<p>We are looking for a skilled Medical Billing Manager to lead our clients medical billing operations in Mesa, Arizona. This role requires a strong leader who can oversee billing processes, ensure compliance with healthcare regulations, and drive efficiency across all aspects of revenue cycle management. If you have a passion for team leadership and expertise in medical billing, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage the billing team, including hiring, training, scheduling, and conducting performance evaluations.</p><p>• Oversee quality assurance of billing cases through regular audits and ensure compliance with healthcare regulations.</p><p>• Develop and implement policies to improve operational efficiency and adapt to changes in regulatory requirements.</p><p>• Address team conflicts and maintain effective communication with stakeholders to foster positive relationships.</p><p>• Utilize data-driven strategies to enhance referral, eligibility, and authorization services.</p><p>• Ensure accurate review and timely submission of claims while addressing any issues to meet deadlines.</p><p>• Supervise coding processes, conduct audits, and ensure hospital charges are completed promptly and accurately.</p><p>• Manage aging accounts receivable, minimize outstanding balances, and follow up on denied claims to ensure timely resolution.</p><p>• Oversee payment posting processes, ensuring accuracy and timely reconciliation of monthly payments.</p><p>• Maintain strong relationships with payers, ensuring provider enrollment and keeping records up to date.</p>
<p>We are looking for an experienced Revenue Cycle Manager to oversee and optimize the billing and revenue operations within our healthcare organization in Las Vegas, Nevada. This role is integral to ensuring efficient financial processes while maintaining strong relationships with both internal teams and external stakeholders. The ideal candidate will have a proven track record in medical billing, management, and revenue cycle operations.</p><p><br></p><p>Responsibilities:</p><p>• Supervise the organization's billing and revenue processes to ensure accuracy and compliance with healthcare regulations.</p><p>• Develop strategies to maximize cash flow while fostering positive relationships with patients and partners.</p><p>• Lead daily operations related to the revenue cycle, addressing challenges and implementing solutions.</p><p>• Analyze current processes, create documentation, and train staff to build a cohesive revenue cycle team.</p><p>• Manage accounts receivable, billing, and coding teams, including direct oversight of approximately 22 employees.</p><p>• Implement measures to reduce accounts receivable days and enhance daily collections.</p><p>• Utilize advanced Excel tools and healthcare software, such as Allscripts, to streamline operations and reporting.</p><p>• Ensure adherence to fee billing standards and third-party payer regulations.</p><p>• Collaborate with leadership to address operational impacts of healthcare regulatory requirements.</p><p>• Foster a culture of continuous improvement and problem-solving within the revenue cycle team.</p><p><br></p><p>If you are interested in learning more about this opportunity, please contact Kathy Beavers at Robert Half, see contact information on LinkedIn.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. This is a long-term contract position offering an excellent opportunity to contribute to a healthcare environment dedicated to patient care and operational excellence. The ideal candidate will bring expertise in medical billing processes and a commitment to accuracy and efficiency.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance companies with accuracy and attention to detail.<br>• Review and resolve claim denials or discrepancies to ensure timely reimbursement.<br>• Maintain up-to-date knowledge of medical billing codes and insurance regulations.<br>• Collaborate with healthcare providers and administrative staff to address billing inquiries.<br>• Monitor and track payments, ensuring proper documentation and record-keeping.<br>• Generate and analyze billing reports to identify trends and improve processes.<br>• Assist patients with billing-related questions and provide clear and precise communication.<br>• Ensure compliance with all billing policies, procedures, and legal requirements.<br>• Support the implementation of new billing systems or updates as needed.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis. This role is based in Turnersville, New Jersey, and involves managing billing operations and accounts receivable processes with precision and efficiency. The ideal candidate will have a strong background in medical billing and claims administration, along with familiarity with various healthcare technologies.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical claims</p><p>• Handle accounts receivable tasks, including tracking payments and resolving discrepancies.</p><p>• Review and submit appeals to insurance carriers for denied claims.</p><p>• Ensure accurate and timely billing functions across multiple healthcare platforms.</p><p>• Administer benefit functions related to patient accounts and insurance policies.</p><p>• Utilize Electronic Health Record (EHR) systems to maintain and update patient information.</p><p>• Conduct dynamic data exchanges (DDE) to ensure seamless integration of billing data.</p><p>• Collaborate with team members to improve claim administration processes.</p><p>• Monitor and analyze billing reports to identify areas for improvement.</p><p>• Provide support for audits and compliance reviews as needed.</p>
We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.<br>• Manage medical billing operations, ensuring timely and accurate processing.<br>• Handle medical claims by reviewing, validating, and resolving discrepancies.<br>• Collaborate with team members to streamline billing functions and improve workflows.<br>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.<br>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.<br>• Support the transition of revenue processes back in-house, ensuring seamless integration.<br>• Provide detailed reporting on billing and claims metrics to stakeholders.<br>• Assist in supply chain-related tasks when applicable to revenue cycle management.<br>• Maintain up-to-date knowledge of industry practices and regulatory changes.
