<p>We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support patient financial services for a healthcare organization in Plymouth, New Hampshire. This Contract position focuses on assisting patients with billing matters, maintaining accurate insurance and account information, and helping ensure smooth coordination of financial and referral-related processes. The ideal candidate is comfortable communicating with patients, handling administrative tasks, and addressing questions related to insurance coverage, balances, and payment arrangements.</p><p><br></p><p>Responsibilities:</p><p>• Confirm insurance details and accurately record billing information in the appropriate system to support timely claims processing.</p><p>• Guide patients through intake documentation by reviewing forms with them and clearly explaining required paperwork.</p><p>• Coordinate and submit internal service referrals to help patients access additional care as needed.</p><p>• Speak with patients about account balances, billing concerns, and available options for resolving outstanding charges.</p><p>• Arrange payment plans based on patient needs and collect past-due balances in a courteous and respectful manner.</p><p>• Respond to questions related to insurance, billing statements, and payment expectations with clear and helpful information.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis in Mt. Laurel Township, New Jersey. In this role, you will play a key part in managing billing and accounts receivable tasks for Medicare and Medicaid while ensuring accuracy and compliance with healthcare regulations. This position offers an excellent opportunity to contribute to the financial health of a respected organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims for Medicare and Medicaid reimbursement, ensuring accuracy and adherence to regulatory requirements.</p><p>• Monitor accounts receivable and follow up on outstanding claims to ensure timely payment.</p><p>• Investigate and resolve medical billing denials and appeal claims when necessary.</p><p>• Collaborate with healthcare providers and insurance companies to address discrepancies or issues in billing.</p><p>• Maintain accurate and up-to-date records of billing activities and payment statuses.</p><p>• Handle hospital billing tasks, including verifying patient information and coding procedures correctly.</p><p>• Provide support for resolving patient billing inquiries and concerns with strong attention to detail.</p><p>• Stay informed about changes in healthcare billing regulations and industry standards.</p><p>• Assist in identifying process improvements to enhance billing efficiency and reduce errors.</p>
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. <br> The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. <br> Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
We are looking for a detail-focused Medical Biller/Collections Specialist to join a Contract assignment in Cordova, Tennessee. This opportunity is ideal for someone who can take ownership of older receivables, investigate unresolved balances, and move claims toward timely payment. The person in this role will support billing and collections efforts by working through denied accounts, following up with payers, and helping improve the status of outstanding claims.<br><br>Responsibilities:<br>• Oversee billing activity for assigned accounts and monitor claim progress through the reimbursement cycle.<br>• Pursue unpaid balances by reviewing aging reports and taking action to bring overdue accounts closer to current status.<br>• Investigate denied, rejected, or delayed claims and complete the necessary follow-up to secure resolution.<br>• Communicate with insurance carriers to clarify claim issues, verify status updates, and obtain payment outcomes.<br>• Manage collection efforts across government and commercial payers, including Medicare Part B and private insurance plans.<br>• Research account discrepancies, identify barriers to reimbursement, and apply practical solutions to close open items.<br>• Maintain accurate documentation on account activity, payer responses, and next steps for follow-up.<br>• Collaborate with internal billing stakeholders as needed to address outstanding receivables and support account cleanup efforts.
