<p>Robert Half has partnered with a thriving manufacturing firm on their search for an experienced Billing & Collections Supervisor who can handle a high volume of accounts. We are looking for a candidate who can identify and monitor overdue payments, process credit memos, report collection activity, arrange debt payoffs, review trial balances, recommend accounts for escalation, prepare and distribute collection status reports, and resolve billing and customer credit issues. This Billing & Collections Supervisor will also process payments and refunds, update account records, and provide assistance where collection efforts are needed. The ideal candidate must have strong negotiation skills, excellent communication skills, and the ability to handle sensitive and confidential information professionally.</p><p><br></p><p>Primary Duties</p><p>· Create and maintain credit history records</p><p>· Assist with administrative activities</p><p>· Document daily collection activity</p><p>· Submit write off request as needed</p><p>· Complete collection effort calls</p><p>· Identify delinquent accounts</p><p>· Perform payment reconciliations</p><p>· Assist customer service department</p><p>· Develop and schedule payment plans</p>
<p>We are seeking a driven and hands-on Medical Collections Team Supervisor to lead and develop a team of Patient Care Representatives. This leader will play a critical role in driving performance, ensuring compliance, and delivering excellent customer service in a medical collections and billing environment. You’ll partner with management to refine workflows, meet client and regulatory standards, and champion continuous process improvement. Following a fully onsite training and initial 90 days, candidates will move to a hybrid schedule 2 days in Office/3 days home.</p><p><br></p><p>Must be local (45 minute radius of Lima).</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position:</p><ul><li>Lead the team by example, establishing high standards for performance, quality, and regulatory compliance.</li><li>Mentor, coach, and develop team members through real-time feedback, quality reviews, and ongoing training.</li><li>Manage daily workflow, monitoring and directing team productivity according to established metrics.</li><li>Address escalated patient/customer calls, resolve complex billing or insurance issues, and facilitate dispute resolutions as needed.</li><li>Review and analyze production and quality reports, identifying trends and improvement opportunities.</li><li>Conduct regular team meetings, stand-ups, and training sessions to maintain communication and engagement.</li><li>Act as a subject matter expert on internal technology, systems, and medical collections processes.</li><li>Support recruitment, scheduling, performance reviews, and participate in special projects as assigned.</li></ul><p><br></p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</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>
We are looking for a dedicated Medical Biller/Collections Specialist to join our team on a long-term contract basis in Blue Ash, Ohio. In this role, you will be responsible for ensuring the accuracy of provider charges, overseeing billing processes, and supporting collections efforts in the healthcare industry. This is an excellent opportunity for professionals with experience in medical billing and collections to contribute to a dynamic and fast-paced environment.<br><br>Responsibilities:<br>• Verify and input provider charges accurately into billing systems to ensure proper invoicing.<br>• Manage medical billing processes, including claim submissions and payment tracking.<br>• Address denied claims by identifying issues and initiating appeals to secure reimbursement.<br>• Monitor collections efforts and follow up on outstanding accounts to ensure timely payments.<br>• Collaborate with healthcare providers to resolve billing discrepancies and maintain accurate records.<br>• Utilize medical billing software effectively to streamline operations and improve efficiency.<br>• Ensure compliance with relevant healthcare regulations and billing practices.<br>• Prepare and analyze reports related to billing and collections to identify trends and areas for improvement.<br>• Communicate with patients and insurance representatives to clarify billing inquiries.<br>• Maintain up-to-date knowledge of hospital and physician billing practices.
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.
A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,<br><br>Responsibilities:<br><br>1. Investigating and resolving denied claims from various insurance providers.<br>2. Reviewing credit balances and denials management. <br>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.<br>4. Follow up on outstanding claim denials and secure reimbursement where possible.<br>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.<br>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.<br>7. Submit appeals and reconsideration requests to insurance companies for denied claims.<br>8. Strong understanding of HMO and PPO.
