<p>We are seeking an <strong>Entry-Level Medical Biller</strong> to join our client’s dynamic team. In this role, you’ll play a vital part in the billing cycle, ensuring accurate and timely billing for medical services while contributing to a positive patient experience.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient charts and medical records to ensure accuracy in billing documentation and coding.</li><li>Prepare and submit insurance claims for reimbursement in compliance with payer requirements.</li><li>Follow up with insurance providers to track claim statuses and resolve discrepancies or denials.</li><li>Respond to patient inquiries regarding billing statements and insurance coverage.</li><li>Post payments and adjustments in the billing system and maintain accurate account records.</li><li>Stay up to date with billing regulations, coding guidelines, and HIPAA compliance standards.</li><li>Collaborate with healthcare providers, administrative staff, and insurance companies to streamline processes.</li></ul><p><br></p>
<p>We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.</p><p> </p><p>Responsibilities:</p><ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul><p><br></p>
<p><strong>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
<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 contract basis in Devens, Massachusetts. In this role, you will play a vital part in ensuring accurate and timely billing processes while addressing appeals and denials. This position offers an opportunity to contribute to a dynamic healthcare environment.<br><br>Responsibilities:<br>• Handle medical billing tasks, including claims processing and submissions.<br>• Manage appeals and denials to ensure proper resolution and reimbursement.<br>• Conduct thorough reviews of medical claims for accuracy and compliance.<br>• Collaborate with insurance providers and patients to address billing inquiries.<br>• Maintain up-to-date knowledge of medical coding standards and billing regulations.<br>• Utilize Epaces and other systems to track and manage claims effectively.<br>• Perform follow-ups on outstanding collections and payments.<br>• Assist with special projects related to billing operations as needed.<br>• Ensure confidentiality and security of patient billing information.
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><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>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Ridgefield, Connecticut. This position, lasting 4–5 months, and will be roughly 30 hours per week, the role will involve accurately posting payments and reconciling billing data within a healthcare setting. If you have a strong background in medical billing and a keen eye for detail, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post both insurance and patient payments into the practice management system.</p><p>• Identify discrepancies in contracted rates and underpaid claims, ensuring proper resolution.</p><p>• Reconcile daily payment batches to maintain accurate financial records.</p><p>• Examine explanation of benefits (EOBs) and electronic remittance advice (ERAs) to ensure correct posting.</p><p>• Prepare appeals for denied claims and follow up with insurance payers as needed.</p><p>• Perform additional billing-related tasks as assigned by the supervisor.</p><p>• Collaborate with team members to streamline billing workflows and improve accuracy.</p>
We are looking for a Medical Biller/Collections Specialist to join our team in Kirkland, Washington. This Contract-to-permanent position offers an opportunity to work on critical processes such as payment posting, credit reconciliation, and refunds management. The ideal candidate will bring expertise in medical billing, collections, and insurance processes while demonstrating proficiency with tools like Excel and specialized billing systems.<br><br>Responsibilities:<br>• Post payments accurately by working off spreadsheets and reconciling credits within the system.<br>• Investigate and resolve credit balances, determining whether adjustments or refunds are required.<br>• Manage refund processes, ensuring compliance with payer-specific procedures and requirements.<br>• Research and reconcile overpayments, verifying amounts and issuing refunds to appropriate parties.<br>• Utilize proprietary billing systems to perform detailed analysis and tracking of credits and payments.<br>• Conduct audits to ensure accurate payment posting and adherence to payer guidelines.<br>• Collaborate with team members to streamline processes related to billing, collections, and refunds.<br>• Generate accurate reports and documentation to support financial transactions and reconciliations.<br>• Stay updated on insurance policies and regulations to ensure compliance in all billing activities.<br>• Provide support for special projects related to patient accounts and refunds.
