<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>
<p>We are looking for a detail-oriented Medical Coder to join our team. In this role, you will play a vital role in ensuring accurate and compliant coding for medical procedures and diagnoses. The ideal candidate will have a strong background in medical coding, with expertise in ICD-10 and CPT codes, and the ability to work across multiple specialties.</p><p><br></p><p>Responsibilities:</p><p>• Review medical records and assign appropriate ICD-10, CPT, and other relevant codes using 3M coding software for outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.</p><p>• Ensure that assigned codes align with documented reasons for visits and meet the required medical necessity guidelines.</p><p>• Apply charges for procedures such as Evaluation and Management (E& M) levels, injections, and infusions as needed, using third-party software systems.</p><p>• Abstract and validate required data in accordance with facility-specific guidelines and standards.</p><p>• Conduct medical necessity checks for Medicare and other payers based on established payment criteria.</p><p>• Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.</p><p>• Stay current with coding regulations, guidelines, and payer requirements to ensure compliance.</p><p>• Assist in quality assurance efforts to maintain high standards of coding accuracy and efficiency.</p><p>• Provide coding support across multiple specialties, including OBGYN, interventional cardiology, neurology, general surgery, and more.</p>
We are looking for a detail-oriented Medical Billing Coder to join our team in Phoenix, Arizona, on a long-term contract basis. In this role, you will play a key part in ensuring accurate coding and billing processes within the healthcare revenue cycle. Collaborating with internal teams and external partners, you will work to identify and resolve coding issues while implementing solutions that enhance the overall efficiency of billing operations.<br><br>Responsibilities:<br>• Assign appropriate and accurate codes while adhering to government and insurance regulations.<br>• Analyze and correct errors, discrepancies, or missing information in claim documentation.<br>• Provide guidance to the Revenue Cycle team on selecting appropriate ICD, CPT, and HCPCS codes for accurate billing and reimbursement.<br>• Review and validate documentation to ensure it supports diagnoses, procedures, and treatments.<br>• Keep team members informed of updates to coding standards, systems, and procedures through meetings and written communications.<br>• Recommend alternative coding methods to address challenges and improve processes.<br>• Develop and implement protocols to troubleshoot and enhance coding reviews and modifications.<br>• Collaborate with cross-functional teams to drive continuous improvement in billing and coding systems.<br>• Maintain consistent attendance and perform additional duties as needed.
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will be responsible for ensuring accurate and timely handling of medical billing processes, claims, and collections. This position offers the opportunity to support healthcare operations by maintaining compliance and efficiency in financial transactions.<br><br>Responsibilities:<br>• Process medical claims and ensure timely submission to insurance providers.<br>• Review and verify billing information for accuracy and completeness.<br>• Handle collections and follow-up on outstanding payments from patients and insurance companies.<br>• Collaborate with healthcare providers to resolve discrepancies in billing and coding.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Utilize medical coding systems to accurately categorize procedures and diagnoses.<br>• Monitor claim denials and appeals, taking appropriate action to resolve issues.<br>• Prepare detailed reports on billing activities and financial performance.<br>• Communicate with patients to provide clarity on billing inquiries and payment options.<br>• Ensure confidentiality and security of sensitive patient and financial information.
