<p>We are looking for an experienced Medical Billing/Coding Specialist to join a growing team in Spartanburg!</p><p><br></p><p>This is a temporary to hire position, full-time hours Monday-Friday. This role focuses on accurate claim preparation, coding support, and timely follow-up to help maintain efficient revenue cycle performance. The ideal candidate brings a strong background in healthcare and can work effectively to hit deadlines and KPI's.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims accurately to support timely reimbursement.</p><p>• Apply appropriate medical billing and coding practices to ensure claims are complete and compliant.</p><p>• Investigate denied, rejected, or unpaid claims and take corrective action to resolve billing issues.</p><p>• Maintain detailed documentation of billing activity, claim status updates, and account follow-up efforts.</p><p>• Work within eClinicalWorks (eCW) and related billing systems to process charges and manage claim workflows.</p><p>• Collaborate with internal billing contacts and healthcare staff to address discrepancies and improve payment outcomes.</p><p>• Monitor outstanding accounts and perform follow-up with payers to reduce aging receivables.</p><p>• Support billing process updates or workflow changes as needed as part of ongoing operational needs.</p><p><br></p><p>Additional Information:</p><p>-Can work hours between 7:30 and 5:30</p><p>-Business Casual work attire / great office environment</p><p>-Remote flexibility 1-2 days a week ONLY once trained (and based on performance)</p>
<p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.<br><br>Responsibilities:<br>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.<br>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.<br>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.<br>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.<br>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.<br>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.<br>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.<br>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.<br>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.
<p>We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.</p><p>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.</p><p>• Abstract required data elements from medical records in alignment with facility-specific guidelines.</p><p>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.</p><p>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.</p><p>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.</p><p>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.</p><p>• Analyze and ensure compliance with coding, billing, and data collection regulations.</p><p>• Address missing or unclear information by seeking clarification and ensuring proper documentation.</p><p>• Independently manage workload and prioritize tasks to meet departmental productivity standards.</p>
<p><strong>Job Responsibilities:</strong></p><ul><li>Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes leading to the assignment of the correct Medicare Severity-Diagnosis Related Group MS-DRG or All Patient Refined Diagnosis Related Group APR-DRG. The Inpatient Coding Specialist I is responsible for verification of the patient’s discharge disposition assigning the correct sources of admission for state regulation reporting purposes and ensuring the appropriate present on admission POA indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided.</li><li>Correctly abstracts required data per facility specifications.</li><li>Responsible for monitoring Discharged Not Billed accounts and as a team ensures timely compliant processing of inpatient accounts through the revenue cycle.</li><li>Collaborates with Clinical Documentation Specialists CDSs and members of the medical staff to ensure completeness of documentation in the medical records so that appropriate codes and ultimately the correct Diagnosis Related Group DRG may be assigned.</li><li>Responsible for ensuring accuracy and maintaining established quality and productivity standards.</li><li>Demonstrates a high degree of independence in performance of responsibilities working effectively without direct supervision. Exhibits strong time management problem solving and communication skills.</li><li>Possesses critical thinking good judgment and decision making skills</li><li>Demonstrates excellent written and oral communication skills</li><li>Remains abreast of current Centers for Medicare and Medicaid Services CMS requirements as well as Correct Coding Initiative CCI edits Hospital Acquired Conditions HACs Patient Safety Indicators PSIs and when applicable National Coverage Determinations NCDs and Local Coverage Determinations LCDs including the addition of appropriate modifiers to ensure a clean claim the first time through.</li><li>Maintains competency and accuracy while utilizing tools of the trade such as the 3M encoder 3M Audit Expert process 3M AES 3M Clinical Documentation Improvement System 3M CDIS and abstracting systems as well as all reference materials.</li><li>Attends required system hospital and departmental meetings and educational sessions as established by leadership as well as completion of required annual learning programs to ensure continued education and growth.</li><li>Employees must abide by all Joint Commission requirements including but not limited to sensitivity to cultural diversity patient care patients rights and ethical treatment safety and security of physical environments emergency management teamwork respect for others participation in ongoing education and training communication and adherence to safety and quality programs sustaining compliance with National Patient Safety Goals and licensure and health screenings.</li></ul><p><br></p>
