<p>We are looking for an experienced Medical Billing professional to join our team on a contract with the potential for a permanent position. This role is based in Richmond, Virginia, and involves ensuring the accuracy and compliance of medical billing processes. The ideal candidate will have a solid understanding of fee schedules, billing guidelines, and medical billing systems.</p><p><br></p><p>Responsibilities:</p><p>• Audit medical bills to confirm compliance with state fee schedules, organizational discounts, and client-specific guidelines.</p><p>• Utilize fee schedules and computer systems to verify the appropriateness of billed charges.</p><p>• Reference materials and resources to support the auditing process as needed.</p><p>• Maintain consistent attendance and adhere to company policies and safety regulations.</p><p>• Ensure compliance with workplace safety rules as outlined in the Injury and Illness Prevention Program.</p><p>• Perform additional tasks as assigned to support billing operations.</p>
<p>A Hospital in the Los Angeles area is in the immediate need of a Medical Biller. The Medical Biller must have 2 years of experience in billing insurance companies for hospital acute charges. The Medical Biller will be task with billing Non-Government Commercial and minimal Government Insurance.</p><p>Position Duties</p><p>• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.</p><p>• Interprets claims processing reports and applies information to produce clean claims.</p><p>• Maintains current knowledge of regulatory billing requirements.</p><p>• Makes changes to demographic information as necessary in order to produce a clean claim.</p><p>• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.</p><p>• Must have the ability to analyze coding to assure proper billing of claim.</p><p>• Participates in a variety of hospital educational programs to maintain current skill and competency levels.</p><p>• Requests and attaches required clinical documentation in accordance with third party requirements.</p><p>• Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turnaround time.</p><p>• Performs miscellaneous job related duties as requested.</p><p><br></p><p>Benefits include Health Insurance, Sick Time Off and 401K retirement.</p>
<p>We are looking for a dedicated Medical Biller II to join our healthcare team in Los Angeles, California. The Medical Biller II will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. The ideal person for the Medical Biller II role must have expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
<p>Robert Half is seeking an experienced and detail-oriented Medical Biller for a contract opportunity with one of our valued healthcare clients. As a Medical Biller, you’ll play a critical role in ensuring accurate billing, timely reimbursements, and compliance with healthcare regulations.</p><p><strong>Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and payers.</li><li>Review patient bills for accuracy and completeness.</li><li>Follow up on unpaid claims and resolve billing discrepancies.</li><li>Maintain patient records and billing documentation in compliance with HIPAA guidelines.</li><li>Work closely with healthcare providers and insurance representatives to clarify coding and coverage.</li><li>Assist with month-end reporting and reconciliation of billing accounts.</li></ul>
<p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Billing Coordinator to join its growing team. The ideal Hospital Medical Billing Coordinator should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Billing Coordinator is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients' insurance coverage.</p><p>• Insurance follow up, appeals and denials. </p><p>• Determine the patient's financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
<p>We are looking for a motivated and detail-oriented Medical Billing Specialist to join our team in Oak Brook, Illinois. This contract position is ideal for candidates with a background in medical billing and a commitment to accuracy in claims processing and payment reconciliation. You will play a vital role in ensuring timely submissions and providing support to families relying on Medicaid-funded services.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit clinic patient claims to Medicaid and private insurers twice weekly, ensuring all necessary information is included.</p><p>• Identify and correct errors in claims submissions, resubmitting promptly to avoid delays.</p><p>• Prepare and distribute monthly invoices to families and payers.</p><p>• Perform daily reconciliation of billing records to maintain accuracy and compliance.</p><p>• Coordinate with physicians to obtain scripts for new clients, ensuring accurate documentation.</p><p>• Track claim statuses and escalate complex issues to management when needed.</p><p>• Ensure compliance with Medicaid-specific billing and reporting requirements.</p><p>• Maintain organized records of all billing activities and client interactions.</p><p>• Communicate effectively with families and physicians regarding payment plans and billing inquiries.</p><p><br></p><p>The hourly pay range for this position is $24 to $29/hour. 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. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</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.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our client's team in Beaverton, Oregon. In this long-term contract role, you will play a crucial part in ensuring accurate billing, coding, and claims processing within the healthcare industry. This position requires strong analytical and critical thinking skills to navigate complex billing systems and resolve claim-related issues effectively.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing transactions with precision and efficiency.</p><p>• Enter data into software, ensuring accuracy and compliance.</p><p>• Monitor and follow up on submitted claims to secure timely payments.</p><p>• Investigate and address denied claims, resolving issues to facilitate reimbursement.</p><p>• Apply medical coding standards to provide appropriate codes for new testing procedures.</p><p>• Collaborate with team members to ensure billing practices meet regulatory requirements.</p><p>• Utilize software tools to streamline billing operations.</p><p>• Stay updated on Medicare, Medicaid, and Tricare billing protocols.</p><p>• Conduct research to resolve complex billing or coding challenges.</p><p>• Maintain thorough documentation of billing activities and claim resolutions.