<p>We are seeking a detail-oriented <strong>Medical Billing Specialist</strong> to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments, adjustments, and denials accurately</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies</li><li>Review Explanation of Benefits (EOBs) for accuracy</li><li>Communicate with insurance companies, patients, and internal teams regarding billing questions</li><li>Maintain patient confidentiality and comply with HIPAA regulations</li><li>Ensure billing practices align with payer guidelines and company policies</li></ul><p><br></p>
<p>We are looking for an experienced Medical Billing/Coding Specialist to join a growing team in Spartanburg! </p><p><br></p><p>This is a temporary to hire position, full-time hours Monday-Friday. This role focuses on accurate claim preparation, coding support, and timely follow-up to help maintain efficient revenue cycle performance. The ideal candidate brings a strong background in healthcare and can work effectively to hit deadlines and KPI's. </p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims accurately to support timely reimbursement.</p><p>• Apply appropriate medical billing and coding practices to ensure claims are complete and compliant.</p><p>• Investigate denied, rejected, or unpaid claims and take corrective action to resolve billing issues.</p><p>• Maintain detailed documentation of billing activity, claim status updates, and account follow-up efforts.</p><p>• Work within eClinicalWorks (eCW) and related billing systems to process charges and manage claim workflows.</p><p>• Collaborate with internal billing contacts and healthcare staff to address discrepancies and improve payment outcomes.</p><p>• Monitor outstanding accounts and perform follow-up with payers to reduce aging receivables.</p><p>• Support billing process updates or workflow changes as needed as part of ongoing operational needs.</p><p><br></p><p>Additional Information:</p><p>-Can work hours between 7:30 and 5:30 </p><p>-Business Casual work attire / great office environment </p><p>-1-2 days remote once fully trained (this will be performance based)</p>
We are looking for a detail-oriented Medical Billing & Collections specialist to join a growing healthcare team in Florida. This contract-to-permanent opportunity is ideal for someone who can evaluate insurance payment activity, address claim issues, and help improve reimbursement outcomes. The person in this role will work closely with billing and accounts receivable processes in a collaborative onsite environment while supporting accurate and timely collections activity.<br><br>Responsibilities:<br>• Analyze explanation of benefits documents to identify billed services, insurer payments, contractual adjustments, and amounts owed by patients.<br>• Manage assigned denial and collections work queues, prioritizing unresolved accounts and taking action to move claims toward payment.<br>• Research underpaid or rejected claims and determine the appropriate next steps to correct and resolve billing issues.<br>• Communicate with insurance carriers to clarify discrepancies, obtain claim status updates, and secure outstanding reimbursement.<br>• Prepare and submit corrected claims or appeals within required filing deadlines to reduce avoidable payment delays.<br>• Record all follow-up efforts, account updates, and collection activity accurately within the billing system.<br>• Contribute to accounts receivable performance by helping reduce aging balances and supporting team collection goals.<br>• Collaborate with onsite team members in a fast-paced setting to maintain efficient claim follow-up and resolution workflows.
<p>A growing healthcare organization is seeking a detail-oriented Medical Biller to join their team. This role is ideal for someone who enjoys working behind the scenes to ensure accurate billing, timely reimbursements, and smooth revenue cycle operations.</p><p><br></p><p>Why Consider This Opportunity:</p><ul><li>Stable, in-demand role within the healthcare industry</li><li>Collaborative team environment</li><li>Opportunity to grow within billing or broader revenue cycle roles</li><li>Competitive compensation and benefits offered</li></ul><p>Key Responsibilities:</p><ul><li>Prepare and submit accurate medical claims to insurance companies (commercial, Medicare, Medicaid)</li><li>Review patient accounts for completeness and proper documentation</li><li>Follow up on outstanding claims, denials, and rejections to ensure timely payment</li><li>Post payments, adjustments, and reconcile accounts</li><li>Investigate and resolve billing discrepancies and errors</li><li>Communicate with insurance carriers regarding claim status and appeals</li><li>Work with internal teams to obtain missing or updated information</li><li>Maintain accurate billing records and ensure compliance with regulations</li><li>Support general administrative and revenue cycle functions as needed</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 Description:</strong></p><p>We are seeking a detail-oriented and results-driven <strong>Medical Biller / Collections Specialist</strong> to join our team in <strong>Boca Raton, Florida. </strong>This role is responsible for accurate medical billing, claims submission, insurance follow-up, and collections to ensure timely reimbursement and optimized cash flow. The ideal candidate has strong knowledge of insurance processes, excellent communication skills, and a proactive approach to resolving outstanding accounts.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit medical claims to primary, secondary, and tertiary insurance carriers for timely reimbursement </li><li>Verify patient information, insurance coverage, and eligibility to ensure billing accuracy</li><li>Monitor claim status and conduct follow-up on denied, rejected, or unpaid claims, including appeals and resubmissions </li><li>Investigate and resolve billing discrepancies by working with payers, patients, and internal teams </li><li>Post payments, adjustments, and denials while reconciling accounts and ensuring proper allocation</li><li>Manage accounts receivable by reviewing aging reports and prioritizing outstanding balances</li><li>Contact insurance companies and patients to collect payments and resolve overdue accounts </li><li>Negotiate payment plans and provide billing explanations to patients as needed </li><li>Maintain accurate documentation of all billing and collection activity in compliance with regulations</li><li>Ensure compliance with HIPAA and all federal/state billing and collection guidelines</li></ul>
