing, adjudicating, and finalizing insurance claims. We are looking for detail-oriented individuals who value accuracy, organization, and clear communication.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Adjudicate insurance claims in a timely and compliant manner, adhering to standard operating procedures.</li><li>Consistently meet or exceed daily claims targets.</li><li>Provide guidance, oversight, and final approval authority to non-licensed claims processors (GenPact, AdStrat, or Healthy Paws).</li><li>Maintain active adjuster licenses as required by state and municipal regulations.</li><li>Identify and recommend process improvements to enhance the claims workflow.</li><li>Ensure all claims are processed according to compliance and quality standards.</li></ul><p><br></p>
<p>Our client in Springfield, MA is seeking an experienced Insurance Follow-Up Specialist for a contract position. This is an excellent opportunity to contribute your expertise with a respected organization, ensuring the timely and accurate management of insurance claims and reimbursement processes.</p><p>Key Responsibilities:</p><ul><li>Investigate and resolve unpaid or delayed insurance claims</li><li>Communicate effectively with insurance carriers to obtain status updates, claim resolutions, and clarification of denials</li><li>Review and analyze explanation of benefits (EOBs) and remittance advice to determine appropriate follow-up</li><li>Appeal denied claims in accordance with payer-specific guidelines</li><li>Document all interactions and claim actions in the billing system accurately</li><li>Collaborate with internal teams, such as billing and collections, to ensure coordinated efforts</li><li>Maintain up-to-date knowledge of insurance regulations and payer requirements</li></ul><p><br></p>
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
We are looking for an Accounts Receivable Specialist to join our team in Clayton, Missouri. This is a contract position offering the opportunity to contribute to key financial processes, including insurance billing and claims resolution. The role begins with on-site training and transitions to remote work, providing flexibility and opportunities for growth.<br><br>Responsibilities:<br>• Process insurance claims efficiently and ensure timely collection of payments.<br>• Prepare and submit accurate billing statements to insurance providers.<br>• Investigate and resolve claim rejections, working closely with insurance companies to address issues.<br>• Monitor accounts receivable records and ensure proper documentation for all claims.<br>• Collaborate with relevant departments to resolve billing discrepancies and ensure compliance.<br>• Maintain up-to-date knowledge of Medicaid and other insurance policies.<br>• Provide regular updates on outstanding claims and collections to management.<br>• Ensure adherence to company policies and procedures for financial transactions.<br>• Support continuous improvement efforts within the accounts receivable process.
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
<p>This role focuses on resolving denied and non-paid insurance claims to ensure timely and accurate reimbursement. The representative will work insurance A/R accounts, communicate directly with payers, submit technical and clinical appeals, and identify root causes of underpayments, denials, and payment delays. Success in this role requires strong problem-solving skills, critical thinking, and the ability to work within federal, state, and payer-specific regulations.</p><p><br></p><p>Responsibilities:</p><ul><li>Examine denied and non-paid insurance claims to determine discrepancies</li><li>Contact insurance payers to follow up on outstanding claims</li><li>File technical and clinical appeals</li><li>Resolve underpayments, denials, and payment variances</li><li>Identify causes of payment delays and communicate trends to management</li><li>Document all account activity accurately in host and tracking systems</li><li>Maintain compliance with federal, state, and payer-specific regulations</li><li>Meet established productivity and quality standards</li></ul><p><br></p>
<p>A growing dermatology billing group is seeking an experienced <strong>Accounts Receivable & Medical Appeals Specialist</strong> to support multiple dermatology practices across Southwest Florida. This role is ideal for someone who is confident in working insurance denials, submitting appeals, and managing AR follow-up in a fast-paced environment.</p><p>This is <strong>100% onsite</strong> and requires someone reliable, organized, and comfortable working in a structured office setting.</p><p><br></p><p><strong>Position Summary</strong></p><p>The Accounts Receivable Medical Billing Specialist is responsible for resolving outstanding insurance balances, following up on unpaid claims, and preparing appeals to ensure accurate reimbursement. The ideal candidate has strong knowledge of medical billing workflows, understands dermatology coding, and can work both independently and collaboratively.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Perform timely follow-up on unpaid or denied insurance claims</li><li>Research and resolve claim denials, underpayments, and outstanding AR</li><li>Prepare and submit insurance appeals with supporting documentation</li><li>Review EOBs, eligibility responses, and claim status updates</li><li>Communicate with commercial and government insurance payers</li><li>Document all billing activity and follow-up actions accurately</li><li>Assist with patient billing inquiries (minimal in-person interaction)</li><li>Support AR and billing needs for multiple dermatology practices</li><li>Build and maintain positive relationships with providers and internal teams</li><li>Follow established RCM procedures and compliance guidelines</li></ul><p><br></p>
