<p>We are looking for a highly skilled Certified Coder to join a fully remote team on a long-term contract basis. This role involves working remotely and collaborating with a dynamic team of certified coders and business analysts to support coding initiatives for benefit plans. The ideal candidate will bring a strong background in healthcare coding, exceptional attention to detail, and the ability to communicate effectively in a collaborative environment.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and assign appropriate codes to benefit plan language to ensure accuracy and compliance.</p><p>• Review and validate coding decisions made by team members for consistency and correctness.</p><p>• Lead discussions to resolve discrepancies and finalize coding documentation.</p><p>• Conduct audits on coding results and implement necessary adjustments to maintain quality standards.</p><p>• Actively participate in project meetings to provide insights and updates on coding processes.</p><p>• Collaborate with cross-functional teams to align coding practices with organizational goals.</p><p>• Stay updated on coding and reimbursement methodologies, including ICD-10, CPT codes, and HCPCS.</p><p>• Provide input and support for managed care projects and related coding requirements.</p><p>• Create and maintain documentation related to coding processes and audit findings.</p><p>• Utilize tools like Word, Excel, and PowerPoint to prepare reports and communicate findings.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract role, you will play a vital part in ensuring accurate billing processes and maintaining financial integrity within our healthcare facility. If you have a strong background in medical billing and are detail-oriented, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims to insurance providers accurately and in a timely manner.</p><p>• Review and resolve billing discrepancies to ensure compliance with regulations.</p><p>• Communicate with patients and insurance companies to address inquiries related to billing.</p><p>• Maintain up-to-date records of payments, adjustments, and outstanding balances.</p><p>• Collaborate with healthcare providers to verify coding and documentation for billing purposes.</p><p>• Generate detailed financial reports to support internal audits and reviews.</p><p>• Monitor claim statuses and follow up on denied or delayed payments.</p><p>• Ensure adherence to industry standards and organizational policies in all billing activities.</p><p>• Provide support for system updates or transitions related to billing processes.</p><p>• Assist in the development and improvement of billing procedures to enhance efficiency.</p>
<p>We are looking for a dedicated Medical Billing Specialist. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient processing of medical claims, helping the organization maintain compliance and achieve timely reimbursements. This role requires a keen eye for detail and a strong understanding of medical billing processes and terminology.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit accurate medical claims to insurance providers for reimbursement.</p><p>• Verify patient information, including demographics and insurance details, to ensure claims are processed correctly.</p><p>• Review denied or unpaid claims, identify issues, and submit appeals to resolve discrepancies.</p><p>• Communicate effectively with insurance companies, patients, attorneys, and healthcare providers to address billing inquiries.</p><p>• Maintain compliance with patient confidentiality regulations and organizational standards.</p><p>• Monitor and manage accounts receivable, ensuring timely follow-up on outstanding balances.</p><p>• Collaborate with team members to improve billing procedures and enhance operational efficiency.</p><p>• Maintain accurate records of billing activities and updates within electronic medical systems.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring the accuracy and efficiency of medical billing and claims processes, contributing to the financial health of our organization. This opportunity is ideal for professionals with a strong background in billing and coding who thrive in detail-oriented environments. This is a <strong>part-time</strong> opportunity only. </p><p><br></p><p>Responsibilities:</p><p>• Process medical claims with precision, ensuring compliance with billing regulations and payer guidelines.</p><p>• Verify patient insurance coverage and eligibility to facilitate proper claim submissions.</p><p>• Investigate and resolve discrepancies in billing and payment processes, maintaining accurate records.</p><p>• Collaborate with healthcare providers and insurance companies to address denied claims and secure reimbursements.</p><p>• Utilize medical coding systems and software to categorize procedures and diagnoses.</p><p>• Manage collections by following up on outstanding payments and negotiating resolutions.</p><p>• Monitor and update billing systems to reflect current codes and policies.</p><p>• Generate detailed billing reports to support financial analysis and decision-making.</p><p>• Maintain strict confidentiality of patient and financial information while adhering to HIPAA regulations.</p>
