82 Results for Medical Claims Processor Jobs

Add your latest resume to match with open positions.

Medical Billing/Claims/Collections

Laconia, NH
onsite
Temporary / Contract
20 - 21 USD / Hourly
We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support patient financial services for a healthcare organization in Laconia, New Hampshire. This Long-term Contract position focuses on accurate billing support, patient communication, and insurance-related account follow-up. The ideal candidate will be comfortable working directly with patients, handling payment discussions with professionalism, and helping maintain efficient front- and back-office administrative processes. Responsibilities: • Confirm insurance coverage details and accurately input billing data into the appropriate records and systems. • Guide patients through intake documentation by reviewing forms with them and clarifying required information. • Coordinate and submit internal service referrals to ensure follow-up care is processed correctly. • Communicate with patients about account balances, insurance matters, and available payment arrangements. • Establish structured payment plans and support collection efforts for overdue patient balances. • Respond to patient questions related to billing statements, insurance claims, and account status. • Maintain organized administrative documentation to support daily office and back-office operations.
2026-10-30T00:00:00Z

Medical Billing/Claims/Collections

Tucson, AZ
onsite
Temporary to Hire
21 - 25 USD / Hourly
We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support a behavioral health organization in Tucson, Arizona. This contract opportunity with potential for a long-term role is ideal for someone who can manage claim activity, follow up on outstanding balances, and help improve reimbursement outcomes in a fast-paced healthcare setting. The right candidate will bring hands-on experience in medical billing and collections while working effectively with electronic health record and practice management systems. Responsibilities:• Process medical claims accurately and submit billing information in a timely manner to support prompt reimbursement.• Review unpaid or denied claims, investigate issues, and take corrective action to resolve billing discrepancies.• Follow up with insurance carriers and other payers regarding claim status, appeals, authorizations, and outstanding payments.• Manage accounts receivable activity by tracking aging balances and pursuing appropriate collection efforts.• Verify benefits and confirm coverage details to reduce billing errors and support clean claim submission.• Maintain complete and accurate documentation within billing and EHR platforms, including systems such as NextGen or Netsmart when applicable.• Coordinate with internal teams to address claim issues, payment questions, and account updates related to behavioral health services.
2026-11-02T00:00:00Z

Medical Biller/Collections Specialist

St Louis Park, MN
remote
Temporary / Contract
26 - 31 USD / Hourly
We are looking for a Medical Biller/Collections Specialist to support a healthcare organization in St Louis Park, Minnesota through a Contract assignment. This position focuses on managing the full billing and collections cycle, including outreach to families regarding private-pay balances and payment arrangements. The ideal candidate will bring strong experience in healthcare revenue operations and a detail-oriented approach to resolving outstanding accounts, denials, and appeals. Responsibilities: • Manage a high-volume billing workload, processing and monitoring approximately 100 to 150 accounts with accuracy and timeliness. • Oversee private-pay receivables by contacting families, discussing outstanding balances, and establishing practical payment plans. • Track unpaid claims and patient balances, following up consistently to improve collections performance. • Investigate denied charges, identify root causes, and take corrective action to support reimbursement. • Prepare and submit appeals with appropriate documentation to address payment disputes and denied claims. • Maintain complete and organized billing records to support account resolution and compliance expectations. • Coordinate hospital-related billing activity and ensure charges are submitted and reconciled properly.
2026-11-02T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
25.13 - 30.8 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: <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>
2026-11-02T00:00:00Z

Medical Biller

Walnut Creek, CA
onsite
Temporary / Contract
24.5385 - 28.413 USD / Hourly
We are looking for a detail-oriented Medical Biller to support billing and coding operations in California. This is a contract position beginning at approximately 20 hours per week, with the potential to move into a permanent schedule based on business needs and performance. The person in this role will help maintain accurate claim processing, coding quality, and follow-up with commercial payers while supporting steady revenue cycle operations. Responsibilities:• Prepare and submit medical claims using accurate coding and billing practices for outpatient services.• Review clinical and billing information to assign appropriate ICD-10 and CPT codes and reduce claim errors.• Manage follow-up activities for unpaid or underpaid claims, including collection efforts with commercial insurance carriers.• Investigate billing discrepancies, correct claim issues, and resubmit documentation when needed to support reimbursement.• Use Quicken to maintain organized financial records and assist with billing-related tracking tasks.• Communicate with insurers and internal stakeholders to resolve payment questions and support timely account resolution.• Monitor account status and take action on outstanding balances to improve collections performance. If you are interested in this role, please apply today and call us at (510) 470-7450
2026-10-05T00:00:00Z