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up.<br><br>Key Responsibilities:<br><br>Submit accurate and timely medical claims to insurance carriers and government payers<br>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies<br>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances<br>Investigate claim rejections and denials, and take corrective action for resubmission or appeal<br>Post payments, adjustments, and denials as needed<br>Communicate with payers, patients, and internal staff regarding billing questions and account resolution<br>Maintain compliance with billing regulations, payer requirements, and organizational policies<br>Support revenue cycle activities including claims review, payment reconciliation, and account research<br>Document collection activity and account status updates accurately in the billing system
We are looking for a detail-oriented Medical Biller/Collections Specialist to join a healthcare team in Washington. This contract-to-permanent opportunity is ideal for someone with hands-on experience in medical billing, payment posting, credits review, and insurance-related collections work. The person in this role will help resolve outstanding credit balances, support refund processing, and ensure account activity is researched and documented accurately. Success in this position requires strong Excel skills, sound judgment when evaluating payer and patient payments, and the ability to work efficiently across multiple reports and billing systems.<br><br>Responsibilities:<br>• Review account data across assigned tracking reports to identify payment discrepancies, open credits, and refund-related issues.<br>• Post and reconcile incoming payments while verifying that transactions are applied correctly within the billing system.<br>• Investigate credit balances to determine the cause, confirm whether adjustments are needed, and recommend appropriate account resolution.<br>• Process payer and patient refunds by validating overpayments, confirming responsible parties, and following each payer’s required refund method.<br>• Prepare and submit refund documentation, including special forms or retraction requests when a payer does not accept standard reimbursement processing.<br>• Use billing system tools and research resources to analyze account history, payment activity, and collection details with accuracy.<br>• Maintain organized records of account actions, findings, and next steps to support timely follow-up and financial accuracy.<br>• Collaborate with team members handling payment posting and refund work to ensure consistent resolution of accounts and backlog priorities.
<p> Billing and Collection Manager Chicagoland area - hybrid </p><p>Email your resume to [email protected] or call 630-368-1175 </p><p>Medical, dental, 401k and bonuses paid out yearly </p><p><br></p><p> oversee billing operations and collections performance for a construction-focused organization hybrid role in Chicagoland area .Supervising staff of 6 plus individuals handling billing, collections and managing accounts receivable is current. Making sure invoicing and reporting,account follow-up are timely. The ideal candidate brings strong knowledge of construction contract billing, a proactive leadership style, and the ability to improve processes while maintaining high standards of accuracy and compliance.</p><p><br></p><p>Responsibilities:</p><p>• Lead daily accounts receivable and billing operations to support accurate invoicing, timely collections, and strong financial performance.</p><p>• Review customer billing activity, monitor outstanding balances, and drive consistent follow-up to accelerate payment resolution.</p><p>• Investigate discrepancies where invoices are not paid , identify root causes, and coordinate corrective actions to reduce repeat issues.</p><p>• Oversee entry and validation of billing data within company systems, ensuring completeness and readiness for internal review and processing.</p><p>• Supervise, coach, and develop AR team members while providing direction on priorities, workload management, and departmental coverage.</p><p>• Establish and refine procedures that improve workflow efficiency, strengthen internal controls, and support department goals.</p><p>• Analyze billed and unbilled trends, aging performance, and collection results to identify risks and recommend operational adjustments.</p><p>• Prepare recurring AR reports for accounting leadership, including clear commentary on account status, issues, and next steps.</p><p>• Act as the main escalation point for billing disputes and delayed payments, collaborating with internal stakeholders and customers to resolve concerns.</p><p>• Support audit requests and verify adherence to accounting procedures, addressing discrepancies quickly to reduce financial risk.</p>
<p>We are looking for a detail-oriented Billing and Collections Specialist to join our client's team in Brooklyn, New York. In this role, you will manage various billing and collection activities, ensuring accuracy and efficiency in financial operations. If you have experience in construction billing or familiarity with lien waivers and AIA billing, you will thrive in this fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the complete monthly billing process, including preparing invoices, securing necessary approvals, and ensuring timely submissions.</p><p>• Maintain and update spreadsheets for clients, ensuring data accuracy and organization.</p><p>• Handle change orders and manage billing processes, including follow-ups on lien waivers for subcontractors.</p><p>• Collaborate with project managers to support reporting and provide necessary financial insights.</p><p>• Assist in audit-related activities by preparing and organizing relevant documentation.</p><p>• Ensure compliance with billing standards and practices, particularly in construction-related projects.</p><p>• Work closely with the controller to finalize and notarize invoices as required.</p><p>• Provide support in resolving billing discrepancies and client inquiries in a timely manner.</p><p><br></p><p>If this person is you, please apply directly to victoria.iacoviello@roberthalf</p>