<p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p>Must be located in Washington state. Inpatient coding experience is required. </p><p><br></p><p>We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position based in Sacramento, California. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle.</p><p><br></p><p>Responsibilities:</p><p>• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.</p><p>• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.</p><p>• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.</p><p>• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.</p><p>• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.</p><p>• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.</p><p>• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.</p><p>• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.</p><p>• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.</p>
<p><strong>Job Title:</strong> Medical Biller</p><p><strong>Job Summary:</strong></p><p>The Medical Biller is responsible for preparing, submitting, and following up on medical claims to insurance companies, government payers, and patients to ensure accurate and timely reimbursement. Based on general knowledge.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient records and billing information for accuracy and completeness. Based on general knowledge.</li><li>Prepare and submit medical claims to insurance carriers and other payers. Based on general knowledge.</li><li>Verify coding, charges, and supporting documentation before claim submission. Based on general knowledge.</li><li>Follow up on unpaid, denied, or rejected claims and resolve billing issues. Based on general knowledge.</li><li>Post payments, adjustments, and insurance remittances accurately. Based on general knowledge.</li><li>Communicate with insurance companies, patients, and internal staff regarding billing questions and account status. Based on general knowledge.</li><li>Maintain patient billing records and ensure compliance with privacy and billing regulations. Based on general knowledge.</li><li>Assist with account reconciliation, collections, and reporting as needed. Based on general knowledge.</li></ul><p><br></p>
<p>We are looking for a motivated professional to handle medical billing tasks within our organization. The successful candidate will help ensure billing processes run smoothly and efficiently. This role requires attention to detail, strong organizational skills, and the ability to work in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><ul><li>Process billing and claims submissions with accuracy.</li><li>Ensure proper follow-up on outstanding payments or claims.</li><li>Help resolve issues related to billing discrepancies.</li><li>Maintain organized records and documents.</li><li>Collaborate with teams to ensure compliance with procedures and guidelines.</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Medical Billing Specialist</strong> to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments, adjustments, and denials accurately</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies</li><li>Review Explanation of Benefits (EOBs) for accuracy</li><li>Communicate with insurance companies, patients, and internal teams regarding billing questions</li><li>Maintain patient confidentiality and comply with HIPAA regulations</li><li>Ensure billing practices align with payer guidelines and company policies</li></ul><p><br></p>
We are looking for a Medical Scribe to join a plastic surgery practice in Beverly Hills, California on a contract assignment expected to last approximately one month. This role offers the opportunity to work closely with a board-certified surgeon in a busy clinical setting, helping ensure accurate documentation and smooth patient visit flow. The ideal candidate is organized, discreet, and comfortable producing precise medical records in a fast-moving environment.<br><br>Responsibilities:<br>• Capture patient visits in real time by documenting consultations, follow-up appointments, and in-office procedures as they occur.<br>• Create clear and accurate clinical notes covering medical backgrounds, examinations, care recommendations, and procedure details within the electronic record.<br>• Prepare charts ahead of appointments and review documentation for completeness before records are finalized.<br>• Enter physician-directed updates, including orders and patient demographic or clinical information, into the medical record system.<br>• Protect sensitive health information by following privacy standards and established compliance requirements at all times.<br>• Partner with the physician and clinic team to keep daily operations efficient and support an organized patient experience.
We are looking for a Medical Records Technician to support the integrity and organization of resident health information in Portola Valley, California. This contract opportunity with permanent potential is ideal for someone who is highly attentive to detail and comfortable working in a busy healthcare setting where accuracy and compliance are essential. In this role, you will help maintain complete, timely, and regulation-ready records while partnering with clinical and administrative teams to secure missing documentation and resolve inconsistencies.<br><br>Responsibilities:<br>• Review resident files related to admissions, transfers, and discharges to confirm completeness, accuracy, and adherence to healthcare regulations.<br>• Examine clinical materials such as physician documentation, medication administration records, laboratory results, charts, and treatment notes for consistency and proper filing.<br>• Work closely with nurses, physicians, and outside care providers to gather outstanding records and ensure required documentation is received promptly.<br>• Maintain orderly paper and electronic record systems and update information accurately within the organization's EHR platform.<br>• Investigate documentation issues, correct record discrepancies, and support reporting activities tied to compliance and health information management.<br>• Assist with coding-related record review and help prepare documentation for audits, inspections, and internal quality checks.
