<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.</p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing and collection functions for OHMG Surgical detail-oriented fees.</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.</p><p> -Performs all data entry and charge posting functions for OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned.</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies.</p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons.</p>
<p>A Healthcare organization in the city of Duarte is looking for a skilled Medical Billing Collections Specialist. The Medical Billing Collections Specialist must have at least 4 years of experience in the health care industry. The ideal candidate for this open position would have experience in skilled nursing or related fields.</p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Billing and Claims Management:</strong> Prepare, submit, and track medical claims for services provided in our skilled nursing facility to insurance companies, Medicare/Medicaid, and private payers.</li><li><strong>Patient Accounts:</strong> Manage accounts receivable, follow up on outstanding payments, resolve discrepancies, and ensure timely reimbursement.</li><li><strong>Compliance:</strong> Stay current with billing and coding regulations, including ICD-10, CPT, and HCPCS codes, ensuring compliance with HIPAA and other legal standards.</li><li><strong>Collaboration:</strong> Work closely with admissions, case management, and clinical staff to ensure accurate coding and documentation throughout the billing process.</li><li><strong>Denial Management:</strong> Handle rejected or denied claims, resolve issues, and resubmit claims to maintain efficient cash flow.</li><li><strong>Reporting:</strong> Prepare regular billing and financial reports to support operational decisions.</li></ul><p><br></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>_________________________ ____
<p>Our <strong>healthcare client in San Luis Rey</strong> is seeking a proactive <strong>Collections Specialist</strong> to manage outstanding patient and insurance balances within the revenue cycle department. The ideal candidate has prior experience handling medical collections, understands insurance follow-up procedures, and thrives in a fast-paced, results-driven environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Follow up on unpaid insurance claims and patient balances to ensure timely reimbursement.</li><li>Contact insurance companies regarding claim denials, underpayments, and appeals.</li><li>Initiate patient outreach for outstanding self-pay balances with professionalism and empathy.</li><li>Record all collection activities in the billing system, ensuring documentation accuracy.</li><li>Work closely with billing and posting teams to correct errors and resubmit claims.</li><li>Review EOBs and identify opportunities to improve collection efficiency.</li><li>Maintain compliance with HIPAA and Fair Debt Collection Practices Act (FDCPA) standards.</li><li>Generate weekly collection reports and aging summaries for management.</li></ul>
We are looking for a skilled Medical Collections Specialist to join our team on a contract basis in Maynard, Massachusetts. In this role, you will play a crucial part in managing patient accounts, negotiating payment terms, and ensuring compliance with healthcare regulations. This position offers an opportunity to work in a dynamic environment where attention to detail and customer service are key.<br><br>Responsibilities:<br>• Manage patient accounts by communicating financial responsibilities, addressing billing inquiries, and arranging payment plans.<br>• Ensure compliance with healthcare regulations and internal policies related to billing and collections.<br>• Negotiate payment terms effectively to resolve disputes with patients, insurance providers, and other stakeholders.<br>• Analyze billing information to identify discrepancies and research denials for resolution.<br>• Utilize healthcare billing software and electronic claim submission tools to streamline operations.<br>• Collaborate with insurance companies, clients, and internal departments to resolve billing inquiries and disputes.<br>• Provide clear and precise communication to maintain positive relationships and satisfactory outcomes.<br>• Post payments and reconcile accounts to ensure accurate balances and resolve discrepancies.
