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.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. In this contract position, you will play a key role in ensuring accurate and efficient billing processes for healthcare providers. This opportunity is ideal for professionals with strong medical billing experience who thrive in fast-paced environments and are committed to maintaining compliance with industry standards. TMHP Or EVV software knowledge is required for this position. </p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing, including coding verification, charge entry, claim submission, and reconciliations.</p><p>• Accurately submit government claims while adhering to established billing guidelines and compliance standards.</p><p>• Review and correct errors on claims prior to submission deadlines to ensure timely processing.</p><p>• Track and complete billing within a 5-7 day payment cycle to maintain efficiency.</p><p>• Collaborate with internal teams to address inquiries and ensure seamless billing operations.</p><p>• Analyze claim denials and implement corrective actions to resolve discrepancies.</p><p>• Verify insurance coverage and eligibility to streamline claim submissions.</p><p>• Utilize electronic billing systems and tools such as Epaces to optimize workflows.</p><p>• Ensure proper application of CPT codes and ICD standards during billing processes.</p><p>• Maintain detailed records and documentation for compliance and audits.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Lexington, Kentucky. This Contract-to-Permanent position is ideal for professionals with experience in medical billing and coding who are ready to contribute to a collaborative and efficient work environment. The role involves handling high-volume authorizations, insurance claims, and patient communications, ensuring accuracy and timeliness in all billing processes.<br><br>Responsibilities:<br>• Process medical claims and ensure all billing activities comply with established policies and procedures.<br>• Verify patient insurance benefits online and obtain necessary authorizations for services.<br>• Conduct follow-ups with insurance companies to resolve denied claims and ensure timely reimbursements.<br>• Communicate with patients regarding copays, deposits, and payment arrangements, maintaining professionalism and empathy.<br>• Record and process payments within the system, ensuring accurate documentation.<br>• Collaborate with a team of billing professionals to meet departmental goals and deadlines.<br>• Utilize medical coding knowledge to accurately input data and avoid errors.<br>• Manage a high volume of authorizations with a proactive and organized approach.<br>• Stay updated on industry trends and insurance company policies to improve efficiency.<br>• Assist in maintaining a positive and productive office environment.
<p>We are looking for a skilled and detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a key part in ensuring the accurate processing of medical records, billing codes, and claims for healthcare providers. Based in Oakland, California, this position requires a strong understanding of medical billing systems, particularly Welligent coding, and a commitment to maintaining compliance with healthcare standards.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and process medical billing records with precision, utilizing Welligent coding systems to ensure compliance with industry regulations.</p><p>• Manage and organize billing codes and documentation for multiple healthcare entities, ensuring prompt and accurate claims submissions.</p><p>• Review patient records and procedures to verify proper billing practices and adherence to guidelines.</p><p>• Identify and resolve discrepancies in billing processes to facilitate seamless claims management.</p><p>• Collaborate with healthcare providers, insurance payers, and administrative staff to address billing issues and ensure accurate coding.</p><p>• Stay updated on changes to billing regulations, coding standards, and healthcare compliance requirements.</p><p>• Maintain detailed and organized records of all billing activities and claims submissions.</p><p>• Support the implementation of best practices for medical billing processes across the organization.</p><p><br></p><p>If you are interested in this role please apply right away and call us at (510) 470-7450</p>
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>Our client is seeking a motivated and detail-oriented <strong>Entry-Level Medical Biller</strong> to join their team. This is an excellent opportunity to gain hands-on experience and learn the ins-and-outs of medical billing while working alongside a supportive and skilled team.</p><p><strong>Role Overview:</strong></p><p>As an Entry-Level Medical Biller, you will play a vital role in maintaining the financial health of the organization. You will process medical claims, verify insurance coverage, and ensure timely and accurate payments. Your attention to detail and ability to solve problems will help make a difference in this fast-paced and rewarding environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately prepare and submit healthcare claims to insurance companies.</li><li>Review patient medical records to ensure accurate coding and documentation for billing purposes.</li><li>Verify patient insurance information and benefits to determine eligibility for services.</li><li>Follow up on unpaid or denied claims with insurance companies to ensure resolution.</li><li>Post payments and maintain accurate records in the billing software system.</li><li>Respond to patient and provider inquiries regarding billing, payments, and insurance claims.</li><li>Assist with audits and compliance to ensure adherence to HIPAA and regulatory requirements.</li></ul><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent is required; postsecondary coursework or certification in medical billing/coding is a plus.</li><li>Strong organizational and time management skills with attention to detail.</li><li>Excellent communication skills (verbal and written) and a customer service mindset.</li><li>Basic knowledge of medical terminology and insurance processes is a bonus, but not required—training will be provided!</li><li>Proficient in Microsoft Office Suite (Word, Excel) with the ability to learn industry-specific software.</li><li>A positive attitude, team spirit, and eagerness to learn and grow in the role.</li></ul><p><br></p><p><br></p>
