<p>We are looking for a skilled Medical Coder to join our team! In this position, you will play a vital role in ensuring the accuracy of medical coding processes while adhering to industry standards. This opportunity is ideal for someone passionate about healthcare and detail-oriented in their work.</p><p><br></p><p>Responsibilities:</p><p>• Assign ICD-10 and CPT codes while ensuring compliance with industry standards and regulations.</p><p>• Reviewing and ensuring proper coding.</p><p>• Serve as point of contact and liaison between patient and medical insurance providers.</p><p><br></p><p><br></p>
We are looking for a detail-oriented Medical Coder to join our team on a long-term contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is based in Atlanta, Georgia, and offers the opportunity to contribute to the efficiency and compliance of healthcare documentation processes.<br><br>Responsibilities:<br>• Review inpatient medical records to assign accurate ICD-10-CM and CPT codes.<br>• Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines.<br>• Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies.<br>• Stay updated on coding standards, payment systems, and healthcare regulations.<br>• Participate in audits and quality improvement initiatives to ensure coding accuracy.<br>• Protect the confidentiality and integrity of patient information throughout the coding process.<br>• Meet established productivity and accuracy benchmarks to support organizational goals.<br>• Assist in staff training efforts to enhance coding knowledge and compliance.
<p>We are looking for a skilled Medical Billing Specialist to join our client's team in Beaverton, Oregon. This part time, long-term contract position is ideal for a detail-oriented individual with expertise in medical billing and coding. The role involves interacting with claims, denials, and insurance billing processes while ensuring compliance with industry standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical billing claims using Advanced MD software.</p><p>• Conduct thorough follow-ups on insurance claims and resolve any issues related to denials.</p><p>• Perform medical coding tasks, including assigning appropriate codes for new testing procedures.</p><p>• Manage collections and ensure timely payments from insurance providers such as Medicare, Medicaid, and Tricare.</p><p>• Research and analyze billing discrepancies to identify solutions and maintain financial accuracy.</p><p>• Utilize critical thinking skills to streamline operations and improve billing workflows.</p><p>• Collaborate with other departments to ensure proper documentation and coding compliance.</p><p>• Maintain up-to-date knowledge of billing regulations and industry standards.</p><p><br></p>
<p>We are looking for an experienced RN Medical Coder with a strong background in coding and reimbursement methodologies to join our team. This long-term contract role offers the opportunity to work remotely and contribute to the development of coding for benefit plans within the healthcare insurance industry. As part of this position, you will collaborate with certified coders and business analysts to ensure accuracy and compliance in coding practices.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and identify appropriate codes for language used in benefit plans.</p><p>• Review and validate coding decisions made by peers to ensure accuracy.</p><p>• Facilitate discussions to align on coding documentation and standards.</p><p>• Assess audit results and implement necessary adjustments to maintain compliance.</p><p>• Actively participate in project meetings to provide insights and updates.</p><p>• Collaborate with team members, including certified coders and business analysts, to achieve project goals.</p><p>• Ensure coding practices align with industry standards and regulatory requirements.</p><p>• Contribute to the creation of coding documentation for benefit plans.</p><p>• Utilize Microsoft Office tools to support project tasks and communication.</p><p>• Stay updated on healthcare coding methodologies and best practices.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baltimore, Maryland. This is a contract-to-permanent position within the medical devices industry, offering an opportunity to contribute to healthcare operations through accurate billing and coding practices. The ideal candidate will have hands-on experience in medical billing and a solid understanding of insurance processes, including Medicare, Medicaid, and third-party payers.</p><p><br></p><p>Responsibilities:</p><p>• Handle medical billing and coding tasks with precision and attention to detail.</p><p>• Reach out to insurance companies to resolve billing issues and ensure claims are processed effectively.</p><p>• Manage reimbursements and claims for Medicare, Medicaid, and third-party insurance providers.</p><p>• Collaborate with healthcare providers to verify patient insurance benefits and coverage.</p><p>• Maintain accurate records of billing and insurance communications.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Assist in identifying discrepancies in claims and resolving them promptly.</p><p>• Provide support in medical collections processes, ensuring timely payments.</p><p>• Communicate with patients regarding billing inquiries and insurance coverage.</p>
We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
We are looking for a skilled Clinical Policy Coding Administrator to join our team on a contract basis. This position is based in Mountlake Terrace, Washington, and offers an excellent opportunity to contribute to the health insurance industry. The selected candidate will play a key role in analyzing medical policies, ensuring accurate coding, and supporting cross-functional collaboration to enhance policy implementation and claims processing.<br><br>Responsibilities:<br>• Analyze and interpret medical policies to identify and update accurate procedure and diagnosis codes.<br>• Collaborate with cross-functional teams to ensure seamless implementation of medical policies and utilization management guidelines.<br>• Provide coding expertise to support decision-making processes related to claims, reimbursement, and product configuration.<br>• Conduct thorough research and data analysis to evaluate the effectiveness of medical policy implementation.<br>• Facilitate meetings and discussions with stakeholders to address coding edits and mitigate downstream impacts.<br>• Ensure coding updates align with medical necessity and regulatory requirements.<br>• Act as a subject matter expert in coding-related matters for various departments.<br>• Address cross-functional requests with detailed assessments to enhance consistency in claims processing.<br>• Support the development of medical policies by providing accurate coding recommendations.<br>• Maintain compliance with industry standards and company-specific coding practices.
