<p>We are looking for a dedicated Medical Billing Specialist to join our team located in the Greater Philadelphia Region. This Medical Billing Specialist position provides an excellent opportunity to contribute your expertise in medical billing and coding within the healthcare industry. As a Contract to permanent role, it offers the potential for long-term career growth while working in a collaborative and detail-oriented environment.</p><p><br></p><p>What you get to do every single day:</p><p>• Accurately assign procedure codes and ensure timely submission of insurance claims, both electronically and on paper.</p><p>• Prepare and distribute patient statements on a weekly basis.</p><p>• Post payments and manage secondary claims for patients, schools, and teams.</p><p>• Follow up on accounts receivable by communicating with insurance companies, schools, and teams to resolve outstanding balances.</p><p>• Handle insurance correspondence and address claim denials through appeals.</p><p>• Resubmit corrected claims as necessary and reconcile daily payment transactions in accordance with established procedures.</p><p>• Safeguard patient rights by maintaining confidentiality of personal and financial information.</p><p>• Participate in internal financial reporting activities as scheduled.</p><p>• Adhere to organizational policies and procedures to ensure smooth operations.</p><p>• Collaborate with team members to achieve shared goals and complete additional tasks as assigned.</p>
<p>We are looking for a skilled individual to join our healthcare team in Henrico, Virginia, as a Medical Billing Specialist. In this long-term contract role, you will play a vital part in ensuring the accuracy and efficiency of billing processes, claims management, and collections. This position offers an excellent opportunity to contribute to the healthcare industry's revenue cycle management while utilizing your expertise in medical billing systems.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and on time to ensure timely reimbursement.</p><p>• Review and resolve billing discrepancies, denials, and appeals effectively.</p><p>• Manage collections activities by following up on outstanding balances and communicating with patients and insurance providers.</p><p>• Utilize eClinicalWorks (eCW) to maintain and update billing records and claims information.</p><p>• Identify and address issues related to hospital billing processes to improve efficiency.</p><p>• Collaborate with the revenue cycle management team to optimize billing workflows.</p><p>• Analyze financial data and prepare reports related to claims and collections.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Provide excellent customer service while addressing patient inquiries regarding billing and payments.</p><p>• Stay updated on industry best practices and changes in medical billing policies.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
<p>We are looking for a skilled Medical Coding Specialist to join our team in New York, New York. In this contract position, you will play a pivotal role in ensuring the accuracy and efficiency of medical claims processing and coding. This is an excellent opportunity for professionals with expertise in medical coding to contribute to a high-performing healthcare organization.</p><p><br></p><p>Responsibilities:</p><ul><li>Review medical records, reports, and claim files to determine applicable diagnoses and procedures.</li><li>Assign accurate ICD-10 codes to support claim analysis and reporting.</li><li>Collaborate with claims professionals to clarify medical details and ensure coding accuracy.</li><li>Assist with reporting medical malpractice claims to the New York State Department of Health (NYS DOH), as needed.</li><li>Maintain confidentiality and adhere to all compliance standards.</li><li>Participate in training and review sessions to ensure consistency and quality in coding practices.</li><li>Demonstrate flexibility in adapting to evolving processes and a willingness to take on new challenges. </li><li>Engage proactively with team members to support shared goals and continuous improvement. </li><li>Uphold professional conduct and business etiquette in all communications and interactions.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
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.