<p>Robert Half is seeking a detail-oriented and experienced Medical Billing Specialist. The ideal candidate will be responsible for managing patient billing processes, ensuring accurate claim submissions, and following up on outstanding payments. This role plays a critical part in maintaining the financial health of our organization.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and government payers.</li><li>Review and verify patient billing data for accuracy and completeness.</li><li>Resolve billing discrepancies and denials through follow-up and appeals.</li><li>Post payments and adjustments to patient accounts.</li><li>Communicate with patients regarding billing inquiries and outstanding balances.</li><li>Maintain compliance with HIPAA and other regulatory requirements.</li><li>Collaborate with clinical and administrative staff to ensure proper documentation and coding.</li></ul><p><br></p>
We are looking for a detail-oriented Billing Clerk to join a non-profit organization in New York, NY. In this contract position, you will play a critical role in supporting the clinical billing department by managing data entry tasks and ensuring the accuracy of financial and patient information. This is an excellent opportunity for individuals who excel at precision and are passionate about contributing to the operational success of healthcare services.<br><br>Responsibilities:<br>• Enter patient data, diagnosis codes, procedure codes, and other billing-related information accurately into the system.<br>• Verify all entered information against source documents to ensure compliance with billing and coding standards.<br>• Collaborate with coding specialists to confirm the proper classification of diagnosis and procedure codes.<br>• Perform routine checks to identify and correct errors, discrepancies, or incomplete entries in the database.<br>• Maintain up-to-date records and ensure timely updates to patient and financial data.<br>• Generate reports to support billing operations and provide insights into data accuracy.<br>• Assist in resolving issues related to billing discrepancies or missing information.<br>• Follow established protocols and guidelines for data entry and quality assurance.<br>• Support the team in meeting deadlines and achieving departmental goals.
<p>A Hospital in Los Angeles is seeking a Medical Biller with expertise in hospital billing and deep knowledge of Medi-Cal regulations. The Medical Biller must at least two years of experience in Medical Billing and Collections. The Medical Biller must be able excel at denials management, appeals, and insurance follow-up, </p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and track hospital claims to Medi-Cal and other insurance payers, ensuring compliance with billing regulations</li><li>Review, analyze, and resolve denied or rejected Medi-Cal claims</li><li>Prepare and submit timely appeals for denied claims, including supporting documentation</li><li>Perform follow-up with payers and patients to secure payment and resolve outstanding account balances</li><li>Accurately update patient accounts and billing records</li><li>Collaborate with clinical and administrative teams to gather documentation, clarify billing issues, and improve revenue cycle processes</li></ul><p><br></p>
We are looking for a dedicated Medical Accounts Receivable Specialist to join our team in Richmond, Virginia. In this long-term contract role, you will play a key part in managing billing and payment processes to ensure the smooth operation of our medical accounts. If you have a keen eye for detail and a passion for accuracy in financial transactions, we encourage you to apply.<br><br>Responsibilities:<br>• Process and manage medical billing activities to ensure timely and accurate invoicing.<br>• Handle accounts receivable tasks, including tracking outstanding balances and following up on overdue payments.<br>• Post payments accurately into the system and reconcile any discrepancies.<br>• Conduct collection activities to recover unpaid balances while maintaining strong client relationships.<br>• Monitor cash application processes to ensure proper allocation of funds.<br>• Collaborate with internal teams to resolve billing and payment issues efficiently.<br>• Generate detailed financial reports related to accounts receivable and collections.<br>• Stay updated on billing procedures and compliance with industry standards.<br>• Maintain organized and accurate records of all transactions and communications.<br>• Provide exceptional customer service to clients regarding billing and payment inquiries.
