<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
<p>We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialistwill focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.</p><p>• Investigate and resolve written-off accounts to maximize revenue recovery.</p><p>• Process approximately 50-60 claims per day with attention to detail and accuracy.</p><p>• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.</p><p>• Handle medical denials and appeals, ensuring timely and effective resolution.</p><p>• Review and manage accounts associated with various insurance carriers.</p><p>• Analyze and document collection efforts for reporting and compliance purposes.</p><p>• Maintain up-to-date knowledge of relevant medical billing and insurance policies.</p><p>• Communicate effectively with internal teams to coordinate account resolution strategies.</p>
<p>We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialist will focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. This role is a hybrid tole.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.</p><p>• Investigate and resolve written-off accounts to maximize revenue recovery.</p><p>• Process approximately 50-60 claims per day with attention to detail and accuracy.</p><p>• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.</p><p>• Handle medical denials and appeals, ensuring timely and effective resolution.</p><p>• Review and manage accounts associated with various insurance carriers.</p><p>• Analyze and document collection efforts for reporting and compliance purposes.</p><p>• Maintain up-to-date knowledge of relevant medical billing and insurance policies.</p><p>• Communicate effectively with internal teams to coordinate account resolution strategies.</p>
We are looking for a Medical Payment Poster Specialist to join our team in Sacramento, California. This is an in-office, Contract position with the potential to become permanent, where you will play a crucial role in ensuring accurate and efficient posting of payments to patient accounts. If you have experience in medical billing and payment processing, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post insurance payments to individual patient accounts, ensuring compliance with contracts and organizational policies.<br>• Verify payment amounts to ensure correctness and adherence to agreements.<br>• Record patient payments in the designated system with precision.<br>• Process denials and zero payments, flagging accounts for follow-up by medical collectors.<br>• Apply takebacks and recoups following established procedures.<br>• Communicate payment trends, including discrepancies, short payments, and denials, to leadership for resolution.<br>• Reconcile daily payment postings against settlement reports to maintain balanced accounts.<br>• Route payer correspondence to appropriate team members for timely follow-up.<br>• Utilize a thorough understanding of contracts and policies to ensure accurate application during payment posting.
<p>A healthcare organization in Baltimore is seeking an experienced Customer Service Representative with a background in public health to join their team! In this contract position, you will handle high volumes of inbound calls related to public health information, ensuring callers receive accurate guidance and are directed to appropriate resources. This contract role requires strong communication skills and a commitment to excellent customer service, with the potential for extension based on organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage high volumes of inbound calls from the public, providing accurate information and support.</p><p>• Follow established scripts and protocols to ensure consistent communication.</p><p>• Maintain a detail-oriented and courteous demeanor while addressing caller inquiries.</p><p>• Ask clarifying questions to understand caller needs and minimize errors.</p><p>• Direct callers to the appropriate departments or resources based on their concerns.</p><p>• Accurately document call details and interactions in the system.</p><p>• Protect caller confidentiality and adhere to organizational policies.</p><p>• Escalate complex or urgent issues in accordance with provided guidelines.</p><p>• Work collaboratively with team members to ensure smooth operations.</p>
We are looking for a dedicated Medical Front Desk Specialist to join our team in Beverly Hills, California. In this contract position, you will play a vital role in ensuring smooth front desk operations while delivering exceptional service to patients. If you thrive in a fast-paced medical office environment and have a passion for patient care, we encourage you to apply.<br><br>Responsibilities:<br>• Welcome patients with professionalism and courtesy, ensuring a positive first impression.<br>• Schedule, confirm, and adjust appointments using medical scheduling software, while assisting with follow-up bookings.<br>• Communicate office policies and procedures clearly to patients, addressing any questions or concerns.<br>• Process and verify patient documentation and insurance information with accuracy and confidentiality.<br>• Maintain and update patient records to ensure compliance with medical regulations and timely data entry.<br>• Manage leads by contacting patients or potential clients to coordinate follow-up appointments.<br>• Collaborate with staff to ensure seamless scheduling and coordination of appointments.<br>• Provide administrative support to office management and medical staff as needed.
