<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>
<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>
<p><strong><u>Position Title</u></strong><u>: </u>Medical Biller</p><p><br></p><p><strong><u>Overview: </u></strong>We are seeking a highly motivated and detail-oriented Medical Billing for an organization located near Mars, PA. This organization provides a wide range of senior care, health, and rehabilitation services. The ideal candidate will have expertise in billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions. Your role will play a critical part in maintaining a smooth revenue cycle tor their diverse services, including senior living communities, home care, hospice, outpatient, and therapy services.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>Billing:</strong></p><p>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</p><p>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</p><p>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</p><p>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</p><p><br></p><p><strong>Payment Posting:</strong></p><p>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</p><p>Reconcile posted payments with bank statements and patient billing systems.</p><p>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</p><p><br></p><p><strong>Revenue Cycle Management:</strong></p><p>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</p><p>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</p><p>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</p><p><br></p><p><strong>Customer and Client Communication:</strong></p><p>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</p><p>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</p><p><br></p><p><strong>Compliance</strong>:</p><p>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</p><p>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</p><p><br></p><p><strong><u>Location</u>: T</strong>his position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong><u>Schedule</u>: </strong>The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong><u>Why is this role available? </u></strong>This organization recently had a tenured team member retire.</p><p><br></p><p><strong><u>How to Apply: </u></strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App. After applying, please call 412-471-5946 to confirm your application was received.</p>
<p>Are you an experienced medical billing professional with a background in surgery billing, ASC (Ambulatory Surgery Center) operations, and expertise in EPIC software? Do you thrive in a fast-paced environment and have a proven track record in medical insurance collections? If so, we want to hear from you! Robert Half is partnering with a leading healthcare provider to find a detail-oriented <strong>Surgery Medical Billing Specialist</strong> to join their team.</p><p><strong>Key Responsibilities</strong></p><ul><li>Process, review, and submit medical billing claims specific to surgical procedures using EPIC software.</li><li>Accurately code surgeries and other medical services in compliance with healthcare regulations.</li><li>Collaborate with ASC teams to ensure seamless coordination of patient billing and documentation.</li><li>Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies.</li><li>Manage and monitor accounts receivable, following up on unpaid claims to improve collections.</li><li>Research and resolve denials and appeals to maximize reimbursement.</li><li>Maintain strict adherence to HIPAA regulations and patient confidentiality protocols.</li><li>Provide regular reporting on billing activities, payment trends, and collections performance</li></ul><p><br></p>
<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>
<p>We are seeking a highly organized and detail-oriented <strong>Insurance Authorization Specialist</strong> with proven <strong>Microsoft Excel expertise</strong> to join our team. In this critical role, you will be responsible for securing insurance authorizations and ensuring compliance with pre-approval requirements for medical services and procedures. If you thrive in fast-paced environments and are motivated by efficiency and accuracy, we want to hear from you!</p><p><strong>Key Responsibilities</strong></p><ul><li>Obtain and manage authorizations from insurance providers for medical services and procedures.</li><li>Track and document authorization statuses in systems, spreadsheets, and other databases.</li><li>Maintain organized records in <strong>Microsoft Excel</strong> for tracking deadlines, approvals, and patient-specific insurance requirements.</li><li>Collaborate with medical staff and billing departments to ensure insurance approvals align with patient care plans.</li><li>Communicate with patients and insurance companies to address issues, verify coverage requirements, or request additional documentation.</li><li>Proactively follow up on pending authorizations to avoid delays in medical services.</li><li>Ensure compliance with HIPAA regulations and insurance provider-specific policies.</li></ul><p><br></p>
<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>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>
<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>
<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>
<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>