<p>We are looking for a Title Insurance Underwriter to join our team in Plano, Texas on a permanent, salaried basis. In this fully on-site role, you will play a pivotal role in ensuring compliance with lending guidelines and maintaining high-quality standards for loan files. This opportunity is ideal for professionals passionate about delivering precise and thorough underwriting services within the financial services industry.</p><p><br></p><p>Responsibilities:</p><p>• Evaluate loan files submitted by broker clients for adherence to VA, conventional, and organizational lending guidelines.</p><p>• Collaborate with teams responsible for loan structuring and income verification to ensure approvals are finalized effectively.</p><p>• Conduct comprehensive credit analysis and process files for final approval on a daily basis.</p><p>• Verify that loans meet investor requirements and align with established quality control standards.</p><p>• Maintain thorough documentation and ensure compliance with underwriting policies.</p><p>• Communicate effectively with internal teams to address any discrepancies or missing information in loan files.</p><p>• Stay updated on changes in lending regulations and underwriting requirements.</p><p>• Ensure timely processing of loan files to meet organizational deadlines.</p><p>• Provide expert guidance on complex loan scenarios, including jumbo and FHA loans.</p>
<p>Are you an experienced back office healthcare professional with a solid understanding of revenue cycle processes? If so, Robert Half may have the perfect opportunity for you. We are currently partnering with a Plymouth, MN based organization in the behavioral health space that will be hiring a Revenue Cycle Specialist to cover for an upcoming medical leave starting in late April. The ideal candidate will have 3+ years of prior experience with medical claims and medical billing, as well as an understanding of denials. Must be able to assist in an interim capacity for a minimum of 3+ months. </p><p> </p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Process patient and insurance claims accurately and efficiently using Procentive software.</li><li>Review and interpret explanation of benefits (EOBs), ensuring proper processing and payment allocation for behavioral health services.</li><li>Verify insurance eligibility, benefits coverage, and prior authorizations as required for behavioral health procedures.</li><li>Follow up on unpaid and denied claims, resolving discrepancies to facilitate timely reimbursement.</li><li>Communicate with insurance companies and patients to address billing-related inquiries.</li><li>Maintain up-to-date knowledge of medical billing codes, regulations, and policies specific to behavioral health services, including HIPAA compliance.</li><li>Generate and send out invoices to appropriate payers (patients or insurance companies).</li><li>Assist with maintaining accurate financial records, including daily, weekly, and monthly reporting.</li><li>Collaborate with therapists and administrative staff to ensure a seamless billing experience for our patients.</li></ul>
<p>We are looking for a detail-oriented individual to join our team as a Medical Billing/Claims/Collections Specialist in Chattanooga, Tennessee. This Contract position offers an opportunity to contribute to the effective management of accounts receivable and insurance claims, with a focus on Medicare Advantage and commercial billing. If you have a strong background in medical billing and collections, excellent organizational skills, and the ability to multitask, we encourage you to apply. **Candidates must be available for onsite work in Chattanooga, Tennessee**</p><p><br></p><p>Responsibilities:</p><p>• Manage accounts receivable processes, ensuring timely follow-up on Medicare Advantage and commercial insurance claims.</p><p>• Review and resolve medical billing issues, including denials and appeals, to ensure accurate payment.</p><p>• Utilize various online portals to work through claims and insurance submissions efficiently.</p><p>• Maintain detailed and organized records of billing activities to support accurate reporting.</p><p>• Collaborate with team members to address complex billing scenarios and achieve resolution.</p><p>• Apply expertise in MR claims systems to streamline processes.</p><p>• Use Microsoft Excel and Word to create reports and track billing performance.</p><p>• Ensure compliance with healthcare billing regulations and standards.</p><p>• Prioritize tasks effectively to meet deadlines and handle multiple responsibilities simultaneously.</p><p><br></p><p>Please complete an application and call (423) 244-0726 for more information today! </p>
<p>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>
<p>Join our team as a Medical Collector I and play a crucial role in our revenue cycle operations. The Medical Collector will be the go-to specialist for managing outstanding insurance claims, navigating denials, and ensuring timely and accurate reimbursements. This is a dedicated collections role requiring persistence, attention to detail, and excellent communication as you collaborate with a talented healthcare billing team onsite.</p><p><strong>Key Responsibilities</strong></p><ul><li>Proactively follow up on outstanding insurance claims to secure accurate and prompt payment.</li><li>Investigate denials, prepare and submit persuasive appeals.</li><li>Research and resolve claim rejections and billing discrepancies.</li><li>Manage collections activity for various payer types, including:</li><li>Medicare</li><li>PPO</li><li>HMO</li><li>Workers’ Compensation</li><li>Lien cases</li><li>Review aging reports to identify, prioritize, and follow up on aged accounts.</li><li>Accurately document all collection activities and follow-ups in the billing system.