<p>Robert Half has multiple on going opportunities in the healthcare industry. We are seeking an experienced multiple Medical Billing Specialists to work onsite with our client in Knoxville, TN. Our client is a physician-owned healthcare organization dedicated to delivering trustworthy, reliable services. Serving primary care and multispecialty members, they collaborate with over 1,400 physicians and healthcare professionals across 93 medical specialties, ensuring strong, efficient partnerships between healthcare systems and clinical practices. This contract-to-permanent role will be based in an onsite call center, providing essential support for the medical community. Responsibilities: Handle high volumes of inbound calls from patients and healthcare providers. Perform data entry tasks, including patient records and information related to ICD-9 and ICD-10 codes. Follow up on patient medical records to ensure accuracy and compliance. Communicate with patients and healthcare teams in a detail oriented, empathetic manner. Maintain confidentiality and adhere to HIPAA regulations. Ensure billing processes align with organizational and regulatory standards. If you are passionate about healthcare support and seek an opportunity to grow in a reputable healthcare organization, we encourage you to apply today! </p><p><em>Contact: Kelly Fellows 865-370-2219 to set up an interview after applying for the role.</em></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!
We are looking for a detail-oriented Billing Clerk to join our team in Massillon, Ohio. This role is essential for ensuring accurate and timely processing of billing tasks, including medical billing and administrative support. If you have experience in billing or are eager to learn medical billing practices, we welcome you to apply.<br><br>Responsibilities:<br>• Process medical billing tasks, including coding, rebilling, and managing insurance claims.<br>• Follow up with insurance companies to address and resolve claim denials.<br>• Prepare and distribute accurate billing statements and ensure compliance with regulations.<br>• Provide administrative support to the office, including managing compliance certifications.<br>• Collaborate with human resources on administrative tasks, with training provided as needed.<br>• Offer support in behavioral health medical billing processes.<br>• Assist with office procedures and maintain organized billing systems.<br>• Train on medical billing practices if you have traditional billing experience.
<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>We are looking for a meticulous Billing Clerk to join our team in North Andover, Massachusetts. In this role, you will handle medical billing processes, ensuring accuracy and compliance with industry standards while working closely with healthcare providers, insurance companies, and patients. This position is ideal for professionals with medical billing experience who enjoy a dynamic, collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with precision and attention to detail.</p><p>• Investigate and resolve denied or rejected claims to secure timely reimbursements.</p><p>• Verify patients' insurance coverage and eligibility prior to submitting claims.</p><p>• Oversee accounts receivable, recording payments and applying necessary billing adjustments.</p><p>• Collaborate with healthcare staff to address and correct coding discrepancies.</p><p>• Generate comprehensive financial reports to monitor billing performance and metrics.</p><p>• Ensure compliance with Medicare, Medicaid, and private insurance regulations.</p><p>• Utilize medical billing software and electronic health record systems effectively.</p><p>• Provide responsive customer service by addressing patient and insurance inquiries regarding billing.</p><p>• Conduct follow-ups on unpaid claims to facilitate proper payment collection.</p><p><br></p><p><br></p><p>If interested, please reach out to jeremy.tranfaglia@roberthalf</p>
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.
We are looking for a detail-oriented Medical Billing Coder to join our team in Phoenix, Arizona, on a long-term contract basis. In this role, you will play a key part in ensuring accurate coding and billing processes within the healthcare revenue cycle. Collaborating with internal teams and external partners, you will work to identify and resolve coding issues while implementing solutions that enhance the overall efficiency of billing operations.<br><br>Responsibilities:<br>• Assign appropriate and accurate codes while adhering to government and insurance regulations.<br>• Analyze and correct errors, discrepancies, or missing information in claim documentation.<br>• Provide guidance to the Revenue Cycle team on selecting appropriate ICD, CPT, and HCPCS codes for accurate billing and reimbursement.<br>• Review and validate documentation to ensure it supports diagnoses, procedures, and treatments.<br>• Keep team members informed of updates to coding standards, systems, and procedures through meetings and written communications.<br>• Recommend alternative coding methods to address challenges and improve processes.<br>• Develop and implement protocols to troubleshoot and enhance coding reviews and modifications.<br>• Collaborate with cross-functional teams to drive continuous improvement in billing and coding systems.<br>• Maintain consistent attendance and perform additional duties as needed.