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.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. In this contract position, you will play a key role in ensuring accurate and efficient billing processes for healthcare providers. This opportunity is ideal for professionals with strong medical billing experience who thrive in fast-paced environments and are committed to maintaining compliance with industry standards. TMHP Or EVV software knowledge is required for this position. </p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing, including coding verification, charge entry, claim submission, and reconciliations.</p><p>• Accurately submit government claims while adhering to established billing guidelines and compliance standards.</p><p>• Review and correct errors on claims prior to submission deadlines to ensure timely processing.</p><p>• Track and complete billing within a 5-7 day payment cycle to maintain efficiency.</p><p>• Collaborate with internal teams to address inquiries and ensure seamless billing operations.</p><p>• Analyze claim denials and implement corrective actions to resolve discrepancies.</p><p>• Verify insurance coverage and eligibility to streamline claim submissions.</p><p>• Utilize electronic billing systems and tools such as Epaces to optimize workflows.</p><p>• Ensure proper application of CPT codes and ICD standards during billing processes.</p><p>• Maintain detailed records and documentation for compliance and audits.</p>
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>_________________________ ____
We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. This Contract-to-Permanent position offers an exciting opportunity to contribute to a dynamic healthcare environment by managing billing operations and ensuring accurate claim processing. The ideal candidate will bring expertise in accounting software systems and a strong understanding of medical billing procedures.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers efficiently and accurately.<br>• Manage accounts receivable and oversee collection procedures to ensure timely payments.<br>• Utilize accounting software systems and tools, including IBM AS/400, Medisoft, and Epic, to handle billing operations.<br>• Review and resolve claim appeals, ensuring compliance with healthcare regulations.<br>• Maintain and update patient billing records within electronic health record (EHR) systems.<br>• Collaborate with internal teams to address billing discrepancies and improve workflows.<br>• Monitor and analyze billing trends to identify areas for process optimization.<br>• Handle billing inquiries and provide exceptional customer service to patients and insurance representatives.<br>• Generate and present financial reports related to billing and collections.<br>• Stay informed about industry changes and updates to medical billing and coding practices.
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections Specialist will play a vital role in managing the revenue cycle for Skilled Nursing Facility services, ensuring claims are processed accurately and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a meticulous individual to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to insurance payers with accuracy and timeliness, focusing on Skilled Nursing Facility services.</p><p>• Investigate and resolve denied claims by identifying root causes and implementing corrective measures to reduce future denials.</p><p>• Draft and submit appeals for claim denials to secure appropriate reimbursements.</p><p>• Maintain comprehensive and accurate patient billing records in compliance with Medicare, Medi-Cal, and payer-specific requirements.</p><p>• Follow up with insurance companies and payers to resolve outstanding claims and ensure timely reimbursements.</p><p>• Stay up-to-date on federal, state, and local billing regulations to ensure strict adherence to compliance standards.</p><p>• Collaborate with administrative and clinical teams to streamline billing workflows and improve documentation processes.</p><p>• Generate detailed account reports that outline billing trends, claim statuses, and resolution timelines for management review.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Lexington, Kentucky. This Contract-to-Permanent position is ideal for professionals with experience in medical billing and coding who are ready to contribute to a collaborative and efficient work environment. The role involves handling high-volume authorizations, insurance claims, and patient communications, ensuring accuracy and timeliness in all billing processes.<br><br>Responsibilities:<br>• Process medical claims and ensure all billing activities comply with established policies and procedures.<br>• Verify patient insurance benefits online and obtain necessary authorizations for services.<br>• Conduct follow-ups with insurance companies to resolve denied claims and ensure timely reimbursements.<br>• Communicate with patients regarding copays, deposits, and payment arrangements, maintaining professionalism and empathy.<br>• Record and process payments within the system, ensuring accurate documentation.<br>• Collaborate with a team of billing professionals to meet departmental goals and deadlines.<br>• Utilize medical coding knowledge to accurately input data and avoid errors.<br>• Manage a high volume of authorizations with a proactive and organized approach.<br>• Stay updated on industry trends and insurance company policies to improve efficiency.<br>• Assist in maintaining a positive and productive office environment.