We are looking for a Medical Coder to join a healthcare organization in Sacramento, California in a Contract to permanent capacity. In this role, you will translate clinical documentation into accurate diagnostic and procedural codes that support compliant billing and reimbursement. This opportunity is ideal for someone who can balance productivity with precision while working closely with providers and revenue cycle partners.<br><br>Responsibilities:<br>• Examine clinical records and determine the correct diagnosis and procedure codes for charge capture within required turnaround times.<br>• Apply ICD-10, CPT, and evaluation and management coding standards to physician and provider documentation with a strong focus on accuracy and compliance.<br>• Sequence diagnoses and procedures appropriately to support ethical billing practices and proper reimbursement outcomes.<br>• Investigate complex, uncommon, or unclear cases to identify the most accurate coding approach using current industry guidance and reference tools.<br>• Recognize services that require billing modifiers, including special reporting situations, and ensure they are reflected correctly on coded encounters.<br>• Communicate with physicians and other providers to resolve incomplete, conflicting, or ambiguous documentation before finalizing codes.<br>• Monitor accounts with missing documentation and follow through to help move encounters toward accurate coding and billing completion.<br>• Support claims follow-up activities by addressing coding edits, denials, audit requests, and other reimbursement-related inquiries.<br>• Contribute to compliance reviews, internal audits, and ongoing education efforts while staying current on regulatory and payer guideline updates.
<p>We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues.</p><p><br></p><p>Responsibilities:</p><p>• Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines.</p><p>• Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports.</p><p>• Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices.</p><p>• Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up.</p><p>• Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance.</p><p>• Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture.</p><p>• Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered.</p><p>• Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements.</p><p>• Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information</p>
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul>
<p><strong>Job Description</strong></p><p>The Billing Representative for the Legal Correspondence Team is responsible for managing and processing correspondence from attorneys, including subpoenas and requests for patient billing records. This role ensures that all records are released in compliance with legal regulatory and organizational policies while maintaining a high level of accuracy and confidentiality. The ideal candidate will possess excellent organizational skills, attention to detail, and a strong understanding of billing processes and legal documentation requirements.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>Review process and respond to subpoenas, attorney correspondence, and requests for patient billing records in a timely and accurate manner.</p><p>Ensure compliance with federal and state laws, including HIPAA and organizational policies regarding the release of patient information.</p><p>Verify the authenticity and completeness of legal documents before processing requests.</p><p>Collaborate with internal teams to retrieve and compile accurate billing records and other required documentation.</p><p>Maintain detailed records of all requests, correspondence, and released information for audit and tracking purposes.</p><p>Communicate effectively with attorneys legal representatives and other external parties to clarify requests or provide updates on the status of records.</p><p>Safeguard sensitive patient information and ensure confidentiality in all interactions and document handling.</p><p>Identify and escalate complex or unclear requests to appropriate leadership or legal counsel for resolution.</p><p>Contribute to process improvement initiatives to enhance efficiency and accuracy in handling records requests.</p><p>Stay current on legal and regulatory changes that may impact the release of billing records.</p><p><br></p><p><br></p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul><p><br></p>
<p><strong>We’re hiring: Coordination of Benefits Specialist (Remote, Alabama)</strong></p><p>Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way.</p><p><br></p><p><strong>About the Role</strong></p><p>As a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul>