Medical Biller

Eugene, OR
onsite
Temporary / Contract
22 - 28 USD / Hourly
We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment. Responsibilities:<ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul>
2026-10-23T00:00:00Z

Claims Processor - 1st and 2nd Shifts

Mendota Heights, MN
onsite
Temporary / Contract
20 - 20 USD / Hourly
Robert Half is partnering with a Mendota Heights, MN client in search of a Claims Processor to work either 1st shift or 2nd shift from mid-October through end of November. This position focuses on handling incoming claims documents, entering information with precision, and helping maintain an efficient records process. The role is ideal for someone who is detail-oriented, dependable, and comfortable working in a structured, deadline-driven environment. Responsibilities:• Receive incoming mailed claim materials, sort documents by type, and prepare files for timely processing.• Input claim details and related supporting information into internal systems with a high level of accuracy.• Organize physical and digital records so claim documentation remains easy to locate and review.• Examine pending claims from an internal queue to confirm information is complete and accurate.• Resolve eligible documentation issues by following established procedures and noting any updates made during processing.• Record claim progress, status changes, and relevant comments in the database to maintain clear tracking.• Bring unusual cases or items outside standard instructions to the appropriate team member for review.• Consistently meet productivity, quality, and confidentiality expectations while adjusting to changing workflow demands.
2026-10-16T00:00:00Z

Insurance Claims Specialist

Miami, FL
remote
Temporary / Contract
20 - 22 USD / Hourly
Entry-Level Claims TraineeLocation: Remote, Florida residents onlyEmployment Type: Contract-to-HireContract Pay: $20-$21/hourContract Period: Approximately 3-6 monthsPermanent Salary: Approximately $50,000-$55,000Schedule: Monday-Friday, 8:30 AM-5:00 PM, 37.5 hours per weekEducation: Associate’s degree or higher requiredPosition OverviewWe are seeking motivated, entry-level professionals interested in beginning a long-term career in the insurance claims industry. This position is designed as a training and development opportunity with a path toward becoming a Claims Examiner.During the initial contract period, candidates will receive paid training and dedicated time to study for their required claims license. The company will cover the cost of the licensing exam, with the goal of successfully completing the exam within approximately 100 days.Responsibilities<ul><li>Participate in introductory claims training and development</li><li>Meet regularly with a supervisor for training and guidance</li><li>Study and prepare for the required claims licensing examination</li><li>Learn insurance claims processes, terminology, documentation, and procedures</li><li>Develop the skills necessary to transition into a Claims Examiner position</li><li>Manage multiple assignments and priorities while working remotely</li><li>Maintain accurate and organized work</li><li>Demonstrate consistent progress throughout the training and licensing period</li></ul>
2026-10-19T00:00:00Z

Medical Billing Specialist

Jackson, MI
onsite
Temporary to Hire
18.05 - 20.9 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support patient account operations in Michigan. This contract opportunity with permanent potential is ideal for someone who can manage billing activity with accuracy, stay current on payer requirements, and provide responsive support to both patients and internal teams. The person in this role will help keep claims moving efficiently, address account discrepancies, and contribute to timely reimbursement across medical and dental services. Responsibilities: • Process insurance payments, denials, and related remittance activity by retrieving information from payer portals and entering it accurately into the practice management system. • Investigate outstanding or missing reimbursements by coordinating with clearinghouses and insurance carriers to resolve payment issues and posting discrepancies. • Reconcile account activity, including payer recoupments, credit balances, and daily deposits, while maintaining complete records of payment transactions for review. • Review patient accounts for billing readiness by confirming demographics, coverage details, and required documentation, and partner with clinical staff to resolve missing information. • Follow up on unpaid or delayed claims within filing deadlines to reduce aging accounts receivable and improve collection outcomes. • Respond to patient billing inquiries, explain charges, address account concerns, and arrange payment plans when appropriate. • Support provider enrollment and credentialing work by preparing applications, maintaining contract and provider records, and tracking status updates to protect reimbursement. • Assist with coding and documentation review activities to help ensure billed services are supported, compliant, and properly recorded. • Provide administrative support for dental billing processes such as authorization-related documentation, treatment plan coordination, claim attachments, and point-of-service payment collection.
2026-10-27T00:00:00Z

