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176 results for Medical Claims Analyst jobs

Medical Claims Examiner

Greenville, SC
onsite
Permanent / Full Time
45000 - 52000 USD / Yearly
We are looking for a detail-focused Medical Claims Examiner to join an insurance organization in Greenville, South Carolina. This position is suited for someone with hands-on experience adjudicating medical claims and applying plan provisions, coding standards, and pricing rules with accuracy. The person in this role will help ensure claims are processed efficiently, in compliance with benefit plans, contractual arrangements, and regulatory requirements. Responsibilities: • Review and adjudicate medical, dental, vision, and flexible spending account claims from intake through final payment determination. • Examine suspended or flagged claims to identify billing discrepancies, duplicate submissions, unbundled charges, or other questionable claim activity. • Resolve system-related claim exceptions by making manual corrections before claims are finalized for payment. • Apply member benefits, provider contract terms, fee schedules, and applicable regulations to calculate accurate reimbursement outcomes. • Interpret coding and billing details, including diagnosis and procedure information, to support proper claim handling. • Escalate complex claim issues or unclear situations to leadership when additional review or guidance is needed. • Manage assigned exception reports and follow through on outstanding claim items in a timely manner. • Meet established productivity, turnaround, and quality expectations while maintaining dependable attendance at the Greenville, South Carolina worksite.
2026-06-09T00:00:00Z

Medical Claims Representative

Chicago, IL
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract position based in Lincolnwood, Illinois. This role focuses on reviewing medical claim information, coordinating billing-related activities, and helping ensure accurate insurance processing across the claims lifecycle. The ideal candidate is organized, service-minded, and comfortable working in a fast-paced healthcare environment while maintaining accuracy and compliance. Responsibilities:• Review incoming medical claims for completeness, accuracy, and alignment with payer requirements before submission or follow-up.• Manage billing-related claim activity by researching discrepancies, correcting documentation issues, and helping move claims toward resolution.• Verify medical insurance coverage and eligibility details to support proper claim handling and reduce preventable denials.• Track claim status with insurance carriers, document updates clearly, and communicate next steps to relevant internal stakeholders.• Investigate denied, rejected, or delayed claims and take appropriate action to support timely reconsideration or resubmission.• Maintain organized claim administration records and ensure case details are updated accurately within designated systems.• Work closely with billing, administrative, and healthcare support teams to address claim questions and improve turnaround times.
2026-06-12T00:00:00Z

Medical Claims Representative

Pleasanton, CA
onsite
Temporary to Hire
31.35 - 36.3 USD / Hourly
We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical claims, billing activity, and insurance-related documentation in a fast-paced environment. The person in this role will support accurate claim review and member-related processing while communicating clearly with Spanish-speaking members and internal teams. Success in this position requires strong knowledge of medical terminology, benefit plans, and claims administration procedures. Responsibilities: • Review, evaluate, and process medical claims with close attention to accuracy, completeness, and applicable coverage details. • Enter and maintain member, enrollment, beneficiary, and medical information within internal claims systems while following established procedures. • Verify insurance details and confirm benefit eligibility to support timely and correct claim handling. • Interpret billing information, coding details, and supporting documentation to determine appropriate claim outcomes. • Communicate with members, providers, and internal partners regarding claim status, required documentation, and benefit-related questions. • Assist Spanish-speaking members by providing clear and thorough support in both English and Spanish. • Apply working knowledge of healthcare benefits, policies, and regulatory guidelines when reviewing claim activity. • Escalate complex or legally sensitive claim matters to leadership when additional review or direction is needed.
2026-06-22T00:00:00Z

