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268 results for Medical Claims Representative jobs

Medical Claims Representative
  • Chicago, IL
  • onsite
  • Temporary / Contract
  • 23.75 - 27.5 USD / Hourly
  • We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract to permanent position based in Lincolnwood, Illinois. This role focuses on reviewing claim information, coordinating billing-related activities, and helping ensure accurate handling of medical insurance documentation. The ideal candidate brings strong knowledge of claims processing and can work efficiently in a fast-paced healthcare environment. <br> Responsibilities: • Review medical claims for accuracy, completeness, and proper supporting documentation before submission or follow-up. • Process billing and claim-related records while maintaining compliance with healthcare and insurance guidelines. • Investigate claim discrepancies and resolve issues by coordinating with internal teams, providers, and insurance contacts. • Verify medical insurance details and confirm coverage information to support timely claim handling. • Maintain organized claim administration records and update case information within designated systems. • Monitor claim status, track outstanding items, and follow through to support prompt resolution and payment activity. • Respond to inquiries related to claims and billing matters with professionalism, accuracy, and attention to detail.
  • 2026-05-27T00:00:00Z
Medical Claims Resolution Specialist
  • Indianapolis, IN
  • remote
  • Temporary to Hire
  • 21 - 25 USD / Hourly
  • <p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
  • 2026-05-26T00:00:00Z
Medical Customer Service Representative
  • Lewes, DE
  • onsite
  • Temporary / Contract
  • 17 - 18 USD / Hourly
  • <p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Lewes, DE. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status</li></ul>
  • 2026-05-20T00:00:00Z
Medical Customer Service Rep
  • Waterbury, CT
  • onsite
  • Temporary / Contract
  • 17.1 - 19.8 USD / Hourly
  • <p>We are looking for a Medical Customer Service Rep to support patients and healthcare customers through a high-volume call center environment in Connecticut. This Contract position is ideal for someone who communicates clearly, handles sensitive information with professionalism, and is comfortable assisting with billing questions and general patient inquiries. The role requires strong customer service skills, confidence using basic medical terminology, and the ability to guide callers to the appropriate resources.</p><p><br></p><p>Responsibilities:</p><p>• Respond to inbound calls from patients and other callers, providing courteous and efficient service in a fast-paced support setting.</p><p>• Assist individuals with questions related to patient accounts, billing matters, and general service concerns while maintaining accuracy and empathy.</p><p>• Explain basic healthcare-related information using appropriate medical terminology in a clear and understandable manner.</p><p>• Route callers to the correct department, provider, or resource based on the nature of their needs.</p><p>• Document conversations, updates, and follow-up details accurately within company systems.</p><p>• Address patient concerns professionally and escalate more complex issues when additional support is needed.</p><p>• Maintain confidentiality and handle all interactions in accordance with organizational standards and privacy expectation.</p>
  • 2026-05-26T00:00:00Z
Medical Billing/Claims/Collections
  • Plymouth, NH
  • onsite
  • Temporary / Contract
  • 18 - 20 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support patient financial services for a healthcare organization in Plymouth, New Hampshire. This Contract position focuses on assisting patients with billing matters, maintaining accurate insurance and account information, and helping ensure smooth coordination of financial and referral-related processes. The ideal candidate is comfortable communicating with patients, handling administrative tasks, and addressing questions related to insurance coverage, balances, and payment arrangements.</p><p><br></p><p>Responsibilities:</p><p>• Confirm insurance details and accurately record billing information in the appropriate system to support timely claims processing.</p><p>• Guide patients through intake documentation by reviewing forms with them and clearly explaining required paperwork.</p><p>• Coordinate and submit internal service referrals to help patients access additional care as needed.</p><p>• Speak with patients about account balances, billing concerns, and available options for resolving outstanding charges.</p><p>• Arrange payment plans based on patient needs and collect past-due balances in a courteous and respectful manner.</p><p>• Respond to questions related to insurance, billing statements, and payment expectations with clear and helpful information.</p>
