<p>Are you detail-oriented with a knack for staying organized in a fast-paced environment? A healthcare organization is seeking a Medical Coder to join its growing team. This role is ideal for someone who thrives in a collaborative and data-driven environment and is ready to contribute to meaningful results in medical billing and coding.</p><p> </p><p>Key Responsibilities:</p><p> </p><ul><li>Analyze medical documentation to accurately assign codes for diagnostics, procedures, and services using recognized systems and standards.</li><li>Ensure coding compliance with regulatory, organizational, and payer requirements.</li><li>Review insurance claims and address coding-related inquiries or discrepancies.</li><li>Collaborate with medical billers, collection specialists, and administrative staff as needed.</li><li>Maintain up-to-date knowledge of coding procedures, certifications, and industry changes</li></ul><p><br></p>
<p>We are looking for a detail-oriented Certified Medical Coding Auditor to join our team in Alabama. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation.</p><p><br></p><p>Responsibilities:</p><p>• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.</p><p>• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.</p><p>• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.</p><p>• Abstract required data in accordance with facility-specific guidelines.</p><p>• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.</p><p>• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.</p><p>• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.</p><p>• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.</p><p>• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.</p>
<p>The Robert Half Healthcare Practice is working with a healthcare organization to add a <strong>Medical Coder</strong> to their team. This is a fully remote position aside from an <strong>8 week onsite training.</strong> This candidate will be an excellent communicator and a strong attention to detail. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li><strong>Assign codes:</strong> Accurately assign ICD-10-CM, CPT, and HCPCS II codes.</li><li><strong>Review documentation:</strong> Verify medical record documentation supports coding.</li><li><strong>Ensure compliance:</strong> Adhere to all coding guidelines and regulations (e.g., CMS, HIPAA).</li><li><strong>Optimize reimbursement:</strong> Apply coding knowledge for ethical reimbursement.</li><li><strong>Support billing:</strong> Help resolve coding-related claim denials.</li><li><strong>Participate in audits:</strong> Engage in internal and external coding audits.</li><li><strong>Maintain data:</strong> Ensure accurate entry of coded information into systems.</li><li><strong>Uphold confidentiality:</strong> Protect patient information per HIPAA.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation.<br><br>Responsibilities:<br>• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.<br>• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.<br>• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.<br>• Abstract required data in accordance with facility-specific guidelines.<br>• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.<br>• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.<br>• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.<br>• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.<br>• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
<p>We are looking for a skilled and detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a key part in ensuring the accurate processing of medical records, billing codes, and claims for healthcare providers. Based in Oakland, California, this position requires a strong understanding of medical billing systems, particularly Welligent coding, and a commitment to maintaining compliance with healthcare standards.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and process medical billing records with precision, utilizing Welligent coding systems to ensure compliance with industry regulations.</p><p>• Manage and organize billing codes and documentation for multiple healthcare entities, ensuring prompt and accurate claims submissions.</p><p>• Review patient records and procedures to verify proper billing practices and adherence to guidelines.</p><p>• Identify and resolve discrepancies in billing processes to facilitate seamless claims management.</p><p>• Collaborate with healthcare providers, insurance payers, and administrative staff to address billing issues and ensure accurate coding.</p><p>• Stay updated on changes to billing regulations, coding standards, and healthcare compliance requirements.</p><p>• Maintain detailed and organized records of all billing activities and claims submissions.</p><p>• Support the implementation of best practices for medical billing processes across the organization.</p><p><br></p><p>If you are interested in this role please apply right away and call us at (510) 470-7450</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. In this contract position, you will play a key role in ensuring accurate and efficient billing processes for healthcare providers. This opportunity is ideal for professionals with strong medical billing experience who thrive in fast-paced environments and are committed to maintaining compliance with industry standards. TMHP Or EVV software knowledge is required for this position. </p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing, including coding verification, charge entry, claim submission, and reconciliations.</p><p>• Accurately submit government claims while adhering to established billing guidelines and compliance standards.