We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
<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>We are looking for a detail-oriented Medical Billing Specialist to join our team in King of Prussia, Pennsylvania. In this long-term contract position, you will play a vital role in ensuring accurate billing, timely claims management, and efficient collections processes. Your efforts will directly support our mission of providing personalized autism services by working closely with families and stakeholders to facilitate smooth billing operations.</p><p><br></p><p>Responsibilities:</p><p>• Manage denial responses and accounts receivable follow-ups using Waystar and insurance portals.</p><p>• Submit primary and secondary claims for both commercial and Medicaid payors.</p><p>• Handle claims across all aging buckets, from initial billing to final resolution, including identifying and correcting errors, rejections, and denials.</p><p>• Investigate and appeal claim denials to ensure optimal resolution.</p><p>• Review and input billing data with a focus on precision and compliance.</p><p>• Collaborate with the Billing Manager and clinic teams to ensure accurate billing processes.</p><p>• Monitor and verify Medicaid status for clients to ensure eligibility.</p><p>• Develop and maintain strong relationships with Pennsylvania Medicaid payors to streamline claims processing and payments.</p><p>• Assist the intake team with completing Medicaid documentation for new clients or reassessments.</p><p>• Perform additional tasks as assigned by the Billing Manager or Director.</p>
<p>Our client, in the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/Claims specialist near downtown Tucson! You will be tasked with managing medical claims and ensuring accurate billing and collections. This position requires skills in various accounting software systems, knowledge of EHR systems, and EOB.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Handle medical claims with precision and ensure timely processing</p><p>• Utilize accounting software systems to maintain accurate records and facilitate collections</p><p>• Leverage EHR systems to access patient data and manage billing functions</p><p>• Keep a meticulous record of accounts receivable and follow up on pending claims</p><p>• Address and resolve any customer inquiries related to billing and collections</p><p>• Conduct appeals and authorizations as part of the medical claims process</p><p>• Ensure compliance with all billing functions and benefit functions</p><p>• Work with NextGen or Netsmart systems for efficient management of claims and billing.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Devens, Massachusetts. In this role, you will play a vital part in ensuring accurate and timely billing processes while addressing appeals and denials. This position offers an opportunity to contribute to a dynamic healthcare environment.<br><br>Responsibilities:<br>• Handle medical billing tasks, including claims processing and submissions.<br>• Manage appeals and denials to ensure proper resolution and reimbursement.<br>• Conduct thorough reviews of medical claims for accuracy and compliance.<br>• Collaborate with insurance providers and patients to address billing inquiries.<br>• Maintain up-to-date knowledge of medical coding standards and billing regulations.<br>• Utilize Epaces and other systems to track and manage claims effectively.<br>• Perform follow-ups on outstanding collections and payments.<br>• Assist with special projects related to billing operations as needed.<br>• Ensure confidentiality and security of patient billing information.
We are looking for a detail-oriented Medical 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.