Medical Billing/Claims/Collections

Meridian, ID
onsite
Temporary to Hire
21.85 - 25.3 USD / Hourly
We are looking for a detail-focused Medical Billing/Claims/Collections specialist to support revenue cycle performance in Idaho. This contract opportunity is ideal for someone who can navigate payer requirements, resolve claim issues efficiently, and help accelerate reimbursement from insurers and patients. The person in this role will work across billing follow-up, denial management, and collections while maintaining accurate account documentation and supporting clean claim resolution. Responsibilities: • Oversee assigned accounts receivable balances and take consistent action to reduce aging and secure timely payment. • Investigate denied, rejected, and partially paid claims to determine root causes and move accounts toward resolution. • Prepare and submit corrected claims, payer reconsiderations, and formal appeals when additional review is required. • Communicate with commercial carriers, government payers, and patients to confirm claim status and address payment variances. • Examine EOBs and ERAs to verify reimbursement accuracy and identify discrepancies needing follow-up. • Track recurring denial patterns and share recommendations that strengthen reimbursement outcomes and reduce future issues. • Partner with providers, coding personnel, and front-desk staff to clarify billing concerns and remove obstacles to payment. • Confirm coverage details, benefit information, and authorization requirements when account review calls for it. • Record all account activity thoroughly in the billing platform while following payer rules and organizational standards.
2026-06-19T00:00:00Z

Medical Insurance Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
24.12 - 30.8 USD / Hourly
Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts. In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.What You’ll Do<ul><li>Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.</li><li>Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.</li><li>Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.</li><li>Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.</li><li>Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.</li><li>Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.</li><li>Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.</li><li>Adapt to department workflows and support Collector I-level processes and training initiatives as needed.</li></ul>What We’re Looking For<ul><li>Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.</li><li>Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.</li><li>Experience working with inpatient and outpatient hospital claims.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul>
2026-06-19T00:00:00Z

Medical Insurance Collections Specialist

North Hollywood, CA
onsite
Temporary / Contract
23.01 - 31.23 USD / Hourly
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.The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.Key Responsibilities<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>
2026-06-05T00:00:00Z

Medical Billing Specialist

Dallas, GA
remote
Temporary / Contract
22 - 28 USD / Hourly
Job DescriptionThe Billing Representative for the Legal Correspondence Team is responsible for managing and processing correspondence from attorneys, including subpoenas and requests for patient billing records. This role ensures that all records are released in compliance with legal regulatory and organizational policies while maintaining a high level of accuracy and confidentiality. The ideal candidate will possess excellent organizational skills, attention to detail, and a strong understanding of billing processes and legal documentation requirements. Key Responsibilities:Review process and respond to subpoenas, attorney correspondence, and requests for patient billing records in a timely and accurate manner.Ensure compliance with federal and state laws, including HIPAA and organizational policies regarding the release of patient information.Verify the authenticity and completeness of legal documents before processing requests.Collaborate with internal teams to retrieve and compile accurate billing records and other required documentation.Maintain detailed records of all requests, correspondence, and released information for audit and tracking purposes.Communicate effectively with attorneys legal representatives and other external parties to clarify requests or provide updates on the status of records.Safeguard sensitive patient information and ensure confidentiality in all interactions and document handling.Identify and escalate complex or unclear requests to appropriate leadership or legal counsel for resolution.Contribute to process improvement initiatives to enhance efficiency and accuracy in handling records requests.Stay current on legal and regulatory changes that may impact the release of billing records.
2026-06-17T00:00:00Z

Medical Billing Specialist

Indianapolis, IN
remote
Temporary / Contract
28 - 29 USD / Hourly
We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.Key Responsibilities<ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul>
2026-06-12T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
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. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-06-22T00:00:00Z

Medical Billing Specialist

Boca Raton, FL
remote
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues. Responsibilities:• Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines.• Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports.• Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices.• Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up.• Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance.• Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture.• Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered.• Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements.• Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information
2026-06-22T00:00:00Z

Medical Billing Specialist

Little Rock, AR
remote
Temporary / Contract
28 - 30 USD / Hourly
We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.Key Responsibilities<ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul>
2026-06-12T00:00:00Z

Medical Billing Specialist

Montgomery, AL
remote
Temporary / Contract
28.44 - 29.59 USD / Hourly
We’re hiring: Coordination of Benefits Specialist (Remote, Alabama)Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way. About the RoleAs a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations. Key Responsibilities<ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul>
2026-06-12T00:00:00Z