<p>We are offering an exciting opportunity for an Accounts Receivable Supervisor in the healthcare industry, based in ODENTON, Maryland. This position sits on site and will manage a small team while being hands on with your work. The primary function of this role is to oversee and manage the billing and coding, pre-certification, and credentialing processes. This role is also responsible for maintaining accurate patient records, collecting outstanding payments, and following up with insurance companies. Small private-clinic healthcare experience required for consideration. </p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Oversee and manage the process of obtaining authorization for pain management procedures from insurance companies.</p><p>• Supervise the billing and coding, pre-certification, and credentialing processes.</p><p>• Manage the collection of outstanding account payments and follow up with insurance companies and patient accounts.</p><p>• Maintain up-to-date knowledge of commonly-used concepts, practices, and procedures within the Medical Billing and Medical Insurance field.</p><p>• Ensure all tasks are completed simultaneously and independently with attention to detail and organization.</p><p>• Stay informed about various insurance companies and any relevant changes, keeping management updated.</p><p>• Work towards reducing aged A/R and analyze Explanation of Benefits (EOB’s) and Correspondence to identify zero pays and underpayments.</p><p>• Coordinate with healthcare insurance companies on outstanding medical claims and appeals.</p><p>• Maintain effective communication with the insurance verification team, billing department, and office support staff.</p><p>• Conduct collection actions and provide resolution for complex accounts, providing supporting documentation when necessary</p>
<p>We are seeking an <strong>Entry-Level Medical Biller</strong> to join our client’s dynamic team. In this role, you’ll play a vital part in the billing cycle, ensuring accurate and timely billing for medical services while contributing to a positive patient experience.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient charts and medical records to ensure accuracy in billing documentation and coding.</li><li>Prepare and submit insurance claims for reimbursement in compliance with payer requirements.</li><li>Follow up with insurance providers to track claim statuses and resolve discrepancies or denials.</li><li>Respond to patient inquiries regarding billing statements and insurance coverage.</li><li>Post payments and adjustments in the billing system and maintain accurate account records.</li><li>Stay up to date with billing regulations, coding guidelines, and HIPAA compliance standards.</li><li>Collaborate with healthcare providers, administrative staff, and insurance companies to streamline processes.</li></ul><p><br></p>
<p>We are seeking a highly skilled and detail-oriented <strong>Medical Biller</strong> to ensure timely and efficient processing of medical claims and support in optimizing revenue.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Biller</strong>, your duties will include:</p><ul><li>Preparing and submitting medical claims to insurance companies, government payers, and patients in compliance with healthcare regulations.</li><li>Reviewing and verifying accuracy of patient insurance information, ensuring claims are complete and error-free.</li><li>Monitoring the progress of submitted claims and following up on delayed or denied claims, resolving discrepancies appropriately.</li><li>Generating patient invoices and explaining charges while ensuring clarity for patients regarding financial obligations.</li><li>Ensuring proper coding of procedures, diagnoses, and services using CPT, ICD-10, and HCPCS codes.</li><li>Collaborating with healthcare providers and other administrative staff to resolve complex billing issues.</li><li>Handling adjustments for payments, posting refunds or corrections, and reconciling account balances.</li><li>Staying informed of changes in regulations, policies, and industry standards related to medical billing.</li><li>Maintaining compliance with HIPAA regulations to safeguard patient information.</li></ul><p><br></p>
<p>We are seeking a <strong>Medical Biller</strong> for a growing healthcare provider located in <strong>Carlsbad</strong>, CA. This role is ideal for someone with strong billing experience and a solid understanding of insurance claims, coding, and the revenue cycle process. You’ll be responsible for accurately submitting medical claims, resolving billing issues, and working directly with insurance companies to ensure timely payment. If you're detail-oriented, dependable, and experienced in medical billing systems (such as Epic, Kareo, or similar), we want to hear from you.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit insurance claims accurately and efficiently</li><li>Follow up on unpaid claims and resolve denials</li><li>Verify insurance coverage and patient information</li><li>Collaborate with providers and front office staff</li><li>Maintain compliance with HIPAA and billing regulations</li></ul>
We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent position offers an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the contract assignment, with potential for long-term placement.<br><br>Responsibilities:<br>• Accurately post insurance payments by line item to the patient account system, ensuring all entries are precise and compliant.<br>• Verify payment amounts against contracts and organizational policies to ensure correctness.<br>• Process patient payments efficiently and update records within the designated system.<br>• Record denials, zero payments, and flag accounts for follow-up by the Medical Collections team.<br>• Apply takebacks and recoupments in accordance with established policies.<br>• Identify and communicate trends in payment discrepancies, denials, or short payments to leadership for resolution.<br>• Balance daily payment entries against settlement reports to maintain accurate financial records.<br>• Route payer correspondence to the appropriate team members for timely follow-up.<br>• Utilize knowledge of contracts and policies to ensure proper application during payment posting.
