We are looking for a meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity to contribute to the efficient management of radiology billing and insurance processes while ensuring compliance with industry standards. The ideal candidate will excel in communication and collaboration, supporting both patients and clinical staff in navigating complex billing and authorization procedures.<br><br>Responsibilities:<br>• Verify patient insurance eligibility and coverage for scheduled radiology exams, ensuring all checks are completed ahead of schedule.<br>• Initiate and secure prior authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation.<br>• Follow up proactively with insurance providers to obtain approvals and communicate authorization status to patients and clinical teams.<br>• Address patient billing inquiries, assist with payment collections, and resolve discrepancies in claims or appeals.<br>• Process denied claims and write appeals for radiology procedures, ensuring timely follow-through on billing issues.<br>• Generate zero balance bills upon request and provide financial support to patients as needed.<br>• Maintain clear and precise communication with patients, physician offices, insurance companies, and internal staff.<br>• Document all interactions and updates accurately in electronic health and billing systems.<br>• Stay informed about changes in insurance regulations, payer policies, and coding guidelines relevant to radiology services.<br>• Ensure all processes adhere to compliance standards and organizational guidelines.
<p>We are looking for a highly motivated <strong>Patient Access Specialist</strong> to join our growing team. This role is essential in ensuring patients have a seamless experience while accessing healthcare services. As a Patient Access Specialist, you will assist in patient registration, scheduling, insurance verification, and other administrative duties—all integral to the healthcare process. If you’re detail-oriented, organized, and dedicated to delivering exceptional service to patients, this opportunity is for you!</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Perform patient registration and scheduling duties with accuracy and professionalism.</li><li>Verify insurance coverage and benefits to ensure correct billing and payment processes.</li><li>Communicate directly with patients regarding their healthcare appointments, and answer inquiries about processes, policies, or procedures.</li><li>Collaborate with various departments to optimize the patient experience and resolve any issues regarding access or billing.</li><li>Maintain confidentiality and ensure compliance with applicable laws and regulations, such as HIPAA.</li><li>Provide a welcoming and compassionate presence for patients, helping them navigate healthcare systems effectively.</li></ul><p><br></p>
<p>Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! </p><p> </p><p>Responsibilities:</p><ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol><p><br></p>
<p>We are seeking a highly organized Medical Front Office Specialist to join our team in Indianapolis, Indiana. This contract-to-hire position is critical to maintaining efficient front desk operations in a healthcare setting. If you are passionate about providing excellent patient support and thrive in fast-paced environments, this role offers a great opportunity to make a meaningful impact within a dynamic healthcare team.</p><p><br></p><p>Hours: </p><p>Monday 8am – 5:30pm</p><p>Tuesday 8am – 5:30pm</p><p>Wednesday 9:30am – 5:00pm</p><p>Thursday 9:30 – 5:30pm</p><p>Friday 8:00 – 4:00</p><p> </p><p> </p><p>Responsibilities for the position include the following:</p><p>• Coordinate with clinical staff to ensure seamless patient flow and keep waiting patients informed of any updates.</p><p>• Accurately copy, scan, and verify patients' insurance information, ensuring all records are up-to-date and signed appropriately.</p><p>• Prepare and distribute daily patient lists, including morning updates and end-of-day reports.</p><p>• Organize new patient charts and ensure completed charts are filed correctly for upcoming visits.</p><p>• Schedule appointments, medical tests, X-ray studies, and office procedures, providing patients with clear instructions.</p><p>• Collect co-payments, process patient encounter forms, and assist patients with scheduling follow-up visits.</p><p>• Update and verify patient demographic information in the system, ensuring all changes are accurately recorded.</p><p>• Address patient calls regarding delays and notify clinical staff promptly.</p><p>• Rotate late-day shifts with front office staff to assist physicians and patients as needed.</p><p>• Provide backup support for various roles and cover other office locations when required.</p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Bethel Park, Pennsylvania. In this Contract-to-permanent role, you will play a vital part in ensuring seamless patient admissions and interactions, while upholding organizational standards and regulatory compliance. This position offers an opportunity to impact patient care through exceptional service and attention to detail.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation.</p><p>• Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders.</p><p>• Meet assigned point-of-service goals through efficient and precise handling of patient accounts.</p><p>• Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed.</p><p>• Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances.</p><p>• Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians.</p><p>• Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections.</p><p>• Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable.</p><p><br></p><p>Shifts are 10-6:30pm M-F, with rotating Saturdays</p>