We are looking for an experienced Billing Analyst to join our team in Houston, Texas. In this Contract-to-permanent role, you will play a key part in ensuring accurate and timely billing processes within the healthcare industry. The ideal candidate will excel in managing detailed financial data and demonstrate strong communication skills to collaborate with various departments effectively.<br><br>Responsibilities:<br>• Input and process billing documentation received from designated branches, ensuring accuracy and completeness.<br>• Provide constructive feedback to branch teams regarding the quality and timeliness of submitted paperwork.<br>• Monitor, review, and update daily billing work queues for assigned branches.<br>• Analyze billing reports regularly to identify and correct discrepancies.<br>• Collaborate closely with the Billing Manager and colleagues to maintain seamless communication and workflow.<br>• Support departmental projects such as customer price adjustments and updates for sales personnel.<br>• Coordinate with accounts receivable, credit/collections teams, and branch staff to address billing-related issues.<br>• Verify invoicing details, including pricing, customer information, equipment data, tax calculations, quantities, billing periods, and comments.<br>• Meet strict deadlines for month-end billing activities and other billing department responsibilities.<br>• Take on additional tasks and responsibilities as needed to support the team.
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Glen Burnie, Maryland. In this Contract-to-permanent role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.</p><p>• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.</p><p>• Review denied or unpaid claims and work on appeals to secure payment.</p><p>• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.</p><p>• Utilize medical coding knowledge, including ICD-10, to process claims accurately.</p><p>• Maintain confidentiality of patient information in compliance with healthcare regulations.</p><p>• Handle insurance verifications and follow up on outstanding claims.</p><p>• Collaborate with team members to streamline billing processes and improve efficiency.</p><p>• Utilize electronic medical record (EMR) systems to manage data entry and documentation.</p><p>• Stay updated on changes in medical billing procedures and insurance policies.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis PART TIME in Des Plaines, Illinois. In this role, you will handle essential billing operations, ensuring accurate claims submissions and resolving unpaid claims with insurance providers. This position requires a proactive individual with expertise in medical billing and coding, capable of working independently without direct training.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately to insurance companies for reimbursement.</p><p>• Identify and resolve unpaid claims by analyzing discrepancies and communicating with insurance providers.</p><p>• Prepare and send billing statements to insurance companies and patients as needed.</p><p>• Utilize billing software and systems efficiently to ensure timely payment processing.</p><p>• Conduct follow-ups on pending claims to ensure resolution and payment.</p><p>• Maintain organized records of claims and payments for auditing and reporting purposes.</p><p>• Collaborate with other team members to address billing issues and enhance efficiency.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Monitor accounts receivable to ensure timely collection of payments.</p><p>• Provide insights and recommendations to improve billing processes where applicable.</p>
<p>We are looking for an experienced Manager of Revenue Cycle to oversee and optimize all facets of billing, collections, coding, and credentialing operations. This role is pivotal in driving efficiency, ensuring compliance, and aligning revenue cycle strategies with overarching organizational objectives. Join our team in New York, New York, and lead a dedicated group of professionals to achieve operational excellence.</p><p><br></p><p>Responsibilities:</p><p>• Lead and mentor the revenue cycle team, ensuring all billing, collections, coding, and credentialing processes run efficiently.</p><p>• Develop and implement workflows, policies, and procedures to enhance the efficiency and scalability of revenue cycle operations.</p><p>• Monitor key performance indicators (KPIs) and metrics, analyzing trends to identify opportunities for improvement and implement data-driven solutions.</p><p>• Partner with executive leadership and other departments to align revenue cycle strategies with the organization's broader goals.</p><p>• Ensure compliance with all applicable regulations and payer requirements within the revenue cycle functions.</p><p>• Conduct regular team meetings to review performance metrics, discuss initiatives, and foster accountability.</p><p>• Identify and address inefficiencies in billing practices, reimbursement methods, and cash flow management.</p><p>• Create and deliver training programs to continuously educate and develop the skills of revenue cycle staff.</p>