<p>We have partnered with a client in San Jose who is seeking a Billing Specialist who can start immediately! This position is looking to convert from contract to full time depending on performance. </p><p> </p><p>Responsibilities:</p><ul><li>Searching each financial statement for any payment inconsistencies or errors</li><li>Assume the responsibility of receiving and sorting incoming payments with attention to credibility</li><li>Manage the status of accounts and balances and identify inconsistencies</li><li>Issue and post bills, receipts and invoices</li><li>Inputting payment history, upcoming payment information or other financial data into an individual account</li><li>Finding financial solutions for patients or customers who may need payment assistance </li><li>Informing patients or customers of any missed or upcoming payment deadlines</li><li>Calculating and tracking various company financial statements</li></ul><p><br></p>
<p>We are looking for a skilled Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Chattanooga, Tennessee, and requires expertise in Medicare billing and claims management. The position focuses on resolving returned claims due to clerical errors while ensuring accuracy and efficiency in all billing processes. This is an in-office position, with a Monday-Friday schedule.</p><p><br></p><p>Responsibilities:</p><p>• Review and correct Medicare claims that have been returned due to clerical errors.</p><p>• Refile claims with updated and accurate information to ensure successful submission.</p><p>• Monitor billing processes to identify trends in denials and implement corrective measures.</p><p>• Conduct appeals for denied claims, providing necessary documentation and follow-up.</p><p>• Collaborate with team members to maintain consistency and accuracy in billing practices.</p><p>• Utilize hospital billing systems to process claims efficiently and accurately.</p><p>• Communicate with insurance providers to clarify billing issues and secure payment.</p><p>• Maintain detailed records of claims, appeals, and collections for auditing purposes.</p><p>• Ensure compliance with Medicare regulations and guidelines in all billing activities.</p><p><br></p><p>Please complete an application and call (423) 237-7921 for IMMEDIATE consideration! </p>
We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
<p>We are seeking a motivated and detail-oriented Pharmacy Billing Specialist to join our team! The ideal candidate will have a strong background in medical billing, excellent organizational skills, and a commitment to providing superior support in pharmacy claim handling and insurance billing. Must be local to Indianapolis.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position include the following:</p><ul><li>Provide assistance in preparing and submitting pharmacy claims to third-party insurance carriers as needed.</li><li>Secure and verify all necessary medical documentation required by third-party insurance carriers for claims processing.</li><li>Conduct follow-ups with third-party insurance carriers and patients to address unpaid claims or balances and resolve discrepancies.</li><li>Research and analyze payer regulations and claim guidelines, ensuring compliant billing practices by leveraging payer-specific tools and resources.</li><li>Verify insurance coverage for pharmacy services prior to rendering services, when applicable.</li><li>Re-validate benefit coverage criteria during claim follow-up processes.</li><li>Maintain accurate and thorough documentation of all steps taken to resolve claim-related issues within billing software systems.</li><li>Regularly report claim trends and issues to the Team Lead and/or Billing Manager.</li><li>Collaborate with the Team Lead and/or Billing Manager to establish and achieve short-term and long-term goals while providing progress updates.</li></ul>
We are looking for a dedicated Medical Accounts Receivable Specialist to join our team on a long-term contract basis in Scranton, Pennsylvania. In this role, you will focus on managing and resolving outstanding accounts receivable while ensuring compliance with billing and payment processes. Your expertise in medical billing and insurance will play a key role in maintaining financial accuracy and delivering exceptional service.<br><br>Responsibilities:<br>• Monitor and follow up on aged accounts receivable to ensure balances remain within acceptable timeframes.<br>• Investigate and resolve rejected claims by payers, applying necessary corrections in the billing system.<br>• Identify and address payment posting errors, ensuring accurate updates and communication with relevant staff.<br>• Handle inquiries from patients and facilities regarding account balances and payment statuses.<br>• Research and reconcile outstanding credit balances, preparing refund requests as needed.<br>• Communicate payment trends and emerging issues related to payers, codes, or diagnoses to supervisors and leadership.<br>• Provide training and guidance to team members to enhance productivity and achieve departmental objectives.<br>• Develop and implement corrective action plans for identified billing or coverage errors.<br>• Prepare comprehensive reports to track progress and performance within the billing department.