  • 2026-05-06T00:00:00Z
Healthcare Call Center Representative
  • Phoenix, AZ
  • onsite
  • Temporary / Contract
  • 21 - 21 USD / Hourly
  • We are looking for a dedicated Healthcare Call Center Representative to join our team in Phoenix, Arizona. In this role, you will play a crucial part in enhancing the patient experience by handling inbound calls with care, professionalism, and efficiency. This is a long-term contract position within the healthcare industry, requiring excellent communication skills and the ability to manage high call volumes in a fast-paced environment.<br><br>Responsibilities:<br>• Respond promptly to all incoming calls, ensuring each caller receives courteous and efficient service.<br>• Operate and maintain proficiency in telecommunications hardware, software, and relevant IT systems.<br>• Address emergency situations by initiating appropriate responses to safety alarms and codes.<br>• Deliver emergency announcements with clarity and urgency when required.<br>• Utilize communication tools effectively while considering the cultural and individual needs of callers.<br>• Assess and route calls accurately, maintaining a high standard of confidentiality and professionalism.<br>• Handle a high volume of calls daily, maintaining efficiency and attention to detail.<br>• Collaborate with team members to ensure smooth operations and exceptional service delivery.<br>• Monitor and escalate critical situations as necessary to ensure patient safety.<br>• Uphold organizational standards and protocols in all interactions.
  • 2026-05-27T00:00:00Z
Medical Biller/Collections Specialist
  • Mount Laurel, NJ
  • onsite
  • Temporary / Contract
  • 24 - 27.5 USD / Hourly
  • <p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis in Mt. Laurel Township, New Jersey. In this role, you will play a key part in managing billing and accounts receivable tasks for Medicare and Medicaid while ensuring accuracy and compliance with healthcare regulations. This position offers an excellent opportunity to contribute to the financial health of a respected organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims for Medicare and Medicaid reimbursement, ensuring accuracy and adherence to regulatory requirements.</p><p>• Monitor accounts receivable and follow up on outstanding claims to ensure timely payment.</p><p>• Investigate and resolve medical billing denials and appeal claims when necessary.</p><p>• Collaborate with healthcare providers and insurance companies to address discrepancies or issues in billing.</p><p>• Maintain accurate and up-to-date records of billing activities and payment statuses.</p><p>• Handle hospital billing tasks, including verifying patient information and coding procedures correctly.</p><p>• Provide support for resolving patient billing inquiries and concerns with strong attention to detail.</p><p>• Stay informed about changes in healthcare billing regulations and industry standards.</p><p>• Assist in identifying process improvements to enhance billing efficiency and reduce errors.</p>
  • 2026-05-15T00:00:00Z
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. <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.
  • 2026-05-21T00:00:00Z
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.<br><br>Key Responsibilities:<br><br>Submit accurate and timely medical claims to insurance carriers and government payers<br>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies<br>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances<br>Investigate claim rejections and denials, and take corrective action for resubmission or appeal<br>Post payments, adjustments, and denials as needed<br>Communicate with payers, patients, and internal staff regarding billing questions and account resolution<br>Maintain compliance with billing regulations, payer requirements, and organizational policies<br>Support revenue cycle activities including claims review, payment reconciliation, and account research<br>Document collection activity and account status updates accurately in the billing system
  • 2026-06-01T00:00:00Z
Medical Biller/Collections Specialist
  • Plymouth, MI
  • onsite
  • Temporary to Hire
  • 0 - 0 USD / Yearly