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Ridgefield, Connecticut. This position, lasting 4–5 months, and will be roughly 30 hours per week, the role will involve accurately posting payments and reconciling billing data within a healthcare setting. If you have a strong background in medical billing and a keen eye for detail, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post both insurance and patient payments into the practice management system.</p><p>• Identify discrepancies in contracted rates and underpaid claims, ensuring proper resolution.</p><p>• Reconcile daily payment batches to maintain accurate financial records.</p><p>• Examine explanation of benefits (EOBs) and electronic remittance advice (ERAs) to ensure correct posting.</p><p>• Prepare appeals for denied claims and follow up with insurance payers as needed.</p><p>• Perform additional billing-related tasks as assigned by the supervisor.</p><p>• Collaborate with team members to streamline billing workflows and improve accuracy.</p>
<p>We are seeking a detail-oriented <strong>Insurance Verification Specialist</strong> with <strong>Medi-Cal experience</strong> to join our team. This role is critical to ensuring that patient insurance information is accurately verified and updated to maintain a seamless billing process and exceptional patient care. The ideal candidate has hands-on experience with Medi-Cal programs, strong communication skills, and a commitment to excellence in administering insurance verifications.</p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage for Medi-Cal and other insurance providers.</li><li>Obtain and validate pre-authorization and referral requirements for medical services.</li><li>Accurately input patient insurance information into the system and update records as needed.</li><li>Communicate with patients, insurance companies, and healthcare providers to clarify coverage details.</li><li>Resolve insurance-related issues and discrepancies efficiently and proactively.</li><li>Ensure compliance with Medi-Cal guidelines, policies, and procedures.</li><li>Collaborate with billing teams to ensure timely claims submission and support revenue cycle processes.</li></ul><p><br></p>
<p>Are you an experienced healthcare billing professional looking to join a team dedicated to providing exceptional patient care? We are seeking a detail-oriented <strong>Accounts Receivable Specialist</strong> to become a vital part of our client's revenue cycle team. This dynamic role involves managing billing and coding processes, resolving denied claims, submitting appeals, and working collaboratively with internal and external customers to ensure smooth operations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Stay up-to-date with current coding and billing practices to troubleshoot and resolve denied claims efficiently.</li><li>Process claim rejections held within the third-party clearinghouse system and ensure all necessary adjustments are completed.</li><li>Post and address claim denials identified during accounts receivable (AR) review.</li><li>Submit appeals for denied claims and process overpayments from third-party payers.</li><li>Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims.</li><li>Assist with eligibility and benefit verification for in-office surgical procedures, including calculating surgical estimates for patients.</li><li>Manage authorization requests for insurance carriers related to in-office surgeries and patch allergy testing.</li><li>Collaborate closely with the Surgery Coordinator team to ensure patients receive timely care and approval for necessary procedures.</li><li>Participate in team workshops to support project assignments and process improvements.</li><li>Provide support to internal and external customers via phone, billing help desk, and team emails.</li></ul><p>If you would like to be considered for this opportunity, please reach out to Victor Granados directly at 719-249-5153.</p>
<p><strong>Contract Medical Billing/Claims/Collections Specialist</strong></p><p><br></p><p><em>Location: Remote, Northeast Ohio (Canton, OH-Based)</em></p><p><br></p><p>We are seeking a detail-oriented and experienced Medical Billing/Claims/Collections Specialist to join our talented team on a contract basis. This role is critical for ensuring accurate coding processes, maintaining compliance with revenue integrity standards, and optimizing charge capture workflows. Although this position is fully remote, candidates must reside within the Northeast Ohio area to foster seamless collaboration with local teams and stakeholders. A coding certification is preferred to demonstrate expertise in industry standards and best practices.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately assign diagnostic and procedural codes for outpatient and inpatient billing to guarantee precise charge capture.</li><li>Conduct coding audits to identify missing documentation or discrepancies impacting revenue generation.</li><li>Ensure consistent compliance with coding and reimbursement guidelines while adhering to relevant industry standards.