<p>We are looking for an experienced Medical Biller/ AR specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.</p><p><br></p><p>Responsibilities:</p><p>• Perform multi-specialty coding with precision to ensure timely submission of claims.</p><p>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.</p><p>• Develop and implement an audit process to validate clinical documentation and coded data integrity.</p><p>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.</p><p>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.</p><p>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.</p><p>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.</p><p>• Prepare and analyze monthly aging reports to support financial oversight.</p><p>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.</p><p>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Boardman, Ohio. This Contract to permanent position requires expertise in managing insurance claims, including Medicaid and CareSource, while ensuring accuracy and efficiency in billing processes. The ideal candidate will bring strong organizational skills, a customer-focused approach, and the ability to work collaboratively in a healthcare environment.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately to insurance providers, including Medicaid and CareSource.<br>• Investigate and resolve unpaid or denied claims by communicating effectively with insurance companies.<br>• Review patient bills for completeness and correctness, obtaining additional information when necessary.<br>• Ensure compliance with healthcare regulations and maintain patient confidentiality at all times.<br>• Collaborate with healthcare professionals and insurance representatives to secure timely reimbursements.<br>• Process payments and adjustments in billing systems with precision.<br>• Address inquiries from patients and insurance providers promptly and professionally.<br>• Maintain organized records of billing activities and follow established protocols.
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Phoenix, Arizona. This position requires experience with EZClaim and involves managing specialized billing processes for Medicaid within a homecare setting. This is a Contract position, offering the opportunity for a long-term career with our organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage Medicaid billing for a targeted segment of codes within the homecare industry.</p><p>• Utilize EZClaim software to track client services and export data for invoice generation.</p><p>• Consolidate invoices from multiple service providers into a unified billing structure for accuracy.</p><p>• Identify and resolve discrepancies in QuickBooks, ensuring financial records align with actual sales.</p><p>• Maintain subsidiary ledgers and ensure proper flow of information between EZClaim and QuickBooks.</p><p>• Generate and analyze financial reports using QuickBooks Desktop Enterprise.</p><p>• Collaborate with remote team members to address billing and reporting challenges.</p><p>• Improve efficiency and accuracy in financial processes related to client services.</p><p>• Ensure compliance with billing regulations and financial reporting standards.</p><p>• Assist in troubleshooting software issues and optimizing system performance.</p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. Based in Brockton, Massachusetts, this position offers the opportunity to contribute to the efficient management of medical billing operations while ensuring compliance with industry standards. If you possess strong expertise in medical billing and coding, we encourage you to apply.<br><br>Responsibilities:<br>• Process and submit medical claims accurately and in a timely manner to ensure smooth billing operations.<br>• Review and analyze patient accounts to address discrepancies and resolve billing issues.<br>• Collaborate with insurance companies and healthcare providers to verify claim statuses and payments.<br>• Utilize EPACES and other billing systems to manage electronic submissions effectively.<br>• Conduct follow-ups on outstanding claims and collections to secure timely reimbursements.<br>• Ensure compliance with medical billing regulations and maintain accurate documentation.<br>• Provide support in coding procedures to ensure proper categorization of medical services.<br>• Assist in the preparation of reports related to billing activities and financial performance.<br>• Communicate with patients to clarify billing inquiries and address concerns.<br>• Maintain updated knowledge of industry standards and insurance policies to optimize billing practices.
We are looking for an experienced SNF Billing Specialist to join our team on a long-term contract basis. This role involves managing skilled nursing facility billing processes with precision and efficiency. The position is based in Kansas City, Missouri, and offers the opportunity to contribute to a dynamic healthcare environment.<br><br>Responsibilities:<br>• Handle billing processes for skilled nursing facilities, ensuring accuracy and compliance with healthcare regulations.<br>• Review and submit medical claims through electronic systems, including Epaces, to secure timely reimbursements.<br>• Manage collections and resolve outstanding balances while maintaining strong communication with insurance companies.<br>• Utilize medical coding expertise to ensure claims are correctly categorized and processed.<br>• Maintain detailed records and documentation for all billing activities.<br>• Analyze billing data using Excel formulas to identify trends and discrepancies.<br>• Collaborate with internal teams to address billing issues and optimize workflows.<br>• Keep up-to-date with industry standards and changes in billing practices.<br>• Provide support in resolving billing disputes and appeals.<br>• Ensure confidentiality and security of patient and financial information.