<p>We are looking for an experienced Revenue Cycle Manager to oversee and optimize the billing and revenue operations within our healthcare organization in Las Vegas, Nevada. This role is integral to ensuring efficient financial processes while maintaining strong relationships with both internal teams and external stakeholders. The ideal candidate will have a proven track record in medical billing, management, and revenue cycle operations.</p><p><br></p><p>Responsibilities:</p><p>• Supervise the organization's billing and revenue processes to ensure accuracy and compliance with healthcare regulations.</p><p>• Develop strategies to maximize cash flow while fostering positive relationships with patients and partners.</p><p>• Lead daily operations related to the revenue cycle, addressing challenges and implementing solutions.</p><p>• Analyze current processes, create documentation, and train staff to build a cohesive revenue cycle team.</p><p>• Manage accounts receivable, billing, and coding teams, including direct oversight of approximately 22 employees.</p><p>• Implement measures to reduce accounts receivable days and enhance daily collections.</p><p>• Utilize advanced Excel tools and healthcare software, such as Allscripts, to streamline operations and reporting.</p><p>• Ensure adherence to fee billing standards and third-party payer regulations.</p><p>• Collaborate with leadership to address operational impacts of healthcare regulatory requirements.</p><p>• Foster a culture of continuous improvement and problem-solving within the revenue cycle team.</p><p><br></p><p>If you are interested in learning more about this opportunity, please contact Kathy Beavers at Robert Half, see contact information on LinkedIn.</p>
We are looking for an experienced Medical Biller/Collections Specialist to join our team in Minneapolis, Minnesota. This contract position offers an excellent opportunity to utilize your expertise in medical billing, collections, and insurance claims processing. The ideal candidate will possess strong analytical skills and a solid understanding of healthcare billing and insurance procedures.<br><br>Responsibilities:<br>• Handle patient account inquiries and resolve billing issues efficiently.<br>• Process and review medical claims for accuracy and compliance with insurance requirements.<br>• Collaborate with insurance companies to address denials, appeals, and reimbursements.<br>• Maintain detailed records of billing and collections activities.<br>• Utilize electronic systems to track claims and payments.<br>• Ensure compliance with healthcare regulations and billing standards.<br>• Communicate with patients regarding account balances and payment plans.<br>• Analyze Explanation of Benefits (EOBs) to identify discrepancies and resolve them.<br>• Work closely with the team to improve billing processes and reduce errors.
We are seeking a skilled Medical Biller/Collections Specialist to join our team in Dallas, Texas. In this Contract to permanent position, you will play a critical role in managing accounts receivable, ensuring accurate insurance filings, and maintaining compliance with healthcare regulations. This opportunity is ideal for professionals who excel in a fast-paced healthcare environment and possess strong organizational and communication skills.<br><br>Responsibilities:<br>• Analyze and manage daily work queues for accounts that are overdue by more than 31 days.<br>• Audit account details to confirm proper insurance filings and verify patient balances before initiating collection efforts.<br>• Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date of service.<br>• Submit appeals using approved templates and forward medical or coding denials to the QA Department for review.<br>• Facilitate secondary insurance filings and ensure explanations of benefits are properly documented.<br>• Establish payment arrangements with patients, adhering to timelines and policies.<br>• Conduct skip tracing for accounts requiring additional investigation.<br>• Send collection letters or statements to patients in accordance with office policies.<br>• Maintain a secure and organized workspace in compliance with privacy laws, including HIPAA regulations.<br>• Collaborate with the Manager and Compliance Committee to uphold the organization’s Compliance Program.