We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a collaborative team player who is dependable, punctual, and committed to delivering high-quality results.<br><br>Responsibilities:<br>• Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date.<br>• Resubmit denied or rejected claims, following proper protocols to secure approvals.<br>• Post payments accurately into multiple systems, maintaining consistency and precision.<br>• Utilize payer portals to manage claims and track progress effectively.<br>• Perform clerical tasks such as data entry and filing with a focus on accuracy and attention to detail.<br>• Collaborate with a team of professionals to ensure smooth workflows and timely completion of tasks.<br>• Monitor claim statuses to identify and resolve discrepancies proactively.<br>• Maintain compliance with relevant policies and regulations in the healthcare industry.<br>• Provide support in behavioral health payment posting processes.<br>• Communicate effectively with team members and external parties regarding claim-related issues.
We are looking for a skilled Revenue Manager to oversee and optimize billing operations within a dynamic healthcare environment. This role requires someone with strong attention to detail who can manage accounts receivable, ensure compliance with revenue recognition standards, and provide support to billing staff. The ideal candidate will have expertise in healthcare revenue cycles and a solid understanding of financial processes.<br><br>Responsibilities:<br>• Supervise day-to-day billing activities, ensuring accurate and timely processing of all transactions.<br>• Act as a resource for staff inquiries regarding billing procedures and address operational challenges.<br>• Oversee the electronic billing setup and implement necessary changes to improve efficiency.<br>• Conduct month-end reviews of accounts receivable balances and prepare related financial reports.<br>• Manage the entry and verification of resident charges into the billing system, ensuring accuracy.<br>• Analyze resident accounts and initiate adjustments or credits where necessary.<br>• Assist families in establishing and maintaining benefits through Wisconsin Medical Assistance, Medicare, and insurance providers.<br>• Lead and mentor select billing staff to enhance team performance and productivity.<br>• Ensure compliance with revenue recognition standards, including ASC 606.<br>• Collaborate with healthcare teams to optimize the revenue cycle and improve financial outcomes.
We are looking for a skilled Medical Collections Lead to join our team in Irvine, California. This contract-to-permanent position requires a proactive individual with expertise in managing accounts receivable and resolving insurance claim issues. The ideal candidate will demonstrate strong communication skills, attention to detail, and a commitment to compliance within the healthcare industry.<br><br>Responsibilities:<br>• Manage the accounts receivable process by monitoring payments, addressing errors, and resolving reimbursement issues.<br>• Investigate and follow up on insurance denials, initiating appeals when necessary.<br>• Analyze insurance Explanation of Benefits (EOBs) and document all actions and resolutions in patient accounts.<br>• Prepare and distribute necessary documentation, ensuring timely and accurate communication.<br>• Maintain comprehensive records of account activities and correspondence.<br>• Stay informed about commercial and managed care pricing policies, ensuring compliance with relevant rules and regulations.<br>• Uphold confidentiality standards and handle patient information in accordance with organizational and legal requirements.<br>• Participate in required training and report any compliance concerns to management.<br>• Assist with additional tasks as assigned by supervisors or management.<br>• Support the organization’s compliance initiatives by adhering to established policies and procedures.