</p><p>• Review and correct errors on claims prior to submission deadlines to ensure timely processing.</p><p>• Track and complete billing within a 5-7 day payment cycle to maintain efficiency.</p><p>• Collaborate with internal teams to address inquiries and ensure seamless billing operations.</p><p>• Analyze claim denials and implement corrective actions to resolve discrepancies.</p><p>• Verify insurance coverage and eligibility to streamline claim submissions.</p><p>• Utilize electronic billing systems and tools such as Epaces to optimize workflows.</p><p>• Ensure proper application of CPT codes and ICD standards during billing processes.</p><p>• Maintain detailed records and documentation for compliance and audits.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Lexington, Kentucky. This Contract-to-Permanent position is ideal for professionals with experience in medical billing and coding who are ready to contribute to a collaborative and efficient work environment. The role involves handling high-volume authorizations, insurance claims, and patient communications, ensuring accuracy and timeliness in all billing processes.<br><br>Responsibilities:<br>• Process medical claims and ensure all billing activities comply with established policies and procedures.<br>• Verify patient insurance benefits online and obtain necessary authorizations for services.<br>• Conduct follow-ups with insurance companies to resolve denied claims and ensure timely reimbursements.<br>• Communicate with patients regarding copays, deposits, and payment arrangements, maintaining professionalism and empathy.<br>• Record and process payments within the system, ensuring accurate documentation.<br>• Collaborate with a team of billing professionals to meet departmental goals and deadlines.<br>• Utilize medical coding knowledge to accurately input data and avoid errors.<br>• Manage a high volume of authorizations with a proactive and organized approach.<br>• Stay updated on industry trends and insurance company policies to improve efficiency.<br>• Assist in maintaining a positive and productive office environment.
<p><strong>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
<p>Our client is seeking a motivated and detail-oriented <strong>Entry-Level Medical Biller</strong> to join their team. This is an excellent opportunity to gain hands-on experience and learn the ins-and-outs of medical billing while working alongside a supportive and skilled team.</p><p><strong>Role Overview:</strong></p><p>As an Entry-Level Medical Biller, you will play a vital role in maintaining the financial health of the organization. You will process medical claims, verify insurance coverage, and ensure timely and accurate payments. Your attention to detail and ability to solve problems will help make a difference in this fast-paced and rewarding environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately prepare and submit healthcare claims to insurance companies.</li><li>Review patient medical records to ensure accurate coding and documentation for billing purposes.</li><li>Verify patient insurance information and benefits to determine eligibility for services.</li><li>Follow up on unpaid or denied claims with insurance companies to ensure resolution.</li><li>Post payments and maintain accurate records in the billing software system.</li><li>Respond to patient and provider inquiries regarding billing, payments, and insurance claims.</li><li>Assist with audits and compliance to ensure adherence to HIPAA and regulatory requirements.</li></ul><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent is required; postsecondary coursework or certification in medical billing/coding is a plus.</li><li>Strong organizational and time management skills with attention to detail.</li><li>Excellent communication skills (verbal and written) and a customer service mindset.</li><li>Basic knowledge of medical terminology and insurance processes is a bonus, but not required—training will be provided!</li><li>Proficient in Microsoft Office Suite (Word, Excel) with the ability to learn industry-specific software.</li><li>A positive attitude, team spirit, and eagerness to learn and grow in the role.</li></ul><p><br></p><p><br></p>
We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. This Contract-to-Permanent position offers an exciting opportunity to contribute to a dynamic healthcare environment by managing billing operations and ensuring accurate claim processing. The ideal candidate will bring expertise in accounting software systems and a strong understanding of medical billing procedures.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers efficiently and accurately.<br>• Manage accounts receivable and oversee collection procedures to ensure timely payments.<br>• Utilize accounting software systems and tools, including IBM AS/400, Medisoft, and Epic, to handle billing operations.<br>• Review and resolve claim appeals, ensuring compliance with healthcare regulations.<br>• Maintain and update patient billing records within electronic health record (EHR) systems.<br>• Collaborate with internal teams to address billing discrepancies and improve workflows.<br>• Monitor and analyze billing trends to identify areas for process optimization.<br>• Handle billing inquiries and provide exceptional customer service to patients and insurance representatives.<br>• Generate and present financial reports related to billing and collections.<br>• Stay informed about industry changes and updates to medical billing and coding practices.