Medical Billing Specialist

Riviera Beach, FL
onsite
Temporary / Contract
23 - 23 USD / Hourly
Review and interpret Explanation of Benefits (EOBs) to determine:-Services billed-Insurance coverage and adjustments-Payment amounts-Patient responsibility Manage and work denial and collections queues within EPICInvestigate and resolve denied or underpaid claims promptlyFollow up with insurance companies to resolve discrepancies and secure paymentEnsure timely resubmission of claims and appeals to avoid timely filing issuesMaintain accurate documentation of collection activity within the systemSupport overall Accounts Receivable (AR) performance and aging goals Qualifications 1+ years of medical collections or AR experienceStrong understanding of EOBs and insurance claim processingExperience working in EPIC (highly preferred)Ability to navigate denials and payer communications effectivelyDetail-oriented with strong problem-solving skillsComfortable working in a fast-paced, growth-oriented environment Work Environment & Benefits Onsite position with a collaborative team (approximately 36 employees)Opportunity for career growth and advancementUpon permanent hire, eligible for: Health, Dental, and Vision insurance401(k)PTO accrual (beginning after 90 days)
2026-06-16T00:00:00Z

Medical Billing Specialist

Salt Lake City, UT
remote
Temporary / Contract
28.42 - 29.58 USD / Hourly
We’re hiring: Coordination of Benefits Specialist (Remote, Utah)Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way. About the RoleAs a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations. Key Responsibilities<ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul>
2026-06-12T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Temporary to Hire
0 - 0 USD / Yearly
We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement. Key Responsibilities Review and submit hospital claims to third‑party payers Resolve claim edits generated by EHR and clearinghouse systems Reconcile claim acceptance and rejection reports Maintain assigned work queues to meet productivity and quality standards Ensure compliance with payer requirements and billing regulations Coordinate with internal departments to resolve missing or incorrect claim information Document claim activity and follow‑up in billing systems Apply payer‑specific billing rules and reimbursement guidelines Qualifications High School Diploma or GED required 2+ years of medical billing or healthcare accounts receivable experience Working knowledge of ICD‑10, CPT, and HCPCS coding Experience with healthcare billing or patient accounting systems Proficiency with Microsoft Office, including Excel Strong attention to detail, organization, and time management skills Ability to manage high‑volume workloads accurately For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
2026-06-22T00:00:00Z

Medical Billing Specialist

Riviera Beach, FL
onsite
Temporary / Contract
23 - 23 USD / Hourly
Review and interpret Explanation of Benefits (EOBs) to determine:-Services billed-Insurance coverage and adjustments-Payment amounts-Patient responsibility Manage and work denial and collections queues within EPICInvestigate and resolve denied or underpaid claims promptlyFollow up with insurance companies to resolve discrepancies and secure paymentEnsure timely resubmission of claims and appeals to avoid timely filing issuesMaintain accurate documentation of collection activity within the systemSupport overall Accounts Receivable (AR) performance and aging goals Work Environment & Benefits Onsite position with a collaborative team (approximately 36 employees)Business casual dress code (jeans permitted)Opportunity for career growth and advancementUpon permanent hire, eligible for: Health, Dental, and Vision insurance401(k)PTO accrual (beginning after 90 days)
2026-06-16T00:00:00Z

Medical Billing Specialist

Burr Ridge, IL
onsite
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist, infusion focused, to support healthcare billing operations for a Long-term Contract position based in Burr Ridge, Illinois. This role focuses on accurate charge entry, claims coordination, and billing follow-through for infusion-related services while working closely with administrative, clinical, and pharmacy teams. The ideal candidate brings hands-on medical billing experience, strong organizational skills, and the ability to keep patient and insurance records current to support timely reimbursement. Responsibilities:• Oversee daily scheduling-related billing activity and keep account records accurate for assigned service sites.• Enter and submit infusion charges each day, confirming that procedure coding, medication amounts, clinical notes, and pharmacy documentation are consistent.• Prepare claim documentation for payers and manage submissions involving both primary and secondary insurance coverage.• Review medication utilization records and coordinate with care and pharmacy staff to resolve discrepancies involving wasted, returned, or unused drugs.• Confirm patient demographics and insurance details before billing to reduce claim delays and rework.• Maintain regular reporting on billing volume, account issues, and status updates for leadership review.• Partner with clinical personnel to obtain incomplete documentation and help keep the billing process moving without delays.• Provide broader administrative and reimbursement support as business needs require. The salary range for this position is $22 to $27. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.
2026-06-18T00:00:00Z