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections Specialist will play a vital role in managing the revenue cycle for Skilled Nursing Facility services, ensuring claims are processed accurately and efficiently while adhering to Medicare, Medi-Cal, and other insurance guidelines. This is an excellent opportunity for a meticulous individual to contribute to a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to insurance payers with accuracy and timeliness, focusing on Skilled Nursing Facility services.</p><p>• Investigate and resolve denied claims by identifying root causes and implementing corrective measures to reduce future denials.</p><p>• Draft and submit appeals for claim denials to secure appropriate reimbursements.</p><p>• Maintain comprehensive and accurate patient billing records in compliance with Medicare, Medi-Cal, and payer-specific requirements.</p><p>• Follow up with insurance companies and payers to resolve outstanding claims and ensure timely reimbursements.</p><p>• Stay up-to-date on federal, state, and local billing regulations to ensure strict adherence to compliance standards.</p><p>• Collaborate with administrative and clinical teams to streamline billing workflows and improve documentation processes.</p><p>• Generate detailed account reports that outline billing trends, claim statuses, and resolution timelines for management review.</p>
<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>
<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 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>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
<p>Our recruiting firm is proud to represent a leading <strong>medical services client in North San Diego County</strong> who is seeking a detail-oriented and professional <strong>Collections Specialist</strong>. This role offers an exciting opportunity to contribute to the financial health of an organization that directly impacts patient care and community well-being.</p><p><br></p><p><strong><u>Role Overview</u></strong></p><p>The Collections Specialist will be responsible for managing the collections process for outstanding medical accounts, maintaining accurate records, and providing respectful, empathetic communication with patients and insurance providers. This is a <strong>temp-to-hire</strong> role with a client that values both professionalism and compassion in financial operations.</p><p><br></p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Contact patients and insurance companies regarding outstanding balances.</li><li>Negotiate payment arrangements while adhering to company policies and healthcare compliance standards.</li><li>Research and resolve billing discrepancies or insurance denials.</li><li>Maintain accurate documentation of all communications and payment activity.</li><li>Collaborate with the billing department and revenue cycle team to ensure timely collections.</li><li>Provide professional and empathetic customer service to patients.</li></ul>
We are looking for a Medical Biller/Collections Specialist to join our team in Kirkland, Washington. This Contract-to-permanent position offers an opportunity to work on critical processes such as payment posting, credit reconciliation, and refunds management. The ideal candidate will bring expertise in medical billing, collections, and insurance processes while demonstrating proficiency with tools like Excel and specialized billing systems.<br><br>Responsibilities:<br>• Post payments accurately by working off spreadsheets and reconciling credits within the system.<br>• Investigate and resolve credit balances, determining whether adjustments or refunds are required.<br>• Manage refund processes, ensuring compliance with payer-specific procedures and requirements.<br>• Research and reconcile overpayments, verifying amounts and issuing refunds to appropriate parties.<br>• Utilize proprietary billing systems to perform detailed analysis and tracking of credits and payments.<br>• Conduct audits to ensure accurate payment posting and adherence to payer guidelines.<br>• Collaborate with team members to streamline processes related to billing, collections, and refunds.<br>• Generate accurate reports and documentation to support financial transactions and reconciliations.<br>• Stay updated on insurance policies and regulations to ensure compliance in all billing activities.<br>• Provide support for special projects related to patient accounts and refunds.
We are looking for 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.
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. This Contract-to-Permanent position offers an exciting opportunity to contribute to a dynamic healthcare environment by managing billing operations and ensuring accurate claim processing. The ideal candidate will bring expertise in accounting software systems and a strong understanding of medical billing procedures.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers efficiently and accurately.<br>• Manage accounts receivable and oversee collection procedures to ensure timely payments.<br>• Utilize accounting software systems and tools, including IBM AS/400, Medisoft, and Epic, to handle billing operations.<br>• Review and resolve claim appeals, ensuring compliance with healthcare regulations.<br>• Maintain and update patient billing records within electronic health record (EHR) systems.<br>• Collaborate with internal teams to address billing discrepancies and improve workflows.<br>• Monitor and analyze billing trends to identify areas for process optimization.<br>• Handle billing inquiries and provide exceptional customer service to patients and insurance representatives.<br>• Generate and present financial reports related to billing and collections.<br>• Stay informed about industry changes and updates to medical billing and coding practices.
<p>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>
We are looking for a detail-oriented Medical Billing Insurance Clerk to join our team on a contract basis in Barton, Vermont. In this role, you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position is ideal for someone with a strong understanding of medical billing processes and experience working with insurance claims.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and compliance with established guidelines.<br>• Utilize billing software to manage data entry and track claim statuses.<br>• Verify insurance coverage details and resolve claim discrepancies efficiently.<br>• Handle collections and follow up on outstanding payments from insurance providers.<br>• Maintain confidentiality of patient information and billing records.<br>• Collaborate with team members to ensure seamless operations and timely claim submissions.<br>• Generate and analyze reports related to billing and insurance claims.<br>• Manage Medicaid and commercial insurance billing processes, adhering to specific regulations.<br>• Update and maintain spreadsheets for tracking billing activities and payment records.<br>• Communicate effectively with insurance companies and healthcare providers to address billing concerns.