<p>We are looking for a skilled and detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a key part in ensuring the accurate processing of medical records, billing codes, and claims for healthcare providers. Based in Oakland, California, this position requires a strong understanding of medical billing systems, particularly Welligent coding, and a commitment to maintaining compliance with healthcare standards.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and process medical billing records with precision, utilizing Welligent coding systems to ensure compliance with industry regulations.</p><p>• Manage and organize billing codes and documentation for multiple healthcare entities, ensuring prompt and accurate claims submissions.</p><p>• Review patient records and procedures to verify proper billing practices and adherence to guidelines.</p><p>• Identify and resolve discrepancies in billing processes to facilitate seamless claims management.</p><p>• Collaborate with healthcare providers, insurance payers, and administrative staff to address billing issues and ensure accurate coding.</p><p>• Stay updated on changes to billing regulations, coding standards, and healthcare compliance requirements.</p><p>• Maintain detailed and organized records of all billing activities and claims submissions.</p><p>• Support the implementation of best practices for medical billing processes across the organization.</p><p><br></p><p>If you are interested in this role please apply right away and call us at (510) 470-7450</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-permanent position, you will play a critical role in managing billing operations and ensuring accurate processing of medical claims. This opportunity is ideal for professionals with a strong background in healthcare billing and proficiency in industry-standard software.<br><br>Responsibilities:<br>• Manage and process medical claims efficiently using a variety of billing systems and software.<br>• Ensure accurate coding and compliance with healthcare regulations during claim submissions.<br>• Handle accounts receivable tasks, including follow-ups on unpaid claims and resolving payment discrepancies.<br>• Monitor and execute appeals for denied claims to maximize revenue recovery.<br>• Utilize accounting software systems, including Medisoft and IBM AS/400, to maintain up-to-date billing records.<br>• Collaborate with collection teams to streamline payment processes and resolve outstanding balances.<br>• Perform detailed analysis of billing reports to identify trends and areas for improvement.<br>• Support claim administration tasks, ensuring timely submissions and adherence to payer guidelines.<br>• Work with Epic software to manage patient billing data and related documentation.
<p>Our client is seeking a motivated and detail-oriented <strong>Entry-Level Medical Biller</strong> to join their team. This is an excellent opportunity to gain hands-on experience and learn the ins-and-outs of medical billing while working alongside a supportive and skilled team.</p><p><strong>Role Overview:</strong></p><p>As an Entry-Level Medical Biller, you will play a vital role in maintaining the financial health of the organization. You will process medical claims, verify insurance coverage, and ensure timely and accurate payments. Your attention to detail and ability to solve problems will help make a difference in this fast-paced and rewarding environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately prepare and submit healthcare claims to insurance companies.</li><li>Review patient medical records to ensure accurate coding and documentation for billing purposes.</li><li>Verify patient insurance information and benefits to determine eligibility for services.</li><li>Follow up on unpaid or denied claims with insurance companies to ensure resolution.</li><li>Post payments and maintain accurate records in the billing software system.</li><li>Respond to patient and provider inquiries regarding billing, payments, and insurance claims.</li><li>Assist with audits and compliance to ensure adherence to HIPAA and regulatory requirements.</li></ul><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent is required; postsecondary coursework or certification in medical billing/coding is a plus.</li><li>Strong organizational and time management skills with attention to detail.</li><li>Excellent communication skills (verbal and written) and a customer service mindset.</li><li>Basic knowledge of medical terminology and insurance processes is a bonus, but not required—training will be provided!</li><li>Proficient in Microsoft Office Suite (Word, Excel) with the ability to learn industry-specific software.</li><li>A positive attitude, team spirit, and eagerness to learn and grow in the role.</li></ul><p><br></p><p><br></p>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