<p>We are hiring a dependable, professional<strong> Medical Front Desk Associate</strong> to support a fast‑paced surgical practice. This role is full-time with weekday hours that may fluctuate based on the clinic’s calendar. The ideal candidate is flexible, patient‑focused, and comfortable adapting to daily and weekly schedule changes.</p><p><br></p><p><strong>Schedule at a Glance</strong></p><p>Monday–Friday availability required</p><p>Start times can be as early as 5:15 a.m. (7 a.m. is most common)</p><p>End times may be up to 4 p.m.</p><p>Shifts could flex across 4–6–8 hours/day</p><p>Some days you may be flexed off when census is low</p><p>Shared flexibility: The manager supports the team in swapping preferred start times and alternating who takes the early opener shift each week.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Welcome and check in patients in a warm, professional manner</li><li>Manage patient intake, registration, and appointment workflows</li><li>Answer, route, and document incoming phone calls</li><li>Verify patient information and assist with administrative tasks</li><li>Maintain confidentiality and follow HIPAA compliance standards</li><li>Provide general support to clinical and surgical teams</li></ul><p><br></p><p><strong>Why This Role May Be a Great Fit</strong></p><ul><li>Weekday-only schedule (no weekends or holidays)</li><li>Opportunity to gain hands-on experience in a respected surgical practice</li><li>Collaborative team environment where scheduling preferences are shared openly</li><li>Potential for the role to become full-time permanent based on performance and clinic needs</li></ul>
<p>We are looking for a dedicated Medical Front Desk Specialist to join our Cosmetic Dermatology team in San Francisco, California. This role involves delivering exceptional administrative and patient support in a fast-paced dermatology office. As part of our front desk team, you will play a key role in ensuring smooth operations, accurate scheduling, and an outstanding patient experience. This is a long-term contract position offering stability and growth opportunities.</p><p><br></p><p>Hours change each week: 7AM-3PM and then 9AM-6PM depending if you are the opening shift or closing. Must have schedule flexibility.</p><p><br></p><p>This is contract to hire</p><p><br></p><p>We are looking for someone who is polished and patient oriented.</p><p><br></p><p>Responsibilities:</p><p>• Greet patients warmly and assist with check-in and pre-screening processes to ensure a seamless experience.</p><p>• Handle cash transactions and manage billing functions with accuracy and attention to detail.</p><p>• Coordinate appointments and schedules by collaborating effectively with providers and staff.</p><p>• Maintain and update medical records while ensuring compliance with relevant regulations.</p><p>• Answer inbound calls promptly and provide helpful information or direct inquiries appropriately.</p><p>• Monitor and manage office supplies, ensuring inventory is maintained and organized.</p><p>• Utilize electronic health record (EHR) systems efficiently to support daily operations.</p><p>• Perform general administrative duties as needed to support the team and office functions.</p><p>• Create and maintain charts, graphs, and other documentation to support office operations.</p><p><br></p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Georgia Cienkus at georgia.cienkus - at - roberthalf - .com with your word resume and reference job ID#00416-0013329397**</p>
We are looking for an experienced Medical Front Desk Specialist to join a chiropractic office in Palm Beach Gardens, Florida. This Contract to permanent position requires someone who can deliver exceptional customer service, build rapport with patients, and assist with scheduling appointments. The ideal candidate will have a background in medical office operations and a knack for fostering relationships with clients.<br><br>Responsibilities:<br>• Greet patients warmly and manage their check-in process efficiently.<br>• Schedule appointments and manage the office calendar to ensure smooth operations.<br>• Build positive relationships with patients to encourage repeat visits and promote services.<br>• Handle receptionist duties, including answering phone calls and addressing inquiries.<br>• Assist patients with understanding service offerings and guide them through appointment booking.<br>• Maintain accurate patient records and ensure confidentiality.<br>• Utilize basic medical terminology to communicate effectively with patients and staff.<br>• Collaborate with team members to provide a welcoming and detail-oriented environment.<br>• Ensure the front desk area is organized and presentable at all times.<br>• Provide support with administrative tasks as needed.