</li><li>Educate healthcare providers on coding specificity and quality indicators to enhance documentation accuracy and streamline workflows.</li><li>Track and report open encounters and zero charges proactively to relevant personnel.</li><li>Collaborate with department leaders, healthcare providers, and organizational leadership to address coding concerns or identify optimization opportunities.</li><li>Meet or exceed established productivity and quality benchmarks for coding tasks.</li><li>Support revenue cycle and clinical teams in performing additional administrative functions as required.</li><li>Stay current with coding policies, guidelines, and healthcare industry trends to uphold best practices.</li><li>Utilize hospital software applications and Microsoft Office tools effectively to accomplish daily responsibilities with efficiency.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>A coding certification (e.g., CPC, CCS, or equivalent) is strongly preferred.</li><li>Proven experience in medical billing, claims, and collections.</li><li>Expertise in diagnostic and procedural coding, coupled with familiarity with audit processes and revenue cycle optimization.</li><li>Knowledge of relevant coding guidelines and reimbursement policies.</li><li>Strong communication skills and an ability to work collaboratively with healthcare professionals and cross-functional teams.</li><li>Proficient in healthcare software applications and Microsoft Office Suite.</li></ul><p><strong>Why Join Us?</strong></p><p>This opportunity allows you to contribute to the smooth operation of a respected healthcare organization while working in a flexible remote environment. Be a part of a dynamic environment with a mission to make healthcare administration seamless and efficient.</p><p>Apply now to make an impact in the healthcare industry while showcasing your skills and expertise.</p><p><br></p><p>Want to build your career in healthcare? </p>
<p>Our client is seeking a highly motivated and detail-oriented <strong>Eligibility Specialist</strong> for a remote, contract-to-hire position. The Eligibility Specialist will play a crucial role in ensuring the financial clearance of patient accounts, focusing on eligibility verification, resolving claim discrepancies, and guaranteeing the timely submission of clean claims to insurance companies. This is a fast-paced role that demands precision, analytical skills, and exceptional communication abilities.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><ul><li>Conduct detailed reviews of patient insurance coverage and benefits for laboratory services.</li><li>Collaborate with teammates, clinics, patients, and insurance companies to verify coverage details and address any discrepancies.</li><li>Maintain accurate and comprehensive documentation of eligibility information in the revenue cycle management (RCM) system.</li></ul><p><strong>2. Claim Error Processing</strong></p><ul><li>Analyze and promptly resolve claim errors identified in the RCM system, including billing and coding discrepancies.</li><li>Work closely with team members to ensure compliance with policies, procedures, and medical necessity requirements.</li><li>Address and reconcile discrepancies to prepare clean claims for timely submission.</li></ul><p><strong>3. Additional Duties</strong></p><ul><li>Assist in other related tasks as assigned by leadership.</li></ul>
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>Lana Funkhouser with Robert Half is looking for a skilled Revenue Cycle Manager to oversee and enhance the financial health of our organization in Emmett, Idaho. This role involves leading all aspects of revenue cycle operations, ensuring compliance with regulatory standards, and implementing strategies to improve efficiency and accuracy in billing and coding. The ideal candidate will bring strong expertise in healthcare revenue management and a proven ability to drive results through collaboration and innovation.</p><p><br></p><p>Responsibilities:</p><p>• Develop and execute strategic plans for the Revenue Cycle team, setting clear goals and objectives.</p><p>• Provide expert oversight on CPT and ICD-10 coding, while preparing for the transition to ICD-11 standards.</p><p>• Manage the Chargemaster, ensuring timely updates and accurate coding for all services to support proper billing.</p><p>• Utilize quality improvement tools to monitor billing accuracy, identify concerns, and implement corrective actions.</p><p>• Deliver training to providers and staff on updates to coding and billing practices, particularly for Critical Access Hospitals.</p><p>• Ensure compliance with privacy standards, the No Surprises Act, Hospital Price Transparency Rule, and other federal and state regulations.</p><p>• Build and maintain strong relationships with insurance companies to address issues affecting cash flow, such as claim denials or policy changes.</p><p>• Drive revenue integrity by optimizing charge capture, reimbursement processes, patient collections, and minimizing bad debt.</p><p>• Regularly evaluate team performance, ensuring goals are met and providing feedback for continuous improvement.</p><p>• Act as the subject matter expert on revenue cycle operations, advising leadership on payer relations and regulatory changes.</p><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p><p><br></p>