<p>Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy.</p><p> </p><p>Responsibilities:</p><ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul>
<p>Robert Half is seeking an experienced Medical Biller with coding experience for a contract opportunity in Des Moines. As a Medical Biller/Coder for our client, your primary focus will be to accurately code medical diagnoses, procedures, and services in line with medical documentation utilizing the International Classification of Diseases, Tenth Edition (ICD-10). We are seeking a candidate who has a strong understanding of medical billing procedures and the ability to sustain high standards of data privacy.</p><p> </p><p>Responsibilities:</p><ul><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Follow up on unpaid claims within standard billing cycle time-frame.</li><li>Check and balance each day's transactions and address any inconsistencies.</li><li>Updating billing software with rate changes.</li><li>Thoroughly comprehend the intricacies of insurance policy benefit packages and apply this knowledge when coding.</li><li>Possess the ability to discuss billing issues with doctors, hospitals, and clinics.</li></ul>
<p>We are looking for a dedicated Medical Billing Specialist to join our team located in the Greater Philadelphia Region. This Medical Billing Specialist position provides an excellent opportunity to contribute your expertise in medical billing and coding within the healthcare industry. As a Contract to permanent role, it offers the potential for long-term career growth while working in a collaborative and detail-oriented environment.</p><p><br></p><p>What you get to do every single day:</p><p>• Accurately assign procedure codes and ensure timely submission of insurance claims, both electronically and on paper.</p><p>• Prepare and distribute patient statements on a weekly basis.</p><p>• Post payments and manage secondary claims for patients, schools, and teams.</p><p>• Follow up on accounts receivable by communicating with insurance companies, schools, and teams to resolve outstanding balances.</p><p>• Handle insurance correspondence and address claim denials through appeals.</p><p>• Resubmit corrected claims as necessary and reconcile daily payment transactions in accordance with established procedures.</p><p>• Safeguard patient rights by maintaining confidentiality of personal and financial information.</p><p>• Participate in internal financial reporting activities as scheduled.</p><p>• Adhere to organizational policies and procedures to ensure smooth operations.</p><p>• Collaborate with team members to achieve shared goals and complete additional tasks as assigned.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Glen Burnie, Maryland. In this Contract-to-permanent role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.</p><p>• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.</p><p>• Review denied or unpaid claims and work on appeals to secure payment.</p><p>• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.</p><p>• Utilize medical coding knowledge, including ICD-10, to process claims accurately.</p><p>• Maintain confidentiality of patient information in compliance with healthcare regulations.</p><p>• Handle insurance verifications and follow up on outstanding claims.</p><p>• Collaborate with team members to streamline billing processes and improve efficiency.</p><p>• Utilize electronic medical record (EMR) systems to manage data entry and documentation.</p><p>• Stay updated on changes in medical billing procedures and insurance policies.</p>
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 detail-oriented Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-Permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with healthcare regulations. This is an excellent opportunity for professionals with expertise in medical billing systems and a commitment to providing high-quality service.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and adherence to guidelines.<br>• Verify patient information and eligibility prior to claim submission.<br>• Monitor accounts receivable and follow up on unpaid or denied claims.<br>• Collaborate with healthcare providers to resolve billing discrepancies and ensure proper coding.<br>• Utilize systems such as MEDENT and Epic EMR to manage billing operations efficiently.<br>• Conduct audits to ensure compliance with billing and coding regulations.<br>• Communicate with patients regarding billing inquiries and payment options.<br>• Maintain up-to-date knowledge of medical billing policies and insurance requirements.<br>• Generate and analyze financial reports related to billing and collections.<br>• Provide support during system updates or transitions to ensure continuity in billing processes.
<p>We are seeking a skilled and detail-oriented <strong>Medical Billing Specialist</strong> with experience in the behavioral health field to join our team in Massillon, Ohio. This dynamic role focuses on managing crucial billing operations while ensuring accuracy, compliance, and efficiency across various responsibilities. As part of a collaborative and supportive environment, this position is contract-to-permanent, offering an excellent opportunity for professional growth.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Handle <strong>full-cycle medical billing</strong> processes, including coding, claims submission, and resolving denied claims.</li><li>Perform follow-ups and rebilling to secure timely resolutions for outstanding claims.</li><li>Assist the Human Resources team with <strong>annual and monthly compliance recertifications</strong>.</li><li>Support general accounting functions, including crossover billing duties.</li><li>Utilize specialized software such as <strong>Ritten</strong> for behavioral health billing and <strong>QuickBooks</strong> for general financial processes.</li><li>Manage and maintain organized, <strong>accurate records within electronic medical systems (EMR)</strong>.</li><li>Collaborate with internal team members to ensure efficient workflows and solve problems effectively.</li><li>Demonstrate <strong>reliability, adaptability</strong>, and an eagerness to learn new systems and procedures.</li><li>Adhere to established policies and procedures to maintain compliance and ensure billing accuracy.</li></ul>