<p>Review and interpret Explanation of Benefits (EOBs) to determine:</p><p>-Services billed</p><p>-Insurance coverage and adjustments</p><p>-Payment amounts</p><p>-Patient responsibility</p><p><br></p><p><br></p><p>Manage and work denial and collections queues within EPIC</p><p>Investigate and resolve denied or underpaid claims promptly</p><p>Follow up with insurance companies to resolve discrepancies and secure payment</p><p>Ensure timely resubmission of claims and appeals to avoid timely filing issues</p><p>Maintain accurate documentation of collection activity within the system</p><p>Support overall Accounts Receivable (AR) performance and aging goals</p><p><br></p><p><br></p><p>Qualifications</p><p><br></p><p>1+ years of medical collections or AR experience</p><p>Strong understanding of EOBs and insurance claim processing</p><p>Experience working in EPIC (highly preferred)</p><p>Ability to navigate denials and payer communications effectively</p><p>Detail-oriented with strong problem-solving skills</p><p>Comfortable working in a fast-paced, growth-oriented environment</p><p><br></p><p><br></p><p>Work Environment & Benefits</p><p><br></p><p>Onsite position with a collaborative team (approximately 36 employees)</p><p>Opportunity for career growth and advancement</p><p>Upon permanent hire, eligible for:</p><p><br></p><p>Health, Dental, and Vision insurance</p><p>401(k)</p><p>PTO accrual (beginning after 90 days)</p>
We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement.<br>Key Responsibilities<br><br>Review and submit hospital claims to third‑party payers<br>Resolve claim edits generated by EHR and clearinghouse systems<br>Reconcile claim acceptance and rejection reports<br>Maintain assigned work queues to meet productivity and quality standards<br>Ensure compliance with payer requirements and billing regulations<br>Coordinate with internal departments to resolve missing or incorrect claim information<br>Document claim activity and follow‑up in billing systems<br>Apply payer‑specific billing rules and reimbursement guidelines<br><br>Qualifications<br>High School Diploma or GED required<br>2+ years of medical billing or healthcare accounts receivable experience<br><br>Working knowledge of ICD‑10, CPT, and HCPCS coding<br>Experience with healthcare billing or patient accounting systems<br>Proficiency with Microsoft Office, including Excel<br>Strong attention to detail, organization, and time management skills<br>Ability to manage high‑volume workloads accurately<br><br>For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
<p><strong>We’re hiring: Coordination of Benefits Specialist (Remote, Utah)</strong></p><p>Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way.</p><p><br></p><p><strong>About the Role</strong></p><p>As a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul><p><br></p>
<p>We are seeking a <strong>Medical Billing Specialist</strong> to join our team immediately. This is a great opportunity for someone who thrives in a <strong>fast-paced, team-oriented healthcare environment</strong> and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee**</p><p><br></p><p>Position Overview</p><p>The Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in <strong>Medicare and Medicaid billing and claims</strong>. We are looking for someone adaptable, self-directed, and ready to grow with the team.</p><p><br></p><p>Key Responsibilities</p><ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</li></ul><p><br></p><p>If interested in role please apply, then call (423)244-0726. </p>
<p>Review and interpret Explanation of Benefits (EOBs) to determine:</p><p>-Services billed</p><p>-Insurance coverage and adjustments</p><p>-Payment amounts</p><p>-Patient responsibility</p><p><br></p><p><br></p><p>Manage and work denial and collections queues within EPIC</p><p>Investigate and resolve denied or underpaid claims promptly</p><p>Follow up with insurance companies to resolve discrepancies and secure payment</p><p>Ensure timely resubmission of claims and appeals to avoid timely filing issues</p><p>Maintain accurate documentation of collection activity within the system</p><p>Support overall Accounts Receivable (AR) performance and aging goals</p><p><br></p><p><br></p><p>Work Environment & Benefits</p><p><br></p><p>Onsite position with a collaborative team (approximately 36 employees)</p><p>Business casual dress code (jeans permitted)</p><p>Opportunity for career growth and advancement</p><p>Upon permanent hire, eligible for:</p><p><br></p><p>Health, Dental, and Vision insurance</p><p>401(k)</p><p>PTO accrual (beginning after 90 days)</p>
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Lewiston, Maine. This is a Contract position focused on accurate claim preparation, timely follow-up, and consistent reimbursement processing. The ideal candidate brings strong knowledge of medical billing workflows, coding practices, and payer communication, along with the ability to manage accounts efficiently in a fast-paced setting.<br><br>Responsibilities:<br>• Prepare and submit medical claims with a high degree of accuracy to support timely payment from insurance carriers and other payers.<br>• Review billing documentation and coding details to identify discrepancies, correct issues, and reduce claim rejections or denials.<br>• Follow up on outstanding balances by working directly with payers, patients, and internal teams to resolve billing questions and secure reimbursement.<br>• Investigate denied or delayed claims, determine the cause, and take appropriate action to support successful resubmission or appeal.<br>• Maintain organized account records and update billing systems with current claim status, payment activity, and collection notes.<br>• Use EPACES and related billing tools to verify information, review claim activity, and assist with claims processing tasks.<br>• Monitor accounts receivable activity and prioritize follow-up efforts to improve collection performance and payment turnaround times.