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Cincinnati, Ohio. This position plays a vital role in ensuring accurate and timely processing of medical claims for adult care and therapy services. The ideal candidate will bring expertise in billing systems, government healthcare payers, and commercial insurance claims.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently.</p><p>• Investigate and resolve claim denials, ensuring timely follow-up and appeals.</p><p>• Manage invoicing operations for both government payers and commercial insurers.</p><p>• Monitor reimbursement processes and address discrepancies to ensure proper payments.</p><p>• Handle Medicaid and Medicare billing with precision and compliance.</p><p>• Collaborate with team members to optimize billing workflows and minimize errors.</p><p>• Track claim statuses and maintain detailed records of billing activities.</p><p>• Ensure adherence to healthcare billing regulations and policies.</p><p>• Provide support in resolving complex billing issues that may arise.</p><p>• Communicate effectively with payers to clarify billing concerns or discrepancies.</p>
<p>Robert Half Contract Finance and Accounting is looking for a skilled Billing Specialist to join our client in Reno, Nevada. In this Contract to permanent position, you will play a pivotal role in managing billing operations, ensuring accuracy in financial transactions, and maintaining client confidentiality. This opportunity is ideal for individuals with expertise in medical billing and a strong ability to handle detailed financial reconciliations.</p><p><br></p><p>Responsibilities:</p><p>• Analyze aging reports to ensure timely payments and resolve any outstanding balances before they become problematic.</p><p>• Manage self-pay accounts by reconciling individual accounts, posting payments, and addressing customer inquiries regarding balances and refunds.</p><p>• Process refunds and reconcile accounts on a weekly basis, while also generating client credit reports monthly.</p><p>• Balance payments with credit card receipts and provide detailed reports to the bookkeeping team.</p><p>• Handle secondary insurance billing by reconciling monthly aging reports, creating and submitting claims, and retrieving Explanation of Benefits (EOBs) while maintaining confidentiality.</p><p>• Submit manual claims when required and assist with posting payments to accounts.</p><p>• Investigate rejected claims, initiate appeals, and make corrections to ensure successful processing.</p><p>• Maintain a meticulous and efficient interaction with employees and directors across the organization.</p><p><br></p><p>If interested, please apply today and for immediate consideration call Keisha White at 775-828-0969</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team at a healthcare facility in Fayettevlle, North Carolina. In this long-term contract position, you will play a crucial role in managing billing processes and ensuring accuracy in financial transactions. This is an excellent opportunity for professionals with experience in medical billing who are eager to contribute to the smooth operation of a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with accuracy and efficiency.</p><p>• Verify patient insurance coverage and eligibility for services.</p><p>• Resolve billing discrepancies and follow up on unpaid claims to ensure timely payments.</p><p>• Maintain detailed records of financial transactions and patient accounts.</p><p>• Collaborate with healthcare providers to ensure proper coding and documentation for billing purposes.</p><p>• Respond to inquiries from patients and insurance companies regarding billing issues.</p><p>• Analyze billing reports to identify patterns and improve processes.</p><p>• Ensure compliance with industry regulations and standards in all billing activities.</p><p>• Participate in audits and reviews to ensure accuracy and compliance.</p><p>• Provide support and training to staff on billing procedures as needed.</p>
<p>A growing dermatology billing group is seeking an experienced <strong>Accounts Receivable & Medical Appeals Specialist</strong> to support multiple dermatology practices across Southwest Florida. This role is ideal for someone who is confident in working insurance denials, submitting appeals, and managing AR follow-up in a fast-paced environment.</p><p>This is <strong>100% onsite</strong> and requires someone reliable, organized, and comfortable working in a structured office setting.</p><p><br></p><p><strong>Position Summary</strong></p><p>The Accounts Receivable Medical Billing Specialist is responsible for resolving outstanding insurance balances, following up on unpaid claims, and preparing appeals to ensure accurate reimbursement. The ideal candidate has strong knowledge of medical billing workflows, understands dermatology coding, and can work both independently and collaboratively.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Perform timely follow-up on unpaid or denied insurance claims</li><li>Research and resolve claim denials, underpayments, and outstanding AR</li><li>Prepare and submit insurance appeals with supporting documentation</li><li>Review EOBs, eligibility responses, and claim status updates</li><li>Communicate with commercial and government insurance payers</li><li>Document all billing activity and follow-up actions accurately</li><li>Assist with patient billing inquiries (minimal in-person interaction)</li><li>Support AR and billing needs for multiple dermatology practices</li><li>Build and maintain positive relationships with providers and internal teams</li><li>Follow established RCM procedures and compliance guidelines</li></ul><p><br></p>