<p>Position Summary</p><p>We are seeking a professional, detail-oriented, and customer-focused <strong>Medical Scheduler</strong> to join our healthcare team. The Medical Scheduler is responsible for coordinating patient appointments, managing provider schedules, and ensuring efficient patient flow within the practice. This role requires strong communication skills, the ability to multitask in a fast-paced environment, and a commitment to providing exceptional patient service.</p><p><br></p><p>Key Responsibilities</p><ul><li>Schedule, reschedule, and confirm patient appointments in accordance with provider availability and office protocols.</li><li>Coordinate referrals, diagnostic testing, consultations, and follow-up appointments.</li><li>Verify patient demographic and insurance information prior to appointments.</li><li>Answer incoming calls and respond to patient inquiries professionally and courteously.</li><li>Maintain accurate patient records within the electronic medical record (EMR) system.</li><li>Communicate appointment details, preparation instructions, and office policies to patients.</li><li>Manage provider calendars and optimize scheduling to maximize efficiency.</li><li>Coordinate with physicians, nurses, and administrative staff regarding scheduling needs.</li><li>Monitor cancellations, waitlists, and appointment availability.</li><li>Ensure compliance with HIPAA and all patient confidentiality requirements.</li><li>Assist with other front-office and administrative duties as assigned.</li></ul><p><br></p>
<p>A Hospital in the San Fernando Valley are looking for an experienced Hospital Medical Collections Specialist. The Hospital Medical Collections Specialist ideal for someone with a strong background in medical revenue cycle activities and a solid understanding of payer follow-up across government and commercial plans. The Hospital Medical Collections Specialist will help drive timely reimbursement by resolving outstanding accounts, addressing denials, and working through appeals for both inpatient and outpatient hospital claims. The hospital is open to candidates with at least 2 years of experience. </p><p><br></p><p>Responsibilities:</p><p>• Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement.</p><p>• Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution.</p><p>• Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage.</p><p>• Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims.</p><p>• Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution.</p><p>• Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables.</p><p>• Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications.</p>
<p>A Medical Business Office 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. The Medical Biller/Collector must have EPIC software experience. </p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Submit accurate and timely medical claims to insurance carriers and government payers</li><li>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies</li><li>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances</li><li>Investigate claim rejections and denials, and take corrective action for resubmission or appeal</li><li>Post payments, adjustments, and denials as needed</li><li>Communicate with payers, patients, and internal staff regarding billing questions and account resolution</li><li>Maintain compliance with billing regulations, payer requirements, and organizational policies</li><li>Support revenue cycle activities including claims review, payment reconciliation, and account research</li><li>Document collection activity and account status updates accurately in the billing system</li><li><strong>Must have EPIC software experience.</strong></li></ul><p><br></p>
We are looking for a detail-oriented Customer Service Quality Analyst to support health insurance operations through thorough medical record review and quality validation. This Long-term Contract position is based in Eden Prairie, Minnesota, and offers the opportunity to contribute to coding accuracy, timely case handling, and strong operational performance within a collaborative team environment. The person in this role will help assess documentation, identify records that require additional review, and uphold quality standards while working efficiently in a remote setting.<br><br>Responsibilities:<br>• Conduct detailed evaluations of medical records to confirm documentation accuracy, validate coding-related determinations, and flag cases that need escalation for secondary review.<br>• Complete assigned work within daily production targets while maintaining a high standard of quality and consistency across each review.<br>• Safeguard protected health information by following HIPAA guidelines, company procedures, and data privacy expectations in all tasks.<br>• Use Microsoft Office and other Windows-based tools to manage daily assignments, move across multiple platforms, and adapt to new applications as needed.<br>• Take part in team meetings, required training sessions, and other learning activities to stay aligned with current standards and expectations.<br>• Apply established quality practices consistently and remain current on policy updates, workflow changes, and review guidelines.<br>• Support operational efficiency by helping address review queues and contributing to timely completion of backlog-related work.