<p>We are looking for a detail-oriented Medical Billing Specialist, infusion focused, to support healthcare billing operations for a Long-term Contract position based in Burr Ridge, Illinois. This role focuses on accurate charge entry, claims coordination, and billing follow-through for infusion-related services while working closely with administrative, clinical, and pharmacy teams. The ideal candidate brings hands-on medical billing experience, strong organizational skills, and the ability to keep patient and insurance records current to support timely reimbursement.</p><p><br></p><p>Responsibilities:</p><p>• Oversee daily scheduling-related billing activity and keep account records accurate for assigned service sites.</p><p>• Enter and submit <strong>infusion </strong>charges each day, confirming that procedure coding, medication amounts, clinical notes, and pharmacy documentation are consistent.</p><p>• Prepare claim documentation for payers and manage submissions involving both primary and secondary insurance coverage.</p><p>• Review medication utilization records and coordinate with care and pharmacy staff to resolve discrepancies involving wasted, returned, or unused drugs.</p><p>• Confirm patient demographics and insurance details before billing to reduce claim delays and rework.</p><p>• Maintain regular reporting on billing volume, account issues, and status updates for leadership review.</p><p>• Partner with clinical personnel to obtain incomplete documentation and help keep the billing process moving without delays.</p><p>• Provide broader administrative and reimbursement support as business needs require.</p><p><br></p><p>The salary range for this position is $22 to $27. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
We are looking for a detail-focused Medical Billing/Claims/Collections specialist to support revenue cycle performance in Idaho. This contract opportunity is ideal for someone who can navigate payer requirements, resolve claim issues efficiently, and help accelerate reimbursement from insurers and patients. The person in this role will work across billing follow-up, denial management, and collections while maintaining accurate account documentation and supporting clean claim resolution.<br><br>Responsibilities:<br>• Oversee assigned accounts receivable balances and take consistent action to reduce aging and secure timely payment.<br>• Investigate denied, rejected, and partially paid claims to determine root causes and move accounts toward resolution.<br>• Prepare and submit corrected claims, payer reconsiderations, and formal appeals when additional review is required.<br>• Communicate with commercial carriers, government payers, and patients to confirm claim status and address payment variances.<br>• Examine EOBs and ERAs to verify reimbursement accuracy and identify discrepancies needing follow-up.<br>• Track recurring denial patterns and share recommendations that strengthen reimbursement outcomes and reduce future issues.<br>• Partner with providers, coding personnel, and front-desk staff to clarify billing concerns and remove obstacles to payment.<br>• Confirm coverage details, benefit information, and authorization requirements when account review calls for it.<br>• Record all account activity thoroughly in the billing platform while following payer rules and organizational standards.
<p>We are seeking an experienced <strong>Medicare Biller</strong> with strong knowledge of <strong>DDE systems</strong> and <strong>Noridian</strong> processes to join our team. This <strong>Medicare Biller</strong> is responsible for preparing, reviewing, and submitting Medicare claims, resolving billing issues, and ensuring compliance with all payer and regulatory guidelines. The <strong>Medicare Biller</strong> must have a strong understanding of Medicare billing procedures, excellent attention to detail, and the ability to work efficiently in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process Medicare claims accurately and in a timely manner</li><li>Utilize <strong>DDE (Direct Data Entry) systems</strong> for claim status review, corrections, and submissions</li><li>Work within <strong>Noridian</strong> portals and systems to manage Medicare billing activity</li><li>Follow up on unpaid, denied, or rejected claims and take appropriate corrective action</li><li>Investigate billing discrepancies and resolve reimbursement issues</li><li>Verify patient insurance eligibility and benefits as needed</li><li>Maintain accurate billing records and documentation</li><li>Ensure compliance with Medicare regulations, billing requirements, and internal policies</li><li>Communicate with payers, patients, and internal departments regarding billing questions and claim resolution</li><li>Assist with account reconciliations and aging reports to support revenue cycle performance</li></ul><p><br></p>