<p>We are offering an exciting opportunity for an Accounts Receivable Supervisor in the healthcare industry, based in ODENTON, Maryland. This position sits on site and will manage a small team while being hands on with your work. The primary function of this role is to oversee and manage the billing and coding, pre-certification, and credentialing processes. This role is also responsible for maintaining accurate patient records, collecting outstanding payments, and following up with insurance companies. Small private-clinic healthcare experience required for consideration. </p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Oversee and manage the process of obtaining authorization for pain management procedures from insurance companies.</p><p>• Supervise the billing and coding, pre-certification, and credentialing processes.</p><p>• Manage the collection of outstanding account payments and follow up with insurance companies and patient accounts.</p><p>• Maintain up-to-date knowledge of commonly-used concepts, practices, and procedures within the Medical Billing and Medical Insurance field.</p><p>• Ensure all tasks are completed simultaneously and independently with attention to detail and organization.</p><p>• Stay informed about various insurance companies and any relevant changes, keeping management updated.</p><p>• Work towards reducing aged A/R and analyze Explanation of Benefits (EOB’s) and Correspondence to identify zero pays and underpayments.</p><p>• Coordinate with healthcare insurance companies on outstanding medical claims and appeals.</p><p>• Maintain effective communication with the insurance verification team, billing department, and office support staff.</p><p>• Conduct collection actions and provide resolution for complex accounts, providing supporting documentation when necessary</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-permanent position, you will play a critical role in managing billing operations and ensuring accurate processing of medical claims. This opportunity is ideal for professionals with a strong background in healthcare billing and proficiency in industry-standard software.<br><br>Responsibilities:<br>• Manage and process medical claims efficiently using a variety of billing systems and software.<br>• Ensure accurate coding and compliance with healthcare regulations during claim submissions.<br>• Handle accounts receivable tasks, including follow-ups on unpaid claims and resolving payment discrepancies.<br>• Monitor and execute appeals for denied claims to maximize revenue recovery.<br>• Utilize accounting software systems, including Medisoft and IBM AS/400, to maintain up-to-date billing records.<br>• Collaborate with collection teams to streamline payment processes and resolve outstanding balances.<br>• Perform detailed analysis of billing reports to identify trends and areas for improvement.<br>• Support claim administration tasks, ensuring timely submissions and adherence to payer guidelines.<br>• Work with Epic software to manage patient billing data and related documentation.
<p>We are seeking a highly skilled and detail-oriented <strong>Medical Biller</strong> to ensure timely and efficient processing of medical claims and support in optimizing revenue.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Biller</strong>, your duties will include:</p><ul><li>Preparing and submitting medical claims to insurance companies, government payers, and patients in compliance with healthcare regulations.</li><li>Reviewing and verifying accuracy of patient insurance information, ensuring claims are complete and error-free.</li><li>Monitoring the progress of submitted claims and following up on delayed or denied claims, resolving discrepancies appropriately.</li><li>Generating patient invoices and explaining charges while ensuring clarity for patients regarding financial obligations.</li><li>Ensuring proper coding of procedures, diagnoses, and services using CPT, ICD-10, and HCPCS codes.</li><li>Collaborating with healthcare providers and other administrative staff to resolve complex billing issues.</li><li>Handling adjustments for payments, posting refunds or corrections, and reconciling account balances.</li><li>Staying informed of changes in regulations, policies, and industry standards related to medical billing.</li><li>Maintaining compliance with HIPAA regulations to safeguard patient information.</li></ul><p><br></p>
<p>We are seeking a <strong>Medical Biller</strong> for a growing healthcare provider located in <strong>Carlsbad</strong>, CA. This role is ideal for someone with strong billing experience and a solid understanding of insurance claims, coding, and the revenue cycle process. You’ll be responsible for accurately submitting medical claims, resolving billing issues, and working directly with insurance companies to ensure timely payment. If you're detail-oriented, dependable, and experienced in medical billing systems (such as Epic, Kareo, or similar), we want to hear from you.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit insurance claims accurately and efficiently</li><li>Follow up on unpaid claims and resolve denials</li><li>Verify insurance coverage and patient information</li><li>Collaborate with providers and front office staff</li><li>Maintain compliance with HIPAA and billing regulations</li></ul>