Medical Billing Specialist

New Orleans, LA
onsite
Temporary to Hire
21 - 23 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in a contract-to-permanent position located in New Orleans, Louisiana. This role focuses on accurate claim processing, timely follow-up on unpaid balances, and effective resolution of billing issues across medical and dental accounts. The ideal candidate brings strong knowledge of insurance verification, coding support, and reimbursement workflows while maintaining a high standard of accuracy and customer service. Responsibilities:• Prepare, review, and submit medical and dental claims to insurance carriers with close attention to accuracy and compliance.• Investigate denied, rejected, or underpaid claims and take appropriate action through corrections, appeals, or rebilling activities.• Follow up on outstanding accounts to support collections efforts and help reduce aging receivables.• Verify patient coverage, benefits, and plan details to ensure claims are billed correctly the first time.• Apply knowledge of medical coding and dental terminology to support proper documentation and reimbursement.• Communicate with insurance representatives, patients, and internal staff to resolve billing discrepancies and payment questions.• Maintain organized billing records, update account information, and track claim status through resolution.• Use Microsoft Excel and related systems to monitor billing activity, reconcile data, and prepare routine reports.
2026-10-12T00:00:00Z

Medical Billing Specialist

Fort Lauderdale, FL
remote
Temporary to Hire
25.65 - 29.7 USD / Hourly
We are looking for a detail-oriented Certified Professional Coder to join a healthcare team in Boca Raton, Florida in a contract-to-permanent capacity. This role focuses on accurate coding, billing support, and claim-related documentation while helping maintain compliance with healthcare standards and reimbursement guidelines. The ideal candidate is comfortable working in a fast-paced environment, partnering with providers and care teams, and keeping current with evolving coding practices. Responsibilities:• Review clinical documentation to determine appropriate medical codes and ensure billing accuracy across assigned encounters.• Enter claim and encounter details into required systems and prepare supporting records with a high degree of precision.• Collaborate with physicians, primary care providers, and care coordination staff to address coding questions and support risk adjustment activities.• Deliver guidance and training on documentation quality, diagnosis selection, and level-of-service coding in alignment with established standards.• Track updates to coding regulations and apply current guidance to daily work to support compliant billing practices.• Code patient encounters within expected turnaround times while maintaining a strong standard of accuracy.• Investigate and resolve coding-related inquiries from multiple provider offices and communicate findings clearly.• Protect patient privacy, follow organizational policies, and complete additional related duties as needed.C
2026-11-02T00:00:00Z

Medical Billing Specialist

Milwaukee, WI
onsite
Temporary / Contract
0 - 0 USD / Yearly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Milwaukee, Wisconsin. This Long-term Contract opportunity is ideal for someone who can step into a fast-paced billing environment, help reduce aged receivables, and keep daily revenue cycle activity moving efficiently. You will partner with billing and finance leaders to improve claim turnaround, address payment issues, and strengthen overall billing performance. Responsibilities: • Review, prepare, and submit medical claims with accuracy to ensure timely reimbursement across multiple payer types, including commercial plans and government programs. • Investigate billing discrepancies, make necessary claim updates, and resubmit corrected claims to minimize delays in payment. • Apply incoming payments, balance billing records, and reconcile account activity to maintain accurate financial data. • Track and work denied or underpaid claims by identifying root causes, pursuing corrections, and coordinating next steps for resolution. • Conduct consistent insurance follow-up and collection efforts to reduce outstanding accounts receivable balances. • Respond to patient billing questions professionally and provide clear guidance on charges, payments, and account status. • Assist with appeals, reimbursement recovery efforts, and supporting documentation needed to secure appropriate payment. • Maintain organized billing records and ensure documentation is complete, current, and aligned with compliance expectations. • Collaborate with the Billing Manager and finance team to address backlog challenges and support ongoing revenue cycle improvement initiatives.
2026-11-02T00:00:00Z