<p>Robert Half has a new direct-hire opportunity for a Medical Accounts Receivable and Billing Specialist. This role will support a growing department. Our client offers great work-life balance and ability to work in a fast-paced environment where your work will make a big impact. This position sits on-site full-time Monday-Friday.</p><p><br></p><ul><li>Responsible for billing and coding</li><li>Collecting on past due balances</li><li>Insurance company follow-up</li><li>Maintain up to date information from insurance companies and customers</li><li>Reduce AR aging</li><li>Special project as assigned</li><li>Provide and obtain necessary documentation as needed</li></ul><p><br></p>
<p>Are you a certified medical coder with at least <strong>1 year of direct coding experience</strong>? Do you thrive in a remote environment and have a passion for accuracy and specialty coding? If so, we want to hear from you!</p><p><br></p><p><strong>Position Overview:</strong></p><p>We’re hiring <strong>experienced Medical Coders</strong> to support our client’s growing needs on the <strong>professional (profee) side. </strong>This is a fully remote, first-shift opportunity with <strong>flexible hours across all U.S. time zones</strong>.</p><p><br></p><p><strong>Specialties We’re Hiring For: </strong>Cardiology, Vascular, Thoracic Surgery, Orthopedics and General Surgery</p><p><br></p><p><strong>Schedule:</strong></p><ul><li>Monday–Friday: First shift hours (flexible start/end times)</li><li>Work from anywhere in the U.S.</li></ul><p><strong>Why Join Us?</strong></p><ul><li>100% remote work environment</li><li>Great opportunity for entry-level coders</li></ul><p><strong>Ready to code your way into a great opportunity? </strong>Apply now and bring your expertise to a team that values precision, flexibility, and professional growth.</p>
We are looking for a detail-oriented Billing Clerk to join a non-profit organization in New York, NY. In this contract position, you will play a critical role in supporting the clinical billing department by managing data entry tasks and ensuring the accuracy of financial and patient information. This is an excellent opportunity for individuals who excel at precision and are passionate about contributing to the operational success of healthcare services.<br><br>Responsibilities:<br>• Enter patient data, diagnosis codes, procedure codes, and other billing-related information accurately into the system.<br>• Verify all entered information against source documents to ensure compliance with billing and coding standards.<br>• Collaborate with coding specialists to confirm the proper classification of diagnosis and procedure codes.<br>• Perform routine checks to identify and correct errors, discrepancies, or incomplete entries in the database.<br>• Maintain up-to-date records and ensure timely updates to patient and financial data.<br>• Generate reports to support billing operations and provide insights into data accuracy.<br>• Assist in resolving issues related to billing discrepancies or missing information.<br>• Follow established protocols and guidelines for data entry and quality assurance.<br>• Support the team in meeting deadlines and achieving departmental goals.
<p>We are looking for an experienced Manager of Revenue Cycle to oversee and optimize all facets of billing, collections, coding, and credentialing operations. This role is pivotal in driving efficiency, ensuring compliance, and aligning revenue cycle strategies with overarching organizational objectives. Join our team in New York, New York, and lead a dedicated group of professionals to achieve operational excellence.</p><p><br></p><p>Responsibilities:</p><p>• Lead and mentor the revenue cycle team, ensuring all billing, collections, coding, and credentialing processes run efficiently.</p><p>• Develop and implement workflows, policies, and procedures to enhance the efficiency and scalability of revenue cycle operations.</p><p>• Monitor key performance indicators (KPIs) and metrics, analyzing trends to identify opportunities for improvement and implement data-driven solutions.</p><p>• Partner with executive leadership and other departments to align revenue cycle strategies with the organization's broader goals.</p><p>• Ensure compliance with all applicable regulations and payer requirements within the revenue cycle functions.</p><p>• Conduct regular team meetings to review performance metrics, discuss initiatives, and foster accountability.</p><p>• Identify and address inefficiencies in billing practices, reimbursement methods, and cash flow management.</p><p>• Create and deliver training programs to continuously educate and develop the skills of revenue cycle staff.</p>
We are looking for a detail-oriented Patient Registration Processor to join our team in Syracuse, New York. As part of the healthcare industry, this role requires accuracy, professionalism, and a commitment to delivering excellent service to patients and staff. This is a long-term contract position offering an opportunity to contribute to an essential function within a fast-paced environment.<br><br>Responsibilities:<br>• Accurately input and scan patient information into the system to ensure records are precise and complete.<br>• Manage patient registration processes, ensuring all necessary data and documentation are collected and verified.<br>• Apply medical coding standards, such as ORG-10, to determine and confirm medical necessity.<br>• Maintain and organize requisition records in compliance with organizational policies.<br>• Assist with other administrative tasks and duties as required to support the department.<br>• Communicate effectively and professionally with patients and healthcare staff to address inquiries and resolve issues.<br>• Utilize computer systems and applications for patient registration, billing, and order entry.<br>• Adapt to high-volume workloads and navigate a dynamic work environment efficiently.<br>• Ensure compliance with healthcare regulations and organizational standards in all activities.<br>• Uphold a high standard of accuracy and attention to detail in all tasks performed.