<p>We are looking for a skilled SNF Medicaid Biller to join our team in Lemont, Illinois. This long-term contract position involves handling various aspects of Medicaid billing for skilled nursing facilities, ensuring accuracy in claims submission and payment reconciliation. The ideal candidate will have a strong understanding of Medicaid regulations, excellent attention to detail, and the ability to communicate effectively with multiple stakeholders.</p><p><br></p><p>Responsibilities:</p><p>• Accurately prepare and submit Medicaid claims for skilled nursing facility residents within established deadlines.</p><p>• Monitor claim statuses, identify errors or rejections, and take corrective actions to ensure timely resubmission.</p><p>• Analyze aging reports to track outstanding balances and initiate follow-ups on unpaid or incorrectly paid claims.</p><p>• Reconcile payments, adjustments, and patient responsibility amounts to maintain accurate account records.</p><p>• Collaborate with admissions, social services, and finance teams to verify resident eligibility and payer status.</p><p>• Engage with Medicaid representatives and managed care organizations to resolve coverage issues and obtain prior authorizations.</p><p>• Maintain thorough documentation of claim statuses, correspondence, and related records.</p><p>• Ensure compliance with state and federal Medicaid regulations in all billing processes.</p><p>• Address denials by initiating appeals or reconsiderations as necessary.</p><p>• Provide support to facility staff and residents' families regarding billing inquiries.</p><p><br></p><p>The salary range for this position is $25/hr to $30/hr. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
<p>East Valley medical practice is seeking a Medical Billing Manager for an immediate contract to hire opportunity. The job duties include:</p><ul><li>Oversee end‑to‑end revenue cycle operations for four medical offices, ensuring accurate and timely billing, coding, and reimbursement.</li><li>Lead, mentor, and develop a team of billing specialists, providing performance management, training, and workflow guidance.</li><li>Monitor daily claims submission, payment posting, denials, and appeals processes to maximize revenue capture.</li><li>Ensure compliance with federal/state regulations, payer requirements, HIPAA, and internal billing policies.</li><li>Analyze revenue cycle metrics and produce regular reporting on AR aging, collection rates, denial trends, and cash flow performance.</li><li>Partner with office managers and physicians to resolve billing discrepancies, coding issues, and documentation gaps.</li><li>Implement process improvements to streamline billing operations and reduce denials or delays.</li><li>Serve as the primary escalation point for complex billing questions, payer disputes, and patient billing concerns.</li><li>Manage relationships with insurance carriers, ensuring timely resolution of claim issues and staying current on payer changes.</li><li>Oversee month‑end close activities related to billing, including reconciliation, audit review, and variance analysis.</li></ul>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</p>
<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>
We are looking for a diligent and detail-oriented Medical Secretary to join our team on a long-term contract basis in Rensselaer, New York. In this role, you will play a key part in managing medical documentation, facilitating communication between various departments, and ensuring accuracy in billing and invoicing processes. This position offers an opportunity to work in an environment that values precision and attention to detail while utilizing your expertise in medical terminology and administrative procedures.<br><br>Responsibilities:<br>• Serve as a communication point between providers, billers, medical offices, and other related departments.<br>• Review and process patient billing details, ensuring accuracy in procedural codes and charges.<br>• Verify that medical services align with established fee schedules and adjust invoices when necessary.<br>• Collaborate with the Bureau of Health Services to confirm documentation related to billed services.<br>• Maintain agreements with providers to ensure adherence to fee schedules.<br>• Audit invoices to confirm correct application of agreed-upon fees.<br>• Handle correspondence related to vendor billing and invoices, ensuring timely processing.<br>• Organize and deliver invoices and billing documentation to the appropriate personnel.