<p>A prestigious healthcare non-profit organization is seeking a talented Medical Revenue Cycle Director to join their organization. The revenue cycle director will be responsible for managing a team of 6 that will support billing, collections, and coding operations for their facilities that include outpatient, urgent cares, and ambulatory surgery centers. The revenue cycle director will implement productivity metrics, KPI's, and assist in creating automated processes for their department. The revenue cycle director will implement and maintain policies and procedures for the department.</p><p><br></p><p>Responsibilities</p><ul><li>5+ years of revenue cycle leadership experience from both a professional and facility setting.</li><li>This position is accountable for the development, operations, and optimization their ambulatory surgery center and urgent care processes within Revenue Cycle</li><li>Manage a team of 6 and responsible for implementing change management initiatives and policies and procedures throughout the enterprise system.</li><li>Partners with the system level leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance, and vendor management</li><li>Audit Ambulatory Surgery Center and Factor charges to ensure accuracy and appropriateness. Ensures that any errors identified by coder are corrected and pre-scrubbed in a timely manner to ensure clean claims.</li><li>Bachelor’s degree is a plus and systems experience with EPIC or Athena is preferred.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent position offers an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the contract assignment, with potential for long-term placement.<br><br>Responsibilities:<br>• Accurately post insurance payments by line item to the patient account system, ensuring all entries are precise and compliant.<br>• Verify payment amounts against contracts and organizational policies to ensure correctness.<br>• Process patient payments efficiently and update records within the designated system.<br>• Record denials, zero payments, and flag accounts for follow-up by the Medical Collections team.<br>• Apply takebacks and recoupments in accordance with established policies.<br>• Identify and communicate trends in payment discrepancies, denials, or short payments to leadership for resolution.<br>• Balance daily payment entries against settlement reports to maintain accurate financial records.<br>• Route payer correspondence to the appropriate team members for timely follow-up.<br>• Utilize knowledge of contracts and policies to ensure proper application during payment posting.
<p>We are seeking an <strong>Entry-Level Medical Biller</strong> to join our client’s dynamic team. In this role, you’ll play a vital part in the billing cycle, ensuring accurate and timely billing for medical services while contributing to a positive patient experience.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient charts and medical records to ensure accuracy in billing documentation and coding.</li><li>Prepare and submit insurance claims for reimbursement in compliance with payer requirements.</li><li>Follow up with insurance providers to track claim statuses and resolve discrepancies or denials.</li><li>Respond to patient inquiries regarding billing statements and insurance coverage.</li><li>Post payments and adjustments in the billing system and maintain accurate account records.</li><li>Stay up to date with billing regulations, coding guidelines, and HIPAA compliance standards.</li><li>Collaborate with healthcare providers, administrative staff, and insurance companies to streamline processes.</li></ul><p><br></p>
<p>We are seeking a detail-oriented and experienced <strong>Medical AR Specialist</strong> to join our team in a fast-paced private practice. The ideal candidate will be responsible for managing the accounts receivable process, ensuring timely and accurate billing, claim submission, and follow-up on outstanding balances.</p><p><br></p><p>Flexible hours offered!</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm OR You will have the option to work 4 days, 10-hour shifts if preferred! </p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Review and process insurance claims using appropriate coding and billing guidelines.</li><li>Monitor and follow up on unpaid claims and patient balances.</li><li>Resolve denials and discrepancies by working with payers and patients.</li><li>Post payments and adjustments accurately to patient accounts.</li><li>Communicate with insurance companies to verify coverage and resolve billing issues.</li><li>Maintain compliance with HIPAA and other regulatory requirements.</li><li>Collaborate with front office and clinical staff to ensure accurate patient information and billing documentation.</li></ul>