  • Job Title: Medical Biller<br>Location: Plymouth, [State]<br>Job Type: permanent, Contract-to-permanent<br>Work Setting: Fully In-Office<br><br>Job Overview:** Our client in Plymouth is seeking a detail-oriented Medical Biller for a permanent, contract-to-permanent opportunity. This position is fully in-office and is ideal for someone with a strong medical billing background who is comfortable handling a high volume of claims activity, denials follow-up, and insurance communication.<br><br>The Medical Biller will play a key role in managing both back-end denials and front-end billing volume, helping to clean up outstanding claims and ensure timely reimbursement. This role requires strong analytical skills, persistence, and the ability to perform investigative work related to missing documentation and unresolved claims.<br><br>Key Responsibilities:<br><br>Open and sort incoming mail and scan documents into the system<br>Review and work medical billing denials to ensure claims are reprocessed appropriately<br>Analyze Explanation of Benefits (EOBs) and identify claim issues or discrepancies<br>Contact insurance companies to follow up on denied, missing, or unresolved claims<br>Investigate missing EOBs and perform research to determine next steps for claim resolution<br>Resubmit claims and manage billing corrections as needed<br>Handle a high volume of phone calls with insurance carriers, including extended hold times<br>Assist in cleaning up aged denials and supporting overall claims workflow<br>Prioritize back-end denial resolution while also supporting front-end billing volume<br>Maintain accurate documentation and status updates in the billing system<br>Learn and apply IOMN, perfusion, and NSA guidelines; training will be provided<br>Qualifications:<br><br>Minimum of 2 years of medical billing experience (Source: Based on general knowledge.)<br>Strong understanding of medical billing processes, denials management, and insurance follow-up<br>Experience reviewing and interpreting EOBs<br>Comfortable making frequent outbound calls to insurance companies<br>Ability to work independently and perform detailed investigative research on claims issues<br>Highly detail-oriented with strong organizational skills<br>Able to manage fluctuating workload and high claim volumes<br>Additional Role Details:<br><br>Average weekly volume varies significantly<br>May work through a queue with approximately 3,000 claims sitting in ION<br>Insurance follow-up may involve extended hold times of up to an hour<br>Focus will include both denial cleanup and ongoing billing support<br>Why Apply:<br>Medical billing and collections roles continue to see strong demand, with medical biller/collections specialist positions identified as among the roles shaping hiring strategies in non-clinical healthcare. (Source: Q1 2026_The Demand for Skilled Talent.pdf)
  • 2026-06-02T00:00:00Z
Medical Customer Service Specialist
  • Indianapolis, IN
  • onsite
  • Temporary / Contract
  • 18 - 22 USD / Hourly
  • <p>Our client is seeking a compassionate and detail-oriented <strong>Medical Customer Service Specialist</strong> to support patients, providers, and internal teams. In this role, you will handle incoming calls, schedule appointments, verify insurance information, answer billing and service questions, and ensure an excellent patient experience.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Answer inbound calls and respond to patient inquiries in a professional and timely manner.</li><li>Schedule, confirm, and update patient appointments.</li><li>Verify insurance, demographic, and medical information for accuracy.</li><li>Assist patients with billing questions, payment processing, and account updates.</li><li>Document all interactions clearly in the electronic medical record or CRM system.</li><li>Coordinate with clinical and administrative staff to resolve patient concerns.</li><li>Maintain confidentiality and comply with HIPAA and company policies.</li></ul><p><br></p>
  • 2026-05-29T00:00:00Z
Insurance Billing Specialist
  • Mundelein, IL
  • onsite
  • Permanent / Full Time
  • 60000 - 65000 USD / Yearly
  • <p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
  • 2026-05-06T00:00:00Z
Patient Service Representative
  • Danvers, MA
  • onsite
  • Temporary / Contract
  • 19 - 22 USD / Hourly
  • We are looking for a Patient Service Representative to support a busy healthcare team in Massachusetts. This Long-term Contract position focuses on creating a positive experience for patients by coordinating appointments, handling registration activities, and responding to inquiries with care and attention. The ideal candidate is organized, service-driven, and comfortable managing a high volume of patient interactions in a fast-paced setting.<br><br>Responsibilities:<br>• Coordinate patient appointments efficiently, ensuring accurate scheduling and timely follow-up for changes or cancellations.<br>• Welcome and assist patients throughout the registration process while confirming demographic and insurance information.<br>• Respond to incoming calls with a courteous, solutions-focused approach and direct inquiries to the appropriate department when needed.<br>• Provide front-line support for patient service needs, helping resolve routine concerns and questions in a detail-oriented manner.<br>• Maintain accurate records in scheduling and registration systems to support smooth daily operations.<br>• Communicate clearly with clinical and administrative teams to help align patient appointments and service requests.<br>• Monitor appointment details closely to reduce errors and improve the overall patient access experience.