<p>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-permanent position, you will play a critical role in managing billing operations and ensuring accurate processing of medical claims. This opportunity is ideal for professionals with a strong background in healthcare billing and proficiency in industry-standard software.<br><br>Responsibilities:<br>• Manage and process medical claims efficiently using a variety of billing systems and software.<br>• Ensure accurate coding and compliance with healthcare regulations during claim submissions.<br>• Handle accounts receivable tasks, including follow-ups on unpaid claims and resolving payment discrepancies.<br>• Monitor and execute appeals for denied claims to maximize revenue recovery.<br>• Utilize accounting software systems, including Medisoft and IBM AS/400, to maintain up-to-date billing records.<br>• Collaborate with collection teams to streamline payment processes and resolve outstanding balances.<br>• Perform detailed analysis of billing reports to identify trends and areas for improvement.<br>• Support claim administration tasks, ensuring timely submissions and adherence to payer guidelines.<br>• Work with Epic software to manage patient billing data and related documentation.
<p>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>
We are looking for an experienced and detail-oriented Collections Specialist to join our team in Fishers, Indiana. This Contract to permanent position requires a candidate who thrives in a fast-paced environment and is committed to meeting deadlines while adhering to established procedures. The role offers flexibility in hours and the potential for hybrid work after demonstrating strong performance during the initial onsite phase.<br><br>Responsibilities:<br>• Manage accounts receivable processes, ensuring accurate and timely collections.<br>• Utilize accounting software systems, SAP, and CRM tools to track and manage collections.<br>• Handle inbound calls and inquiries related to billing and claims administration.<br>• Coordinate commercial collections, maintaining professionalism and efficiency.<br>• Administer claims and resolve disputes to ensure smooth payment processing.<br>• Execute billing functions with precision and attention to detail.<br>• Follow established collection processes to recover outstanding payments.<br>• Collaborate with team members and management to meet departmental goals.<br>• Maintain accurate records and documentation of all collection activities.<br>• Provide excellent customer service while addressing payment-related issues.
<p>We’re partnering with a well-established credit union experiencing significant growth and team integration! Their collections department now supports both direct and indirect lending and is seeking a service-minded professional to join their team.</p><p><br></p><p>Apply today or contact our team at 563-359-3995 to learn more. Christin, Lydia, and Erin are great points of contact!</p><p><br></p><p>Details:</p><p>Location - Onsite: Moline, IL</p><p>Hours: M-F 8:30am-5pm</p><p>Duration: Contract-to-Hire</p><p><br></p><p>Key Responsibilities:</p><p>- Handle early-stage delinquency queues (typically 7+ days past due) with a focus on proactive, respectful outreach via phone, text, and email</p><p>- Respond to inbound member calls regarding locked accounts, payment issues, and account recovery</p><p>- Collaborate with team members to find solutions and bring accounts back into good standing</p><p>- Progress into more complex queues over time, with opportunities to develop negotiation skills</p><p>- Contribute to a team culture that emphasizes member service, accountability, and collaboration</p>
<p><strong>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
A Hospital located in the San Fernando Valley is looking to add a Hospital Patient Account Rep to the team. The Hospital Patient Account Rep will be responsible for overseeing billing and collection processes within a hospital setting. The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care.<br><br>Responsibilities:<br>• Conduct hospital billing and collection processes with accuracy and efficiency<br>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care<br>• Provide training for Collector I positions<br>• Appeals and denials management.<br>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role<br>• Oversee the management of insurance correspondence and maintain accurate records<br>• Monitor patient accounts and take appropriate action to collect insurance payments.