<p><strong>Contract Medical Billing/Claims/Collections Specialist</strong></p><p><br></p><p><em>Location: Remote, Northeast Ohio (Canton, OH-Based)</em></p><p><br></p><p>We are seeking a detail-oriented and experienced Medical Billing/Claims/Collections Specialist to join our talented team on a contract basis. This role is critical for ensuring accurate coding processes, maintaining compliance with revenue integrity standards, and optimizing charge capture workflows. Although this position is fully remote, candidates must reside within the Northeast Ohio area to foster seamless collaboration with local teams and stakeholders. A coding certification is preferred to demonstrate expertise in industry standards and best practices.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately assign diagnostic and procedural codes for outpatient and inpatient billing to guarantee precise charge capture.</li><li>Conduct coding audits to identify missing documentation or discrepancies impacting revenue generation.</li><li>Ensure consistent compliance with coding and reimbursement guidelines while adhering to relevant industry standards.</li><li>Educate healthcare providers on coding specificity and quality indicators to enhance documentation accuracy and streamline workflows.</li><li>Track and report open encounters and zero charges proactively to relevant personnel.</li><li>Collaborate with department leaders, healthcare providers, and organizational leadership to address coding concerns or identify optimization opportunities.</li><li>Meet or exceed established productivity and quality benchmarks for coding tasks.</li><li>Support revenue cycle and clinical teams in performing additional administrative functions as required.</li><li>Stay current with coding policies, guidelines, and healthcare industry trends to uphold best practices.</li><li>Utilize hospital software applications and Microsoft Office tools effectively to accomplish daily responsibilities with efficiency.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>A coding certification (e.g., CPC, CCS, or equivalent) is strongly preferred.</li><li>Proven experience in medical billing, claims, and collections.</li><li>Expertise in diagnostic and procedural coding, coupled with familiarity with audit processes and revenue cycle optimization.</li><li>Knowledge of relevant coding guidelines and reimbursement policies.</li><li>Strong communication skills and an ability to work collaboratively with healthcare professionals and cross-functional teams.</li><li>Proficient in healthcare software applications and Microsoft Office Suite.</li></ul><p><strong>Why Join Us?</strong></p><p>This opportunity allows you to contribute to the smooth operation of a respected healthcare organization while working in a flexible remote environment. Be a part of a dynamic environment with a mission to make healthcare administration seamless and efficient.</p><p>Apply now to make an impact in the healthcare industry while showcasing your skills and expertise.</p><p><br></p><p>Want to build your career in healthcare? </p>
<p>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
<p>Are you an experienced healthcare billing professional looking to join a team dedicated to providing exceptional patient care? We are seeking a detail-oriented <strong>Accounts Receivable Specialist</strong> to become a vital part of our client's revenue cycle team. This dynamic role involves managing billing and coding processes, resolving denied claims, submitting appeals, and working collaboratively with internal and external customers to ensure smooth operations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Stay up-to-date with current coding and billing practices to troubleshoot and resolve denied claims efficiently.</li><li>Process claim rejections held within the third-party clearinghouse system and ensure all necessary adjustments are completed.</li><li>Post and address claim denials identified during accounts receivable (AR) review.</li><li>Submit appeals for denied claims and process overpayments from third-party payers.</li><li>Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims.</li><li>Assist with eligibility and benefit verification for in-office surgical procedures, including calculating surgical estimates for patients.</li><li>Manage authorization requests for insurance carriers related to in-office surgeries and patch allergy testing.</li><li>Collaborate closely with the Surgery Coordinator team to ensure patients receive timely care and approval for necessary procedures.</li><li>Participate in team workshops to support project assignments and process improvements.</li><li>Provide support to internal and external customers via phone, billing help desk, and team emails.</li></ul><p>If you would like to be considered for this opportunity, please reach out to Victor Granados directly at 719-249-5153.</p>