<p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>
<p>We are seeking a detail-oriented and experienced <strong>RCM Eligibility Specialist</strong> to join our team on a <strong>contract-to-hire</strong> basis. This <strong>fully remote</strong> position plays a critical role in ensuring the timely and accurate financial clearance of patient accounts.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has a strong background in eligibility verification, claim error resolution, and clean claim submission.</p><p><br></p><p><strong>Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><ul><li>Conduct thorough reviews of patient insurance coverage and benefit eligibility for laboratory services.</li><li>Communicate with teammates, clinics, patients, and insurance companies to verify coverage and resolve discrepancies.</li><li>Accurately document eligibility information within the revenue cycle management system.</li></ul><p><strong>2. Claim Error Processing</strong></p><ul><li>Analyze and resolve claim errors identified by the RCM system, including coding and billing discrepancies.</li><li>Collaborate with teammates to resolve errors and ensure compliance with internal policies and procedures.</li><li>Identify and resolve issues related to medical necessity.</li><li>Perform other duties as assigned.</li></ul>
<p>We are looking for a dedicated Revenue Cycle Analyst to join our team near Oak Brook, Illinois, on a contract-to-permanent basis. This role is critical in ensuring the accuracy and compliance of revenue operations within a healthcare setting. The ideal candidate will play a key part in optimizing financial processes, supporting charge capture, and collaborating across departments to enhance operational efficiency and transparency.</p><p><br></p><p>Responsibilities:</p><p>• Ensure daily revenue integrity activities, including accurate and compliant charge capture processes.</p><p>• Research and design training programs to educate staff on best practices for revenue integrity.</p><p>• Conduct detailed reviews of revenue processes, presenting findings and recommending actionable improvements to leadership.</p><p>• Collaborate with Charge Description Master teams to maintain and update charge master systems.</p><p>• Develop performance reports and analytics to monitor charge capture activities and departmental compliance.</p><p>• Stay informed on regulatory changes affecting reimbursement and adjust revenue integrity strategies accordingly.</p><p>• Partner with departments such as Supply Chain, Clinical Operations, and Finance to enhance charge capture and revenue recognition.</p><p>• Provide insights and recommendations for strategic pricing and reimbursement initiatives based on thorough data analysis.</p><p>• Maintain dashboards to track revenue integrity efforts, compliance trends, and financial performance.</p><p>• Act as a subject matter expert to support staff in navigating operational and financial challenges related to revenue processes.</p>
<p>Robert Half is seeing skilled, data-oriented candidates for a long-term contract with a large financial client <strong><u>onsite in</u></strong> Brooklyn, NY! In this <strong><u>Medical Data Entry Clerk</u></strong> role, you will be responsible for high volumes of data entry. The <strong><u>Medical Data Entry Clerk</u></strong> will manage review, auditing, and analytics of healthcare documentation. This is a long-term opportunity with the chance for a permanent role - apply to become a <strong><u>Medical Data Entry Clerk</u></strong> today!</p><ul><li>Reviewing and auditing documentation for the correct information</li><li>Extracting and manually keying in data</li><li>Reviewing records for correct coding</li><li>Reviewing and auditing medical claims and EOBs</li></ul><p><br></p>