<p><em>The salary range for this position is up to $190,000 plus bonus, 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>You know what’s awesome? PTO. You know what else is awesome? A high-paying job that respects your work-life balance so you can enjoy your PTO. 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><br></p><p><strong><u>Position Responsibilities</u></strong></p><ul><li>Work with Senior Leadership Team and Financial Leadership Team to understand the company’s vision and strategy and develop integrated EPM vision and strategies that are aligned with the company's overall strategic initiatives and financial objectives</li><li>Facilitate the establishment of daily, weekly and monthly reporting requirements</li><li>Give significant input to the development of company enterprise structure required to achieve reporting requirements and coordinate with finance and IT resources towards implementation of a transaction systems all the way through EPM reporting systems</li><li>Participate in the selection and configuration of EPM reporting tools consisting of 1) Actual Consolidation, 2) Planning and Forecasting, 3) Workforce Planning, 4) Long Range Planning (3 to 5 years), 5) Integrated Management Reporting and 6) External / SEC Reporting among others [tools currently being implemented are Tagetik and SAP’s SAC]</li><li> Create the vision and strategies for actual, plan / forecast and long range planning reporting</li><li>Establish financial standard reports to assure “one version of the truth”</li><li>Create and govern required reporting Master Data Management (MDM) Change Control processes (for entities, profit centers, cost centers, chart of accounts, standard reporting formats among others) as part of the Enterprise Master Data Governance program.</li><li>Establish links between various transformation initiatives and business strategies using methods/approaches such as capability assessment, business/financial analysis, process management and re-design, organizational assessment and stakeholder management</li><li>Contribute with financial specific expertise in establishing governance program conducted by the Master Core Data Team.</li><li>Support acquisition integration efforts by developing/enhancing playbook activities and repeatable processes for efficient and timely integration of financial data</li><li>Provide direct oversight for the management and prioritization of key projects and milestones. Responsible for overall project/program quality assurance</li><li>Provide thought leadership to ensure program objectives are achieved and stakeholders are aligned</li><li>Work directly with key stakeholders and business partners to drive improvements in core financial processes such as close/consolidations; planning, budgeting and forecasting; and management reporting</li><li>Foster continuous improvement mindset to drive change, improve access to critical information and enhance decision support capabilities across finance</li></ul>
<p>Are you an experienced Medicare Billing Specialist with expertise in home health billing? Robert Half is assisting a valued client in Fort Wayne, Indiana, in finding a skilled professional to join their team. This is a <strong>temp-to-perm opportunity</strong>, providing the potential for long-term career growth with a rewarding organization.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurate processing and submission of Medicare claims for home health services.</li><li>Verifying insurance coverage and eligibility for Medicare beneficiaries.</li><li>Reviewing and resolving billing discrepancies and payment issues.</li><li>Staying updated on Medicare regulations, billing codes, and compliance requirements.</li><li>Communicating professionally with patients, healthcare providers, and payers to address billing inquiries.</li><li>Preparing billing reports and maintaining thorough documentation of claims in compliance with regulatory guidelines.</li></ul><p><br></p>
<p>We are looking for an experienced and meticulous Claims Adjuster to assist with our client with handling New York based Workers Compensation Claims. </p><p>This is a fully remote, temporary-to-permanent opportunity. </p><p>To be considered, candidates must possess a valid NY Adjusters License and have experience working workers compensation specific claims.</p><p>Responsibilities include:</p><ul><li>Conduct in-depth investigations and evaluations of complex workers' compensation claims, applying strong analytical skills to drive informed decision-making and achieve timely resolution.</li><li>Collaborate closely with clients to develop innovative strategies and continuously improve the claims management process.</li><li>Utilize critical thinking and problem-solving abilities to effectively plan, prioritize, and manage tasks that support both client and claimant needs.</li><li>Leverage claims management expertise to assess exposure, determine appropriate action plans, and drive timely and effective claim resolutions.</li><li>Maintain thorough and timely documentation of all claim activities, ensuring transparency and supporting claim outcomes.</li><li>New York Adjusters License is required.</li></ul><p><br></p><p><br></p>
<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 Case Manager to join our team in San Francisco, California. In this contract role, you will provide critical support to formerly homeless individuals, helping them access resources, maintain housing stability, and improve their overall quality of life. This position requires a proactive approach to case management and collaboration with tenants, hotel staff, and external service providers.</p><p><br></p><p>Responsibilities:</p><p>• Manage a caseload of 60-90 tenants, including individuals with mental health, substance abuse, and medical challenges, ensuring their housing stability.</p><p>• Conduct outreach visits upon tenant entry to housing, as well as follow-up assessments to address ongoing needs.</p><p>• Provide comprehensive case management services focused on tenant-driven goals such as housing retention and life improvement.</p><p>• Assist tenants in securing benefits, making rent payments, and addressing unit habitability concerns.</p><p>• Facilitate tenant referrals to employment programs, social services, and other community resources based on individual needs.</p><p>• Organize community-building activities, including tenant groups, events, and social initiatives to foster a supportive living environment.</p><p>• Respond to tenant crises through de-escalation techniques and appropriate interventions.</p><p>• Partner with property management staff and external providers to ensure tenants receive necessary support.</p><p>• Maintain accurate and organized case files, ensuring confidentiality and compliance with documentation standards.</p><p>• Report suspected abuse or neglect to appropriate authorities and adhere to legal reporting requirements.</p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Julia Henderson at julia.henderson - at - roberthalf - .com with your word resume and reference job ID#00410-0013293596 **</p>
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.