<p>Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.</p><p>• Monitor claim submission activities and generate reports to track progress and efficiency.</p><p>• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.</p><p>• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.</p><p>• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.</p><p>• Manage invalid claims by correcting errors and updating physician and contract information.</p><p>• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.</p><p>• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.</p><p>• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.</p><p>• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our</p>
<p>A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,</p><p><br></p><p>Responsibilities:</p><p><br></p><p>1. Investigating and resolving denied claims from various insurance providers.</p><p>2. Reviewing credit balances and denials management. </p><p>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.</p><p>4. Follow up on outstanding claim denials and secure reimbursement where possible.</p><p>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.</p><p>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.</p><p>7. Submit appeals and reconsideration requests to insurance companies for denied claims.</p><p>8. Strong understanding of HMO and PPO. </p>
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
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 claims, collections, and coding. Based in New Orleans, Louisiana, this position offers an opportunity to contribute your expertise to a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Process medical claims with accuracy and efficiency, adhering to industry standards and regulations.<br>• Conduct medical coding to ensure proper classification and compliance with billing requirements.<br>• Manage collections by following up on outstanding balances and resolving discrepancies.<br>• Utilize Epaces and other systems to monitor claims and maintain data integrity.<br>• Communicate effectively with healthcare providers and insurance companies to address billing issues.<br>• Verify patient information and insurance details to facilitate accurate billing.<br>• Identify and resolve errors in claims submissions to minimize delays and denials.<br>• Maintain up-to-date knowledge of billing policies, procedures, and regulatory changes.<br>• Generate reports to track billing performance and identify areas for improvement.<br>• Collaborate with team members to streamline billing processes and enhance operational efficiency.
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.
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’re partnering with a well-established credit union experiencing significant growth and team integration! Their collections department now supports both direct and indirect lending and is seeking a service-minded professional to join their team.</p><p><br></p><p>Apply today or contact our team at 563-359-3995 to learn more. Christin, Lydia, and Erin are great points of contact!</p><p><br></p><p>Details:</p><p>Location - Onsite: Moline, IL</p><p>Hours: M-F 8:30am-5pm</p><p>Duration: Contract-to-Hire</p><p><br></p><p>Key Responsibilities:</p><p>- Handle early-stage delinquency queues (typically 7+ days past due) with a focus on proactive, respectful outreach via phone, text, and email</p><p>- Respond to inbound member calls regarding locked accounts, payment issues, and account recovery</p><p>- Collaborate with team members to find solutions and bring accounts back into good standing</p><p>- Progress into more complex queues over time, with opportunities to develop negotiation skills</p><p>- Contribute to a team culture that emphasizes member service, accountability, and collaboration</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
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 Medical Biller in the Middlesex County, NJ area. In this role you will be responsible for the medical billing process, accounts receivable, posting payments, insurance claims, and more. If you have 1+ years of experience as a Medical Biller and are looking to grow your career, this might be the opportunity for you! </p><p><br></p><p>Responsibilities:</p><p>• Process medical payments, including credit card transactions and electronic fund transfers (EFTs), across three locations.</p><p>• Post payments accurately and ensure timely reconciliation of accounts.</p><p>• Generate and review month-end financial reports to identify and resolve discrepancies.</p><p>• Handle claim submissions to secondary payers and manage related follow-ups.</p><p>• Issue refunds to patients and insurance companies as needed.</p><p>• Perform bank reconciliations to ensure accurate financial records.</p><p>• Communicate effectively with patients and insurance providers to address billing inquiries.</p><p>• Utilize insurance portals to verify information and facilitate smooth payment processing.</p>
We are looking for an experienced Medical Collections Specialist to join our team in Owings Mills, Maryland. This contract position is ideal for a detail-oriented individual who excels in managing the end-to-end collections process, including appeals and reconsiderations. The role involves working closely with provider payers, handling denials, and ensuring accurate documentation for appeals.<br><br>Responsibilities:<br>• Manage the complete medical collections process, from initial billing to appeals and reconsiderations.<br>• Follow up on authorization needs and address denials related to missing or incomplete authorizations.<br>• Collaborate with provider payers to gather necessary information for appeals and ensure timely resolution.<br>• Analyze and sort data using Microsoft Excel, applying filters and other tools to organize information efficiently.<br>• Investigate payer denials and execute appropriate actions to resolve issues.<br>• Handle prior authorizations and ensure compliance with payer requirements.<br>• Maintain accurate and thorough records of all collections and appeals activities.<br>• Communicate effectively with healthcare providers and payers to address and resolve outstanding issues.<br>• Identify trends in denials and recommend proactive solutions to minimize recurring issues.<br>• Ensure adherence to relevant policies and procedures throughout the collections process.