We are looking for a detail-oriented Billing Clerk to join our team in Somersworth, New Hampshire. This role involves handling a wide range of billing tasks related to medical, dental, and mental health services, ensuring accuracy and efficiency in processing payments and claims. The ideal candidate will possess strong communication skills and the ability to work collaboratively with patients and team members.<br><br>Responsibilities:<br>• Process charges and input data into the practice management system accurately.<br>• Generate and submit primary and secondary insurance claims in a timely manner.<br>• Record payments, adjustments, and denials from insurance correspondence.<br>• Review and address aged trial balances, resolving outstanding issues promptly.<br>• Collaborate with front office staff to enhance patient account handling and activity.<br>• Manage patient payment plans, including setup and follow-up on overdue payments.<br>• Address patient inquiries professionally, providing sensitive financial discussions when necessary.<br>• Transfer unpaid self-pay balances exceeding $25 to collections after 120 days without payment.<br>• Assist with external reporting needs such as audits, cost reports, and budgets.<br>• Perform additional tasks as assigned to support billing operations.
Medical Payment Poster needed for North Dallas company. Duties and responsibilities include:<br><br>• Posts payments received to corresponding charges on patient accounts.<br>• Downloads remittance reports and posts payments to corresponding charges on patient accounts.<br>• Imports daily files and extracts remittances from Easy Print and other websites.<br>• Posts all zero pay remittance with corresponding denial/reason code.<br>• Ensures payments received are paid in accordance to contract reimbursement terms.<br>• Applies appropriate contractual transaction relative to the contract and/or penalty application.<br>• Responsible for contacting system vendor and opening a case when a system issue occurs.<br>• Responsible for extracting the daily deposits from bank on a daily basis to ensure the funds are there.<br>• Responsible for updating the Director of Business Services and the Billing Manager on a daily basis of our daily cash to be posted.<br>• Ensures that the daily deposit worksheet is accurate and matches what was posted daily.<br>• Ensures that the daily downloads are in balance before going on to the next download.<br>• Scans all EOBs and denials into VSDM daily.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.
<p>Robert Half is partnering with a <strong>growing healthcare organization</strong> to hire a <strong>Revenue Cycle Manager</strong> for a high-impact leadership role based in <strong>Emmett, Idaho</strong>. This position offers a <strong>hybrid work environment</strong>, allowing for a blend of on-site collaboration and remote flexibility. <strong>Relocation assistance is available</strong> for the ideal candidate.</p><p>This is a unique opportunity to lead revenue cycle operations in a mission-driven organization while enjoying a balanced lifestyle in a scenic, close-knit community. With continued organizational growth, this role offers <strong>strong potential for future career advancement</strong>.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Lead strategic planning and day-to-day operations of the Revenue Cycle team</li><li>Oversee CPT and ICD-10 coding practices and prepare for ICD-11 transition</li><li>Manage the Chargemaster to ensure accurate and timely billing</li><li>Monitor billing accuracy using quality improvement tools and implement corrective actions</li><li>Train providers and staff on coding and billing updates, especially for Critical Access Hospitals</li><li>Ensure compliance with federal and state regulations, including the No Surprises Act and Hospital Price Transparency Rule</li><li>Build and maintain payer relationships to resolve issues impacting cash flow</li><li>Optimize charge capture, reimbursement, patient collections, and minimize bad debt</li><li>Analyze data to identify trends and improve operational efficiency</li><li>Leverage technology and automation to streamline revenue cycle processes</li><li>Evaluate team performance and provide coaching for continuous improvement</li><li>Advise leadership on payer relations and regulatory changes</li></ul><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p>
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care. </p>
<p>We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a long-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.</p><p>• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.</p><p>• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.</p><p>• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.</p><p>• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.</p><p>• Adhere to organizational compliance standards and industry regulations in all billing activities.</p><p>• Achieve or exceed daily production and quality metrics by managing worklists effectively.</p><p>• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.</p>