Medical Billing Specialist

Fayetteville, NC
onsite
Temporary / Contract
14 - 17 USD / Hourly
We are looking for a Medical Billing Specialist to support a healthcare facility in Fayetteville, North Carolina. This Long-term Contract opportunity is well suited for someone who can manage billing activities with accuracy, maintain organized financial records, and help keep reimbursement processes moving efficiently. The ideal candidate will bring strong attention to detail, a solid understanding of medical billing practices, and the ability to work effectively in a fast-paced healthcare setting. Responsibilities:• Prepare, review, and submit medical claims accurately and on schedule to support timely reimbursement.• Investigate billing discrepancies, resolve claim issues, and follow up on unpaid or denied accounts.• Maintain complete and organized billing documentation while ensuring information is updated correctly in billing systems.• Coordinate with internal staff, insurers, and patients when needed to clarify charges, coverage, or account questions.• Apply payments, reconcile account activity, and monitor outstanding balances to keep records current.• Support compliance with healthcare billing standards, payer requirements, and internal documentation procedures.
2026-10-16T00:00:00Z

Medical Billing Specialist

Temperance, MI
onsite
Temporary / Contract
19 - 22 USD / Hourly
Are you an experienced Medical Biller available for contract work in Temperance MI. If so, this role might be ideal for you. Our client in Temperance is in need of a Medical Billing Specialist to assist with medical and dental billing. Monday - Friday 9am - 5pm. This role is FULLY ONSITE only. NO remote option. Pay up to $22/hr depending on experience. Qualifications Medical and Billing Coding experience of 1 year or more Knowledge of insurance E-Clinical Works (ECW) experience preferred Knowledge of CPT and ICD10 Coding. Working knowledge of coding, billing and collection of claims. Strong organizational skills with solid problem solving skills. Proficient computer skills and EMR experience. Billing and Coding Certificate required Associate Degree / Certificate from a technical school for billing and /or coding.
2026-10-11T00:00:00Z

Medical Billing Specialist

Spring, TX
onsite
Temporary / Contract
19 - 23 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a Contract position based onsite in Spring, Texas. This role focuses on maintaining accurate billing activity, resolving claim issues, and helping keep reimbursement processes on track through careful follow-up and documentation. The ideal candidate brings hands-on experience in medical billing, strong knowledge of coding and insurance procedures, and the ability to work effectively in a fast-paced team environment. Responsibilities: • Manage day-to-day medical billing tasks, including claim submission, payment posting, and account follow-up to support timely reimbursement. • Review billing records for accuracy and apply appropriate medical coding information to help reduce processing delays and errors. • Investigate rejected or denied claims, identify root causes, and take corrective action to improve claim resolution outcomes. • Post insurance payments accurately and reconcile billing activity to maintain complete and current account records. • Communicate with insurance carriers and use payer portals to verify claim status, clarify issues, and support collections efforts. • Monitor accounts receivable and follow up on outstanding balances to help improve recovery and reduce aging accounts. • Maintain organized documentation within billing systems and support accurate recordkeeping across daily workflows. • Use billing platforms and office software effectively, including tools such as Epic, Tebra, Google Docs, Microsoft 365, and related applications as needed.
2026-10-30T00:00:00Z

Medical Billing Specialist

North Charleston, SC
onsite
Temporary to Hire
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations in North Charleston, South Carolina. This contract-to-permanent opportunity is ideal for someone who can manage claims processing, payment posting, and account follow-up with accuracy and professionalism. The person in this role will work closely with internal teams and external payors to resolve billing issues, maintain compliant records, and help ensure timely reimbursement. Responsibilities: • Generate and submit clean, accurate claims for services rendered while meeting established billing timelines. • Investigate unpaid, rejected, or denied claims and take appropriate action to secure resolution and reimbursement. • Communicate with insurers, Medicaid, managed care organizations, and other funding sources to address denials, payment variances, recoupments, and claim corrections. • Review ERAs and EOBs and post payments, contractual adjustments, and denials with a high level of accuracy. • Analyze billing and reimbursement discrepancies, reconcile accounts, and support financial closeout activities across applicable contract arrangements. • Maintain organized billing documentation, contract-related records, and workflow processes in alignment with company standards and regulatory requirements. • Partner with clinical, admissions, finance, and case management teams to resolve billing concerns and improve claim outcomes. • Safeguard patient, financial, and organizational information by following privacy requirements and confidentiality standards.
2026-10-22T00:00:00Z