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare financial transactions. If you have a strong attention to detail and a commitment to maintaining compliance with medical standards, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently to ensure timely reimbursements.</p><p>• Review and verify patient account information for accuracy and completeness.</p><p>• Handle medical collections, including resolving discrepancies and communicating with insurance companies.</p><p>• Collaborate with healthcare providers and staff to address billing inquiries and resolve issues.</p><p>• Maintain up-to-date knowledge of medical billing regulations and compliance standards.</p><p>• Generate reports related to billing activities and provide insights for process improvements.</p><p>• Identify and correct billing errors to minimize delays and denials.</p><p>• Ensure confidentiality and security of patient financial information at all times.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis. This role involves working with healthcare billing processes, reviewing insurance claims, and ensuring accurate coding practices. Based in York, Maine, this is a great opportunity for professionals seeking a challenging and rewarding position in the medical billing field.</p><p><br></p><p>Responsibilities:</p><p>• Manage the daily processing of medical claims, ensuring accuracy and compliance with billing regulations.</p><p>• Review hospital records and insurance documents to verify patient information and payment details.</p><p>• Utilize ICD-10 coding standards to correctly classify medical procedures and diagnoses.</p><p>• Handle approximately 30-40 accounts per day, maintaining efficiency and attention to detail.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and secure timely reimbursements.</p><p>• Monitor account balances and follow up on collections as needed.</p><p>• Maintain proficiency in using medical billing software, including tools such as Cerner.</p><p>• Adapt to west coast hours to ensure alignment with team operations and client needs.</p><p>• Ensure compliance with healthcare regulations and company policies.</p><p>• Provide clear communication and updates on claim status to relevant stakeholders.</p>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
Ensure full reimbursement is received for clinical services rendered including detail oriented, long-term/home care and hospital care, by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to secure payment. Work as part of a dynamic team continually looking for ways to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments and coverage changes as needed. Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as needed according to department policy and procedure. Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we do not fail to follow-up before a payer's deadline. Participate in team meetings, which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools available, including accessing clinical documentation and authorization details. Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff.
We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. In this Contract to permanent position, you will play a vital role in ensuring accurate billing and efficient claims management within the healthcare sector. This role requires expertise in medical billing systems and attention to detail to maintain smooth financial operations.<br><br>Responsibilities:<br>• Process and submit medical claims accurately through various billing software systems.<br>• Manage accounts receivable tasks, including collections and payment postings.<br>• Analyze and resolve billing discrepancies and appeals to ensure claim accuracy.<br>• Utilize accounting software and electronic health record (EHR) systems to maintain detailed records.<br>• Collaborate with insurance providers and patients to address billing inquiries.<br>• Perform regular audits of billing processes to ensure compliance with regulations.<br>• Generate and review financial reports to monitor billing performance.<br>• Work with Medisoft and AS/400 systems to manage claim administration effectively.<br>• Assist with the implementation of Epic software for streamlined billing operations.<br>• Ensure timely follow-ups on unpaid claims and outstanding balances.
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a vital part in managing and processing medical claims, ensuring accurate billing, and supporting efficient revenue cycles. This is an excellent opportunity for professionals with expertise in medical billing, coding, and collections.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers and other payers.<br>• Review and verify patient billing information for accuracy and compliance with regulations.<br>• Resolve discrepancies and follow up on denied or unpaid claims to ensure timely collections.<br>• Collaborate with healthcare providers to obtain documentation needed for billing purposes.<br>• Maintain detailed records of billing activities and payment statuses.<br>• Ensure compliance with medical coding standards and billing guidelines.<br>• Address inquiries from patients and insurance companies regarding billing issues.<br>• Assist in identifying and implementing improvements to the billing process.<br>• Monitor accounts receivable and prepare reports on billing and collections.<br>• Provide support for audits and regulatory reviews related to billing procedures.
We are looking for an experienced Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you will play a vital part in managing medical billing processes, ensuring accuracy in claims reconciliation, and maintaining strong communication with insurance representatives. The ideal candidate will have a background in healthcare billing, preferably with experience in behavioral health.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including addressing approvals or denials and resolving any discrepancies.<br>• Conduct research to identify and resolve issues related to billing and insurance claims.<br>• Manage medical billing processes, ensuring timely and accurate submission of claims.<br>• Maintain patient insurance and demographic records, ensuring all information is up-to-date and accurate.<br>• Collaborate with insurance representatives to address claim-related issues and improve communication.<br>• Provide guidance to program directors and clinicians regarding billing procedures and specifications.<br>• Generate and review aging reports to monitor claims and ensure compliance with payer filing deadlines.<br>• Analyze high balance accounts and report any account activity concerns to the Billing Manager.<br>• Stay informed about payer specifications and independently research requirements.<br>• Utilize clearinghouse systems, such as Inovalon, for efficient claim processing.