  • 2026-06-01T00:00:00Z
Medical Collections Specialist
  • Greenacres, FL
  • onsite
  • Temporary to Hire
  • 21.85 - 25.3 USD / Hourly
  • <p>We are looking for an experienced Medical Collections Specialist to join a growing healthcare team in Florida. This contract opportunity with long-term potential is ideal for someone who can move quickly on denied claims, navigate payer follow-up efficiently, and help improve accounts receivable performance within a radiology-focused environment. The role is fully onsite and offers the chance to contribute to a collaborative organization with opportunities for long-term growth.</p><p><br></p><p>Responsibilities:</p><p>• Review denied or underpaid medical claims promptly and take timely action to maximize reimbursement.</p><p>• Investigate accounts receivable balances by identifying billing issues, filing limits, and payer-specific denial reasons.</p><p>• Submit corrected claims, supporting documentation, and formal appeals to insurance carriers as needed.</p><p>• Perform consistent follow-up with insurance companies to resolve outstanding radiology and other medical claims.</p><p>• Track claim activity, payment status, and collection outcomes to maintain accurate account documentation.</p><p>• Work denied claims within assigned queues or buckets to reduce aging and improve cash flow.</p><p>• Coordinate with internal billing and payment posting teams to address discrepancies affecting reimbursement.</p><p>• Escalate complex payer issues when necessary and support process improvements related to claim recovery.</p>
  • 2026-06-02T00:00:00Z
Medical Collections Specialist
  • Sacramento, CA
  • onsite
  • Temporary to Hire
  • 23 - 24 USD / Hourly
  • We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
  • 2026-05-27T00:00:00Z
Medical Collections Specialist
  • Richmond, VA
  • onsite
  • Temporary / Contract
  • 19 - 20 USD / Hourly
  • We are looking for a detail-oriented Medical Collections Specialist to support revenue cycle efforts for a healthcare organization in Henrico, Virginia. This Long-term Contract position focuses on resolving outstanding patient and insurance balances, reviewing claim issues, and helping improve reimbursement outcomes. The ideal candidate brings hands-on experience in medical billing, denials management, appeals, and insurance follow-up, along with proficiency in eClinicalWorks.<br><br>Responsibilities:<br>• Pursue outstanding insurance and patient accounts by conducting timely follow-up and documenting all collection activity accurately.<br>• Investigate unpaid or underpaid claims to identify billing discrepancies, denial causes, and reimbursement obstacles.<br>• Prepare and submit claim reconsiderations and appeals with supporting documentation to maximize payment recovery.<br>• Work closely with billing and internal revenue cycle teams to correct account issues and move claims toward resolution.<br>• Review insurance responses, payment postings, and account histories to determine next steps for collection efforts.<br>• Maintain accurate records in eClinicalWorks and ensure account notes reflect current status and actions taken.<br>• Communicate professionally with payers, patients, and internal stakeholders regarding balances, claim status, and account resolution.<br>• Monitor aging reports and prioritize accounts that require immediate follow-up to reduce outstanding receivables.