We are looking for a dedicated Medical Insurance Claims Specialist to join our team on a contract basis in San Diego, California. In this role, you will manage insurance claims, verify patient eligibility, and ensure accurate processing of medical billing. This position requires strong communication skills, attention to detail, and a commitment to delivering excellent service to patients and healthcare professionals.<br><br>Responsibilities:<br>• Verify patients’ insurance coverage, including eligibility, copayments, deductibles, and pre-authorization requirements.<br>• Submit and manage treatment authorizations, ensuring timely approvals and addressing denials or escalations.<br>• Communicate with patients to explain their insurance benefits, financial responsibilities, and address any concerns.<br>• Collaborate with billing staff to ensure accurate processing of claims based on verified insurance information.<br>• Maintain detailed documentation of insurance verification activities, including interactions with insurance providers and patients.<br>• Resolve discrepancies in coverage and authorization denials, escalating complex cases when necessary.<br>• Coordinate with healthcare providers and administrative teams to improve the patient experience.<br>• Ensure compliance with patient confidentiality regulations and organizational policies.<br>• Educate patients on out-of-pocket expenses and assist with inquiries about billing procedures.
We are looking for a skilled Medical Collections Specialist to join our team on a contract basis in East Rutherford, New Jersey. In this role, you will play a crucial part in resolving insurance claim issues and ensuring proper billing processes are followed. This is a fully on-site position that requires strong attention to detail, effective communication skills, and a solid understanding of medical billing procedures.<br><br>Responsibilities:<br>• Analyze rejected or denied insurance claims to identify errors, omissions, or discrepancies.<br>• Correct claim data, coding issues, or missing patient/insurance information to facilitate resubmission.<br>• Resubmit corrected claims promptly through designated billing systems or insurance platforms.<br>• Monitor the status of submitted claims to ensure timely processing and payment resolution.<br>• Collaborate with insurance carriers, patients, and internal teams to address billing discrepancies and prevent recurrence.<br>• Maintain accurate records and documentation of claim corrections and communications.<br>• Utilize medical billing knowledge to handle appeals and denials effectively.<br>• Ensure compliance with healthcare regulations and insurance policies during claim processing.<br>• Provide support and insights to improve overall billing accuracy and efficiency.
We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.<br>• Manage medical billing operations, ensuring timely and accurate processing.<br>• Handle medical claims by reviewing, validating, and resolving discrepancies.<br>• Collaborate with team members to streamline billing functions and improve workflows.<br>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.<br>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.<br>• Support the transition of revenue processes back in-house, ensuring seamless integration.<br>• Provide detailed reporting on billing and claims metrics to stakeholders.<br>• Assist in supply chain-related tasks when applicable to revenue cycle management.<br>• Maintain up-to-date knowledge of industry practices and regulatory changes.
<p>We are looking for an experienced Revenue Cycle Manager to oversee and optimize the billing and revenue operations within our healthcare organization in Las Vegas, Nevada. This role is integral to ensuring efficient financial processes while maintaining strong relationships with both internal teams and external stakeholders. The ideal candidate will have a proven track record in medical billing, management, and revenue cycle operations.</p><p><br></p><p>Responsibilities:</p><p>• Supervise the organization's billing and revenue processes to ensure accuracy and compliance with healthcare regulations.</p><p>• Develop strategies to maximize cash flow while fostering positive relationships with patients and partners.</p><p>• Lead daily operations related to the revenue cycle, addressing challenges and implementing solutions.</p><p>• Analyze current processes, create documentation, and train staff to build a cohesive revenue cycle team.</p><p>• Manage accounts receivable, billing, and coding teams, including direct oversight of approximately 22 employees.</p><p>• Implement measures to reduce accounts receivable days and enhance daily collections.</p><p>• Utilize advanced Excel tools and healthcare software, such as Allscripts, to streamline operations and reporting.</p><p>• Ensure adherence to fee billing standards and third-party payer regulations.</p><p>• Collaborate with leadership to address operational impacts of healthcare regulatory requirements.</p><p>• Foster a culture of continuous improvement and problem-solving within the revenue cycle team.</p><p><br></p><p>If you are interested in learning more about this opportunity, please contact Kathy Beavers at Robert Half, see contact information on LinkedIn.</p>
We are looking for a detail-oriented and analytical Billing Supervisor/Manager to oversee billing operations and revenue cycle management. This contract position, based in Edgewater, Maryland, requires a strong commitment to accuracy, compliance, and efficiency in financial processes. The role involves ensuring timely reimbursements, maintaining regulatory standards, and fostering collaboration within a team environment.<br><br>Responsibilities:<br>• Oversee the generation and submission of claims for services provided, ensuring accuracy and compliance.<br>• Monitor accounts receivable and follow up on outstanding balances to optimize collections.<br>• Prepare monthly financial closings and reconcile payments with general ledger accounts.<br>• Lead or advise on revenue cycle management initiatives to improve reimbursement accuracy and efficiency.<br>• Ensure compliance with authorization requirements, client intake procedures, and provider credentialing.<br>• Address claim denials and reimbursement issues, implementing solutions to maximize revenue.<br>• Assist in annual audits and contribute to the preparation of organizational budgets.<br>• Create and maintain reports for monthly closings and authorization lists.<br>• Post and allocate payments manually, ensuring alignment with billing regulations.<br>• Collaborate with team members, attend relevant meetings, and stay updated on billing and regulatory changes.