We are looking for a detail-oriented Medical Billing Coder to join our team in Phoenix, Arizona, on a long-term contract basis. In this role, you will play a key part in ensuring accurate coding and billing processes within the healthcare revenue cycle. Collaborating with internal teams and external partners, you will work to identify and resolve coding issues while implementing solutions that enhance the overall efficiency of billing operations.<br><br>Responsibilities:<br>• Assign appropriate and accurate codes while adhering to government and insurance regulations.<br>• Analyze and correct errors, discrepancies, or missing information in claim documentation.<br>• Provide guidance to the Revenue Cycle team on selecting appropriate ICD, CPT, and HCPCS codes for accurate billing and reimbursement.<br>• Review and validate documentation to ensure it supports diagnoses, procedures, and treatments.<br>• Keep team members informed of updates to coding standards, systems, and procedures through meetings and written communications.<br>• Recommend alternative coding methods to address challenges and improve processes.<br>• Develop and implement protocols to troubleshoot and enhance coding reviews and modifications.<br>• Collaborate with cross-functional teams to drive continuous improvement in billing and coding systems.<br>• Maintain consistent attendance and perform additional duties as needed.
We are looking for an experienced Clinic Operations Lead to oversee administrative and financial workflows within a university-affiliated clinic setting. In this contract-to-permanent position, you will play a pivotal role in ensuring operational efficiency, managing staff, and maintaining compliance with healthcare standards. Based in Lombard, Illinois, this role requires a proactive individual with a strong background in healthcare billing and clinic management.<br><br>Responsibilities:<br>• Oversee and correct errors in claims prior to submission to the finance team.<br>• Manage credentialing processes and maintain accreditation with various insurance providers.<br>• Regularly update insurance account details to ensure accuracy and compliance.<br>• Create and analyze reports using Microsoft Excel, with training provided as needed.<br>• Supervise front desk employees and part-time staff, while providing indirect oversight for additional clinic locations.<br>• Ensure clinic policies, procedures, and documentation align with organizational compliance standards.<br>• Train administrative staff, coordinate schedules, and ensure adequate coverage for clinic operations.<br>• Assist clinicians and interns with billing workflows and administrative tasks.<br>• Conduct random audits to verify patient demographic data and billing accuracy.<br>• Foster relationships with external partners, such as labs and vendors, to streamline operations.
We are looking for a skilled Medical Billing Coder to join our team in Phoenix, Arizona. In this long-term contract position, you will play a vital role in optimizing the revenue cycle by addressing coding challenges and implementing effective solutions. This opportunity is ideal for professionals who thrive in a healthcare setting and excel at ensuring accuracy and compliance in medical billing.<br><br>Responsibilities:<br>• Assign codes accurately and in proper sequence while adhering to government and insurance regulations.<br>• Evaluate claims documentation to identify and resolve errors, discrepancies, or missing information.<br>• Provide guidance to the Revenue Cycle team on the interpretation and selection of ICD, CPT, and HCPCS codes for precise billing and reimbursement.<br>• Verify documentation to ensure it supports diagnoses, procedures, and treatment outcomes.<br>• Educate staff about updates to coding standards, systems, and procedures through meetings and communications.<br>• Recommend alternative coding methods and procedures to address issues effectively.<br>• Develop and implement strategies to improve coding review processes and modify codes as needed.<br>• Collaborate with cross-functional teams to enhance billing and coding efficiency and system utilization.<br>• Maintain consistent attendance and fulfill other duties as assigned.