<p>Robert Half is seeking a detail-oriented Medical Collections Specialist to join our healthcare team. This role plays a critical part in ensuring timely and accurate collection of outstanding medical payments, supporting revenue cycle management, and maintaining high standards of patient communication and confidentiality.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage and collect payments from patients, insurance companies, and other payers.</li><li>Review accounts, research discrepancies, and resolve billing issues efficiently.</li><li>Apply knowledge of revenue cycle management processes to achieve outstanding recovery rates.</li><li>Maintain accurate patient records in accordance with HIPAA and internal compliance guidelines.</li><li>Utilize electronic health record (EHR) systems (e.g., Epic) for payment tracking and documentation.</li><li>Partner with internal departments to support month-end close and reporting.</li><li>Communicate with patients regarding billing questions and payment arrangements.</li><li>Coordinate with patient access and scheduling teams to resolve insurance or eligibility challenges.</li><li>Uphold a high level of customer service and professionalism with all parties.</li></ul><p><br></p>
<p>Our client is looking for a detail-oriented Billing Clerk with ADVANCEDMD experience to join their team in the Galleria area of Houston, Texas. This role involves managing medical billing processes, ensuring accuracy in billing statements, and working with computerized systems to maintain and update patient records. The ideal candidate will have extensive experience in medical billing and coding, as well as a strong understanding of CPT codes and ICD-10 standards.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and review billing statements to ensure accuracy and compliance with medical billing standards.</p><p>• Process and update patient records using computerized billing systems.</p><p>• Monitor and resolve discrepancies in billing, collaborating with relevant departments for clarification.</p><p>• Apply CPT and ICD-10 codes accurately to ensure proper recordkeeping and billing.</p><p>• Generate invoices and follow up on outstanding payments with clients or insurance companies.</p><p>• Ensure adherence to legal and regulatory requirements in all billing activities.</p><p>• Maintain organized and up-to-date documentation related to billing processes.</p><p>• Provide support for audits and reviews by gathering necessary billing data.</p><p>• Communicate effectively with patients, insurance companies, and healthcare providers to address billing inquiries.</p><p>• Suggest improvements to billing procedures to enhance efficiency and accuracy.</p>
<p>We are looking for a dedicated Clinical Data Entry Specialist to join our client's team on a potential long-term contract basis. This position is based in Palo Alto, California, and involves supporting patient registration and documentation processes with precision and professionalism. The ideal candidate will play a critical role in ensuring smooth administrative operations while maintaining excellent customer service.</p><p><br></p><p><strong>Description:</strong></p><p>This role involves high-complexity data entry combined with customer support responsibilities. The team receives test orders from hospitals across the Bay Area and inputs detailed, complex information into specialized lab software for processing. Physicians placing orders frequently require guidance, so strong communication and customer support skills are essential for success in this role.</p><p><br></p><p><strong>Day-to-Day Responsibilities:</strong></p><ul><li>Sample logging and test order entry </li><li>Troubleshooting and communication with physicians </li><li>Compiling meeting agendas </li><li>Managing paper-based filing systems </li></ul><p><br></p>
<p>We are looking for a dedicated Medical Customer Service Representative to join our client's team in Portland, Oregon. In this long-term contract role, you will play a key part in delivering exceptional service to patients, addressing their needs, and ensuring a seamless experience. This is a great opportunity to contribute to the healthcare sector while advancing your customer service expertise.</p><p><br></p><p>Responsibilities:</p><p>• Respond to inbound patient inquiries with professionalism and empathy, ensuring their concerns are addressed promptly.</p><p>• Provide accurate information regarding medical terminology, procedures, and durable medical equipment (DME).</p><p>• Collaborate with patients and healthcare providers to resolve issues and facilitate effective communication.</p><p>• Utilize Epic EMR to document patient interactions and maintain accurate records.</p><p>• Assist in scheduling appointments, verifying insurance details, and managing patient accounts.</p><p>• Ensure compliance with healthcare regulations and maintain patient confidentiality at all times.</p><p>• Troubleshoot and resolve concerns related to medical services or equipment with a focus on customer satisfaction.</p><p>• Maintain a thorough understanding of products, services, and processes to deliver consistent and reliable support.</p>