<p>The Inpatient Hospital Medicare Biller is responsible for the accurate and timely billing of inpatient hospital claims to Medicare payers. The Hospital Medicare Biller role is strictly focused on claim generation and submission. The Hospital Medicare Biller candidate has hands-on inpatient billing experience in an acute care hospital setting and is highly detail-oriented. The Hospital Medicare Biller will be tasked billed inpatient claims to Noridian and have DDE experience that includes T-screen corrections.</p><p><br></p><p>Key Responsibilities</p><ul><li>Perform hands-on billing of inpatient hospital claims using the UB‑04 claim form</li><li>Generate, review, and submit inpatient claims to Medicare payers</li><li>Bill inpatient claims to Noridian and have DDE experience that includes T-screen corrections.</li><li>Ensure claims are complete, accurate, and compliant with payer and regulatory requirements prior to submission</li><li>Review charges, DRGs, patient demographics, and insurance information for billing accuracy</li><li>Resolve billing edits and claim rejections prior to claim release</li><li>Ensure billing practices comply with Medicare regulations, Managed Care contracts, and hospital policies</li><li>Validate billing data in coordination with Coding, Case Management, and Revenue Integrity teams</li><li>Maintain accurate documentation and notes within the billing system</li><li>Work closely with internal Revenue Cycle and Finance teams to support clean claim submission</li><li>Assist with billing-related reporting or reconciliation as requested</li><li>Support month-end billing deadlines</li></ul>
<p>We are seeking a detail-oriented <strong>Surgery Medical Coder</strong> to join our team. This role is primarily remote, but candidates must live close enough to Indianapolis, IN to attend minimal onsite training and occasional in-person meetings as needed. The ideal candidate will have coding experience in a surgical specialty environment and hold an active coding certification.</p><p><br></p><p><strong>PLEASE NOTE</strong>: One of the following certifications is required:</p><ul><li>Certified Professional Coder (CPC)</li><li>Certified Coding Specialist – Physician-based (CCS-P)</li><li>Certified Orthopedic Surgery Coder (COSC)</li></ul><p><br></p><p><br></p><p><strong>Hours</strong>: Monday - Friday, 8am -5pm</p><p><br></p><p><strong>Responsibilities for the position include the following</strong>:</p><ul><li>Review and accurately code surgical procedures, diagnoses, and related services</li><li>Ensure coding compliance with payer, regulatory, and organizational guidelines</li><li>Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes</li><li>Work closely with providers and staff to clarify documentation as needed</li><li>Maintain productivity and accuracy standards in a remote work environment</li><li>Support billing and reimbursement processes through precise code assignment</li><li>Participate in minimal onsite training sessions and periodic team meetings</li></ul>
<p><strong>Position Title:</strong> Medical Billing Specialist</p><p><strong>Location:</strong> Salinas, CA</p><p><strong>Schedule:</strong> Full-Time, Monday–Friday, 8:00 AM–5:00 PM</p><p><strong>Compensation:</strong> $30-$50</p><p>Our nonprofit client is seeking a <strong>Medical Billing Specialist</strong> to manage medical billing and health information functions related to program-based healthcare and support services. This role is responsible for accurate and timely claims submission, compliance with public and private payer requirements, and maintaining high-quality documentation that supports program operations and financial sustainability. The position requires strong attention to detail, confidentiality, and collaboration with program and administrative staff.</p><p>Essential Duties and Responsibilities</p><ul><li>Prepare, submit, and track electronic and paper claims to public and private payers, ensuring accurate coding and required documentation.</li><li>Monitor claim status, resolve denials and underpayments, and resubmit corrected claims as needed.</li><li>Post payments and adjustments, reconcile remittance advice, and maintain accurate billing records.</li><li>Review service notes and encounter documentation for completeness, clarity, and compliance with payer and program standards.</li><li>Communicate with program and administrative staff regarding documentation requirements, billing timelines, and follow-up items.</li><li>Maintain organized and secure electronic records in billing, EHR, and related systems.</li><li>Assist with internal billing audits, quality assurance initiatives, and preparation for external monitoring or reviews.</li><li>Ensure billing practices align with payer, contract, and regulatory requirements, including timely filing limits.</li><li>Support preparation of reports related to service utilization, revenue, and billing activity.</li><li>Protect all client information in accordance with HIPAA and applicable privacy regulations.</li><li>Participate in staff meetings, trainings, and team discussions as needed.</li><li>Perform other related duties as assigned.</li></ul><p><strong>Education and Experience</strong></p><p>Associate’s degree in Health Information Technology, Healthcare Administration, Billing/Coding, or a related field; or equivalent combination of education and directly related experience.</p><p>At least 2 years of experience in medical billing, preferably including Medicaid/Medi-Cal or other public payer billing.</p><p><strong>Knowledge, Skills, and Abilities</strong></p><p>Working knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding.</p><p>Ability to read and interpret payer bulletins, remittance advice, and denial codes.</p><p>High level of accuracy, attention to detail, and follow-through.</p><p>Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.</p><p>Clear written and verbal communication skills with clinical and non-clinical staff.</p><p>Ability to work independently and collaboratively in a team-oriented environment.</p><p>Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives.</p><p><br></p>