<p>Specialized client in the Northern Delaware area is looking to hire a Medical Billing Specialist with expertise in billing regulations, payer requirements, and behavioral health reimbursements. As the Medical Billing Specialist, you will oversee medical billing, verify medical insurance coverage, code medical procedures and diagnoses, prepare insurance claims, prepare patient statements and invoices, post payments, track outstanding receivables, maintain billing records, and stay abreast of coding changes and compliance regulations. The ideal candidate should have strong attention to detail, excellent organizational skills, and the ability to solve problems quickly. </p><p><br></p><p>What you get to do everyday</p><p>· Process medical billing and invoicing accurately and efficiently while ensuring compliance with payer and healthcare regulations. </p><p>· Prepare, review, and submit insurance claims and patient invoices in a timely manner. </p><p>· Monitor outstanding balances and follow up on unpaid or denied claims to maximize collections. </p><p>· Post payments, reconcile billing discrepancies, and maintain accurate financial records. </p><p>· Verify patient insurance information and ensure proper documentation is maintained. </p><p>· Communicate with insurance companies, patients, and internal staff to resolve billing inquiries and payment issues. </p><p>· Maintain organized billing records and assist with reporting as needed. </p><p>· Provide general administrative support related to billing operations, including filing, document management, and data entry.</p>
<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>
We are looking for a Medical Billing Specialist to support revenue cycle operations for a healthcare team in Richmond, Virginia. This contract-to-permanent position is ideal for someone who can manage insurance billing activity, resolve claim issues efficiently, and maintain a strong focus on reimbursement accuracy and patient service. The role requires close attention to account follow-up, timely claims processing, and effective communication with insurance representatives and patients when needed.<br><br>Responsibilities:<br>• Monitor aged accounts and take action on patient balances beginning at 60 days from the date of service, using accounts receivable reports to drive timely follow-up.<br>• Submit primary and secondary insurance claims through electronic billing systems on a daily basis to support prompt payment.<br>• Examine claims for accuracy and completeness, making corrections as needed before resubmission.<br>• Investigate and resolve rejected, returned, denied, or partially paid claims within five business days to reduce delays in reimbursement.<br>• Prepare and send rebilled claims and route them to the correct insurance carrier based on coverage details.<br>• Draft and submit appeals for claim denials, ensuring supporting documentation and written communication are clear and thorough.<br>• Research payer-related issues, including eligibility concerns, network limitations, workers' compensation matters, and other claim processing obstacles.<br>• Communicate with insurance carriers and third-party representatives to move claims toward resolution and reconcile outstanding account activity.<br>• Track unresolved or suspended claims, provide status updates, and report weekly productivity results to leadership.
<p>We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations. This Long-term Contract position focuses on accurate claim handling, proactive insurance verification, and timely follow-up to help reduce payment delays and improve reimbursement outcomes. The ideal candidate brings strong knowledge of medical billing workflows, coding review, and patient-facing service while working efficiently in a fast-paced environment. <strong>Part-time role only </strong>(20 hours)</p><p><br></p><p>Responsibilities:</p><p>• Review denied and rejected medical claims, identify the source of billing or coding discrepancies, make necessary corrections, and submit claims again within required timeframes.</p><p>• Confirm patient insurance eligibility and benefit details before services are provided to help prevent avoidable claim issues and support accurate cost estimates.</p><p>• Apply medical billing and coding knowledge to ensure claim information is complete, compliant, and aligned with payer requirements.</p><p>• Monitor claim status and pursue outstanding balances through consistent follow-up with insurance carriers and other payers.</p><p>• Support collection efforts by investigating unpaid accounts and coordinating appropriate next steps for resolution.</p><p>• Use billing platforms and tools such as EPACES to access coverage information, review claim activity, and maintain accurate account updates.</p><p>• Communicate clearly with patients, payers, and internal teams to address billing questions and resolve account concerns professionally.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in West Chester, Pennsylvania. This long-term contract opportunity is ideal for someone who enjoys managing billing accuracy, supporting reimbursement workflows, and working closely with insurance processes in a fast-paced setting. The role follows a hybrid schedule with on-site work Monday through Thursday and remote work on Friday.