We are looking for a detail-oriented Collections & Billing Analyst to join our team in Centennial, Colorado. In this long-term contract position, you will play a critical role in managing billing and collections processes, ensuring accuracy in financial transactions, and maintaining strong relationships with clients. This is an excellent opportunity for an individual with expertise in medical billing, claims, and accounting systems to contribute to a dynamic and fast-paced environment.<br><br>Responsibilities:<br>• Oversee billing and collections processes to ensure timely and accurate financial transactions.<br>• Manage accounts receivable, including monitoring outstanding balances and following up on overdue accounts.<br>• Utilize accounting software systems, such as Sage Intacct, to generate invoices and reconcile accounts.<br>• Prepare and analyze aging reports to identify overdue accounts and implement appropriate collection strategies.<br>• Collaborate with clients to address billing inquiries and resolve payment discrepancies.<br>• Ensure compliance with company policies and industry regulations in all billing and collection activities.<br>• Work closely with internal teams to improve billing accuracy and streamline processes.<br>• Maintain detailed records of all billing and collection activities for auditing and reporting purposes.<br>• Provide insights and recommendations for improving financial workflows and reducing outstanding receivables.
<p>Robert Half has a new direct-hire opportunity for a Medical Accounts Receivable and Billing Specialist. This role will support a growing department. Our client offers great work-life balance and ability to work in a fast-paced environment where your work will make a big impact. This position sits on-site full-time Monday-Friday.</p><p><br></p><ul><li>Responsible for billing and coding</li><li>Collecting on past due balances</li><li>Insurance company follow-up</li><li>Maintain up to date information from insurance companies and customers</li><li>Reduce AR aging</li><li>Special project as assigned</li><li>Provide and obtain necessary documentation as needed</li></ul><p><br></p>
<p>We are looking for a detail-oriented Billing Clerk to join our team in Cleveland, Ohio. In this role, you will be responsible for managing billing processes, maintaining vendor relationships, and ensuring timely payments. The ideal candidate will excel in data entry, have experience with clinical billing, and act as a liaison between community services and the finance team. This is a direct hire position with standard business hours. Please apply TODAY if you are interested! </p><p><br></p><p>Responsibilities:</p><p>• Manage vendor relationships to ensure smooth communication and effective collaboration.</p><p>• Oversee payment processes, ensuring timely and accurate transactions.</p><p>• Gain familiarity with grants and their associated billing processes to ensure compliance.</p><p>• Perform accurate data entry for billing tasks, maintaining integrity and precision.</p><p>• Handle clinical billing related to social worker services, ensuring proper documentation and coding.</p><p>• Act as a liaison between community service teams and the finance department to facilitate seamless operations.</p><p>• Address and resolve billing discrepancies, ensuring accuracy in reports and systems.</p><p>• Monitor compliance with medical coding regulations and insurance policies.</p><p>• Coordinate with clinical staff to verify services are accurately captured and billed promptly.</p><p>• Develop and implement improvements to streamline and enhance billing efficiency.</p><p><br></p><p><br></p><p>They do offer a full benefits package with multiple options to pick for medical, dental, vision, 401K, PTO, and sick days. </p>
<p>We are looking for an experienced Medical Billing Manager with a strong background in medical administration to join our team in Mesa, Arizona. This Contract-to-permanent position offers an exciting opportunity to manage essential financial and administrative operations while contributing to the overall efficiency of our organization. Ideal candidates will possess expertise in accounts management, revenue cycle, and billing functions.</p><p><br></p><p>Responsibilities:</p><p>Oversee daily operations of the medical billing department.</p><p>Ensure accurate, timely, and compliant billing, coding, and collections.</p><p>Train and support billing staff in using billing software and maintaining compliance.</p><p>Develop and implement billing policies and procedures.</p><p>Manage patient billing inquiries and resolve issues efficiently.</p><p>Coordinate with healthcare providers and insurance companies for claim submissions.</p><p>Audit billing and collection procedures for accuracy and regulatory compliance.</p><p>Monitor billing performance and generate reports for senior management.</p><p>Stay current with billing regulations, coding updates, and insurance guidelines.</p><p>Handle sensitive patient and financial information confidentially.</p>