<p>Robert Half has multiple on going opportunities in the healthcare industry. We are seeking an experienced multiple Medical Billing Specialists to work onsite with our client in Knoxville, TN. Our client is a physician-owned healthcare organization dedicated to delivering trustworthy, reliable services. Serving primary care and multispecialty members, they collaborate with over 1,400 physicians and healthcare professionals across 93 medical specialties, ensuring strong, efficient partnerships between healthcare systems and clinical practices. This contract-to-permanent role will be based in an onsite call center, providing essential support for the medical community. Responsibilities: Handle high volumes of inbound calls from patients and healthcare providers. Perform data entry tasks, including patient records and information related to ICD-9 and ICD-10 codes. Follow up on patient medical records to ensure accuracy and compliance. Communicate with patients and healthcare teams in a detail oriented, empathetic manner. Maintain confidentiality and adhere to HIPAA regulations. Ensure billing processes align with organizational and regulatory standards. If you are passionate about healthcare support and seek an opportunity to grow in a reputable healthcare organization, we encourage you to apply today! </p><p><em>Contact: Kelly Fellows 865-370-2219 to set up an interview after applying for the role.</em></p>
<p>We are looking for a meticulous Billing Clerk to join our team in North Andover, Massachusetts. In this role, you will handle medical billing processes, ensuring accuracy and compliance with industry standards while working closely with healthcare providers, insurance companies, and patients. This position is ideal for professionals with medical billing experience who enjoy a dynamic, collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with precision and attention to detail.</p><p>• Investigate and resolve denied or rejected claims to secure timely reimbursements.</p><p>• Verify patients' insurance coverage and eligibility prior to submitting claims.</p><p>• Oversee accounts receivable, recording payments and applying necessary billing adjustments.</p><p>• Collaborate with healthcare staff to address and correct coding discrepancies.</p><p>• Generate comprehensive financial reports to monitor billing performance and metrics.</p><p>• Ensure compliance with Medicare, Medicaid, and private insurance regulations.</p><p>• Utilize medical billing software and electronic health record systems effectively.</p><p>• Provide responsive customer service by addressing patient and insurance inquiries regarding billing.</p><p>• Conduct follow-ups on unpaid claims to facilitate proper payment collection.</p><p><br></p><p><br></p><p>If interested, please reach out to jeremy.tranfaglia@roberthalf</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.
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
<p>Robert Half is currently seeking a skilled <strong>Medical Biller</strong> with <strong>3+ years of experience</strong> for a reputable healthcare organization. This is an excellent opportunity for a detail-oriented billing professional to join a collaborative team and contribute to the financial health of a mission-driven organization.</p>
<p>We are looking for a detail-oriented Billing Clerk to join our team in Cleveland, Ohio. In this role, you will be responsible for managing billing processes, maintaining vendor relationships, and ensuring timely payments. The ideal candidate will excel in data entry, have experience with clinical billing, and act as a liaison between community services and the finance team. This is a direct hire position with standard business hours. Please apply TODAY if you are interested! </p><p><br></p><p>Responsibilities:</p><p>• Manage vendor relationships to ensure smooth communication and effective collaboration.</p><p>• Oversee payment processes, ensuring timely and accurate transactions.</p><p>• Gain familiarity with grants and their associated billing processes to ensure compliance.</p><p>• Perform accurate data entry for billing tasks, maintaining integrity and precision.</p><p>• Handle clinical billing related to social worker services, ensuring proper documentation and coding.</p><p>• Act as a liaison between community service teams and the finance department to facilitate seamless operations.</p><p>• Address and resolve billing discrepancies, ensuring accuracy in reports and systems.</p><p>• Monitor compliance with medical coding regulations and insurance policies.</p><p>• Coordinate with clinical staff to verify services are accurately captured and billed promptly.</p><p>• Develop and implement improvements to streamline and enhance billing efficiency.</p><p><br></p><p><br></p><p>They do offer a full benefits package with multiple options to pick for medical, dental, vision, 401K, PTO, and sick days. </p>
<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 a detail-oriented Billing Clerk to join our team in Massillon, Ohio. This role is essential for ensuring accurate and timely processing of billing tasks, including medical billing and administrative support. If you have experience in billing or are eager to learn medical billing practices, we welcome you to apply.<br><br>Responsibilities:<br>• Process medical billing tasks, including coding, rebilling, and managing insurance claims.<br>• Follow up with insurance companies to address and resolve claim denials.<br>• Prepare and distribute accurate billing statements and ensure compliance with regulations.<br>• Provide administrative support to the office, including managing compliance certifications.<br>• Collaborate with human resources on administrative tasks, with training provided as needed.<br>• Offer support in behavioral health medical billing processes.<br>• Assist with office procedures and maintain organized billing systems.<br>• Train on medical billing practices if you have traditional billing experience.