<p>We are looking for a dedicated and detail-oriented Medical Insurance Verifier to join our team in Long Beach, California. The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their eligibility for Medi-Cal and other programs. The ideal candidate will have a strong background in medical billing, insurance verification, and financial counseling.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings to determine patient eligibility for Medi-Cal, PPO, HMO and other healthcare programs.</p><p>• Guide patients through the application process for HMO, PPO, Medi-Cal, ensuring accuracy and timely submission of required documents.</p><p>• Explain available coverage options and assist patients in understanding their financial responsibilities.</p><p>• Verify insurance eligibility, financial status, and documentation to ensure services are appropriately covered.</p><p>• Collaborate with billing teams and other departments to ensure compliance with Medi-Cal regulations and accurate claims processing.</p><p>• Maintain comprehensive records of patient interactions and screenings in alignment with organizational standards.</p><p>• Stay informed about updates to HMO, PPO, Medi-Cal policies, eligibility criteria, and healthcare regulations.</p><p>• Support the organization’s operations by ensuring seamless patient access to financial assistance programs.</p><p>• Utilize electronic health record (EHR) systems to document and track patient information effectively.</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>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>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Burr Ridge, Illinois. In this Contract-to-permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ideal candidate will bring expertise in medical collections and billing practices, along with familiarity with industry systems and Medicare billing.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and review appointment schedules to track billing for assigned locations effectively.</p><p>• Process infusion billing daily, verifying accuracy in codes, drug quantities, and pharmacy delivery documentation.</p><p>• Submit claims to insurance companies by printing and mailing forms, attaching primary explanation of benefits for secondary claims as needed.</p><p>• Monitor and coordinate drug returns for patients who did not receive infusions, working closely with clinics and pharmacies.</p><p>• Verify patient demographics and insurance information to ensure accurate billing procedures.</p><p>• Maintain oversight of assigned billing tasks and provide regular updates to supervisors.</p><p>• Collaborate with clinical staff to address and resolve missing documentation to complete billing efficiently.</p><p>• Handle additional billing-related duties and tasks as assigned by management.</p><p>• Utilize systems such as Accurint, Allscripts, and Cerner Technologies to optimize billing processes.</p><p><br></p><p>The salary range for this position is $23 to $25. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information.</p>
<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>
<p>We are seeking a detail-oriented and analytical professional to join our team as a <strong>Property Recoveries Analyst</strong>. In this role, you will serve as a key reviewer of billing and recovery processes, ensuring accuracy, compliance with lease terms, and adherence to contractual obligations. You will play a critical role in maintaining billing integrity, identifying variances, and supporting internal and external stakeholders with documentation and issue resolution.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Review recovery setups and billing deliverables for accuracy, completeness, and compliance with lease terms, system standards, and documentation protocols.</li><li>Partner with offshore teams by providing clear guidance on required modifications and interpreting lease language when needed.</li><li>Validate rebill corrections, ensuring supporting documentation is accurate and complete.</li><li>Maintain pursuit notes and CAM/Tax notes for audit and historical reference.</li><li>Perform month-over-month, quarter-over-quarter, and year-over-year recovery analyses, identifying material variances and overseeing resolution tracking.</li><li>Investigate recovery leakage at the site level, collaborating with cross-functional teams (Property Management, Insurance, and Tax) to identify root causes and develop corrective actions.</li><li>Leverage financial and operational data to provide insights that optimize recoveries and ensure compliance.</li><li>Contribute to documentation of standard operating procedures (SOPs) and process updates.</li><li>Partner with IT to identify and test system improvements that enhance efficiency and accuracy.</li><li>Mentor and train offshore team members on daily activities and best practices.</li><li>Respond to billing-related inquiries, providing documentation and clarification as needed.</li></ul><p><br></p>
We are looking for an experienced Medical Billing Specialist to join our team on a 12-week contract basis in Milwaukee, Wisconsin. In this role, you will play a key part in ensuring the accuracy and compliance of healthcare claims processing, supporting timely reimbursements and maintaining high standards in billing operations. This position offers an excellent opportunity to contribute your expertise in a dynamic healthcare environment.<br><br>Responsibilities:<br>• Review and analyze patient accounts and billing data to ensure accuracy within the designated billing system.<br>• Prepare and submit claims using UB04 and CMS1500 billing formats, adhering to payer-specific guidelines.<br>• Identify and resolve billing discrepancies by correcting errors and resubmitting claims for timely payment.<br>• Conduct follow-ups on unpaid or denied claims, collaborating with payers and internal teams to address issues.<br>• Ensure compliance with insurance and government regulations, including Medicare and Medicaid requirements.<br>• Communicate effectively with clinical and administrative staff to gather necessary information for accurate billing.<br>• Utilize your knowledge of medical billing systems and processes to optimize claims handling and reimbursement.<br>• Maintain organized records and documentation to track claims progress and outcomes.<br>• Stay updated on payer rules and billing compliance standards to ensure adherence to industry requirements.
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.
