<p>Our client is seeking an IT Auditor to evaluate technology controls, identify risks, and support compliance initiatives across the organization. This role will partner closely with IT, security, and business stakeholders to ensure effective governance and control processes.</p><p>Responsibilities</p><ul><li>Conduct IT audits focused on infrastructure, applications, cybersecurity, and operational controls.</li><li>Assess compliance with internal policies and regulatory requirements.</li><li>Document findings, risks, and remediation recommendations.</li><li>Review user access controls, change management processes, and security controls.</li><li>Support SOX, PCI, HIPAA, or other regulatory audits as applicable.</li><li>Prepare audit reports and communicate findings to leadership.</li></ul><p><br></p>
We are looking for an experienced IT Auditor to join our team in Cincinnati, Ohio. In this role, you will conduct risk-based audits and integrated reviews of systems, applications, and cybersecurity controls to ensure compliance and identify areas for improvement. You will also collaborate with external and regulatory auditors while maintaining strong relationships with internal business units.<br><br>Responsibilities:<br>• Conduct risk-based audit procedures across various scheduled projects, ensuring adherence to approved audit programs and high standards.<br>• Analyze and document the internal controls of both manual and automated systems, identifying strengths and areas for improvement.<br>• Prepare detailed audit work papers that thoroughly document tests performed and comply with departmental guidelines.<br>• Draft comprehensive reports, including summary memoranda and recommendations, that outline findings and provide actionable solutions.<br>• Lead small to medium-sized audit projects, supervising staff auditors and interns as needed.<br>• Evaluate cybersecurity controls and management systems to ensure protection against risks and vulnerabilities.<br>• Assist external and regulatory auditors by providing necessary documentation and insights.<br>• Maintain effective communication and collaboration with business unit management to address audit findings and recommendations.<br>• Stay up-to-date on industry standards and emerging technologies to enhance audit processes.
<p>obert Half is seeking a detail-oriented <strong>Medical Accounts Receivable (AR) Specialist</strong> for a role focused on claims review, underpayment analysis, and reimbursement resolution. This position is ideal for someone who thrives in a fast-paced environment, enjoys investigative work, and can manage the full lifecycle of claim review from research through resolution.This position is <strong>onsite</strong> but does have the potential to be hybrid following the training period (2 days from home and 3 days onsite)</p><p><br></p><p><strong>Hours</strong>: 7a-930a start time – then work your 8 hours + Flex Time</p><p><br></p><p>Responsibilities include: </p><ul><li>Review, verify, and audit documentation including EOBs, payer contracts, and out-of-state hospital claims to identify underpayments and reimbursement discrepancies.</li><li>Investigate why claims were underpaid and determine the root cause, including payer processing issues or hospital contract load discrepancies.</li><li>Escalate claim issues as needed to support recovery of underpayments owed by insurance carriers.</li><li>Lead the claims review process from initial investigation through final resolution while working with both internal teams and external partners, including hospitals and insurance groups.</li><li>Organize and analyze claim information to ensure complete and efficient processing.</li><li>Manage an assigned portion of client accounts and maintain ownership of claim outcomes.</li><li>Collaborate with team members to identify new ways to leverage internal technology, improve workflows, and create more efficient solutions.</li><li>Bring a fresh perspective to current processes and recommend improvements where appropriate.</li></ul><p><br></p><p><br></p>
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join a physician billing team in Jacksonville, Florida. This contract-to-permanent opportunity is ideal for someone who thrives in a fast-paced healthcare environment and can manage a high volume of claim follow-up with accuracy and urgency. The person in this role will work closely with payer portals and internal billing systems to research outstanding balances, resolve claim issues, and support steady cash flow through effective accounts receivable management.<br><br>Responsibilities:<br>• Review and follow up on outstanding physician claims to identify delays in payment and drive timely resolution.<br>• Use Availity, insurance carrier websites, and billing platforms such as eClinicalWorks or Insync to investigate claim status and determine next steps.<br>• Analyze denials, underpayments, and unpaid accounts, then take corrective action through appeals, rebilling, or payer outreach.<br>• Post, reconcile, and track cash activity to ensure payments are applied accurately within the accounts receivable process.<br>• Communicate with insurance companies to clarify coverage, verify processing outcomes, and resolve reimbursement discrepancies.<br>• Maintain organized documentation of account activity, claim research, and collection efforts within the EMR or billing system.<br>• Collaborate with a small team to manage a large workload while meeting productivity and quality expectations.<br>• Support billing operations by identifying trends in claim issues and escalating recurring problems that affect reimbursement.<br>• Assist with medical collections efforts for commercial payers and help reduce aging accounts receivable balances.