Medical Billing Specialist

Fayetteville, NC
onsite
Temporary / Contract
14 - 17 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support billing operations for a healthcare facility in Fayetteville, North Carolina. This Long-term Contract position is ideal for someone who can manage claim processing accurately, follow up on outstanding balances, and help maintain efficient revenue cycle activities. The person in this role will work closely with internal teams to help ensure billing records are complete, timely, and compliant with healthcare billing standards. Responsibilities:• Prepare and submit medical claims with a high level of accuracy to support timely reimbursement• Review billing documentation for completeness and resolve discrepancies before claim submission• Monitor unpaid or denied claims and take appropriate follow-up actions to improve collections• Communicate with insurance carriers, patients, and internal staff to address billing questions and payment issues• Post payments, adjustments, and other billing updates while maintaining organized account records• Assist with account reconciliation and help identify billing trends or recurring issues that affect revenue cycle performance
2026-10-16T00:00:00Z

Medical Billing Specialist

Knoxville, TN
onsite
Temporary to Hire
17 - 18 USD / Hourly
Our client in the medical billing industry is seeking multiple Medical Billing Clerks to join their growing team. This is an excellent opportunity for candidates with experience in the medical field who are looking to build a long-term career with a company that offers strong training, stability, and an outstanding benefits package. The Medical Billing Clerk will be responsible for supporting billing operations, assisting patients and insurance carriers, and ensuring claims are processed accurately and efficiently. The ideal candidate will have prior exposure to medical office or healthcare-related environments and be comfortable handling billing inquiries, claims follow-up, and payment discrepancies. Key Responsibilities: Process and submit medical claims to insurance companies Review accounts for billing accuracy and correct billing discrepancies Perform data entry related to patient information, charges, payments, and account updates Handle inbound and outbound customer service calls regarding billing questions and account status Interpret and explain Explanation of Benefits (EOBs) Work with insurance companies to resolve claim issues and payment delays Assist with collections activity on outstanding balances in a detail oriented manner Maintain accurate billing records and documentation Support internal billing functions and ensure timely claim submission and follow-up Qualifications: Some prior experience working in the medical field is required Previous experience in medical billing, medical office support, or healthcare administration preferred Knowledge of medical billing terminology and Explanation of Benefits (EOBs) required Experience with customer phone support Strong data entry and administrative skills Requires all candidates required to undergo drug screening and all candidates required to undergo background check process Familiarity with claims submissions and insurance company processes Ability to identify and resolve billing discrepancies detail oriented communication skills and strong attention to detail Comfortable handling some collections responsibilities Training Provided: In-house training on medical codes In-house training on billing software
2026-10-28T00:00:00Z

Medical Billing Specialist

Moline, IL
onsite
Temporary to Hire
18 - 22 USD / Hourly
Advance Your Medical Billing Career Robert Half is partnering with a respected healthcare organization in the Quad Cities area to identify an experienced Medical Billing Specialist. This is an excellent opportunity for a billing professional who enjoys ownership of the revenue cycle, working denials and appeals, analyzing reimbursement issues, and driving successful insurance collections. If you have a strong understanding of medical billing, insurance reimbursement, and claims processing, we'd love to connect with you. What You'll Do<ul><li>Submit medical claims electronically to commercial and government payers</li><li>Post insurance and patient payments accurately and timely</li><li>Research, resolve, and appeal denied or rejected claims</li><li>Follow up with insurance carriers regarding outstanding balances</li><li>Monitor and manage accounts receivable aging</li><li>Identify underpayments, overpayments, and reimbursement discrepancies</li><li>Process refunds and credit balances as needed</li><li>Partner with coding and business office teams to help ensure accurate claim submission</li><li>Support ongoing billing accuracy and compliance initiatives</li><li>Maintain confidentiality and compliance with HIPAA regulations</li></ul> Why This Opportunity?✅ Stable healthcare organization with a patient-focused mission✅ Opportunity to make a direct impact on revenue cycle performance✅ Collaborative team environment✅ Full-time, long-term career opportunity✅ Competitive compensation and benefits package Ready to Learn More? If you're passionate about healthcare administration and enjoy solving reimbursement challenges while helping organizations maintain financial excellence, we'd welcome the opportunity to discuss this position with you. Apply today to be considered. Candidates may also call our team direct at (563) 359-3995 to discuss your short- and long-term goals!
2026-10-28T00:00:00Z

