<p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Billing Coordinator to join its growing team. The ideal Hospital Medical Billing Coordinator should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Billing Coordinator is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients' insurance coverage.</p><p>• Insurance follow up, appeals and denials. </p><p>• Determine the patient's financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
<p>Robert Half is partnering with one of our clients that is looking for a medical biller to join their team! This is a great opportunity to join a growing local practice. Please apply if you have previous medical billing experience in Modernizing Medicine!</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical billing tasks, ensuring all claims are submitted accurately and in a timely manner.</p><p>• Monitor accounts receivable and follow up on outstanding payments to ensure prompt resolution.</p><p>• Utilize electronic medical records systems to maintain and update patient billing information.</p><p>• Communicate with insurance companies and patients to address billing inquiries and discrepancies.</p><p>• Reconcile account balances to ensure accuracy and identify any inconsistencies.</p><p>• Prepare and distribute invoices and statements for patient accounts.</p><p>• Collaborate with team members to streamline billing procedures and improve efficiency.</p><p>• Maintain compliance with relevant regulations and policies related to medical billing and accounts receivable.</p><p>• Generate regular reports detailing accounts receivable status and progress.</p><p>• Assist with audits and provide documentation as requested.</p>
We are looking for a Billing Specialist to join a fast-growing software company based in New York, New York. This role offers the opportunity to work with a global organization of over 1,500 employees, supporting essential finance operations and ensuring smooth billing and collections processes. The position is hybrid, requiring three days onsite, and includes comprehensive training to help you succeed.<br><br>Responsibilities:<br>• Manage billing and invoicing processes with precision to ensure all financial systems are accurate and aligned.<br>• Handle client inquiries and resolve billing-related issues promptly and professionally.<br>• Oversee collections efforts, collaborating with collection agencies to recover outstanding payments.<br>• Verify that Salesforce and NetSuite systems are synchronized and functioning effectively for billing purposes.<br>• Address and resolve client support tickets related to billing and collections.<br>• Monitor and manage accounts receivable, ensuring timely payments and accurate reporting.<br>• Execute detailed calculations and adjustments as required for billing accuracy.<br>• Support the finance team in achieving organizational goals and maintaining compliance with financial regulations.<br>• Participate in training sessions to continuously enhance billing and collections expertise.<br>• Collaborate with global financial headquarters to streamline processes and improve efficiency.
<p>We are looking for a dedicated Patient Access Specialist to join our team in East China, Michigan. In this long-term contract role, you will be responsible for ensuring seamless patient registration and access processes while delivering exceptional customer service. This position requires strong communication skills, attention to detail, and the ability to navigate medical billing and insurance procedures effectively.</p><p><br></p><p>Responsibilities:</p><p>• Manage patient registration processes, including verifying information and ensuring accuracy.</p><p>• Handle inbound and outbound calls to assist patients with scheduling, insurance inquiries, and billing concerns.</p><p>• Collaborate with clinical teams to optimize protocols and ensure efficient operations.</p><p>• Provide support for financial procedures such as deductible calculations and copays.</p><p>• Maintain accurate documentation and labeling within computer systems.</p><p>• Assist patients with understanding medical coverage and resolving access-related issues.</p><p>• Perform receptionist duties, including greeting patients and directing them as needed.</p><p>• Execute clerical tasks such as typing, filing, and protocol management.</p><p>• Ensure compliance with clinical trial operations and related procedures.</p><p>• Support ad hoc financial and administrative tasks as required.</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.