Medical Billing Specialist

Lewiston, ME
onsite
Temporary / Contract
21 - 24 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Lewiston, Maine. This is a Contract position focused on accurate claim preparation, timely follow-up, and consistent reimbursement processing. The ideal candidate brings strong knowledge of medical billing workflows, coding practices, and payer communication, along with the ability to manage accounts efficiently in a fast-paced setting. Responsibilities: • Prepare and submit medical claims with a high degree of accuracy to support timely payment from insurance carriers and other payers. • Review billing documentation and coding details to identify discrepancies, correct issues, and reduce claim rejections or denials. • Follow up on outstanding balances by working directly with payers, patients, and internal teams to resolve billing questions and secure reimbursement. • Investigate denied or delayed claims, determine the cause, and take appropriate action to support successful resubmission or appeal. • Maintain organized account records and update billing systems with current claim status, payment activity, and collection notes. • Use EPACES and related billing tools to verify information, review claim activity, and assist with claims processing tasks. • Monitor accounts receivable activity and prioritize follow-up efforts to improve collection performance and payment turnaround times.
2026-06-22T00:00:00Z

Medical Billing Specialist

Chattanooga, TN
onsite
Temporary to Hire
20 - 21 USD / Hourly
We are seeking a Medical Billing Specialist to join our team immediately. This is a great opportunity for someone who thrives in a fast-paced, team-oriented healthcare environment and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee** Position OverviewThe 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 Medicare and Medicaid billing and claims. We are looking for someone adaptable, self-directed, and ready to grow with the team. Key Responsibilities<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> If interested in role please apply, then call (423)244-0726.
2026-06-22T00:00:00Z

Medical Collections Specialist

Bethesda, MD
onsite
Temporary / Contract
22 - 22 USD / Hourly
We are looking for a dedicated Medical Collections Specialist to join our team on a long-term contract basis in Bethesda, Maryland. In this role, you will handle accounts receivable balances, communicate with patients regarding outstanding payments, and manage medical billing processes efficiently. This position offers an opportunity to work on-site and contribute to the financial operations of a healthcare setting. Responsibilities: • Contact patients to discuss outstanding account balances and resolve payment issues. • Manage medical billing processes, ensuring accurate and timely submissions. • Address and resolve medical denials and appeals with insurance providers. • Collaborate with internal teams to ensure seamless handling of accounts receivable. • Utilize Modernizing Medicine (ModMed) software to track and manage collections. • Analyze accounts to identify discrepancies and implement corrective actions. • Maintain detailed records of patient communications and payment activities. • Ensure compliance with healthcare regulations and billing standards. • Provide excellent customer service to patients and insurance representatives. • Prepare reports on collection activities and account statuses for management review.
2026-06-22T00:00:00Z

Medical Collections Specialist

Sacramento, CA
onsite
Temporary to Hire
23 - 24 USD / Hourly
We are looking for a Medical Collections Specialist to join a healthcare team in Sacramento, California. This contract-to-permanent opportunity is ideal for someone who brings strong experience in insurance follow-up, denial resolution, and patient balance discussions within a high-volume revenue cycle environment. The role is onsite and focuses on reviewing claim outcomes, pursuing reimbursement, and helping ensure accounts are resolved accurately and efficiently. Responsibilities: • Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments. • Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility. • Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement. • Prepare clear, persuasive appeals that address payer findings and support claim reconsideration. • Communicate with insurance carriers to resolve billing discrepancies, payment issues, and adjudication concerns. • Speak with patients regarding outstanding balances, explaining how copays, deductibles, coinsurance, and out-of-pocket limits affect what they owe. • Maintain consistent follow-up on assigned accounts while meeting productivity expectations in a fast-moving workload. • Apply analytical judgment to determine the most effective next steps for account resolution and escalation when needed. • Collaborate with team members to support collection goals and maintain quality standards across account follow-up activities.
2026-06-22T00:00:00Z