We are looking for a Medical Billing Specialist to join our team in Greenville, South Carolina. In this Contract to permanent position, you will play a crucial role in managing payment arrangements, monitoring accounts, and ensuring timely collection of outstanding balances. This role is ideal for individuals with experience in medical billing and a strong understanding of healthcare systems and claims processing.<br><br>Responsibilities:<br>• Establish and manage payment plans with patients to address delinquent accounts and ensure timely collections.<br>• Monitor accounts for payment lapses and follow up with patients to maintain compliance.<br>• Collaborate with collection agencies and initiate legal actions when necessary to recover outstanding debts.<br>• Compile and maintain Medicare bad-debt cost reports by tracking billings and monitoring collections.<br>• Handle claims against estates by coordinating with legal teams and probate courts.<br>• Facilitate payroll deductions and secure automatic transfer agreements for employee care balances.<br>• Interview pre-delivery patients to set up obstetrical payment plans and issue monthly statements.<br>• Ensure adherence to policies and procedures while reporting compliance issues to maintain operational integrity.<br>• Maintain confidentiality of sensitive collection information to protect the clinic’s or hospital’s reputation.<br>• Stay updated on industry practices and regulations through participation in ongoing development activities.
<p><strong><u>Medical Billing Supervisor – Hospital Billing Required!</u></strong></p><p><strong>Location:</strong> local to Plainville, CT (full time onsite)</p><p><strong>Compensation:</strong> up to $75,000 annually</p><p><strong>Employment Type:</strong> Full-Time</p><p><strong>Benefits:</strong> Comprehensive benefits package (medical, dental, vision, excellent PTO, and more)</p><p><br></p><p>A well-established healthcare organization near Plainville, CT is seeking an experienced <strong>Medical Billing Supervisor</strong> with a strong background in <strong>Inpatient Hospital billing</strong>. This role is ideal for a hands-on leader who thrives in a fast-paced healthcare environment and brings both technical billing expertise and proven supervisory experience.</p><p><br></p><p>Key Responsibilities</p><ul><li>Supervise and lead the inpatient medical billing team</li><li>Oversee daily billing operations to ensure accuracy, compliance, and timely reimbursement</li><li>Monitor workflows, productivity, and performance metrics</li><li>Serve as a subject matter expert for inpatient hospital billing regulations and processes</li><li>Resolve complex billing issues and escalations</li><li>Utilize Excel to analyze billing data, reports, and trends</li><li>Collaborate with internal departments to improve revenue cycle efficiency</li><li>Ensure compliance and support annual audits</li></ul><p>Qualifications</p><ul><li><strong>5+ years of medical billing experience</strong>, specifically within an <strong>inpatient hospital setting</strong></li><li><strong>Prior supervisory or leadership experience required***</strong></li><li>Strong working knowledge of hospital billing processes and reimbursement methodologies</li><li><strong>Advanced Excel skills</strong></li><li>Excellent communication, organizational, and problem-solving skills</li><li>Ability to lead, mentor, and motivate a team</li></ul><p><br></p><p><strong>Qualified candidates should apply by sending their resume to: Daniele.Zavarella@roberthalf com!</strong></p>
We are looking for a skilled Billing Analyst to join our healthcare team in Houston, Texas. This role involves ensuring accurate and timely billing processes, collaborating with various departments, and maintaining detailed financial records. As this is a Contract to permanent position, it offers an excellent opportunity for growth and long-term career development.<br><br>Responsibilities:<br>• Input billing data and process paperwork received from designated branches, ensuring accuracy and efficiency.<br>• Communicate with branch staff to provide constructive feedback regarding the timeliness and accuracy of submitted documents.<br>• Update and manage billing work queues daily to maintain a streamlined workflow.<br>• Monitor billing reports to verify the precision of financial and administrative data.<br>• Collaborate closely with the Billing Manager and team members to foster effective communication and problem-solving.<br>• Participate in department projects, such as sales updates and adjustments to customer pricing.<br>• Liaise with accounts receivable, credit/collections, and branch personnel to address inquiries and resolve discrepancies.<br>• Validate invoices for accuracy in pricing, customer details, equipment specifications, tax information, and other key elements.<br>• Meet strict deadlines for month-end billing activities and ensure all department tasks are completed on time.<br>• Perform additional duties as assigned to support the operational needs of the billing department.