<p>Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.</p><p>• Monitor claim submission activities and generate reports to track progress and efficiency.</p><p>• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.</p><p>• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.</p><p>• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.</p><p>• Manage invalid claims by correcting errors and updating physician and contract information.</p><p>• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.</p><p>• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.</p><p>• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.</p><p>• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our</p>
<p>Are you an experienced Medical Biller/Collector with strong leadership skills and a passion for solving complex billing issues? Join a dynamic team as our next <strong>Lead Medical Biller Collector</strong>! We are seeking a driven professional with hands-on experience in medical billing and collections, appeals, denials management, and overseeing a high-performing team.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead and assist in overseeing a team of medical billers and collectors, providing mentorship and ensuring optimal team performance.</li><li>Actively contribute to the day-to-day production of billing and collections processes.</li><li>Manage and resolve all aspects of insurance denials, including appeals and root-cause analysis.</li><li>Collaborate with team members to create strategies that minimize denials and optimize operational workflows.</li><li>Work with Medi-Cal, Medicare, and Commercial medical insurance payers to ensure timely and accurate claim submissions and payments.</li><li>Stay informed of changes in insurance guidelines and compliance requirements</li></ul><p><strong>Qualifications:</strong></p><ul><li>Proven experience in a medical billing and collections role, including leading or assisting in managing a team.</li><li>Hands-on expertise in insurance appeals, denials management, and identifying root causes of claim denials.</li><li>In-depth experience working with Medi-Cal, Medicare, and Commercial insurance providers.</li><li>Strong knowledge of medical billing systems and coding practices (CPT, ICD-10, HCPCS).</li><li>Excellent problem-solving, organizational, and communication skills.</li><li>Ability to work both independently and collaboratively in a remote environment.</li></ul><p><br></p><p><br></p>
We are looking for a skilled Medical Collections Specialist to join our team on a contract basis in East Rutherford, New Jersey. In this role, you will play a crucial part in resolving insurance claim issues and ensuring proper billing processes are followed. This is a fully on-site position that requires strong attention to detail, effective communication skills, and a solid understanding of medical billing procedures.<br><br>Responsibilities:<br>• Analyze rejected or denied insurance claims to identify errors, omissions, or discrepancies.<br>• Correct claim data, coding issues, or missing patient/insurance information to facilitate resubmission.<br>• Resubmit corrected claims promptly through designated billing systems or insurance platforms.<br>• Monitor the status of submitted claims to ensure timely processing and payment resolution.<br>• Collaborate with insurance carriers, patients, and internal teams to address billing discrepancies and prevent recurrence.<br>• Maintain accurate records and documentation of claim corrections and communications.<br>• Utilize medical billing knowledge to handle appeals and denials effectively.<br>• Ensure compliance with healthcare regulations and insurance policies during claim processing.<br>• Provide support and insights to improve overall billing accuracy and efficiency.
<p>We have partnered with a client in San Jose who is seeking a Billing Specialist who can start immediately! This position is looking to convert from contract to full time depending on performance. </p><p> </p><p>Responsibilities:</p><ul><li>Prepare and submit electronic and paper claims to insurance companies, government programs, and third-party payers.</li><li>Review patient bills for accuracy and completeness before submission.</li><li>Verify patient insurance coverage and obtain necessary pre-authorizations or referrals.</li><li>Follow up on unpaid or denied claims; research and resolve billing discrepancies.</li><li>Post payments, adjustments, and denials to patient accounts.</li><li>Generate patient statements and respond to billing inquiries.</li><li>Maintain patient confidentiality and comply with HIPAA regulations.</li><li>Communicate with insurance companies, patients, and healthcare providers to resolve billing issues.</li><li>Maintain up-to-date knowledge of billing guidelines, payer policies, and coding changes (ICD-10, CPT, HCPCS).</li><li>Prepare and submit billing reports and reconcile accounts as needed.</li></ul>
<p>The Medical Biller will be responsible for managing patient billing processes, ensuring claims are submitted accurately and efficiently, and following up on payment resolutions. This role is vital to the financial health of the organization and requires a high level of attention to detail, organization, and knowledge of medical billing procedures.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Process, review, and submit claims to insurance carriers efficiently and accurately.</li><li>Verify patient insurance coverage and eligibility.</li><li>Resolve claim errors or discrepancies, including follow-ups with insurance providers and patients.</li><li>Generate billing statements for patient accounts and ensure proper posting of payments.</li><li>Communicate with insurance companies, patients, and other third-party payers regarding claims and payments.</li><li>Monitor and follow up on outstanding accounts receivable balances and unpaid claims.</li><li>Maintain knowledge of current billing codes (e.g., ICD-10, CPT, HCPCS) and updates to healthcare regulations.</li><li>Collaborate with other departments (e.g., medical records or patient services) to gather accurate information.</li><li>Ensure compliance with industry standards and regulations, including HIPAA.</li></ul><p><br></p><p><br></p>