<p>We are looking for a skilled and detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Daytona Beach, Florida. This role focuses on managing accounts receivable and collections for commercial insurance and Medicare/Medicaid accounts while ensuring compliance and accuracy in claims processing. As a long-term contract position, it offers the opportunity to contribute to vital healthcare operations within a dynamic environment. This position is fully onsite in Port Orange, FL. </p><p><br></p><p>Responsibilities:</p><p>• Handle accounts receivable clean-up activities, prioritizing outstanding commercial and Medicare/Medicaid balances.</p><p>• Oversee collection efforts by following up on aged accounts and resolving discrepancies to ensure timely payments.</p><p>• Review and process claims with a focus on accuracy, compliance, and timely reimbursement.</p><p>• Utilize Epic system work queues to verify that claims are complete, clean, and ready for submission.</p><p>• Collaborate with internal teams to support efficient billing operations and resolve AR-related challenges.</p><p>• Identify recurring issues in claims or AR processes and recommend improvements.</p><p>• Maintain accurate and up-to-date documentation across systems to ensure seamless operations.</p><p>• Provide expertise in navigating both legacy and updated systems for efficient claims and collections handling.</p><p>• Communicate effectively with payers to address disputes and secure resolutions for outstanding balances.</p>
<p>We are looking for an experienced Credit/Collections Supervisor/Manager to join our team in Miami, Florida. This contract-to-permanent position is ideal for a detail-oriented candidate with strong expertise in commercial collections and credit analysis, who thrives in a fast-paced, high-volume environment. The role requires advanced Excel skills and a proactive approach to managing accounts receivable and resolving delinquencies.</p><p><br></p><p>Responsibilities:</p><p>• Oversee and manage the collections process for commercial accounts to ensure timely payments and minimize delinquencies.</p><p>• Conduct thorough credit analyses to approve or adjust credit limits for clients based on financial data.</p><p>• Monitor accounts receivable aging reports to identify overdue balances and implement effective collection strategies.</p><p>• Collaborate with legal teams on complex collections cases requiring legal intervention.</p><p>• Utilize advanced Excel functions, such as pivot tables and VLOOKUP, to analyze financial data and generate reports.</p><p>• Maintain accurate records of collections activities and client communications.</p><p>• Develop and implement processes to improve efficiency in credit and collections operations.</p><p>• Prepare detailed reports on credit performance and collections metrics for management review.</p><p>• Communicate with clients to address payment issues and negotiate resolutions.</p><p>• Ensure compliance with company policies and legal regulations throughout the collections process.</p><p><br></p><p>If interested, please send your updated resume to Cristina.Arguello@roberthalf</p>
<p>A Medical Center in Los Angeles is looking for a dedicated Surgery Medical Biller/Collections Specialist. This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement. The ideal candidate will bring expertise in medical billing, collections, denial management, and appeals, as well as familiarity with Epic billing workflows. </p><p><br></p><p>Responsibilities:</p><p>• Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing.</p><p>• AR Insurance follow up via phone and online web portals. </p><p>• Submit electronic claims in compliance with specific payer guidelines and requirements.</p><p>• Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues.</p><p>• Handle claim attachments and supporting documentation to meet payer requirements.</p><p>• Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation.</p><p>• Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts.</p><p>• Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy.</p><p>• Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials.</p><p>• Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission.</p><p>• Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution.</p>
<p>We are looking for an experienced Credit/Collections Supervisor/Manager to join our financial services team. This role requires a strategic leader who can oversee credit and collections operations, manage foreclosure processes, and ensure compliance with regulatory standards. The ideal candidate will bring over 10 years of expertise in commercial collections, credit analysis, and loss mitigation.</p><p><br></p><p>Responsibilities:</p><p>• Develop and implement policies and procedures for managing delinquent accounts, foreclosures, and loan defaults.</p><p>• Oversee the review of delinquent loan portfolios and communicate with borrowers through various channels, including calls, letters, and in-person visits.</p><p>• Approve and guide staff on collection strategies and loan workout plans to optimize recovery efforts.</p><p>• Direct foreclosure actions for unresolved accounts, ensuring proper documentation and system updates.</p><p>• Collaborate with legal counsel on litigation and foreclosure matters, attending court hearings as necessary.</p><p>• Manage foreclosed properties by overseeing maintenance, inspections, tax and insurance payments, and asset security.</p><p>• Negotiate and manage rental, lease, and sales agreements for bank-owned properties.</p><p>• Ensure compliance with fair credit reporting regulations and internal standards for loan reporting.</p><p>• Maintain adherence to regulatory requirements, including the Bank Secrecy Act, and support audit processes.</p><p>• Participate in relevant seminars and training sessions to stay informed about industry trends and best practices.</p>