<p>A Surgery Medical Group that is connected to a large Hospital system is seeking an experienced Sr. Medical Billing Collections Specialist with a strong background in appeals, denials management, insurance collections, and reporting. The Sr. Medical Billing Collections Specialist must have hands-on experience with physician or surgery billing, advanced analytical skills, and the ability to run and interpret reports in EPIC. </p><p>Key Responsibilities:</p><p><br></p><ul><li>Manage and resolve insurance denials and appeals in a timely and accurate manner.</li><li>Perform insurance collections and follow up on outstanding claims to maximize reimbursement.</li><li>Analyze revenue cycle trends and identify root causes of billing and reimbursement issues.</li><li>Run, review, and interpret reports in EPIC to support operational and financial performance.</li><li>Prepare recurring and ad hoc reports related to denials, appeals, collections, and billing activity.</li><li>Support physician and/or surgery billing processes, ensuring accuracy and compliance with payer requirements.</li><li>Use Excel to track metrics, analyze data, and create reporting tools.</li><li>Collaborate with internal teams to improve workflow efficiency and revenue cycle outcomes.</li></ul>
We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
<p>A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.</p><p>The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.</p><p>Key Responsibilities</p><ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul><p><br></p>
<p>Our healthcare client in Sacramento is seeking an experienced Medical Collections Specialist for an immediate contract opportunity. This role requires a professional who can work with a high sense of urgency, manage outstanding accounts efficiently, and support a fast-paced revenue cycle environment. This position is fully on-site and requires daily attendance in the Sacramento office. Based on general knowledge.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage and follow up on outstanding insurance and patient balances in a timely manner. Based on general knowledge.</li><li>Review aging reports and prioritize accounts for collection activity. Based on general knowledge.</li><li>Contact insurance companies and/or patients to resolve unpaid claims and secure payment. Based on general knowledge.</li><li>Research denials, underpayments, and payment discrepancies and take appropriate action. Based on general knowledge.</li><li>Document collection efforts, account updates, and resolutions accurately in the billing system. Based on general knowledge.</li><li>Collaborate with billing, coding, and other revenue cycle team members to resolve account issues. Based on general knowledge.</li><li>Maintain productivity standards while ensuring professionalism and accuracy. Based on general knowledge.</li><li>Support additional revenue cycle or collections-related projects as needed. Based on general knowledge.</li></ul>
<p>We are seeking a detail-oriented <strong>Medical Billing Specialist</strong> to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments, adjustments, and denials accurately</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies</li><li>Review Explanation of Benefits (EOBs) for accuracy</li><li>Communicate with insurance companies, patients, and internal teams regarding billing questions</li><li>Maintain patient confidentiality and comply with HIPAA regulations</li><li>Ensure billing practices align with payer guidelines and company policies</li></ul><p><br></p>
<p>A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections Specialist to support its revenue cycle team. The Medicare Managed Care Medical Collections Specialist is responsible for follow-up on unpaid claims, insurance appeals, denial resolution, and insurance accounts receivable activities to help maximize reimbursement and reduce aging balances. </p><p><br></p><p>Key Responsibilities:</p><ul><li>Call insurance companies, payers, and/or patients to secure payment on unpaid claims. </li><li>Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement. </li><li>Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution. </li><li>Submit and track insurance appeals related to denied or underpaid claims. Based on general knowledge.</li><li>Review denials, determine root cause, and take corrective action to support claim resolution. </li><li>Gather and provide required documentation to payers to support payment or appeal requests. </li><li>Work closely with internal departments to resolve billing discrepancies and improve claim turnaround times. </li><li>Maintain accurate account notes and update billing systems with collection and follow-up activity. </li><li>Monitor unpaid claims to ensure timely escalation and resolution. </li></ul><p>Qualifications:</p><ul><li>Previous experience in medical collections, insurance follow-up, or healthcare accounts receivable required. </li><li>Experience with Medicare managed care collections in a hospital or healthcare setting preferred. </li><li>Strong knowledge of insurance appeals, denial management, and insurance AR follow-up. </li><li>Familiarity with medical billing processes, payer guidelines, and reimbursement practices. </li><li>Strong communication, negotiation, and problem-solving skills. </li><li>Ability to organize and prioritize a high-volume workload in a fast-paced environment. </li><li>Proficiency with hospital billing systems and electronic medical or revenue cycle platforms preferred. </li></ul>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment.<br><br>Responsibilities:<br>• Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness.<br>• Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays.<br>• Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement.<br>• Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable.<br>• Maintain complete and organized billing records in designated systems such as Credible and Qualifacts.<br>• Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands.<br>• Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication.<br>• Monitor account status and identify discrepancies so billing concerns can be resolved efficiently.<br>• Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures.