<p>Robert Half is partnering with one of our clients that is looking for a medical biller to join their team! This is a great opportunity to join a growing local practice. Please apply if you have previous medical billing experience in Modernizing Medicine!</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical billing tasks, ensuring all claims are submitted accurately and in a timely manner.</p><p>• Monitor accounts receivable and follow up on outstanding payments to ensure prompt resolution.</p><p>• Utilize electronic medical records systems to maintain and update patient billing information.</p><p>• Communicate with insurance companies and patients to address billing inquiries and discrepancies.</p><p>• Reconcile account balances to ensure accuracy and identify any inconsistencies.</p><p>• Prepare and distribute invoices and statements for patient accounts.</p><p>• Collaborate with team members to streamline billing procedures and improve efficiency.</p><p>• Maintain compliance with relevant regulations and policies related to medical billing and accounts receivable.</p><p>• Generate regular reports detailing accounts receivable status and progress.</p><p>• Assist with audits and provide documentation as requested.</p>
We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
<p>We are looking for an experienced Billing Supervisor/Manager to join our team in Sacramento, California. This contract to hire position involves overseeing billing and collections operations, ensuring efficiency and accuracy in processes, and managing staff performance. The ideal candidate will have a strong background in medical billing and collections, as well as leadership experience.</p><p><br></p><p>Responsibilities:</p><p>• Manage and oversee all billing and collections activities across departments to ensure timely and accurate processing.</p><p>• Provide support and solutions for billing-related challenges, including denial trends and short-pay issues.</p><p>• Maintain a thorough understanding of team member responsibilities and collaborate with other departments to address billing-related concerns.</p><p>• Coordinate backup support for billing and collections staff during absences or high workload periods.</p><p>• Ensure billing software is updated with current reimbursement rates, billing codes, and regulatory requirements.</p><p>• Facilitate onboarding for new staff by setting up access to insurance and billing systems.</p><p>• Conduct performance evaluations for billing and collections team members, offering constructive feedback and development plans.</p><p>• Monitor adherence to standard operating procedures and recommend updates for improved accuracy and efficiency.</p><p>• Review and approve staff timecards on a weekly basis.</p><p>• Prepare and deliver required management and external billing reports, including hospice aggregate caps and cost report data.</p>
We are looking for a dedicated Billing Clerk to join our healthcare team in Marshall, Michigan. In this role, you will play a key part in managing billing operations and ensuring accurate financial transactions within the organization. This position offers the opportunity to work in a fast-paced environment, contributing to the efficiency of healthcare services.<br><br>Responsibilities:<br>• Prepare and issue accurate billing statements to clients and patients.<br>• Manage the collection of payments and maintain organized financial records.<br>• Oversee computerized billing systems to ensure smooth operations.<br>• Work closely with healthcare staff to address billing inquiries and resolve discrepancies.<br>• Monitor accounts receivable and follow up on outstanding payments.<br>• Ensure compliance with healthcare billing regulations and standards.<br>• Generate periodic financial reports related to billing activities.<br>• Assist in the implementation and improvement of billing processes and procedures.<br>• Maintain confidentiality and security of patient financial information.<br>• Stay updated on changes in medical billing practices and health care policies.
We are looking for a detail-oriented Billing Coordinator to join our team on a Contract basis in Smyrna, Georgia. In this role, you will oversee and manage the billing process for pharmacy claims, ensuring timely reimbursements from insurance providers and patient payments. Your expertise will be key to maintaining compliance with industry standards while fostering efficient communication between payers, patients, and internal teams.<br><br>Responsibilities:<br>• Submit and monitor pharmacy claims to third-party payers, including commercial insurance, Medicare, and Medicaid, ensuring timely reimbursements.<br>• Track aging reports and follow up on unpaid or partially paid claims to facilitate full payment collection.<br>• Investigate and resolve claim rejections and denials by identifying errors, making corrections, and re-filing or appealing claims as necessary.<br>• Generate patient invoices, explain billing charges, and collect payments while delivering excellent customer service.<br>• Accurately post payments from insurance providers and patients to the appropriate accounts in the billing system.<br>• Reconcile accounts receivable regularly to maintain accurate financial records and address discrepancies promptly.<br>• Communicate with insurance providers to verify coverage details, clarify claim issues, and expedite resolutions.<br>• Maintain organized and detailed records of all billing activities to ensure compliance with pharmacy industry regulations.<br>• Provide clerical support, including sorting, filing, and maintaining departmental reports, to support seamless operations.<br>• Collaborate with management to suggest strategies for improving data accuracy and provide backup assistance to team members when needed.