Medical Biller/Collections Specialist

Salinas, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
Position Title: Medical Billing SpecialistLocation: Salinas, CASchedule: Full-Time, Monday–Friday, 8:00 AM–5:00 PMCompensation: $30-$50Our nonprofit client is seeking a Medical Billing Specialist to manage medical billing and health information functions related to program-based healthcare and support services. This role is responsible for accurate and timely claims submission, compliance with public and private payer requirements, and maintaining high-quality documentation that supports program operations and financial sustainability. The position requires strong attention to detail, confidentiality, and collaboration with program and administrative staff.Essential Duties and Responsibilities<ul><li>Prepare, submit, and track electronic and paper claims to public and private payers, ensuring accurate coding and required documentation.</li><li>Monitor claim status, resolve denials and underpayments, and resubmit corrected claims as needed.</li><li>Post payments and adjustments, reconcile remittance advice, and maintain accurate billing records.</li><li>Review service notes and encounter documentation for completeness, clarity, and compliance with payer and program standards.</li><li>Communicate with program and administrative staff regarding documentation requirements, billing timelines, and follow-up items.</li><li>Maintain organized and secure electronic records in billing, EHR, and related systems.</li><li>Assist with internal billing audits, quality assurance initiatives, and preparation for external monitoring or reviews.</li><li>Ensure billing practices align with payer, contract, and regulatory requirements, including timely filing limits.</li><li>Support preparation of reports related to service utilization, revenue, and billing activity.</li><li>Protect all client information in accordance with HIPAA and applicable privacy regulations.</li><li>Participate in staff meetings, trainings, and team discussions as needed.</li><li>Perform other related duties as assigned.</li></ul>Education and ExperienceAssociate’s degree in Health Information Technology, Healthcare Administration, Billing/Coding, or a related field; or equivalent combination of education and directly related experience.At least 2 years of experience in medical billing, preferably including Medicaid/Medi-Cal or other public payer billing.Knowledge, Skills, and AbilitiesWorking knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding.Ability to read and interpret payer bulletins, remittance advice, and denial codes.High level of accuracy, attention to detail, and follow-through.Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.Clear written and verbal communication skills with clinical and non-clinical staff.Ability to work independently and collaboratively in a team-oriented environment.Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives.
2026-06-22T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 28.99 USD / Hourly
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. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-06-19T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary / Contract
21 - 24 USD / Hourly
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. 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. 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.
2026-06-15T00:00:00Z

Medical Biller/Collections Specialist

Philadelphia, PA
onsite
Temporary / Contract
18 - 20 USD / Hourly
We are looking for a detail-oriented Medical Biller/Collections Specialist to support daily billing and reimbursement operations in Fairless Hills, PA. This Long-term Contract position is ideal for someone who is organized, comfortable handling administrative tasks, and able to manage multiple priorities in a fast-paced healthcare environment. The individual in this role will help maintain accurate records, prepare billing-related documents, and assist the department with essential follow-up activities. Responsibilities:• Provide day-to-day administrative assistance to the billing and reimbursement team to help keep departmental workflows running smoothly.• Prepare, scan, print, and review billing documents to ensure information is complete, accurate, and ready for processing.• Build, maintain, and update Excel spreadsheets and other tracking tools used for departmental reporting and recordkeeping.• Sort incoming mail, distribute correspondence to the appropriate team members, and coordinate outgoing billing-related mailings.• Investigate returned mail, verify patient or account details, and update internal records to reflect corrected information.• Send patient statements and secondary claim documentation in a timely manner while supporting follow-up on outstanding items.• Enter billing and account information into the system with a high level of accuracy and attention to detail.• Assist with collection activities, denial follow-up, appeals support, and other related assignments as directed by leadership.
2026-06-22T00:00:00Z