  • 2026-05-28T00:00:00Z
Medical Collections Specialist
  • North Hollywood, CA
  • onsite
  • Temporary / Contract
  • 23.19 - 30.01 USD / Hourly
  • <p>A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.</p><p>The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.</p><p>Key Responsibilities</p><ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul><p><br></p>
  • 2026-05-18T00:00:00Z
Sr. Claims Specialist
  • Hinsdale, IL
  • remote
  • Temporary / Contract
  • 38 - 44 USD / Hourly
  • <p>We are looking for an experienced Sr. Claims Specialist to support insurance follow-up operations in Hinsdale, Illinois. This Long-term Contract position is ideal for someone who is detail oriented and can independently manage complex claim activity, assess supporting evidence, and make sound decisions in fast-paced environments. The role blends traditional claims investigation with the use of AI-enabled tools to strengthen fraud analysis, claim evaluation, and documentation quality.</p><p><br></p><p>Responsibilities:</p><p>• Oversee an active caseload of claims, maintaining consistent review and follow-up to move files efficiently through investigation and resolution.</p><p>• Examine claim records, supporting documents, statements, images, and prior file history to identify key facts, inconsistencies, and potential exposure.</p><p>• Determine appropriate claim outcomes by applying policy guidance and evidence, including approvals, denials, or referral for legal escalation when warranted.</p><p>• Use AI-supported resources such as fraud scoring, severity forecasting, image review, and document extraction tools to inform claim handling decisions.</p><p>• Assess automated insights critically, confirming accuracy and using careful judgment to adjust or override recommendations when necessary.</p><p>• Perform detailed fraud-related analysis on flagged claims to support fair, compliant, and well-documented decision-making.</p><p>• Navigate both established claims applications and newer digital platforms to complete case activity and maintain workflow continuity.</p><p>• Gather evidence manually across multiple systems and data sources when automated information is incomplete or requires verification.</p><p><br></p><p>The salary range for this position is $70,000 to $100,000. 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 <u>roberthalf.gobenefits.net</u> for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
  • 2026-06-01T00:00:00Z
Medical Billing Specialist
  • Jackson, MI
  • onsite
  • Temporary to Hire
  • 19 - 23 USD / Hourly
  • <p>The Medical Billing Specialist is responsible for accurately processing and submitting medical claims, maintaining accounts receivable, resolving billing discrepancies, posting payments, and supporting patient account activities to ensure timely reimbursement and excellent customer service.</p><p>Essential Duties &amp; Responsibilities</p><p>Medical Billing &amp; Payment Posting</p><ul><li>Submit accurate and timely insurance claims through Practice Management Systems and clearinghouse portals.</li><li>Post insurance, contractual, and patient payments accurately.</li><li>Research and resolve denied, rejected, or missing claims and payments.</li><li>Reconcile payer takebacks and payment discrepancies.</li><li>Balance and post daily deposits within established timelines.</li><li>Maintain accurate documentation of payment activity using Excel spreadsheets.</li><li>Monitor and resolve patient and insurance credit balances.</li></ul><p>Accounts Receivable &amp; Follow-Up</p><ul><li>Review and follow up on outstanding insurance claims and aged accounts receivable.</li><li>Verify patient demographics, insurance coverage, and billing information.</li><li>Obtain missing documentation required for claim processing.</li><li>Maintain knowledge of payer guidelines, filing limits, and reimbursement requirements.</li><li>Work with providers, clinical staff, payers, and patients to resolve billing issues.</li><li>Set up patient payment arrangements and respond to billing inquiries.</li></ul><p>Credentialing &amp; Administrative Support</p><ul><li>Assist with provider credentialing and re-credentialing applications.</li><li>Maintain provider contracts and credentialing records.</li><li>Track application statuses and follow up with payers as needed.</li><li>Support administrative and reporting functions as assigned.</li></ul><p>Coding &amp; Compliance</p><ul><li>Review documentation for coding accuracy and compliance.</li><li>Support CPT and ICD-10 coding processes.</li><li>Assist with audits and documentation reviews.</li><li>Maintain confidentiality and comply with HIPAA and organizational policies.</li></ul><p><br></p><p><br></p>
  • 2026-06-01T00:00:00Z
Medical Billing Specialist
  • Middletown, RI
  • onsite
  • Temporary / Contract
  • 22.8 - 26.4 USD / Hourly
  • We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up.<br><br>Responsibilities:<br>• Process medical claims with accuracy and ensure billing information is complete before submission.<br>• Review coding and billing details to identify discrepancies and resolve issues that could delay payment.<br>• Follow up on unpaid or underpaid accounts with payers to support timely collections.<br>• Maintain billing records and update account documentation to reflect claim status and payment activity.<br>• Use EPACES and related systems to verify claim information and assist with billing workflows.<br>• Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
  • 2026-05-06T00:00:00Z
Medical Billing Specialist
  • French Camp, CA
  • onsite
  • Temporary to Hire
  • 20.9 - 24.2 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
  • 2026-05-11T00:00:00Z
Medical Billing Specialist
  • Beaverton, OR
  • onsite
  • Temporary / Contract
  • 22.8 - 26.4 USD / Hourly
  • We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment.<br><br>Responsibilities:<br>• Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness.<br>• Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays.<br>• Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement.<br>• Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable.<br>• Maintain complete and organized billing records in designated systems such as Credible and Qualifacts.<br>• Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands.<br>• Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication.<br>• Monitor account status and identify discrepancies so billing concerns can be resolved efficiently.<br>• Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures.