<p>A leading hospital in Los Angeles is seeking a detail-oriented Managed Care Medical Billing Specialist to join its revenue cycle team. This role is responsible for ensuring accurate and timely claim submission, follow-up, and resolution of managed care billing issues. The ideal Managed Care Medical Billing Specialist will have strong knowledge of medical billing processes, payer requirements, and accounts receivable follow-up within a hospital environment. </p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Demonstrate the ability to determine the accuracy of pertinent medical, coding, eligibility, authorization, demographic, and financial information, and make any required corrections. </li><li>Determine payer documentation requirements for payment and ensure all necessary supporting documentation is available for claim submission. </li><li>Transmit and submit clean claims to payers within three working days of receipt, while maintaining a productivity standard of 200 claims per day.</li><li>Update the computer system to reflect claim submission and transmission activity. </li><li>Review payer correspondence and provide corrections and/or additional documentation within three working days. </li><li>Review payment data for suspensions, underpayments, and denials, and submit appropriate responses, including corrected insurance forms and rebills as needed. </li><li>Review bi-monthly accounts receivable reports to identify claims that have been submitted but remain unresolved or unacknowledged, as well as claims that have not yet been submitted, and take appropriate action to ensure timely resolution</li><li>Preepare adjustments needed to ensure account balances reflect payable amounts and forward them to management for review and authorization. </li></ul><p><br></p>
<p>Robert Half is partnering with a St. Paul, Minnesota based healthcare client that is in search of a Professional Coding Specialist in a fully remote capacity for 3+ months. Candidates with prior hospital coding experience that have supported physician groups, specialty clinics or who have done complex chart review to ensure all codes are captured are encouraged to apply. The ideal candidate will bring strong outpatient coding knowledge, sound judgment, and a well rounded understanding of the full revenue cycle process. </p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Analyze and interpret complex medical records and physician notes to assign accurate procedure and diagnosis codes.</li><li>Apply evaluation and management, diagnostic, and procedural coding standards.</li><li>Ensure codes are accurately assigned for insurance claim processing and reimbursement.</li><li>Identify and resolve coding and billing errors with strong attention to detail.</li><li>Ensure coding practices align with hospital policies and government regulations.</li><li>Communicate clearly with staff across diverse departments and functions regarding coding issues.</li><li>Handle both routine and complex coding concerns using sound problem-solving skills.</li><li>Maintain productivity and manage workload independently with strong organizational skills.</li><li>Adapt to changing responsibilities and evolving job requirements.</li><li>Collaborate with team members while also working effectively with minimal supervision.</li><li>Take a proactive approach to completing assignments accurately and on time.</li></ul>
We are looking for a detail-oriented Medical Records Clerk to support healthcare documentation activities in Margate, Florida. This Contract position is ideal for someone who can manage patient records with accuracy, protect confidential information, and keep filing systems organized across both paper and electronic formats. The role plays an important part in helping the office respond efficiently to authorized record requests, billing-related inquiries, and daily administrative needs.<br><br>Responsibilities:<br>• Maintain patient charts and medical documentation in accordance with organizational standards and recordkeeping practices.<br>• Organize, file, and retrieve records across physical and electronic systems so information is accessible when needed.<br>• Process incoming and outgoing chart materials while verifying completeness, accuracy, and proper classification.<br>• Fulfill authorized requests for medical information and ensure releases are handled in line with privacy and compliance requirements.<br>• Coordinate the storage and movement of records between on-site files, off-site archives, and external service providers.<br>• Support billing and administrative teams by providing documentation needed for information requests and follow-up activities.<br>• Perform routine quality reviews to identify discrepancies, correct filing issues, and maintain reliable data integrity.<br>• Monitor recordkeeping equipment and office tools, reporting issues or arranging support to avoid workflow interruptions.<br>• Contribute to daily departmental operations by meeting deadlines, handling sensitive information responsibly, and collaborating on shared projects.