</li><li>Communicate professionally with insurance representatives to resolve payment issues.</li><li>Field inbound patient calls regarding statements and billing inquiries, providing clear and courteous support.</li><li>Partner with internal billing and coding teams to resolve complex claim matters.</li><li>Consistently meet or exceed established productivity and quality standards.</li></ul><p><br></p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract role, you will play a vital part in ensuring accurate billing processes and maintaining financial integrity within our healthcare facility. If you have a strong background in medical billing and are detail-oriented, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims to insurance providers accurately and in a timely manner.</p><p>• Review and resolve billing discrepancies to ensure compliance with regulations.</p><p>• Communicate with patients and insurance companies to address inquiries related to billing.</p><p>• Maintain up-to-date records of payments, adjustments, and outstanding balances.</p><p>• Collaborate with healthcare providers to verify coding and documentation for billing purposes.</p><p>• Generate detailed financial reports to support internal audits and reviews.</p><p>• Monitor claim statuses and follow up on denied or delayed payments.</p><p>• Ensure adherence to industry standards and organizational policies in all billing activities.</p><p>• Provide support for system updates or transitions related to billing processes.</p><p>• Assist in the development and improvement of billing procedures to enhance efficiency.</p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
We are looking for a detail-oriented Automotive Claims Representative to join our team in Rockville Centre, New York. In this role, you will handle a variety of accounting tasks and ensure that claims are processed efficiently and accurately. The ideal candidate thrives in a structured environment and has a solid understanding of accounts payable, accounts receivable, and invoice processing.<br><br>Responsibilities:<br>• Process and manage automotive claims with accuracy and attention to detail.<br>• Handle accounts payable and accounts receivable transactions in a timely manner.<br>• Use QuickBooks to maintain and update financial records.<br>• Review and process invoices to ensure proper documentation and compliance.<br>• Enter data efficiently into accounting systems while maintaining accuracy.<br>• Communicate with clients and vendors to address inquiries and resolve discrepancies.<br>• Assist in reconciling accounts to ensure balanced financial records.<br>• Support the team in preparing reports and documentation as required.<br>• Monitor deadlines and prioritize tasks to meet organizational goals.
<p>We are looking for a dedicated Personal Lines Customer Service Representative to join our client in the Lancaster, Pennsylvania area. This role involves assisting clients with their insurance needs, ensuring efficient service, and maintaining compliance with agency and carrier policies. The ideal candidate will thrive in a collaborative environment and be committed to delivering exceptional customer experiences.</p><p><br></p><p>Responsibilities:</p><p>• Provide support to the service assistant by managing client tasks from the Personal Lines service inbox.</p><p>• Assist clients with filing auto and home insurance claims and address billing inquiries.</p><p>• Update payment plans and follow up on property inspections to ensure compliance with agency processes.</p><p>• Write and review policies for existing clients, adhering to underwriting guidelines and completing necessary checklists.</p><p>• Conduct policy reviews, identify opportunities for cross-selling or upselling, and work to retain existing client policies.</p><p>• Record customer interactions in the agency management system.</p><p>• Organize daily priorities using desk management standards and maintain a streamlined workflow.</p><p>• Collaborate with the Personal Lines Sales and Service teams to achieve shared goals and enhance customer satisfaction.</p><p>• Build positive relationships with carrier personnel to ensure smooth operations.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Eugene, Oregon. In this role, you will play a critical part in managing insurance claims, ensuring accurate billing, and maintaining compliance with Medicare and other insurance standards. </p><p>Responsibilities:</p><p>• Process and follow up on denied insurance claims to ensure timely resolution.</p><p>• Verify and update insurance information for accuracy and compliance.</p><p>• Manage Medicare billing processes while handling limited amounts of other insurance claims.</p><p>• Utilize electronic health record systems to monitor and document billing activities.</p><p>• Collaborate with team members to maintain accurate records and streamline billing workflows.</p><p>• Ensure compliance with healthcare regulations and insurance requirements.</p><p>• Perform data entry and analysis using Microsoft Excel to support billing operations.</p><p>• Communicate with insurance providers to address discrepancies and secure payments.</p><p>• Maintain organized documentation and records to facilitate audits and reporting.</p>
<p>We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.</p><p>• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.</p><p>• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.</p><p>• Document all claim activity, correspondence, and status updates thoroughly in the billing system.</p><p>• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.</p><p>• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.</p><p>• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.</p><p>• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.</p><p>• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.</p><p>• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.</p>