<p>We are looking for a dedicated Medical Eligibility and Payment Posting Specialist to join our client in Pleasanton, California. In this long-term contract position, you will play a vital role in ensuring accurate medical eligibility verification, and payment posting processes. This is an excellent opportunity for someone with expertise in medical billing to make a meaningful impact in healthcare operations. This role is a Part-time onsite role ranging from 28-32 hours per week. </p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records to ensure proper billing and compliance.</p><p>• Perform thorough eligibility verification for patients, including Medicaid and insurance eligibility.</p><p>• Post medical payments and reconcile accounts to maintain accurate financial records.</p><p>• Generate and manage patient statements to ensure timely communication regarding billing.</p><p>• Collaborate with insurance providers to resolve discrepancies and ensure seamless claim processing.</p><p>• Review and update patient eligibility data to support billing accuracy.</p><p>• Address and rectify issues related to denied claims or payment discrepancies.</p><p>• Maintain compliance with all relevant healthcare regulations and coding standards.</p><p>• Support the overall revenue cycle management process with attention to detail and efficiency.</p><p>• Provide excellent customer service by addressing patient inquiries related to billing and eligibility.</p><p><br></p><p>If you are interested in this role please apply now and contact us at (510) 470-7450 for more details. </p>
<p>Our company is searching for a<strong> Remote DRG Coding Auditor </strong>to join our team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm EST with some flexibility within the daily hours by about 2-3 hours </p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities.</li><li>Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures.</li><li>Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies.</li><li>Research regulatory requirements and provide clear, well-supported recommendations in audit reports.</li><li>Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities.</li><li>Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics.</li><li>Maintain established productivity and quality standards as measured by audit leadership.</li></ul>
<p><strong>Patient Billing Specialist (20 hours per week)</strong></p><p>Mission‑driven nonprofit seeks a detail‑oriented Bookkeeper to support patient billing and core accounting operations. </p><p>Responsibilities include patient invoicing and billing (private pay, Medicare, insurance), managing an EHR system, A/P and A/R, and accurate entry into QuickBooks.</p><p>Collaborate with internal teams on reporting and audits.</p><p>Ideal for someone highly organized, detail‑driven, and comfortable learning new systems.</p><p><u>Must have QuickBooks experience!</u></p><p><em>Flexibility in schedule and days worked!</em></p>
We are looking for a detail-oriented PRN Medical Records Clerk to join our team in Worcester, MA. In this long-term contract position, you will play a pivotal role in maintaining and managing patient records, ensuring accuracy, confidentiality, and compliance with healthcare regulations. This opportunity is ideal for professionals who excel in document management and are experienced with electronic medical record systems. <br> Compensated: $20 per hour plus $.725 mileage. PRN role, seeking an individual that is looking for part time or permanent work. Must be able to travel up to 60 miles and have a valid driver's license. <br> Responsibilities: • Accurately organize and maintain patient medical records, both physical and electronic, in compliance with healthcare regulations. • Ensure the confidentiality and security of medical records, adhering to HIPAA guidelines. • Retrieve, review, and update patient information using electronic medical record systems such as Allscripts and Cerner. • Collaborate with healthcare staff to provide timely access to accurate patient records. • Monitor and resolve discrepancies in medical documentation to ensure data integrity. • Assist in the transition and integration of medical records into electronic systems, as needed. • Respond promptly to requests for patient information from authorized personnel. • Conduct routine audits of records to maintain accuracy and compliance. • Stay updated on changes in medical record-keeping practices and technologies. • Provide support in training staff on the use of electronic medical record systems
<p>In healthcare, the front desk sets the tone for the entire patient experience. We’re hiring a dependable and compassionate Medical Front Desk Receptionist to support a fast-paced clinical team in Oceanside. This role is ideal for someone who can stay calm under pressure, communicate clearly, and keep operations running efficiently while delivering excellent patient service. You’ll be the central point of coordination between patients, providers, and administrative staff.</p><p><strong>What You'll Do</strong></p><ul><li>Welcome patients, manage check-in/check-out processes, and maintain a professional front office presence</li><li>Schedule appointments, verify insurance, and confirm patient information</li><li>Answer high-volume phone lines and address patient questions or concerns</li><li>Maintain and update electronic medical records (EMR) accurately</li><li>Collect co-pays and process payments in compliance with office policies</li><li>Coordinate with medical staff to ensure timely patient flow</li><li>Handle referrals, authorizations, and medical records requests</li><li>Ensure HIPAA compliance in all patient interactions and documentation</li><li>Assist with administrative tasks such as scanning, filing, and reporting</li></ul>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p>A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.</p><p>Responsibilities:</p><ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul><p><br></p>