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><strong>Job Description</strong>: Medical Billing Specialist </p><p><br></p><p><strong>Overview:</strong> We are seeking a highly motivated and detail-oriented Medical Billing Specialist for an organization located in Mars, PA. The ideal candidate will have expertise in medical billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions and claims processing.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>1. Billing:</strong></p><ul><li>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</li><li>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</li><li>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</li><li>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</li></ul><p><strong>2. Payment Posting:</strong></p><ul><li>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</li><li>Reconcile posted payments with bank statements and patient billing systems.</li><li>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</li></ul><p><strong>3. Revenue Cycle Management:</strong></p><ul><li>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</li><li>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</li><li>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</li></ul><p><strong>4. Customer and Client Communication:</strong></p><ul><li>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</li><li>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</li></ul><p><strong>5. Compliance:</strong></p><ul><li>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</li><li>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</li></ul><p><strong>Location:</strong> This position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong>Schedule:</strong> The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong>Why is this role available?</strong> This organization recently had a tenured team member retire.</p><p><br></p><p><strong>How to Apply: </strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App.</p>
<p>We are seeking a detail-oriented and experienced <strong>Medical Billing Specialist</strong> to join our team in a hybrid capacity. The ideal candidate will be responsible for ensuring accurate and timely billing and reimbursement for healthcare services. This role involves working closely with internal departments and external payers to resolve billing issues and maintain compliance with industry standards.</p><p> </p><p> </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit clean claims to insurance companies using billing software (e.g., Evolv NX, Epic).</li><li>Process remittances and deposits; analyze Explanation of Benefits (EOBs).</li><li>Track and resolve held, denied, or partially paid claims.</li><li>Bill secondary and tertiary payers as needed.</li><li>Maintain accurate records of billing activities and journal entries.</li><li>Communicate with patients regarding balances and payment plans.</li><li>Collaborate with clinical and QA teams to ensure proper documentation and coding.</li><li>Lead internal and external meetings related to billing and collections.</li><li>Generate monthly billing reports and assist with audits.</li></ul><p> </p><p> </p><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-Permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with healthcare regulations. This is an excellent opportunity for professionals with expertise in medical billing systems and a commitment to providing high-quality service.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and adherence to guidelines.<br>• Verify patient information and eligibility prior to claim submission.<br>• Monitor accounts receivable and follow up on unpaid or denied claims.<br>• Collaborate with healthcare providers to resolve billing discrepancies and ensure proper coding.<br>• Utilize systems such as MEDENT and Epic EMR to manage billing operations efficiently.<br>• Conduct audits to ensure compliance with billing and coding regulations.<br>• Communicate with patients regarding billing inquiries and payment options.<br>• Maintain up-to-date knowledge of medical billing policies and insurance requirements.<br>• Generate and analyze financial reports related to billing and collections.<br>• Provide support during system updates or transitions to ensure continuity in billing processes.
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
We are looking for 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 claims, collections, and coding. Based in New Orleans, Louisiana, this position offers an opportunity to contribute your expertise to a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Process medical claims with accuracy and efficiency, adhering to industry standards and regulations.<br>• Conduct medical coding to ensure proper classification and compliance with billing requirements.<br>• Manage collections by following up on outstanding balances and resolving discrepancies.<br>• Utilize Epaces and other systems to monitor claims and maintain data integrity.<br>• Communicate effectively with healthcare providers and insurance companies to address billing issues.<br>• Verify patient information and insurance details to facilitate accurate billing.<br>• Identify and resolve errors in claims submissions to minimize delays and denials.<br>• Maintain up-to-date knowledge of billing policies, procedures, and regulatory changes.<br>• Generate reports to track billing performance and identify areas for improvement.<br>• Collaborate with team members to streamline billing processes and enhance operational efficiency.