Medical Collections Specialist

Concord, NC
remote
Temporary / Contract
28.5 - 33 USD / Hourly
We are looking for a Medical Collections Specialist to support a high-volume Medicare claims review. This Long-term Contract position focuses on researching billed claims, confirming claim corrections through Medicare portals. The ideal candidate brings strong portal navigation skills, sharp attention to detail, and the ability to manage repetitive claim follow-up work with accuracy and consistency. Responsibilities:• Review Medicare claims in multiple payer portals to confirm whether void requests were submitted correctly and completed successfully.• Investigate specialty claims to verify they were reprocessed under the appropriate tax ID and moved through the claims cycle accurately.• Validate payment outcomes by checking that reimbursement was issued under the correct billing entity and documenting any discrepancies.• Maintain detailed tracking logs and spreadsheets to monitor claim status, outstanding items, and resolution progress across a large inventory of accounts.• Use Medicare administrative contractor portals, including systems such as WPS and Palmetto, to research claim activity and identify next steps.• Follow repetitive daily workflows with a high level of precision while managing a significant volume of claim reviews.• Escalate irregular claim findings, unresolved issues, or payment mismatches to the appropriate internal stakeholders for further action.• Support cleanup efforts related to claims that were previously routed under the wrong tax ID and help drive accurate resolution.• Coordinate claim follow-up activities during Eastern Time business hours, with some flexibility based on team needs.
2026-10-28T00:00:00Z

Medical Collections Specialist

Sacramento, CA
onsite
Temporary to Hire
22.8 - 24 USD / Hourly
We are looking for a Medical Collections Specialist to support revenue cycle operations. This contract opportunity begins as leave coverage and offers the potential for long-term employment based on performance. The position is fully in office during the contract period and is well suited for someone who can manage a high-volume workload while resolving complex insurance and patient account issues with accuracy and professionalism. Responsibilities: • Review payer contracts and reimbursement terms to confirm expected payment amounts and identify discrepancies on outstanding claims. • Interpret explanations of benefits and other payer responses to determine next steps for denied, delayed, or underpaid accounts. • Investigate patient responsibility amounts by evaluating copays, deductibles, coinsurance, and out-of-pocket limits as they apply to each balance. • Communicate with insurance carriers to pursue claim resolution, escalate payment issues, and secure accurate reimbursement. • Prepare clear, persuasive written appeals to challenge denials and support timely reconsideration of claims. • Speak with patients regarding account balances, explain adjudication results, and answer questions about remaining financial responsibility. • Maintain consistent follow-up on assigned accounts while meeting productivity expectations and quality standards in a fast-paced environment. • Partner with team members to prioritize workloads, solve account issues, and contribute to overall collection performance goals.
2026-11-02T00:00:00Z

Medical Reimbursement Specialist

Raleigh, NC
remote
Temporary to Hire
24 - 30 USD / Hourly
We are looking for a Medical Reimbursement Specialist to join a social services organization in Raleigh, North Carolina. This contract position offers a path to a permanent role and will support payer and contract operations by helping manage reimbursement documentation, coordinating implementation activities, and maintaining accurate contract records across the organization. The role works closely with internal departments and external payer partners to keep contract processes organized, timely, and aligned with operational needs. Responsibilities: • Manage electronic and physical contract documentation, ensuring records, amendments, rate updates, and related files remain accurate and accessible. • Oversee key contract milestones such as renewal timelines, notice requirements, effective dates, and follow-up actions to support uninterrupted administration. • Facilitate routing, review, and approval steps for agreements while keeping contract lifecycle tracking tools current. • Partner with payer contacts and internal teams to support contract onboarding, implementation tasks, and communication of reimbursement or agreement changes. • Monitor payer bulletins, policy revisions, and reimbursement updates, then summarize relevant impacts for stakeholders and leadership. • Research contract terms and compile supporting materials to assist with management review, issue resolution, negotiations, and reimbursement analysis. • Help identify and address payment variances, implementation concerns, and other contract-related issues in collaboration with operational and revenue teams. • Work with Finance, Compliance, Credentialing, Quality, Operations, and program leadership to support contract administration, audits, and departmental initiatives. • Contribute to the setup, maintenance, and ongoing use of contract management systems, including Contract Solutions, and assist with workflow readiness activities as needed.
2026-10-08T00:00:00Z