<p>We are looking for an experienced Credit/Collections Supervisor or Manager to join our clients team. This role involves leading a dynamic team, managing high-volume commercial collections, and ensuring efficient credit analysis and approval processes. The ideal candidate will bring expertise in commercial credit and collections, as well as a strong ability to oversee and optimize team performance.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage a team of three collection specialists to achieve departmental goals.</p><p>• Handle a high volume of commercial collections with precision and efficiency.</p><p>• Conduct thorough credit analysis to assess the financial viability of clients.</p><p>• Approve credit applications based on established criteria and risk assessment.</p><p>• Monitor and evaluate team performance, providing guidance and training as needed.</p><p>• Develop and implement strategies to improve collection processes and reduce outstanding balances.</p><p>• Collaborate with other departments to ensure seamless credit and collection operations.</p><p>• Utilize Yardi software to maintain accurate records and streamline workflows.</p><p>• Prepare regular reports detailing collection activities and progress.</p><p>• Address escalated collection issues and negotiate payment solutions effectively.</p>
<p>Our client is seeking an experienced <strong>Medical Billing Specialist </strong>to join their healthcare team in <strong>Basking Ridge, New Jersey. </strong>In this role, you will handle <strong>Medicare billing processes </strong>for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities.</p><p><br></p><p><strong>Medicaid Medical Biller Responsibilities:</strong></p><p>• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.</p><p>• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.</p><p>• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.</p><p>• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.</p><p>• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.</p><p>• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.</p><p>• Monitor accounts receivable aging and escalate high-risk accounts when necessary.</p><p>• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.</p><p>• Ensure timely and accurate submissions by verifying all claim data for completeness.</p><p>• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.</p>
We are looking for a dedicated Medical Billing Specialist to join our team on a contract basis in Addison, Texas. This role requires working fully onsite to support billing operations at a psychiatry healthcare facility. The ideal candidate will ensure accurate billing processes while providing exceptional communication with patients and maintaining detailed records.<br><br>Responsibilities:<br>• Enter billing slips into Practice Suites with precision and efficiency.<br>• Verify patient insurance benefits and ensure accurate documentation.<br>• Communicate professionally with patients regarding account balances and payment inquiries.<br>• Maintain and update patient profiles to reflect current information.<br>• Collaborate with the team to address billing discrepancies and resolve issues.<br>• Ensure compliance with healthcare billing regulations and standards.<br>• Handle sensitive patient information with confidentiality and care.<br>• Provide support in utilizing Practice Suites and other billing systems effectively.<br>• Assist in improving billing workflows to enhance overall efficiency.
<p><strong>Job Title:</strong> Medical Billing Clerk (Temp to Hire)</p><p><strong>Location:</strong> 100% Onsite – North Oklahoma City, OK</p><p><strong>Schedule:</strong> Monday – Friday, 8:00am – 5:00pm</p><p><strong>Pay:</strong> $18–$22 per hour, DOE</p><p><strong>Assignment:</strong> 90-day Temp to Hire Opportunity</p><p>Robert Half is seeking an experienced Medical Billing Clerk for a local client in North OKC. This is a full-time, onsite position—with the potential to become a permanent role after 90 days. The ideal candidate is detail-oriented, reliable, and has hands-on experience with Medicaid, Medicare, and true medical accounts receivable (AR) functions.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit accurate medical claims to Medicaid, Medicare, and commercial insurance carriers</li><li>Review and post payments, reconcile accounts, and resolve discrepancies</li><li>Manage insurance denials, appeals, and follow-up on outstanding claims to ensure timely reimbursement</li><li>Maintain and update patient billing records and related documentation</li><li>Assist with patient billing inquiries, statements, and collections as needed</li><li>Support compliance with HIPAA and other industry regulations</li></ul>