<p>Are you a skilled Medical Biller with extensive experience in billing, and denial management? Do you thrive in solving complex billing issues, investigating denied claims, and working closely with insurance providers to ensure timely resolutions? If so, we have an exciting contract role for you!</p><p><br></p><p>Our client near Central/Thomas in Phoenix, AZ is seeking a Medical Billing Specialist to join their team for a 5-6 month contract opportunity, with the potential for conversion into a permanent role based on performance.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform detailed follow-up on denied insurance claims to determine the reason for denial and identify solutions.</li><li>Utilize payer portals effectively to research claim statuses, submissions, and discrepancies.</li><li>Resolve complex billing issues through proactive communication with insurance companies via phone, email, and portal inquiries.</li><li>Apply critical thinking to analyze denial patterns and recommend process improvements to mitigate future denials.</li><li>Work collaboratively with teammates to ensure timely collection of accounts receivable and resolution of claim-related issues</li></ul><p><br></p>
We are seeking a Medical Billing Specialist who will play a key role in managing client billing processes, ensuring accurate invoicing, payment tracking, and account reconciliation within an electronic health record (EHR) system. This position requires strong attention to detail, excellent communication skills, and the ability to work independently while supporting financial operations and client services. This role will be located in San Jose, 5 days on-site and will be a contract position with the opportunity to be hired permanently with the organization. <br> Key Responsibilities Manage client billing accounts and respond to inquiries regarding invoices and payments. Process incoming payments and generate receipts and account statements. Prepare monthly billing statements for direct services and insurance claims. Support month-end and year-end close procedures for Self-Pay accounts. Maintain and monitor accounts receivable aging; follow up on overdue balances. Track insurance claims and follow up on outstanding reimbursements. Communicate with clients about balances and payment deadlines; establish payment plans as needed. Collaborate with clinical teams to resolve billing discrepancies or missing data. Ensure timely and accurate data entry for billing and reporting purposes. Handle sensitive client information in compliance with HIPAA regulations. Assist the finance team with special projects and reporting tasks. Perform additional duties as assigned.
We are looking for a meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity to contribute to the efficient management of radiology billing and insurance processes while ensuring compliance with industry standards. The ideal candidate will excel in communication and collaboration, supporting both patients and clinical staff in navigating complex billing and authorization procedures.<br><br>Responsibilities:<br>• Verify patient insurance eligibility and coverage for scheduled radiology exams, ensuring all checks are completed ahead of schedule.<br>• Initiate and secure prior authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation.<br>• Follow up proactively with insurance providers to obtain approvals and communicate authorization status to patients and clinical teams.<br>• Address patient billing inquiries, assist with payment collections, and resolve discrepancies in claims or appeals.<br>• Process denied claims and write appeals for radiology procedures, ensuring timely follow-through on billing issues.<br>• Generate zero balance bills upon request and provide financial support to patients as needed.<br>• Maintain clear and precise communication with patients, physician offices, insurance companies, and internal staff.<br>• Document all interactions and updates accurately in electronic health and billing systems.<br>• Stay informed about changes in insurance regulations, payer policies, and coding guidelines relevant to radiology services.<br>• Ensure all processes adhere to compliance standards and organizational guidelines.
<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>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Ridgefield, Connecticut. In this role, you will focus on accurately posting payments and ensuring billing processes run smoothly within a healthcare setting. This position, lasting 4–5 months, offers an excellent opportunity to apply your expertise in medical billing and insurance reconciliation.<br><br>Responsibilities:<br>• Accurately record insurance and patient payments in the practice management system.<br>• Investigate and resolve discrepancies involving underpaid claims and contracted rates.<br>• Reconcile daily payment batches to maintain accurate financial records.<br>• Prepare and submit appeals for claims when necessary.<br>• Analyze explanation of benefits (EOBs) and electronic remittance advices (ERAs) to ensure correct payment posting.<br>• Assist with additional billing-related tasks as assigned by management.<br>• Ensure compliance with industry standards and regulations during all billing activities.<br>• Collaborate with team members to optimize billing workflows and processes.