Medical Collections Representative

Minneapolis, MN
remote
Temporary / Contract
20 - 21 USD / Hourly
We are seeking an experienced Medical Collections Representative with a strong background in hospital collections to join our team. This fully remote position is responsible for resolving outstanding hospital accounts receivable, following up with insurance payers, identifying denial trends, and ensuring timely reimbursement. The ideal candidate has experience working hospital accounts, understands the revenue cycle, and can independently manage a high-volume workload while maintaining accuracy and professionalism. The Medical Collection Representative will be an integral part of one of our prestigious health systems. Key Responsibilities<ul><li>Manage and collect on outstanding hospital accounts receivable.</li><li>Follow up with commercial, government, and managed care payers regarding claim status, denials, underpayments, and appeals.</li><li>Research and resolve billing and reimbursement discrepancies.</li><li>Review explanation of benefits (EOBs), remittance advice, and payer correspondence.</li><li>Submit appeals, reconsiderations, and supporting documentation as needed.</li><li>Document all collection activities accurately within the patient accounting system.</li><li>Identify reimbursement trends and escalate payer issues appropriately.</li><li>Work assigned accounts to meet productivity and collection goals.</li><li>Collaborate with internal teams to resolve claim edits, denials, and payment delays.</li><li>Maintain compliance with HIPAA and all applicable healthcare regulations.</li></ul>
2026-10-12T00:00:00Z

Medical Coder

Fremont, CA
onsite
Temporary / Contract
43.5385 - 50.413 USD / Hourly
We are looking for an experienced Medical Coder to support coding excellence for a healthcare organization in Fremont, California. This Long-term Contract position focuses on coding review, staff education, compliance oversight, and collaboration with clinical and revenue cycle partners to strengthen documentation quality and coding accuracy. The role is well suited for someone who brings strong acute care coding knowledge, sound judgment, and the ability to guide teams through evolving regulatory expectations. Responsibilities:• Direct coding workflow activities by balancing assignments, tracking output, and helping maintain consistent departmental performance.• Conduct detailed audits of coded records to confirm accurate code selection, proper application of classification systems, and alignment with regulatory and organizational standards.• Develop and deliver education for coders, providers, and clinical staff to improve coding quality, documentation practices, and overall understanding of current requirements.• Analyze review findings and denial patterns to identify recurring issues, then recommend corrective actions that support compliance and revenue integrity.• Partner with clinical, billing, compliance, and revenue cycle teams to address coding questions, clarify documentation concerns, and resolve operational issues.• Create training resources such as reference guides, presentations, and competency tools that support onboarding and continued staff development.• Monitor updates to coding regulations, payer expectations, and industry guidance, then communicate key changes to relevant stakeholders.• Mentor coding staff through coaching and feedback that strengthens accuracy, confidence, and adherence to best practices.• Contribute to department planning by suggesting improvements in staffing approach, workflow design, and coding-related processes. If you are interested, please apply today and call us at (510) 470-7450
2026-10-06T00:00:00Z

Hospital Medical Biller

Los Angeles, CA
onsite
Temporary / Contract
25 - 32 USD / Hourly
A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Hospital Medical Biller to join its growing team. The ideal Hospital Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Hospital Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Insurance follow up, appeals and denials. • Determine the patient's financial status and capability to pay their bills.• Apply appropriate codes to billable goods and services.• Address and resolve patient complaints regarding bills.• Maintain confidentiality and comply with all federal and state health information privacy laws.• Monitor and record late payments.• Regularly report to the Billing Manager.
2026-10-16T00:00:00Z

82 results for Medical Claims Processor jobs