<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>
<p>We are looking for a detail-oriented Collection Specialist to join our team in Burr Ridge, Illinois. In this long-term contract role, you will manage collections for high-value national accounts, ensuring timely payments, accurate account reconciliations, and resolving billing discrepancies. This position offers the opportunity to work with specialized billing systems and customer portals while maintaining positive relationships with clients.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the collection process for a portfolio of high-value national accounts, ensuring timely payments and reducing overdue balances.</p><p>• Manage specialized billing processes, including submission and tracking of construction-related invoices.</p><p>• Reconcile customer accounts to maintain accuracy and ensure all balances are up to date.</p><p>• Utilize customer-specific portals to upload invoices, monitor payment statuses, and communicate directly with clients.</p><p>• Maintain accurate records, process payments, and perform account adjustments using specialized systems.</p><p>• Collaborate with internal teams and customers to resolve payment discrepancies and disputes.</p><p>• Prepare reports detailing account statuses, overdue balances, and overall collections performance for management review.</p><p>• Address customer concerns professionally while fostering positive relationships and resolving billing issues.</p><p>• Ensure compliance with company policies and legal regulations related to collections and billing.</p><p><br></p><p>The salary range for this position is $23/hr to $25/hr. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information.</p>
<p>• The Billing, Credit & Collections Specialist generates project invoice transactions and oversees assigned Accounts Receivable (A/R) Collections, ensuring the integrity and accuracy of A/R transactions</p><p>• Manage the processing of cash receipts daily; monitor client accounts regularly and identify and pursue delinquent accounts</p><p>• Research and resolve payment discrepancies, short pays, and customer disputes in a professional manner</p><p>• Enter invoices to supplier portals</p><p>• Collaborate with the sales, customer service, and finance teams to resolve billing issues</p><p>• This position interacts closely with the company’s Proposals & Contracts and Project Management teams, and has high visibility across the organization, driving company operations for billing and collections</p><p>• Independently lead the Collections function to ensure prompt and orderly collection of billed transactions; regularly engage within the Company (Finance, Project Managers, Business Development, etc.) and with external customers to elevate A/R Collections to an optimal level</p><p>• Tactfully & extensively communicate (phone and email) to critical and sizeable clients seeking payment on funds owed for work completed</p><p>• Prepare and issue monthly invoices for all billable projects and costs, including hourly, unit, and pass-through; guarantee timely and accurate tracking of customer contracts, change orders, and service invoices; meet departmental billing deadlines</p><p>• Prepare monthly client financial summaries and estimates, and report KPI type data on A/R, cash collections, and days sales outstanding (DSO) to the Senior Leadership Team within the Company</p><p>• Responsible for account reconciliation and analysis for balance sheet accounts including but not limited to cash and accounts receivable</p><p>• Research, review, obtain approval (as needed), and process credit memo requests, and support Project Management with customer billing inquiries; research unpaid or disputed amounts and engage Proposals & Contracts, Project Management, and Finance departments to lead resolution and correction of customer issues and billing errors</p><p>• Responsible for analyzing the creditworthiness of prospective and current customers and make recommendations for credit limit and payment terms.</p><p>• Examining credit history using credit agency tools (D& B) and evaluating potential risks</p><p>• Provide year-end support of auditor requirements, which may include research and reconciliation; perform additional assignments, as directed by Finance Manager</p><p>• Participate in efforts to achieve department and company goals</p><p>• Create and update suppliers</p><p>• Performs other duties as assigned</p><p>• Crosstrain within the accounting department</p><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Minneapolis, Minnesota. This Contract to permanent position requires a detail-oriented individual to manage billing processes, ensure timely claim submissions, and resolve discrepancies with precision and efficiency. The role offers an opportunity to collaborate closely with clinical and administrative teams while maintaining compliance with insurance policies and patient confidentiality.<br><br>Responsibilities:<br>• Review and verify the accuracy of patient demographic, insurance, and treatment information before submitting claims.<br>• Prepare and submit electronic and paper claims to insurance companies and third-party payers.<br>• Investigate and resolve unpaid or denied claims, addressing discrepancies in billing as needed.<br>• Post insurance and patient payments accurately to maintain up-to-date patient accounts.<br>• Generate patient statements and respond promptly to inquiries related to billing.<br>• Examine Explanation of Benefits (EOBs) and remittance advices for accuracy and proper processing.<br>• Collaborate with clinical and administrative staff to address billing issues and ensure compliance with payer requirements.<br>• Uphold patient and financial confidentiality in accordance with industry regulations.<br>• Stay informed about billing codes and insurance policies to maintain accuracy in all processes.