Ensure full reimbursement is received for clinical services rendered including detail oriented, long-term/home care and hospital care, by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to secure payment. Work as part of a dynamic team continually looking for ways to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments and coverage changes as needed. Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as needed according to department policy and procedure. Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we do not fail to follow-up before a payer's deadline. Participate in team meetings, which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools available, including accessing clinical documentation and authorization details. Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our client's team in Beaverton, Oregon. In this long-term contract role, you will play a crucial part in ensuring accurate billing, coding, and claims processing within the healthcare industry. This position requires strong analytical and critical thinking skills to navigate complex billing systems and resolve claim-related issues effectively.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing transactions with precision and efficiency.</p><p>• Enter data into software, ensuring accuracy and compliance.</p><p>• Monitor and follow up on submitted claims to secure timely payments.</p><p>• Investigate and address denied claims, resolving issues to facilitate reimbursement.</p><p>• Apply medical coding standards to provide appropriate codes for new testing procedures.</p><p>• Collaborate with team members to ensure billing practices meet regulatory requirements.</p><p>• Utilize software tools to streamline billing operations.</p><p>• Stay updated on Medicare, Medicaid, and Tricare billing protocols.</p><p>• Conduct research to resolve complex billing or coding challenges.</p><p>• Maintain thorough documentation of billing activities and claim resolutions.</p>
We are looking for a motivated and detail-oriented Medical Accounts Receivable Specialist to join our team, working Monday through Friday from 8:00 AM to 4:30 PM. In this role, you will play a critical part in maintaining the financial health of our organization by handling Medicare billing, patient accounts, and insurance claims with precision and efficiency. Success in this position requires strong expertise in medical billing processes, exceptional customer service skills, and the ability to manage accounts through to their final resolution.<br>Responsibilities:<br>Process Medicare billing activities, ensuring accurate handling and management of patient accounts.<br>Submit both electronic and paper insurance claims in compliance with payer guidelines.<br>Bill patient claims promptly and manage associated patient accounts with attention to compliance and accuracy.<br>Perform timely payment follow-ups to resolve outstanding balances; communicate effectively with stakeholders as needed.<br>Review work list activities regularly to prioritize and address accounts requiring immediate attention.<br>Work all assigned accounts diligently until final resolution, documenting every step accurately.<br>Review remittances to verify charges processed or paid align with insurance contracts and fee schedules.<br>Interpret and understand the billing UB04 form and 1500 form.<br>Highlights of Required Skills/Knowledge:<br>Full understanding of Managed Care Collections and knowledge of Managed Care contracts, including their terms, language, and Federal/State requirements.<br>Familiarity with terms such as HMO, PPO, Medicare Advantage Plans, and Capitation, with a clear understanding of how payers process claims under these plans.<br>Proficiency in using electronic medical record (EMR) systems (e.g., Cerner, Epic) and billing software. For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
We are looking for a Billing Clerk to join our team in Roslyn Heights, New York. In this role, you will play a critical part in ensuring the accuracy and efficiency of billing processes within a healthcare setting. Your responsibilities will include managing insurance claims, addressing patient inquiries, and contributing to the overall success of the revenue cycle.<br><br>Responsibilities:<br>• Analyze and address denials and underpaid claims from insurance carriers based on contracted fee schedules.<br>• Submit appeals for inappropriate insurance denials in a timely manner.<br>• Communicate with patients to resolve questions about their claims, coverage, and billing concerns.<br>• Validate overpayment refund requests from insurance carriers to ensure accuracy.<br>• Monitor and identify trends among payors that impact revenue.<br>• Participate in individualized accounts receivable reviews with management.<br>• Determine coordination of benefits for patients with secondary and tertiary insurance coverage.<br>• Support various tasks related to revenue cycle operations as needed.<br>• Maintain constructive and positive interactions with patients, colleagues, and managers to foster a collaborative work environment.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