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><strong>Contract Medical Billing/Claims/Collections Specialist</strong></p><p><br></p><p><em>Location: Remote, Northeast Ohio (Canton, OH-Based)</em></p><p><br></p><p>We are seeking a detail-oriented and experienced Medical Billing/Claims/Collections Specialist to join our talented team on a contract basis. This role is critical for ensuring accurate coding processes, maintaining compliance with revenue integrity standards, and optimizing charge capture workflows. Although this position is fully remote, candidates must reside within the Northeast Ohio area to foster seamless collaboration with local teams and stakeholders. A coding certification is preferred to demonstrate expertise in industry standards and best practices.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately assign diagnostic and procedural codes for outpatient and inpatient billing to guarantee precise charge capture.</li><li>Conduct coding audits to identify missing documentation or discrepancies impacting revenue generation.</li><li>Ensure consistent compliance with coding and reimbursement guidelines while adhering to relevant industry standards.</li><li>Educate healthcare providers on coding specificity and quality indicators to enhance documentation accuracy and streamline workflows.</li><li>Track and report open encounters and zero charges proactively to relevant personnel.</li><li>Collaborate with department leaders, healthcare providers, and organizational leadership to address coding concerns or identify optimization opportunities.</li><li>Meet or exceed established productivity and quality benchmarks for coding tasks.</li><li>Support revenue cycle and clinical teams in performing additional administrative functions as required.</li><li>Stay current with coding policies, guidelines, and healthcare industry trends to uphold best practices.</li><li>Utilize hospital software applications and Microsoft Office tools effectively to accomplish daily responsibilities with efficiency.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>A coding certification (e.g., CPC, CCS, or equivalent) is strongly preferred.</li><li>Proven experience in medical billing, claims, and collections.</li><li>Expertise in diagnostic and procedural coding, coupled with familiarity with audit processes and revenue cycle optimization.</li><li>Knowledge of relevant coding guidelines and reimbursement policies.</li><li>Strong communication skills and an ability to work collaboratively with healthcare professionals and cross-functional teams.</li><li>Proficient in healthcare software applications and Microsoft Office Suite.</li></ul><p><strong>Why Join Us?</strong></p><p>This opportunity allows you to contribute to the smooth operation of a respected healthcare organization while working in a flexible remote environment. Be a part of a dynamic environment with a mission to make healthcare administration seamless and efficient.</p><p>Apply now to make an impact in the healthcare industry while showcasing your skills and expertise.</p><p><br></p><p>Want to build your career in healthcare? </p>
<p>Our client, in the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/Claims specialist near downtown Tucson! You will be tasked with managing medical claims and ensuring accurate billing and collections. This position requires skills in various accounting software systems, knowledge of EHR systems, and EOB.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Handle medical claims with precision and ensure timely processing</p><p>• Utilize accounting software systems to maintain accurate records and facilitate collections</p><p>• Leverage EHR systems to access patient data and manage billing functions</p><p>• Keep a meticulous record of accounts receivable and follow up on pending claims</p><p>• Address and resolve any customer inquiries related to billing and collections</p><p>• Conduct appeals and authorizations as part of the medical claims process</p><p>• Ensure compliance with all billing functions and benefit functions</p><p>• Work with NextGen or Netsmart systems for efficient management of claims and billing.</p>
<p>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
We are looking for a dedicated and detail-oriented individual to join our team as a Medical Billing/Claims/Collections Specialist in Sartell, Minnesota. This long-term contract position offers an excellent opportunity to utilize your expertise in medical billing and claims management while contributing to the efficiency of our operations. If you are detail-oriented and have a solid understanding of medical billing processes, this role may be a great fit for you.<br><br>Responsibilities:<br>• Review insurance explanation of benefits (EOBs) to ensure claims are processed accurately and posted correctly in the MatrixCare system.<br>• Investigate claim statuses by accessing insurance websites to confirm receipt and processing details.<br>• Identify and address denied claims, take corrective actions, and resubmit claims as necessary.<br>• Communicate effectively with insurance providers to resolve discrepancies and ensure timely claim resolutions.<br>• Maintain accurate documentation and records of claim activities for auditing and compliance purposes.<br>• Collaborate with team members to improve billing and claims workflows and ensure adherence to best practices.<br>• Analyze trends in claim denials to recommend process improvements and reduce future issues.<br>• Stay updated on insurance policies and billing regulations to ensure compliance with industry standards.