<p>We are looking for a dedicated Medical Billing Specialist to join our team at a healthcare facility in Fayettevlle, North Carolina. In this long-term contract position, you will play a crucial role in managing billing processes and ensuring accuracy in financial transactions. This is an excellent opportunity for professionals with experience in medical billing who are eager to contribute to the smooth operation of a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with accuracy and efficiency.</p><p>• Verify patient insurance coverage and eligibility for services.</p><p>• Resolve billing discrepancies and follow up on unpaid claims to ensure timely payments.</p><p>• Maintain detailed records of financial transactions and patient accounts.</p><p>• Collaborate with healthcare providers to ensure proper coding and documentation for billing purposes.</p><p>• Respond to inquiries from patients and insurance companies regarding billing issues.</p><p>• Analyze billing reports to identify patterns and improve processes.</p><p>• Ensure compliance with industry regulations and standards in all billing activities.</p><p>• Participate in audits and reviews to ensure accuracy and compliance.</p><p>• Provide support and training to staff on billing procedures as needed.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract position, you will play a vital role in ensuring accurate billing procedures and supporting the financial operations of a local healthcare facility. This opportunity is ideal for individuals with a strong background in medical billing who are committed to maintaining high standards of professionalism and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing claims accurately and efficiently to ensure timely reimbursement.</p><p>• Review and verify essential patient information and insurance details before submitting claims.</p><p>• Investigate and resolve billing discrepancies to ensure smooth operations.</p><p>• Collaborate with healthcare staff to clarify billing issues and improve processes.</p><p>• Maintain up-to-date knowledge of billing codes, insurance policies, and regulations.</p><p>• Generate detailed billing reports to track revenue and identify trends.</p><p>• Communicate effectively with insurance companies to address denied claims or appeals.</p><p>• Ensure confidentiality and security of patient billing records.</p><p>• Assist in optimizing billing workflows to enhance overall productivity.</p>
We are seeking a detail-oriented Medical Biller specializing in billing and follow-up for IBC, Keystone, Auto, Workers' Compensation, and Commercial Insurances. This position plays a vital role in the hospital’s revenue cycle by ensuring accurate claim submission and timely reimbursement from various insurance payers. The hours for this position are 8am-4:30pm, on-site in 19154 zip code area. <br>Key Responsibilities:<br>• Prepare, review, and submit medical claims to IBC, Keystone, Auto, Workers' Compensation, and commercial insurance providers, ensuring all claims are accurately completed and compliant with payer requirements.<br>• Perform thorough and timely follow-up on unpaid or denied claims, working directly with insurance representatives to resolve issues and secure reimbursement.<br>• Identify and correct billing errors and discrepancies; resubmit corrected claims promptly.<br>• Maintain up-to-date knowledge of payer contracts, medical coding (ICD-10, CPT), and state/federal billing regulations.<br>• Respond to insurance inquiries, provide requested documentation, and communicate with clinical, registration, and coding teams as needed to ensure successful claim processing.<br>• Track account status and payments, posting remittances and reconciling patient and payer accounts.<br>• Document all actions, communications, and status updates in the billing/account system.<br>• Participate in audits and assist with denial management efforts.<br>Requirements:<br>• 2+ years’ experience in hospital or physician billing, with a focus on multi-payer environments (IBC, Keystone, Auto, Work Comp, Commercial).<br>• Proficiency in electronic medical records (EMR), hospital billing systems, and payer web portals.<br>• Strong understanding of insurance claims processes, medical coding, and relevant regulations.<br>• Excellent written and verbal communication skills; professional, courteous telephone etiquette.<br>• High attention to detail and organizational skills; ability to handle high-volume work and meet deadlines.<br><br>For immediate consideration please call Christine at the Trevose PA office of Robert Half at 215-244-1870. Or send your updated resume to christine.macmahon@roberthalf com Thank you!
We are looking for a skilled Medical Billing Specialist to join our healthcare team in Loveland, Colorado. In this contract role, you will contribute to the accuracy and efficiency of medical billing operations, ensuring compliance with industry standards and supporting patient care. This position is ideal for professionals with expertise in medical billing systems, a keen eye for detail, and a commitment to delivering exceptional service.<br><br>Responsibilities:<br>• Process and submit insurance claims with precision, adhering to regulatory guidelines.<br>• Monitor accounts receivable, address discrepancies, and ensure timely resolution of outstanding balances.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to manage billing tasks effectively.<br>• Follow up on denied claims, manage appeals, and secure payments from insurance providers.<br>• Perform medical coding and ensure documentation aligns with established industry standards.<br>• Oversee third-party billing and maintain communication with insurance companies for seamless operations.<br>• Verify patient benefits and eligibility while assisting with related administrative tasks.<br>• Enter numeric data accurately and maintain detailed records of billing transactions.<br>• Respond to inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to streamline billing processes and enhance workflow efficiency.