<p>We are looking for an experienced Billing Representative to join a remote team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><ul><li>Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed Care, and other commercial and third-party payers in accordance with payer-specific billing guidelines.</li><li>Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure timely and accurate resolution.</li><li>Perform root cause analysis of claim rejections and denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement.</li><li>Collaborate with clinical, coding, registration, and other internal and external departments to validate demographic, insurance, authorization, and coding accuracy, including updates related to CPT, HCPCS, and ICD-10 changes.</li><li>Accurately document claim research, resolution actions, and follow-up steps within billing and account management systems.</li><li>Maintain strict compliance with hospital policies, federal and state regulations, payer requirements, and HIPAA privacy standards at all times.</li><li>Meet or exceed established productivity and performance metrics by effectively managing assigned work queues and daily workloads.</li><li>Meet or exceed quality standards by ensuring claims are submitted clean, accurate, and complete.</li><li>Respond promptly and professionally to billing-related inquiries and email requests to support timely account resolution.</li><li>Perform additional revenue cycle and billing-related duties as assigned.</li></ul>
<p>A growing healthcare organization in Vista is seeking an experienced <strong>Accounts Receivable Specialist</strong> to manage billing accuracy, payment posting, and account reconciliation in a high-volume, regulated environment. This role is ideal for someone who is detail-driven, organized, and comfortable working with insurance payments, patient accounts, and compliance requirements.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Post payments from insurance carriers, patients, and third-party payers</li><li>Reconcile AR balances and investigate payment discrepancies</li><li>Review EOBs and remittance advice for accuracy</li><li>Work closely with billing and finance teams to resolve denied or underpaid claims</li><li>Maintain accurate AR aging reports</li><li>Assist with month-end close and reporting</li><li>Ensure compliance with healthcare billing standards and internal controls</li><li>Maintain organized documentation and audit-ready records</li></ul>
We are looking for an experienced Shared Services Accounts Receivable Analyst II to join our team in Land O’ Lakes, Florida. This role focuses on managing accounts receivable for various secondary insurance balances, including Commercial, Medicare Advantage, Blue Cross, Workers Comp, Auto, and other non-Medicare payers. The position requires expertise in claim denial routing and resolution, as well as proficiency in utilizing multiple internal systems. As a Contract to potential long-term opportunity, this role offers the possibility for career growth in the healthcare industry.<br><br>Responsibilities:<br>• Manage accounts receivable processes for secondary insurance balances across multiple payer types, ensuring accuracy and timeliness.<br>• Investigate and resolve claim denials by applying knowledge of financial classes and leveraging centralized routing systems.<br>• Utilize internal systems such as Oracle, SharePoint, and the Patient Accounting System to perform daily tasks and maintain records.<br>• Provide coverage for the front desk, adhering to established security protocols and high standards.<br>• Support training initiatives by mentoring or shadowing newer team members to enhance team performance.<br>• Assist in special accounts receivable projects to improve operational efficiency and effectiveness.<br>• Collaborate with internal teams to address billing, collections, and account follow-up challenges.<br>• Ensure compliance with healthcare industry regulations and organizational policies.<br>• Maintain accurate and up-to-date documentation for all accounts receivable activities.
We are looking for a dedicated Medical Customer Service Representative to join our team in Westerville, Ohio. In this contract position, you will serve as a vital link between patients and the organization by addressing billing concerns, resolving account issues, and ensuring the delivery of exceptional service. This role requires strong communication skills, attention to detail, and a patient-centric approach to handling inquiries and transactions.<br><br>Responsibilities:<br>• Facilitate the resolution of patient account balances with a focus on delivering a positive and supportive experience.<br>• Accurately calculate and collect payments from patients while adhering to established guidelines.<br>• Maintain accuracy and efficiency in processing patient accounts and related transactions.<br>• Set up payment plans using the online bill pay system in accordance with approved policies.<br>• Investigate and resolve claims-related issues in a timely manner.<br>• Collaborate with the scheduling department to identify in-network insurance contracts and reimbursement policies.<br>• Research and address accounts receivable concerns based on direction and requirements.<br>• Update insurance information and correct guarantor details in cases of registration errors.<br>• Submit refund requests as needed.<br>• Work with team members and leadership to improve workflows and enhance overall service quality.