<p>Are you an organized, personable, and proactive individual looking to make a difference in patient care? We are seeking a <strong>Medical Front Desk Specialist</strong> to join our healthcare team and provide outstanding service to patients, staff, and providers.</p><p>As the first point of contact for patients, the role requires strong customer service skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. If you are bilingual and have a knack for creating smooth experiences for people, we want to hear from you!</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li><strong>Patient Check-In/Check-Out:</strong> Greet patients warmly upon arrival, maintain accurate registration details, and manage documentation for check-out procedures.</li><li><strong>Insurance Verification:</strong> Verify patient insurance benefits and handle all related inquiries for accurate processing.</li><li><strong>Appointment Scheduling:</strong> Coordinate patient scheduling, manage cancellations/rescheduling, and assist with appointment reminders.</li><li><strong>Receptionist Duties:</strong> Answer phones promptly, handle inquiries professionally, and triage calls as needed.</li><li><strong>Document Management:</strong> Fax, scan, and file medical records effectively while maintaining patient information confidentiality (Source: HIPAA standards).</li><li><strong>Copay Collection:</strong> Process patient payments and provide receipts for financial transactions accurately.</li><li><strong>Greeting Patients and Providers:</strong> Provide welcoming and attentive support to all visitors, ensuring a positive experience.</li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent required; additional education in healthcare or administration is a plus.</li><li>Previous experience in a medical front office or similar healthcare setting preferred.</li><li>Proficiency in using medical scheduling software and Microsoft Office (Word, Excel, and Outlook).</li><li>Bilingual (English and [Specify Second Language]), with strong communication and interpersonal skills.</li><li>Familiarity with insurance verification processes and billing procedures is highly desirable.</li><li>Ability to multitask and remain calm under pressure in a busy healthcare environment.</li></ul><p><br></p>
We are looking for a detail-oriented Patient Access Specialist to join our team on a long-term contract basis in Lewiston, Maine. In this role, you will handle patient admissions and related administrative tasks, ensuring compliance with organizational policies and regulatory requirements. This position requires a strong commitment to providing exceptional customer service while managing patient accounts and supporting the hospital's mission.<br><br>Responsibilities:<br>• Accurately assign medical record numbers (MRNs) and perform compliance checks to ensure patient records meet regulatory standards.<br>• Provide patients with clear instructions and collect necessary insurance information while processing physician orders.<br>• Conduct pre-registration tasks such as gathering demographic and insurance details via inbound and outbound calls.<br>• Explain consent forms and patient education documents to patients, guarantors, or legal guardians while obtaining necessary signatures.<br>• Verify insurance eligibility and enter benefit data into the system to support billing processes.<br>• Inform Medicare patients about non-payment risks and distribute required documents, including Advance Beneficiary Notices.<br>• Perform audits on patient accounts to ensure accuracy and compliance with quality standards.<br>• Utilize reporting systems to identify and correct errors in accounts across various departments and facilities.<br>• Meet assigned point-of-service collection goals and assist patients with payment plans, including collecting past-due balances.
We are looking for a detail-oriented Patient Access Specialist to join our team on a contract basis in Miramar Beach, Florida. In this role, you will ensure smooth and efficient patient registration processes while providing excellent support to patients and healthcare staff. This position involves a mix of desk work and hands-on tasks, making it ideal for professionals who thrive in dynamic environments.<br><br>Responsibilities:<br>• Welcome and check in patients upon arrival, ensuring all necessary documentation is completed.<br>• Retrieve and review medical orders to support accurate patient registration and scheduling.<br>• Conduct financial clearance for procedures, including basic medical coding tasks.<br>• Schedule patients for laboratory tests and other healthcare services.<br>• Determine appropriate registration pathways, such as LabCorp or Ascension, based on patient needs.<br>• Maintain accurate records and data entry to streamline administrative workflows.<br>• Collaborate with healthcare providers and staff to address patient inquiries and resolve registration issues.<br>• Perform occasional off-desk tasks to support operational needs and enhance patient care.