<p>Our client is seeking a skilled Bilingual Customer Service Representative for a busy healthcare clinic. The ideal candidate will have proven experience in customer service or front desk roles in a medical environment, as well as familiarity with Electronic Medical Record (EMR) systems.</p><p><br></p><p>Responsibilities:</p><p>· Schedule patient appointments and verify insurance.</p><p>· Assist bilingual patient check‑ins and check‑outs.</p><p>· Update patient information in EMR systems.</p><p>· Respond to patient inquiries and route messages.</p><p>· Support clinic admin with records and intake forms.</p>
We are looking for a dedicated Healthcare Call Center Representative to join our team in Phoenix, Arizona. In this role, you will play a crucial part in enhancing the patient experience by handling inbound calls with care, professionalism, and efficiency. This is a long-term contract position within the healthcare industry, requiring excellent communication skills and the ability to manage high call volumes in a fast-paced environment.<br><br>Responsibilities:<br>• Respond promptly to all incoming calls, ensuring each caller receives courteous and efficient service.<br>• Operate and maintain proficiency in telecommunications hardware, software, and relevant IT systems.<br>• Address emergency situations by initiating appropriate responses to safety alarms and codes.<br>• Deliver emergency announcements with clarity and urgency when required.<br>• Utilize communication tools effectively while considering the cultural and individual needs of callers.<br>• Assess and route calls accurately, maintaining a high standard of confidentiality and professionalism.<br>• Handle a high volume of calls daily, maintaining efficiency and attention to detail.<br>• Collaborate with team members to ensure smooth operations and exceptional service delivery.<br>• Monitor and escalate critical situations as necessary to ensure patient safety.<br>• Uphold organizational standards and protocols in all interactions.
<p>The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. </p><p>Essential Duties:</p><p>• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.</p><p>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.</p><p>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.</p><p>• Reverses balance to credit or debit if charges were improperly billed.</p><p>• Contacts insurance carriers as necessary to determine correct payment application.</p><p>• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.</p><p>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.</p><p>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.</p><p>• Communicates issues related to payment posting and refunds from payers to management.</p><p>• Updates correct payer and resubmits claims to the payers.</p><p>• Consistently meets/exceeds productivity and quality standards.</p><p>• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.</p><p>• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.</p><p>• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.</p><p>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.</p><p>• Special billing and collections for LOAs.</p><p>• Special billing and collections for Case Rates.</p><p>• Special billing and collections for Embassy Services.</p><p>• Performs other related duties as assigned by management team.</p>
<p>A Behavioral Health Company in Long Beach is in the need of a Lead Medical Billing Operations Coordinator. The Lead Medical Billing Operations Coordinator will oversee the daily operations of the billing department and ensure compliance with mental health contract requirements. The Lead Medical Billing Operations Coordinator must have behavioral health experience. </p><p><br></p><p>Responsibilities:</p><p>• Supervise and provide daily guidance to billing staff, ensuring adherence to established procedures.</p><p>• Conduct training, coaching, and performance evaluations for team members, supporting their growth and attention to detail.</p><p>• Review billing documentation and workflows to ensure accuracy and compliance with established protocols.</p><p>• Address claim denials by analyzing monthly revenue reports and implementing corrective measures.</p><p>• Collaborate with Quality Assurance staff to update administrative sections of client files as needed.</p><p>• Process electronic billing efficiently, ensuring clean and accurate claims using available technology.</p><p>• Reconcile billing reports for the Department of Mental Health and Behavioral Health Services, ensuring compliance with agency standards.</p><p>• Partner with the Billing Director to implement new procedures and provide operational feedback.</p><p>• Organize and facilitate departmental meetings and training sessions to improve team performance.</p><p>• Attend required meetings and training sessions to stay updated on internal and external systems relevant to billing operations.</p>
<p>Seeking a strong<strong> Billing</strong> professional for large growing law firm</p><p><br></p><p>ESSENTIAL DUTIES AND RESPONSIBILITIES:</p><p>• Billing. Handle billing activity for a group of attorneys. Monitor unbilled time and respond appropriately to problem accounts. Address any attorney/client situations as needed.</p><p>• <strong>eBilling</strong>. Manage eBilling responsibilities for assigned group of attorneys from invoice submission through collection and reporting.</p><p>• Reporting. Create/acquire ad hoc and other reports, as assigned. </p><p>• Process Improvement. Recommend process improvement opportunities and assist with implementation when needed.</p><p><br></p>