<p>We are looking for a<strong> Release of Information Specialist</strong> to join our team that is <strong>based in Arizona or Nevada</strong>. The <strong>Release of Information Specialist</strong> role requires a detail-oriented individual who can effectively manage office operations while supporting healthcare-related functions. The <strong>Release of Information Specialist</strong> will play a pivotal role in ensuring smooth workflows and collaboration across teams.</p><p><br></p><p>Responsibilities:</p><p>• Review and validate requests for medical records to ensure proper authorization and compliance with HIPAA regulations.</p><p>• Utilize electronic health record (EHR) systems to locate, prepare, and distribute requested records.</p><p>• Maintain a detailed log of released records and ensure confidentiality throughout the process.</p><p>• Communicate effectively with patients, providers, and third-party requestors to clarify documentation and resolve inquiries.</p><p>• Ensure quality and accuracy in every step of the record release process.</p>
<p>Our client is looking for an AP Specialist to join their team on a contract to hire basis. This individual will be responsible for managing and processing vendor invoices, maintaining accurate financial records, and ensuring timely payments, all while adhering to healthcare industry policies and regulations. The ideal candidate is detail-oriented, highly organized, and comfortable navigating complex vendor relationships within the healthcare sector. This role is hybrid with 2 days in office and 3 days work from home. </p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Process and verify invoices for goods and services, ensuring accuracy and compliance with healthcare purchasing protocols</li><li>Review and reconcile vendor statements</li><li>Manage the full accounts payable cycle, including coding, approvals, and data entry</li><li>Respond to vendor inquiries and resolve payment discrepancies</li><li>Collaborate with internal teams and external healthcare providers to clarify billing issues</li><li>Prepare regular accounts payable reports and support month-end closing activities</li><li>Ensure adherence to company policies and healthcare industry regulations</li><li>Assist with audits by providing documentation and transaction history</li><li>Track outstanding invoices and payment deadlines to maintain positive vendor relationships</li></ul><p><br></p>
We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota on a contract basis. In this role, you will be responsible for analyzing and resolving denied or underpaid claims, ensuring compliance with regulations, and contributing to process improvements that minimize future denials. This position requires strong analytical skills and a thorough understanding of medical claims and insurance processes.<br><br>Responsibilities:<br>• Investigate and analyze denied or underpaid claims to identify underlying issues and recommend corrective actions.<br>• Prepare and submit appeals with complete and accurate supporting documentation within established deadlines.<br>• Track and document denial patterns, providing data-driven insights to billing and coding teams.<br>• Collaborate with various departments to implement strategies that prevent recurring denials.<br>• Prioritize and manage aging accounts, focusing on high-dollar or high-risk claims for efficient resolution.<br>• Ensure all activities comply with organizational policies and relevant regulations.<br>• Conduct audits on claims data to verify accuracy and identify discrepancies.<br>• Utilize Epic Clinical systems and other tools to manage claims processing workflows.<br>• Maintain detailed and organized records of claims and appeals for reporting purposes.<br>• Support collection efforts by providing necessary documentation and insights.
<p>We are looking for an Accounts Receivable Specialist to join one of our healthcare clients in Colorado Springs, Colorado. In this role, you will play a vital part in maintaining accurate records, processing claims, and ensuring timely communication with insurers and patients. This position requires strong attention to detail, problem-solving skills, and a commitment to delivering excellent service.</p><p><br></p><p>Responsibilities:</p><p>• Review denied claims and apply current coding and billing practices to resolve issues.</p><p>• Manage claim rejections through third-party clearinghouses, ensuring timely processing.</p><p>• Post and process verified denials during accounts receivable activities.</p><p>• Submit appeals for denied claims and handle overpayments from third-party payers.</p><p>• Collaborate with government and third-party insurers to follow up on missing or improperly denied claims.</p><p>• Support the team by verifying eligibility and benefits for in-office surgeries, including calculating patient estimates.</p><p>• Submit authorization requests to insurance providers for in-office surgeries and patch allergy testing.</p><p>• Coordinate with the Surgery Coordinator team to ensure patients receive approved and timely surgical care.</p><p>• Participate in team workshops and contribute to project assignments as needed.</p><p><br></p><p>Interested in applying? Contact Victor Granados at 719-249-5153 for additional details.</p>