<p>Nashua, NH - ON-SITE - Patient Access Specialist - 3rd Shift Position</p><p>Hours 11:00am-7:00pm - Multiple Openings </p><p><br></p><p>We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. This Contract to permanent position focuses on ensuring seamless patient admissions and delivering exceptional service while adhering to organizational policies and regulatory standards. As part of the healthcare industry, this role plays a vital part in supporting patients and maintaining efficient processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and verify medical necessity to ensure compliance with regulations.</p><p>• Deliver clear instructions to patients, collect insurance details, and process physician orders while maintaining a high level of customer service.</p><p>• Meet point-of-service collection targets and pre-register patient accounts by gathering demographic, insurance, and financial information through inbound and outbound calls.</p><p>• Explain and obtain signatures for consent and treatment forms, ensuring patients understand their rights and responsibilities.</p><p>• Verify insurance eligibility and input benefit data to support billing processes and enhance claims accuracy.</p><p>• Utilize software tools to identify potential non-payment issues for Medicare patients, distribute required forms, and provide necessary documentation.</p><p>• Conduct audits on patient accounts to ensure accuracy and compliance with quality standards, offering feedback to leadership as needed.</p><p>• Maintain a compassionate and detail-oriented approach in all patient interactions, aligning with organizational goals and customer service expectations.</p><p>• Provide patient education materials and ensure all required documentation is completed promptly and correctly.</p>
<p>3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! </p><p><br></p><p>We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.</p><p>• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.</p><p>• Adhere to organizational policies while delivering exceptional customer service with compassion.</p><p>• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.</p><p>• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.</p><p>• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.</p><p>• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.</p><p>• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.</p><p>• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.</p>
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
We are looking for an experienced Medical Front Desk Specialist to join our team in Bridgeport, Connecticut. In this role, you will play a vital part in ensuring smooth operations at the front desk by managing patient interactions, scheduling, and administrative tasks. This is a Contract-to-permanent position, offering a great opportunity for growth in the healthcare field.<br><br>Responsibilities:<br>• Welcome patients and visitors with professionalism, ensuring a positive first impression.<br>• Handle patient check-in processes efficiently, verifying necessary information and documentation.<br>• Schedule patient appointments and manage reminders, adapting to dynamic needs.<br>• Perform insurance verification and ensure all details are accurately recorded.<br>• Address patient inquiries and concerns promptly, maintaining excellent customer service.<br>• Process co-payments and manage billing-related tasks with attention to detail.<br>• Operate a multi-line phone system, managing calls and directing them appropriately.<br>• Organize and maintain front desk records, ensuring accuracy and confidentiality.<br>• Coordinate communication between patients, medical staff, and external parties.<br>• Manage administrative duties such as faxing and filing to support daily operations.
We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. In this Contract-to-permanent role, you will play a critical part in ensuring smooth admissions and registration processes for hospital patients while maintaining compliance with organizational policies and regulatory standards. This position requires strong attention to detail and excellent communication skills to deliver exceptional service to patients and their families.<br><br>Responsibilities:<br>• Register patients accurately by assigning medical record numbers, performing compliance checks, and collecting necessary insurance and physician order details.<br>• Provide clear instructions and compassionate customer service during all patient interactions, adhering to organizational policies and standards.<br>• Meet assigned point-of-service goals, including the collection of patient financial responsibilities and past-due balances.<br>• Conduct pre-registration tasks, which may involve inbound and outbound calls to gather demographic, insurance, and payment information.<br>• Explain and obtain signatures for consent forms and distribute necessary patient education materials, ensuring proper documentation.<br>• Verify insurance eligibility and input benefit details to facilitate billing processes and maintain a high clean claim rate.<br>• Screen medical necessity for Medicare patients using specialized tools and provide required forms to inform them of potential non-payment scenarios.<br>• Utilize quality auditing systems to review and correct account information, ensuring compliance with audit standards and reporting accuracy.<br>• Perform audits of accounts across teams and departments, providing statistical data to support leadership in improving processes.
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p>Summer is here! Want to be with a company that will ensure you get to enjoy this beautiful weather? You don't have to be a 'people person' to want to work for a company that prioritize cultivating a healthy work environment for their employees while emphasizing the importance of a work-life balance. </p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
We are looking for a meticulous Medical Billing Specialist to join our team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise.<br><br>Responsibilities:<br>• Prepare and submit medical claims to insurance providers using accurate coding practices.<br>• Verify and update patient insurance information within internal systems.<br>• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.<br>• Review insurance claim denials and initiate corrections or appeals to ensure payment.<br>• Coordinate with third-party payers for authorizations and eligibility verification.<br>• Accurately post payments to patient accounts, including deductibles and copay amounts.<br>• Generate and send patient statements for outstanding balances.<br>• Address patient inquiries regarding billing concerns with professionalism and clarity.<br>• Ensure compliance with federal, state, and insurance-specific regulations.<br>• Create detailed reports on billing activities and accounts receivable trends for management review.