<p>Position Description:</p><p>This Billing Specialist is an experienced support role with expertise in Home Health Care billing processes, including PDGM, episodic, and institutional claims. The Billing Specialist will have work tasks and responsibilities with accounts receivable (AR) and revenue cycle management, combined with advanced knowledge of electronic billing and claims management systems. This role requires exceptional attention to detail, analytical problem-solving skills, and the ability to ensure accurate and timely claims submission and payment processing.</p><p><br></p><p>Performance Responsibilities and Standards:</p><p>1. Review and analyze claims for accuracy and completeness, obtain and/or correct any missing or inaccurate information related to Home Health Care (PDGM, Episodic, Institutional Claims)</p><p><br></p><p>2. Compile and submit claims/invoices to appropriate payors/clients within the timeframe designated within the department billing schedule.</p><p><br></p><p>3. Must have prior experience in AR/Revenue cycle to ensure timely follow up on claims/invoices.</p><p><br></p><p>4. Research and work/appeal unpaid claims when appropriate to ensure optimum collections.</p><p><br></p><p>5. Post payments timely with 100% accuracy.</p><p><br></p><p>6. Knowledge of electronic billing, billing exceptions and EDI software (Waystar) to ensure claims are submitted and followed up timely.</p><p><br></p><p>7. Communicate billing, payment and collections issues to Billing Manager on a current basis.</p><p><br></p><p>8. Utilize agency IT systems to carry out job requirements.</p><p><br></p><p>9. Attend meetings and workshops as required.</p><p><br></p><p>10. Required to bill and collect within the payor filing requirements.</p><p><br></p><p>11. All other duties as assigned</p>
<p>A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.</p><p>• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.</p><p>• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.</p><p>• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.</p><p>• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.</p><p>• Maintain secure and compliant records of Protected Health Information used in billing activities.</p><p>• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.</p><p>• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.</p><p>• Collaborate with internal teams to streamline billing processes and improve efficiency.</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 crucial part in ensuring accurate billing processes, verifying insurance coverage, and supporting financial counselors in assessing patient financial responsibilities. This position is based in Nashville, Tennessee, and offers an opportunity to contribute to the healthcare industry.<br><br>Responsibilities:<br>• Confirm patient eligibility and collaborate closely with the front desk and authorization team to ensure billing accuracy.<br>• Distinguish between various insurance contracts and payer systems, including Medicare, Medicaid, and private insurance.<br>• Communicate effectively with insurance companies to determine coverage details and resolve discrepancies.<br>• Verify patient insurance information and relay necessary data to Patient Financial Counselors for financial responsibility assessments.<br>• Utilize tools such as Availity to process claims efficiently and maintain organized records.<br>• Handle medical claims, coding, and collections with precision to support revenue cycle processes.<br>• Ensure accurate processing of copays and deductions to minimize errors.<br>• Stay updated on healthcare billing regulations and compliance requirements.<br>• Provide support in resolving billing issues and addressing patient inquiries.<br>• Collaborate with team members to improve workflows and optimize billing practices.
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>We are looking for a dedicated Medical Billing Specialist. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient processing of medical claims, helping the organization maintain compliance and achieve timely reimbursements. This role requires a keen eye for detail and a strong understanding of medical billing processes and terminology.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit accurate medical claims to insurance providers for reimbursement.</p><p>• Verify patient information, including demographics and insurance details, to ensure claims are processed correctly.</p><p>• Review denied or unpaid claims, identify issues, and submit appeals to resolve discrepancies.</p><p>• Communicate effectively with insurance companies, patients, attorneys, and healthcare providers to address billing inquiries.</p><p>• Maintain compliance with patient confidentiality regulations and organizational standards.</p><p>• Monitor and manage accounts receivable, ensuring timely follow-up on outstanding balances.</p><p>• Collaborate with team members to improve billing procedures and enhance operational efficiency.</p><p>• Maintain accurate records of billing activities and updates within electronic medical systems.</p>
<p>Our client in the healthcare industry as a non-profit organization, is in need of a Medical Billing Specialist to join their team on a contract basis to help them get caught up from a backlog of over 3 months. This role would be for at least 3 months, and could extend.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Accurate processing and posting of medical payments</p><p>• Utilizing various technologies such as EHR SYSTEM for billing processes</p><p>• Assisting with year-end support tasks in collaboration with the controller</p><p>Appeals, Benefit Functions, Billing Functions, and Claim Administration</p><p>• Efficiently entering bills into the relevant system</p><p>• Effectively managing workload to help the team stay on track and meet deadlines</p><p>• Ensuring all billing functions adhere to industry standards and regulations</p><p>• Proactively resolving customer inquiries relating to medical billing</p>