<p>Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy.</p><p> </p><p>Responsibilities:</p><ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul>
<p>Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy.</p><p> </p><p>Responsibilities:</p><ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>We have partnered with a client in San Jose who is seeking a Billing Specialist who can start immediately! This position is looking to convert from contract to full time depending on performance. </p><p> </p><p>Responsibilities:</p><ul><li>Searching each financial statement for any payment inconsistencies or errors</li><li>Assume the responsibility of receiving and sorting incoming payments with attention to credibility</li><li>Manage the status of accounts and balances and identify inconsistencies</li><li>Issue and post bills, receipts and invoices</li><li>Inputting payment history, upcoming payment information or other financial data into an individual account</li><li>Finding financial solutions for patients or customers who may need payment assistance </li><li>Informing patients or customers of any missed or upcoming payment deadlines</li><li>Calculating and tracking various company financial statements</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Billing and Payment Posting Specialist to join our team located in the Greater Philadelphia Region. In this fast-paced and rapidly growing environment, you will play a key role in supporting the fee-for-service finance department. This Medical Billing and Payment Posting Specialist role is a contract position that requires strong organizational skills and proficiency with multiple software applications.</p><p><br></p><p>What you get to do every single day:</p><p>• Review and upload claims accurately to ensure proper processing and timely reimbursement.</p><p>• Track claims manually and maintain detailed records for auditing and reporting purposes.</p><p>• Develop and refine standard operating procedures (SOPs) with guidance from leadership.</p><p>• Utilize software tools such as QuickBooks for invoicing and payment management.</p><p>• Handle customer service inquiries related to billing and payments.</p><p>• Navigate and work efficiently across various medical portals and applications, including ModMed, Ability, and Pear.</p><p>• Conduct audits to identify discrepancies and ensure compliance with billing standards.</p><p>• Address medical insurance denials and resolve issues effectively.</p><p>• Process transactions using platforms like Square and maintain accurate financial records.</p><p>• Collaborate with team members to improve processes and support departmental goals.</p>
<p>Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.</p><p>• Monitor claim submission activities and generate reports to track progress and efficiency.</p><p>• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.</p><p>• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.</p><p>• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.</p><p>• Manage invalid claims by correcting errors and updating physician and contract information.</p><p>• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.</p><p>• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.</p><p>• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.</p><p>• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our</p>
<p>We are seeking a motivated and detail-oriented Pharmacy Billing Specialist to join our team! The ideal candidate will have a strong background in medical billing, excellent organizational skills, and a commitment to providing superior support in pharmacy claim handling and insurance billing. Must be local to Indianapolis.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position include the following:</p><ul><li>Provide assistance in preparing and submitting pharmacy claims to third-party insurance carriers as needed.</li><li>Secure and verify all necessary medical documentation required by third-party insurance carriers for claims processing.</li><li>Conduct follow-ups with third-party insurance carriers and patients to address unpaid claims or balances and resolve discrepancies.</li><li>Research and analyze payer regulations and claim guidelines, ensuring compliant billing practices by leveraging payer-specific tools and resources.</li><li>Verify insurance coverage for pharmacy services prior to rendering services, when applicable.</li><li>Re-validate benefit coverage criteria during claim follow-up processes.</li><li>Maintain accurate and thorough documentation of all steps taken to resolve claim-related issues within billing software systems.</li><li>Regularly report claim trends and issues to the Team Lead and/or Billing Manager.</li><li>Collaborate with the Team Lead and/or Billing Manager to establish and achieve short-term and long-term goals while providing progress updates.</li></ul>
<p>We have partnered with a client in San Jose who is seeking a Billing Specialist who can start immediately! This position is looking to convert from contract to full time depending on performance. </p><p> </p><p>Responsibilities:</p><ul><li>Prepare and submit electronic and paper claims to insurance companies, government programs, and third-party payers.</li><li>Review patient bills for accuracy and completeness before submission.</li><li>Verify patient insurance coverage and obtain necessary pre-authorizations or referrals.</li><li>Follow up on unpaid or denied claims; research and resolve billing discrepancies.</li><li>Post payments, adjustments, and denials to patient accounts.</li><li>Generate patient statements and respond to billing inquiries.</li><li>Maintain patient confidentiality and comply with HIPAA regulations.</li><li>Communicate with insurance companies, patients, and healthcare providers to resolve billing issues.</li><li>Maintain up-to-date knowledge of billing guidelines, payer policies, and coding changes (ICD-10, CPT, HCPCS).</li><li>Prepare and submit billing reports and reconcile accounts as needed.</li></ul>