<p>Robert Half is partnering with a <strong>growing healthcare organization</strong> to hire a <strong>Revenue Cycle Manager</strong> for a high-impact leadership role based in <strong>Emmett, Idaho</strong>. This position offers a <strong>hybrid work environment</strong>, allowing for a blend of on-site collaboration and remote flexibility. <strong>Relocation assistance is available</strong> for the ideal candidate.</p><p>This is a unique opportunity to lead revenue cycle operations in a mission-driven organization while enjoying a balanced lifestyle in a scenic, close-knit community. With continued organizational growth, this role offers <strong>strong potential for future career advancement</strong>.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Lead strategic planning and day-to-day operations of the Revenue Cycle team</li><li>Oversee CPT and ICD-10 coding practices and prepare for ICD-11 transition</li><li>Manage the Chargemaster to ensure accurate and timely billing</li><li>Monitor billing accuracy using quality improvement tools and implement corrective actions</li><li>Train providers and staff on coding and billing updates, especially for Critical Access Hospitals</li><li>Ensure compliance with federal and state regulations, including the No Surprises Act and Hospital Price Transparency Rule</li><li>Build and maintain payer relationships to resolve issues impacting cash flow</li><li>Optimize charge capture, reimbursement, patient collections, and minimize bad debt</li><li>Analyze data to identify trends and improve operational efficiency</li><li>Leverage technology and automation to streamline revenue cycle processes</li><li>Evaluate team performance and provide coaching for continuous improvement</li><li>Advise leadership on payer relations and regulatory changes</li></ul><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p>
<p>Join our team as a Medical Payment Posting Specialist and make a direct impact on the financial success of leading healthcare organizations. In this vital role, you’ll help ensure accurate and timely processing of medical payments—promoting a smooth revenue cycle and enhancing the patient experience.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am -5pm</p><p><br></p><p><strong>Job Responsibilities: </strong></p><ul><li>Precisely post insurance and patient payments into billing systems, maintaining up-to-date records.</li><li>Analyze Explanations of Benefits (EOBs) to verify and allocate payments accurately.</li><li>Reconcile deposits and payment activity with patient accounts, resolving discrepancies quickly.</li><li>Proactively identify and address denials, underpayments, or posting errors to optimize account accuracy.</li><li>Collaborate with internal teams and insurance carriers to resolve payment inquiries efficiently.</li><li>Uphold industry standards by maintaining compliance with HIPAA and other healthcare regulations.</li><li>Support month-end close processes related to payment posting and financial reporting.</li></ul><p><br></p>
<p>Robert Half is seeking an experienced and detail-oriented Medical Biller for a contract opportunity with one of our valued healthcare clients. As a Medical Biller, you’ll play a critical role in ensuring accurate billing, timely reimbursements, and compliance with healthcare regulations.</p><p><strong>Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and payers.</li><li>Review patient bills for accuracy and completeness.</li><li>Follow up on unpaid claims and resolve billing discrepancies.</li><li>Maintain patient records and billing documentation in compliance with HIPAA guidelines.</li><li>Work closely with healthcare providers and insurance representatives to clarify coding and coverage.</li><li>Assist with month-end reporting and reconciliation of billing accounts.</li></ul>
<p>A Hospital in the Los Angeles area is in the immediate need of a Medical Biller. The Medical Biller must have 2 years of experience in billing insurance companies for hospital acute charges. The Medical Biller will be task with billing Non-Government Commercial and minimal Government Insurance.</p><p>Position Duties</p><p>• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.</p><p>• Interprets claims processing reports and applies information to produce clean claims.</p><p>• Maintains current knowledge of regulatory billing requirements.</p><p>• Makes changes to demographic information as necessary in order to produce a clean claim.</p><p>• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.</p><p>• Must have the ability to analyze coding to assure proper billing of claim.</p><p>• Participates in a variety of hospital educational programs to maintain current skill and competency levels.</p><p>• Requests and attaches required clinical documentation in accordance with third party requirements.</p><p>• Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turnaround time.</p><p>• Performs miscellaneous job related duties as requested.</p><p><br></p><p>Benefits include Health Insurance, Sick Time Off and 401K retirement.</p>