We are looking for an experienced Billing Office Manager to oversee medical billing operations, manage staff, and ensure compliance with regulatory standards. This role is essential in maintaining efficient workflows, accurate billing processes, and timely payments while fostering collaboration across internal and external stakeholders. Key Duties and Responsibilities: Supervise and manage staff responsible for medical billing and patient accounting tasks. Ensure accurate and timely billing that aligns with organizational goals. Monitor workflows and collaborate with insurance providers, collection agencies, admitting departments, physicians, and auditors to address billing and account-related issues. Resolve patient account concerns diplomatically while adhering to established internal guidelines. Stay knowledgeable about third-party reimbursement policies, contracts, and healthcare regulations (e.g., HMOs, PPOs). Optimize department operations by effectively utilizing billing systems and implementing process improvements. Forecast staffing needs, balance workloads, and employ part-time assistance when required. Regularly prepare and present statistical reports to the CFO. Foster communication between cross-functional teams, including accounts receivable, registration, and health information. <br> Posted by Recruiting Director Scott G. Moore
<p>We are looking for a detail-oriented Medical Revenue Cycle Associate to join our team our team in Los Angeles, California. The Medical Revenue Cycle Associate will play a critical part in optimizing the medical billing and collections process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to verify accuracy and completeness before forwarding them to the appropriate payer.</p><p>• Medical Insurance collections and denials management.</p><p>• Analyze denial information and correspondence to identify reasons for unpaid claims, taking action to resolve issues and resubmit claims promptly.</p><p>• Investigate patient accounts and payment records to confirm proper billing and rectify discrepancies, adjusting balances as necessary.</p><p>• Prepare and submit corrections or appeals for rejected claims, adhering to payer-specific guidelines and including all required documentation.</p><p>• Process adjustments for charges that cannot be billed, ensuring compliance with established adjustment protocols.</p><p>• Verify that required authorizations, TARs/SARs, are included in claim submissions, and take steps to secure missing authorizations when needed.</p><p>• Maintain productivity and quality standards by consistently meeting deadlines and accuracy requirements.</p><p>• Collaborate with team members and supervisors to address complex billing issues and improve workflows.</p>
We are looking for a detail-oriented Medical Billing Coder to join our team in Phoenix, Arizona. In this long-term contract position, you will play a vital role in ensuring accurate coding and billing processes within the healthcare industry. This role requires collaboration with internal teams and external partners to optimize revenue cycle operations and deliver high-quality coding solutions.<br><br>Responsibilities:<br>• Accurately assign and sequence medical codes while adhering to government and insurance regulations.<br>• Identify and resolve coding errors, discrepancies, or missing information within claims documentation.<br>• Provide guidance to the Revenue Cycle team on selecting and interpreting appropriate coding systems such as ICD, CPT, and HCPCS for billing and reimbursement.<br>• Verify and review documentation to ensure support for diagnoses, procedures, and treatment outcomes.<br>• Communicate updates on coding standards, forms, and procedures through meetings and written materials.<br>• Propose alternative coding methods and solutions to address challenges and improve efficiency.<br>• Develop and implement protocols for enhanced coding reviews and modifications.<br>• Collaborate with cross-functional teams to improve billing and coding systems and processes.<br>• Ensure consistent attendance and perform additional duties as required.
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