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up.<br><br>Responsibilities:<br>• Process medical claims with accuracy and ensure billing information is complete before submission.<br>• Review coding and billing details to identify discrepancies and resolve issues that could delay payment.<br>• Follow up on unpaid or underpaid accounts with payers to support timely collections.<br>• Maintain billing records and update account documentation to reflect claim status and payment activity.<br>• Use EPACES and related systems to verify claim information and assist with billing workflows.<br>• Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
<p>We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement.</p><p>Responsibilities</p><ul><li>Submit and manage medical claims</li><li>Verify insurance eligibility and benefits</li><li>Resolve claim denials and billing discrepancies</li><li>Post payments and maintain accurate records</li><li>Communicate with patients and insurance providers</li></ul><p><br></p>
<p>We are seeking a detail-oriented Medical Biller with strong customer service skills to support billing operations and provide a positive experience for patients and internal partners. This role requires accuracy, professionalism, and the ability to communicate clearly while resolving billing questions and issues. This is a<strong> part-time</strong> role only. </p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Process and submit medical claims accurately and timely to insurance carriers</li><li>Review patient accounts and insurance payments to ensure correct posting and follow-up</li><li>Respond to patient billing inquiries with professionalism, empathy, and clear explanations</li><li>Resolve billing issues, payment discrepancies, and rejected or denied claims</li><li>Coordinate with insurance companies, providers, and internal teams to resolve account issues</li><li>Maintain accurate documentation and notes within billing systems</li><li>Follow HIPAA guidelines and maintain confidentiality of patient information</li></ul><p><br></p>
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and on schedule to support timely reimbursement.<br>• Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission.<br>• Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes.<br>• Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances.<br>• Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system.<br>• Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements.<br>• Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward.<br>• Support billing operations using Athena software and contribute to process updates within the department as needed.
<p>We are seeking a <strong>Medical Billing Specialist</strong> to join our team immediately. This is a great opportunity for someone who thrives in a <strong>fast-paced, team-oriented healthcare environment</strong> and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee**</p><p><br></p><p>Position Overview</p><p>The Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in <strong>Medicare and Medicaid billing and claims</strong>. We are looking for someone adaptable, self-directed, and ready to grow with the team.</p><p><br></p><p>Key Responsibilities</p><ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</li></ul>
We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment.<br><br>Responsibilities:<br>• Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness.<br>• Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays.<br>• Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances.<br>• Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission.<br>• Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information.<br>• Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts.<br>• Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution.
<p>A Hospital in the San Fernando Valley are looking for an experienced Hospital Medical Collections Specialist. The Hospital Medical Collections Specialist ideal for someone with a strong background in medical revenue cycle activities and a solid understanding of payer follow-up across government and commercial plans. The Hospital Medical Collections Specialist will help drive timely reimbursement by resolving outstanding accounts, addressing denials, and working through appeals for both inpatient and outpatient hospital claims. The hospital is open to candidates with at least 2 years of experience. </p><p><br></p><p>Responsibilities:</p><p>• Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement.</p><p>• Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution.</p><p>• Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage.</p><p>• Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims.</p><p>• Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution.</p><p>• Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables.</p><p>• Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications.</p>
<p>A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit accurate and timely medical claims to insurance carriers and government payers</li><li>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies</li><li>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances</li><li>Investigate claim rejections and denials, and take corrective action for resubmission or appeal</li><li>Post payments, adjustments, and denials as needed</li><li>Communicate with payers, patients, and internal staff regarding billing questions and account resolution</li><li>Maintain compliance with billing regulations, payer requirements, and organizational policies</li><li>Support revenue cycle activities including claims review, payment reconciliation, and account research</li><li>Document collection activity and account status updates accurately in the billing system</li></ul><p><br></p>