<p>We are looking for a detail-oriented Certified Medical Coding Auditor to join our team in Alabama. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation.</p><p><br></p><p>Responsibilities:</p><p>• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.</p><p>• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.</p><p>• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.</p><p>• Abstract required data in accordance with facility-specific guidelines.</p><p>• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.</p><p>• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.</p><p>• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.</p><p>• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.</p><p>• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.</p>
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
We are looking for an experienced Medical Billing Specialist to join our team in Syracuse, New York. In this Contract-to-Permanent position, you will play a vital role in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a strong background in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills.<br><br>Responsibilities:<br>• Review and verify claims for accuracy and completeness, correcting any missing or incorrect details related to Home Health Care billing.<br>• Prepare and submit claims and invoices to payors or clients in accordance with established billing schedules.<br>• Conduct timely follow-up on outstanding claims and invoices to optimize revenue collection.<br>• Investigate and appeal unpaid claims as needed to ensure maximum reimbursement.<br>• Post payments with a high degree of accuracy and within specified timelines.<br>• Utilize electronic billing systems, including Waystar, to manage claims efficiently and address billing exceptions.<br>• Communicate billing issues, payment discrepancies, and collection challenges to the Billing Manager promptly.<br>• Leverage agency IT systems to streamline work processes and meet job requirements.<br>• Participate in meetings and training sessions to stay updated on industry standards and practices.<br>• Ensure compliance with payor filing requirements to maintain timely and accurate billing.
<p>We are currently seeking a detail-oriented and proactive <strong>Insurance Verification Representative</strong> to join our dynamic team and support patients by identifying coverage options and reducing surprises related to billing.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As an <strong>Insurance Verification Representative</strong>, your key duties will include:</p><ul><li>Contacting insurance providers to verify patient eligibility, coverage, and benefits.</li><li>Completing detailed verification of copays, deductibles, co-insurance amounts, and out-of-pocket expenses.</li><li>Accurately entering and updating patient insurance information in the Electronic Medical Records (EMR) or billing system.</li><li>Communicating insurance eligibility details with patients in an easy-to-understand, professional manner.</li><li>Providing guidance to patients regarding their financial obligations, including potential costs and payment plan options.</li><li>Collaborating directly with front office staff, billing teams, and clinical departments to ensure all insurance information is accurately documented prior to medical services being rendered.</li><li>Resolving discrepancies with insurance claims and quickly addressing any issues related to denied or rejected verifications.</li><li>Maintaining compliance with HIPAA regulations and other applicable laws regarding patient confidentiality.</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>
We are looking for a detail-oriented Medical Collections Specialist to join our team on a long-term contract basis in Houston, Texas. This role involves managing business-to-business collections, primarily interacting with large insurance agencies. The position offers a hybrid work schedule, with three days onsite and two days remote each week.<br><br>Responsibilities:<br>• Handle business-to-business collections, ensuring timely resolution of outstanding balances.<br>• Communicate effectively with large insurance agencies to address and resolve payment discrepancies.<br>• Monitor accounts receivable to identify overdue payments and initiate follow-up actions.<br>• Utilize medical billing knowledge to review claims, appeals, and payment adjustments.<br>• Interpret and apply medical terminology, CPT codes, and other relevant documentation during collections.<br>• Collaborate with internal teams to streamline processes and improve collection outcomes.<br>• Maintain accurate records of collection activities, payment statuses, and correspondence.<br>• Provide exceptional customer service to resolve inquiries related to medical billing and insurance claims.