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
<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 seeking a <strong>Patient Billing & Resolution Specialist</strong> for a temporary position dedicated to resolving hospital and professional billing issues with a high level of customer care. The <strong>Patient Billing & Resolution Specialist</strong> will be responsible for ensuring billing accuracy, managing patient accounts, and delivering excellent service in a fast-paced environment. If you are an experienced <strong>Patient Billing & Resolution Specialist</strong> with a background in collections and healthcare billing, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><ul><li>Respond to HB (Hospital Billing) and PB (Professional Billing) inquiries, including insurance benefits, billing/payment issues, and authorizations.</li><li>Perform timely and efficient self-pay collections via phone and offer payment arrangement options.</li><li>Request and process adjustments, contractual write-offs, bad debt transfers, and presumptive charity determinations.</li><li>Document steps taken on each account accurately and consistently.</li><li>Ensure productivity standards are met by managing daily assigned accounts.</li><li>Follow established policies, procedures, and applicable regulations (federal, state, and local).</li><li>Maintain strong knowledge of billing practices, including third-party payer procedures and requirements.</li><li>Handle technical issues and system navigation with minimal supervision.</li><li>Other duties as assigned.</li></ul>
• Build and maintain strong relationships with key customers throughout the Accounts Receivable process.<br>• Engage with our valued customers via outbound phone calls and email to collect on payments owed.<br>• Perform account reconciliations as needed to ensure accounting records are aligned.<br>• Partners with our branch managers and regional managers to align on appropriate payment strategies for past due accounts<br>• Achieve accounts receivable KPI’s, including daily call volume, and accounts receivable percent over 60 days.<br>• Understands and communicates the account receivables policy.<br>• Effectively resolves issues in a positive, professional manner.<br>• Communicate effectively in a prompt courteous and customer-oriented manner<br>• Drive innovative solutions on past-due accounts where standard accounts receivable procedures have failed<br>• Analysis of any changes in payment patterns and recommend customers for credit evaluation.<br>• Refers uncollectable past due accounts to Credit Manager for review of possible collection or bade debt write off<br>• Ensures accurate customer files and customer billing information is up to date<br>• Responds to bankruptcy notices, returned checks, uncashed checks and bank credit card disputes<br>• Other duties as assigned.<br>Qualifications<br><br>• 2+ years of experience as a Credit Analyst, Accounts Receivable Specialist, or related field.<br>• You are detail-oriented, have a passion for customer service and strong interpersonal skills<br>• You want to be a great team player and possess the ability to collaborate and adapt in partnering with stakeholders across the business.<br>• You are self-motivated, goal-oriented, possess the ability to learn quickly and work effectively in a fast-paced work environment.<br>• Experience in handling a large volume, small dollar portfolio<br>• Excellent communication and interpersonal skills, including the ability to negotiate satisfactory business resolutions<br>• You are self-motivated, customer-centric, and highly organized.<br>• Experience reconciling AR accounts a plus.<br>• Experience training, mentoring other team members a plus.<br>• Ability to handle confidential or sensitive information with discretion<br>• Microsoft office: Excel and Word<br>• Experience with Davisware Global Edge is a plus<br>• Must pass a pre-employment drug screen and criminal background check