<p>Our client, a small medical center in the central side of Tucson, is in need for a Medical Billing Specialist and Coder to come in on a temp-to-hire basis! This role is an excellent opportunity for someone who wants to contribute to our growing team and has a knack for accuracy, efficiency, and attention to detail.</p><p><br></p><p>Job Responsibilities:</p><ol><li>Use medical codes to document patient diagnoses and treatments.</li><li>Process billing for medical procedures, office visits, and treatments to insurance companies.</li><li>Review and appeal unpaid and/or denied claims.</li><li>Verify patients' insurance coverage and benefits.</li><li>Answer questions from patients, staff, and insurance companies.</li><li>Identify and resolve patient billing complaints.</li><li>Handle information about patient treatment, diagnosis, and related procedures to ensure correct coding.</li><li>Perform data entry and utilize paperless billing systems.</li></ol><p><br></p>
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
Are you an experienced medical billing professional seeking your next opportunity? Our client in Holyoke, MA is looking for a contract Medical Billing Specialist to join their team and deliver accurate, timely billing for healthcare services. This is a contract role suited to someone who thrives in fast-paced medical environments and is committed to supporting top-quality patient and financial outcomes. Key Responsibilities: Review and process medical claims and billing statements for accuracy and compliance Submit claims to insurance providers, follow up on outstanding payments, and resolve denials/rejections Collaborate with other healthcare staff to ensure accurate patient account information Maintain confidentiality and data integrity at all times Assist with general administrative tasks related to billing and collections as needed
<p>We are looking for a dedicated Patient Access Specialist to join our team in Bangor, Maine. In this role, you will be responsible for managing the admission process for patients seeking services at the hospital. This is a long-term contract position that requires a strong commitment to providing exceptional customer service while ensuring compliance with organizational policies and regulatory standards. Scheduled Shift: Days 9:30a-6:00p, M-F, Rotating Saturdays.</p><p><br></p><p>Responsibilities:</p><p>• Assign unique medical record numbers (MRNs) and perform compliance checks to ensure accuracy and adherence to regulations.</p><p>• Provide clear instructions to patients, collect and verify insurance details, process physician orders, and utilize overlay tools to maintain accurate records.</p><p>• Conduct pre-registration tasks, including obtaining demographic and insurance information, as well as discussing financial responsibilities and payment options with patients.</p><p>• Explain and secure signatures for consent forms, distribute patient education materials, and ensure all necessary documentation is completed.</p><p>• Verify insurance eligibility and input benefit data into the system to support billing processes and facilitate accurate claims.</p><p>• Inform Medicare patients of potential non-payment for specific services using the Advance Beneficiary Notice system and distribute related forms as needed.</p><p>• Perform quality audits on patient accounts to identify and correct discrepancies, ensuring compliance with organizational standards.</p><p>• Meet and maintain point-of-service collection goals while delivering compassionate and attentive customer service.</p><p>• Utilize reporting systems to monitor account accuracy and provide feedback to leadership on audit findings.</p>
<p>The Medical Biller will be responsible for managing patient billing processes, ensuring claims are submitted accurately and efficiently, and following up on payment resolutions. This role is vital to the financial health of the organization and requires a high level of attention to detail, organization, and knowledge of medical billing procedures.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Process, review, and submit claims to insurance carriers efficiently and accurately.</li><li>Verify patient insurance coverage and eligibility.</li><li>Resolve claim errors or discrepancies, including follow-ups with insurance providers and patients.</li><li>Generate billing statements for patient accounts and ensure proper posting of payments.</li><li>Communicate with insurance companies, patients, and other third-party payers regarding claims and payments.</li><li>Monitor and follow up on outstanding accounts receivable balances and unpaid claims.</li><li>Maintain knowledge of current billing codes (e.g., ICD-10, CPT, HCPCS) and updates to healthcare regulations.</li><li>Collaborate with other departments (e.g., medical records or patient services) to gather accurate information.</li><li>Ensure compliance with industry standards and regulations, including HIPAA.</li></ul><p><br></p><p><br></p>