<p>We are looking for a dedicated Patient Registration Specialist to join our team in Warren, Michigan. This is a long-term contract position with 2nd shifts, 3pm- 11:30 pm, offering an opportunity to work in a dynamic healthcare environment. The role involves engaging directly with patients, ensuring accurate registration processes, and supporting the emergency department during nights, weekends, and holidays.</p><p><br></p><p>Responsibilities:</p><p>• Accurately register patients in the emergency department, as well as inpatient and outpatient settings.</p><p>• Provide assistance to patients with technology and registration processes.</p><p>• Maintain a high level of customer service while addressing patient inquiries and concerns.</p><p>• Verify medical insurance information and ensure proper documentation.</p><p>• Collaborate with department staff to support various administrative tasks as needed.</p><p>• Adhere to healthcare protocols, including COVID-19 vaccination and flu shot requirements.</p><p>• Ensure data entry accuracy and maintain reliable patient records.</p><p>• Participate in rotating weekend and holiday shifts to meet departmental needs.</p>
<p>Robert Half is working with a growing company in Andover seeking a Billing Specialist to join its team. This is a permanent role, that can move into a "Lead" or "Supervisor" role for the right candidate long term. Our client is looking for at least 2 years of billing experience and strong Excel skills. The selected candidate must have proven vendor relationship skills too.</p><p><br></p><p>Target salary for this opportunity is between 50-65K. If interested and qualified send your resume to Bill.Nichols@roberthalf. Thanks!</p>
<p>Nationally recognized hospital system is seeking a dedicated and experienced <strong>Medical Insurance Collections Specialist</strong> to join our dynamic team. In this critical role, you will be responsible for handling insurance collections, ensuring accurate claims processing, and collaborating with internal departments to resolve outstanding accounts. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient accounts to identify unpaid claims and follow up with insurance providers for resolution.</li><li>Resolve denials and claim discrepancies by researching and resubmitting claims where necessary.</li><li>Communicate with patients and insurance companies regarding outstanding balances and payment plans.</li><li>Maintain accurate and up-to-date records of all collections activities in compliance with company policies and healthcare regulations.</li><li>Collaborate with the billing, coding, and accounts receivable teams to address any billing issues and expedite payments.</li><li>Analyze insurance claims to identify trends, minimize denials, and maximize collections efficiency.</li><li>Ensure compliance with HIPAA and all applicable regulations in handling sensitive healthcare and financial information.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p><strong>Job Description</strong>: Medical Billing Specialist </p><p><br></p><p><strong>Overview:</strong> We are seeking a highly motivated and detail-oriented Medical Billing Specialist for an organization located in Mars, PA. The ideal candidate will have expertise in medical billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions and claims processing.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>1. Billing:</strong></p><ul><li>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</li><li>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</li><li>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</li><li>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</li></ul><p><strong>2. Payment Posting:</strong></p><ul><li>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</li><li>Reconcile posted payments with bank statements and patient billing systems.</li><li>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</li></ul><p><strong>3. Revenue Cycle Management:</strong></p><ul><li>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</li><li>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</li><li>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</li></ul><p><strong>4. Customer and Client Communication:</strong></p><ul><li>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</li><li>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</li></ul><p><strong>5. Compliance:</strong></p><ul><li>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</li><li>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</li></ul><p><strong>Location:</strong> This position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong>Schedule:</strong> The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong>Why is this role available?</strong> This organization recently had a tenured team member retire.</p><p><br></p><p><strong>How to Apply: </strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App.</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 dedicated Patient Registration Specialist to join our team in Rochester, Michigan on first shift. This Contract-to-Permanent position offers an excellent opportunity for individuals with strong customer service abilities and accurate data-entry skills to contribute to a healthcare environment. The role will require flexibility in scheduling, including virtual training and rotating shifts, along with adherence to health and safety requirements.</p><p><br></p><p>Responsibilities:</p><p>• Perform patient registration for emergency room visits, inpatient admissions, and outpatient services.</p><p>• Assist patients in navigating technology and resolving any technical issues during the registration process.</p><p>• Verify and update patient information accurately to ensure seamless scheduling and insurance processing.</p><p>• Deliver exceptional customer service by addressing patient inquiries and concerns with attention to detail.</p><p>• Collaborate with other departments to ensure smooth operational workflows.</p><p>• Maintain compliance with organizational policies, including health screenings, COVID vaccination, and flu shot requirements.</p><p>• Adapt to varying shift schedules, including virtual training and midnight rotations.</p><p>• Support additional departmental tasks as needed to optimize patient care and administrative efficiency.</p>