<p>Robert Half is seeking a diligent and customer-focused Medical Collections Specialist for a contract opportunity with one of our valued healthcare clients. As a Medical Collections Specialist, you will be responsible for managing outstanding receivables in a healthcare setting and supporting the financial health of the organization.</p><p><strong>Responsibilities:</strong></p><ul><li>Contact patients and insurance companies regarding overdue medical balances.</li><li>Review patient accounts and resolve billing discrepancies.</li><li>Negotiate payment arrangements and ensure timely collection of payments.</li><li>Maintain accurate records of collection activities in compliance with HIPAA and company policies.</li><li>Collaborate with billing, insurance, and healthcare provider teams to clarify account issues.</li><li>Prepare regular aging reports and assist with reconciliations as needed.</li></ul>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
<p>Our team is looking for a dedicated Insurance Authorization Specialist to support our growing healthcare organization in Carmel, IN. In this role, you will be responsible for verifying patient insurance coverage, obtaining pre-authorizations for medical services, and serving as a key liaison between our office, patients, and insurance providers. Your efforts will ensure a smooth billing process and timely patient care.</p><p><br></p><p><strong>Schedule:</strong> Monday – Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li>Verify patient insurance eligibility and benefits prior to appointments and procedures.</li><li>Obtain prior authorizations and track their status for a range of medical services.</li><li>Maintain accurate records of communication with insurance companies, payers, and patients.</li><li>Communicate clearly with providers, billing staff, and patients regarding authorization requirements and coverage issues.</li><li>Work collaboratively to resolve denied authorizations or appeals efficiently.</li><li>Keep current with insurance policies, authorization protocols, and payer guidelines.</li><li>Ensure HIPAA compliance and protect sensitive patient information at all times.</li></ul><p><br></p>
<p>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>
<p>We are seeking an experienced and detail-oriented <strong>Accounts Receivable Manager</strong> to join our client’s team and oversee the billing and collections process in a fast-paced healthcare environment. In this role, you will be responsible for maintaining accurate and organized <strong>resident admission files</strong> on a weekly basis, processing <strong>monthly billings</strong> for each payor class and related co-insurances, and preparing <strong>resident statements</strong> as required. You will handle <strong>Medicaid and Medicare claims</strong>, correcting and re-billing any denied claims in a timely manner to ensure prompt payment to the facility. Additionally, you will review and track all billable ancillary supplies, as well as check and prepare vendor bills to ensure proper payment. This position requires a strong commitment to accuracy, timeliness, and compliance with all applicable regulations. <strong>Other duties may apply</strong> as needed to support the financial health of the organization.</p><p>If you thrive in a detail-driven role, enjoy problem-solving, and have a passion for ensuring smooth revenue cycle operations, we’d love to hear from you.</p><p><br></p><p>For immediate consideration please call Allison Brown at 508.205.2121</p>
<p>We are looking for a dedicated Medical Biller II to join our healthcare team in Los Angeles, California. The Medical Biller II will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. The ideal person for the Medical Biller II role must have expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
<p>We are looking for a skilled Billing Clerk to join our team in Melville, New York. This role requires a detail-oriented individual with expertise in billing and claims. Accounts Receivable and Accounts Payable experence is a plus. The ideal candidate will bring over five years of experience and a commitment to accuracy and efficiency in financial operations. Not for profit organization experience is preferred.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage billing claims, ensuring accuracy and compliance with industry regulations.</p><p>• Handle accounts receivable functions, maintaining up-to-date records.</p><p>• Generate and distribute billing statements to clients and patients promptly.</p><p>• Utilize computerized billing systems to track and resolve discrepancies.</p><p>• Collaborate with team members to ensure timely collection of outstanding balances.</p><p>• Monitor and reconcile billing accounts to maintain accurate financial data.</p><p>• Investigate and resolve claims-related issues, providing excellent customer service.</p><p>• Maintain confidentiality and adhere to all applicable healthcare billing regulations.</p><p>• Assist in improving billing processes to enhance overall efficiency.</p>