</p><p><br></p><p>Responsibilities:</p><p>• Review patient billing information for accuracy and submit claims in a timely manner to support consistent reimbursement.</p><p>• Verify insurance coverage and confirm eligibility details before services are processed or billed.</p><p>• Investigate claim issues, resolve denials, and follow up on unpaid balances with payers as needed.</p><p>• Apply medical billing and coding knowledge to ensure charges are entered correctly and aligned with documentation.</p><p>• Manage collection-related activities by tracking outstanding accounts and communicating with appropriate parties to secure payment.</p><p>• Use ePaces and related billing systems to maintain records, monitor claim status, and update account details.</p><p>• Assist with billing workflow adjustments and system-related process updates when required by the department.</p><p>• Collaborate with internal staff to address discrepancies, improve claim outcomes, and keep account information current.</p>
<p>Our client is seeking an experienced Medical Billing Specialist to support daily revenue cycle operations. The ideal candidate will have a strong background in medical billing, claims follow-up, insurance verification, denial resolution, and collections. This position requires excellent attention to detail, strong communication skills, and the ability to work effectively in a fast-paced healthcare environment.</p><p><br></p><p><u>What you'll do:</u></p><ul><li>Submit and track insurance claims to ensure timely reimbursement.</li><li>Follow up on unpaid, denied, or rejected claims with insurance carriers.</li><li>Verify patient insurance eligibility and benefits.</li><li>Post payments and adjustments accurately within the billing system.</li><li>Research and resolve billing discrepancies and account issues.</li><li>Manage accounts receivable and work aging reports to reduce outstanding balances.</li><li>Communicate with patients regarding billing questions and payment arrangements.</li><li>Maintain accurate documentation of claim activity and follow-up efforts.</li><li>Work closely with providers, office staff, and insurance representatives to resolve billing concerns.</li><li>Ensure compliance with HIPAA regulations and payer requirements.</li></ul>
<p>Robert Half is partnering with a respected healthcare client in the Rochester area to hire a <strong>Medical Billing Specialist</strong>. This is an excellent opportunity for a detail-oriented professional with medical billing experience who enjoys working in a fast-paced healthcare environment while ensuring accurate claims processing, reimbursement, and exceptional patient account support.</p><p>The ideal candidate is organized, knowledgeable of medical billing procedures, and committed to maintaining accuracy and compliance.</p><p>Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance carriers, Medicare, and Medicaid.</li><li>Verify patient insurance eligibility, benefits, and demographic information.</li><li>Review medical documentation and coding to ensure accurate billing and claim submission.</li><li>Monitor claim status and follow up on unpaid or denied claims.</li><li>Research and resolve billing discrepancies, claim denials, and payment variances.</li><li>Post insurance payments, patient payments, adjustments, and contractual write-offs.</li><li>Reconcile patient accounts and maintain accurate billing records.</li><li>Communicate with insurance companies, patients, and healthcare providers regarding billing inquiries.</li><li>Ensure compliance with HIPAA regulations and payer guidelines.</li><li>Assist with month-end reporting and other revenue cycle activities as needed</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team. This contract opportunity with permanent potential is ideal for someone who can manage billing activities with accuracy, support timely reimbursement, and provide responsive service to patients and payers. The role involves a mix of claims processing, account follow-up, payment reconciliation, and coordination with internal staff to keep billing operations running smoothly.<br><br>Responsibilities:<br>• Prepare and submit insurance claims accurately, ensuring accounts move to billable status without unnecessary delays.<br>• Record insurance, contractual, and patient payments in the practice management system while maintaining precise financial data.<br>• Investigate missing remittances, denials, rejections, and payer recoupments by coordinating with clearinghouses and insurance carriers.<br>• Reconcile daily deposits and complete payment posting documentation within established timelines.<br>• Review credit balances and work queues to determine appropriate refunds or account adjustments.<br>• Update patient demographics and insurance information, and obtain any missing records needed for clean claim submission.<br>• Follow up on outstanding accounts receivable, address billing discrepancies, and respond to patient questions including payment plan support.<br>• Complete provider enrollment and recredentialing activities, maintain contract data, and monitor application progress to avoid reimbursement interruptions.<br>• Assist with coding and outpatient documentation reviews to support compliant billing and accurate charge capture.<br>• Support dental-related administrative billing tasks such as prior authorizations, treatment estimate preparation, claim attachments, and point-of-service collections.