We are looking for an Accounts Receivable Specialist to join our team in Southfield, Michigan. This role involves managing premium collections, handling payroll deductions, and providing exceptional customer service to clients in a high-volume environment. The ideal candidate will bring strong organizational skills, technical proficiency, and the ability to communicate effectively with diverse individuals. This is a Contract position offering the opportunity to grow within the company.<br><br>Responsibilities:<br>• Process and reconcile insurance premium payments and payroll deductions accurately and efficiently.<br>• Handle credit card transactions and secure transfers while maintaining compliance with company procedures.<br>• Update vendor portals and maintain detailed records to track payments and premium statuses.<br>• Respond to a high volume of customer inquiries, providing support for payment issues and account updates.<br>• Communicate complex financial information clearly to clients unfamiliar with technical terminology.<br>• Manage sales agent commissions and review travel expense submissions for accuracy.<br>• Ensure timely processing of commission payments and maintain compliance with company policies.<br>• Analyze financial data to identify discrepancies and reconcile accounts effectively.<br>• Maintain organized documentation and records to ensure accuracy and compliance.<br>• Collaborate with internal teams to enhance processes and ensure seamless operations.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. Based in Brockton, Massachusetts, this position offers the opportunity to contribute to the efficient management of medical billing operations while ensuring compliance with industry standards. If you possess strong expertise in medical billing and coding, we encourage you to apply.<br><br>Responsibilities:<br>• Process and submit medical claims accurately and in a timely manner to ensure smooth billing operations.<br>• Review and analyze patient accounts to address discrepancies and resolve billing issues.<br>• Collaborate with insurance companies and healthcare providers to verify claim statuses and payments.<br>• Utilize EPACES and other billing systems to manage electronic submissions effectively.<br>• Conduct follow-ups on outstanding claims and collections to secure timely reimbursements.<br>• Ensure compliance with medical billing regulations and maintain accurate documentation.<br>• Provide support in coding procedures to ensure proper categorization of medical services.<br>• Assist in the preparation of reports related to billing activities and financial performance.<br>• Communicate with patients to clarify billing inquiries and address concerns.<br>• Maintain updated knowledge of industry standards and insurance policies to optimize billing practices.
<p>Robet Half is looking for a skilled Medical Billing Specialist to join a team based in Philadelphia, Pennsylvania. In this Contract to permanent Medical Billing Specialist role, you will play a crucial part in ensuring accurate and efficient management of patient billing and insurance claims. The ideal Medical Billing Specialist candidate is detail-oriented, well-versed in medical billing processes, and capable of maintaining data integrity across systems. If you are looking for an opportunity to get your career moving in the right direction, then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013366684.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographics, insurance details, and billing data into electronic medical records and billing systems.</p><p><br></p><p>• Examine documents such as charge tickets, encounter forms, and referrals to confirm completeness and accuracy before data entry.</p><p><br></p><p>• Utilize knowledge of medical codes to validate and ensure the accuracy of entered data.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims information.</p><p><br></p><p>• Prepare billing data for submission to insurance providers while adhering to established processes.</p><p><br></p><p>• Ensure compliance with privacy policies and regulatory guidelines in all billing operations.</p><p><br></p><p>• Collaborate with clinical teams and administrative staff to address and clarify documentation issues.</p><p><br></p><p>• Contribute to audits, report generation, and data clean-up tasks as assigned.</p><p><br></p><p>• Support the billing department by maintaining organized and accurate records for efficient workflows.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring the accuracy and efficiency of medical billing and claims processes, contributing to the financial health of our organization. This opportunity is ideal for professionals with a strong background in billing and coding who thrive in detail-oriented environments. This is a <strong>part-time</strong> opportunity only. </p><p><br></p><p>Responsibilities:</p><p>• Process medical claims with precision, ensuring compliance with billing regulations and payer guidelines.</p><p>• Verify patient insurance coverage and eligibility to facilitate proper claim submissions.</p><p>• Investigate and resolve discrepancies in billing and payment processes, maintaining accurate records.</p><p>• Collaborate with healthcare providers and insurance companies to address denied claims and secure reimbursements.</p><p>• Utilize medical coding systems and software to categorize procedures and diagnoses.</p><p>• Manage collections by following up on outstanding payments and negotiating resolutions.</p><p>• Monitor and update billing systems to reflect current codes and policies.</p><p>• Generate detailed billing reports to support financial analysis and decision-making.</p><p>• Maintain strict confidentiality of patient and financial information while adhering to HIPAA regulations.</p>