  • 2026-05-28T00:00:00Z
Medical Billing Specialist
  • Richmond, VA
  • remote
  • Temporary to Hire
  • 23 - 24 USD / Hourly
  • We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Richmond, Virginia. This contract opportunity with permanent potential is ideal for someone who brings strong knowledge of medical claims, insurance billing, and account follow-up in a fast-paced office setting. The person in this role will help drive timely reimbursement, resolve claim issues efficiently, and deliver a high standard of service to patients and insurance partners.<br><br>Responsibilities:<br>• Monitor aging reports and proactively pursue patient account balances that remain unpaid beyond 60 days from the date of service.<br>• Submit electronic primary and secondary insurance claims accurately and consistently to support prompt payment processing.<br>• Investigate rejected, returned, or denied claims and take corrective action quickly, including resubmission and account adjustment when needed.<br>• Prepare and submit claim appeals with clear supporting documentation to improve reimbursement outcomes.<br>• Review billing details for accuracy, completeness, coding alignment, and insurance selection before claims are finalized.<br>• Work directly with insurance carriers and third-party contacts to resolve denials, partial payments, suspended claims, and other reimbursement barriers.<br>• Research payer-related issues such as coverage questions, network concerns, and workers&#39; compensation claim challenges.<br>• Reconcile accounts and address correspondence within established turnaround expectations to maintain efficient collections activity.<br>• Share weekly productivity updates and maintain organized documentation of billing follow-up efforts.<br>• Provide billing and eligibility guidance related to coding, payer requirements, and insurance coverage questions.
  • 2026-05-27T00:00:00Z
Medical Billing Specialist
  • Merrillville, IN
  • onsite
  • Temporary to Hire
  • 19 - 22 USD / Hourly
  • We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and on schedule to support timely reimbursement.<br>• Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission.<br>• Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes.<br>• Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances.<br>• Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system.<br>• Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements.<br>• Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward.<br>• Support billing operations using Athena software and contribute to process updates within the department as needed.
  • 2026-05-19T00:00:00Z
Medical Billing Specialist
  • Baton Rouge, LA
  • onsite
  • Temporary / Contract
  • 23 - 25 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baton Rouge, Louisiana for a short-term contract position. In this role, you will help keep billing operations accurate and efficient by translating clinical documentation into billable information, managing claims activity, and supporting timely reimbursement. This opportunity is ideal for someone who understands healthcare billing processes, communicates effectively with multiple stakeholders, and can maintain compliance in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Assign appropriate billing and coding details to patient accounts based on documented diagnoses, treatments, and services provided.</p><p>• Prepare and submit insurance claims accurately, then monitor their progress to support prompt payment and correct posting of reimbursements.</p><p>• Research denied, rejected, or outstanding claims and coordinate with payers, patients, and internal staff to resolve discrepancies.</p><p>• Confirm insurance coverage and eligibility information before billing and assist in addressing patient account and payment-related questions.</p><p>• Reconcile billing records and account activity to help maintain accurate financial information across the revenue cycle.</p><p>• Document billing actions thoroughly and preserve organized records to support audit readiness and operational accuracy.</p><p>• Stay current on payer policies, coding standards, and healthcare billing regulations to promote compliant claim submission.</p><p>• Identify recurring billing issues and recommend process improvements that strengthen collections and overall revenue cycle performance.</p>
  • 2026-05-27T00:00:00Z
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