<p>We are looking for a meticulous and organized Medical Records Clerk to join our team in Eden Prairie, Minnesota. In this long-term contract position, you will play a key role in managing patient medical records to ensure accuracy and compliance with regulations. This is an excellent opportunity for an individual with strong attention to detail and experience in electronic medical record systems.</p><p><br></p><p>Responsibilities:</p><p>• Maintain and update patient medical records with precision and accuracy.</p><p>• Ensure compliance with healthcare regulations and organizational standards in record management.</p><p>• Utilize electronic medical record systems, including Allscripts and Cerner, to manage and retrieve data.</p><p>• Collaborate with healthcare staff to provide timely access to patient information.</p><p>• Protect the confidentiality of patient records by adhering to strict privacy policies.</p><p>• Perform regular audits to verify the completeness and accuracy of records.</p><p>• Assist in transitioning paper records to electronic systems, where applicable.</p><p>• Respond to record requests from authorized personnel promptly and efficiently.</p><p>• Troubleshoot system-related issues to ensure seamless access to medical records.</p>
<p>Robert Half Management Resources is currently looking for a Sr. IT Auditor to support a contract (potential contract to hire) role with a client in Westerville, Ohio. This onsite position will play a central role in strengthening compliance, evaluating internal controls, and supporting audit readiness across the organization. Role includes general internal IT Audit responsibilities to include performing walkthroughs, testing controls, documenting results, and communication with key stakeholders. Must be local to Columbus, OH area.</p><p><br></p><p>Responsibilities:</p><p>• Direct the company’s SOX compliance activities by coordinating risk evaluations, documenting controls, overseeing testing, and tracking remediation efforts.</p><p>• Plan and execute internal audit engagements from initial scoping through final reporting, ensuring findings are clearly communicated and timely follow-up actions are completed.</p><p>• Partner with external auditors by preparing requested materials, supporting walkthroughs, and facilitating testing related to compliance and internal controls.</p><p>• Assess operational, financial, and IT-related processes to identify control gaps, compliance concerns, and opportunities to reduce organizational risk.</p><p>• Recommend practical improvements to policies, procedures, and control frameworks that enhance accountability and strengthen audit readiness.</p><p>• Monitor identified deficiencies and work with cross-functional stakeholders to develop, implement, and validate corrective actions.</p><p>• Provide guidance to business partners on compliance expectations, risk awareness, and effective control practices across key processes.</p><p>• Communicate audit results, risk themes, and control observations to leadership in a clear and actionable manner.</p>
We are looking for an experienced Sr. IT Auditor to join a Financial Services organization in Greer, South Carolina in a Contract to permanent capacity. This role is ideal for someone who can evaluate technology controls, provide practical audit guidance, and communicate effectively with both technical teams and business stakeholders. The position offers the opportunity to support a broad internal audit program, contribute to compliance-focused reviews, and help strengthen IT risk management practices within a collaborative hybrid work environment.<br><br>Responsibilities:<br>• Lead IT audit activities by planning walkthroughs, performing control testing, and documenting results across key technology and compliance areas.<br>• Partner with control owners, system users, and business leaders to assess processes, clarify risks, and recommend practical improvements.<br>• Support and help drive the IT SOX program by monitoring control effectiveness, identifying gaps, and promoting timely remediation efforts.<br>• Contribute to multiple audit engagements throughout the year, including reviews tied to compliance systems and broader IT governance objectives.<br>• Translate technical control concepts into clear business language so stakeholders can understand issues, impact, and recommended actions.<br>• Apply recognized audit and risk frameworks, such as ITGC, COBIT, and related methodologies, to strengthen audit quality and consistency.<br>• Provide advisory input beyond testing by identifying opportunities to improve controls, efficiency, and overall risk awareness.<br>• Assist with team continuity and evolving audit priorities as responsibilities are consolidated within the broader internal audit function.
We are looking for an experienced IT audit specialist to strengthen the organization’s technology control environment in Scottsdale, Arizona. This position focuses on reviewing IT controls tied to financial reporting, core business systems, and enterprise risk while using analytics and sound judgment to uncover improvement opportunities. The role offers meaningful exposure across the business and suits someone who works independently, communicates confidently, and brings a practical, risk-focused perspective to audit activities.<br><br>Responsibilities:<br>• Contribute to the development of the annual internal audit roadmap by providing insight on risk areas, audit priorities, and staffing needs.<br>• Plan and carry out IT audit work covering general controls, application controls, and technology-related risks with limited day-to-day direction.<br>• Evaluate the design and effectiveness of controls that support financial reporting, operational processes, and broader risk management objectives.<br>• Partner with business and technology teams to identify root causes, define corrective actions, and monitor open issues until resolution.<br>• Coordinate with internal stakeholders and external auditors to align testing approaches, exchange documentation, and support efficient audit delivery.<br>• Provide objective guidance on risk and control matters by asking thoughtful questions and offering well-supported recommendations.<br>• Develop a strong understanding of enterprise systems, infrastructure, and key applications to better assess control exposure and business impact.<br>• Use data analysis techniques and automation tools to improve audit coverage, increase efficiency, and generate deeper operational insight.<br>• Support special projects and emerging risk reviews, including areas such as cybersecurity, automation, and system implementation oversight.
We are looking for a detail-oriented Data Entry Clerk- Audit to support accurate data processing and record review for a Long-term Contract position in Rochester, New Hampshire. This role is ideal for someone who works carefully with high-volume information, maintains consistency across entries, and is comfortable using computer-based systems throughout the day. The successful candidate will help ensure data is entered, verified, and organized correctly while supporting audit-related administrative tasks.<br><br>Responsibilities:<br>• Enter large volumes of numeric and text-based information into computer systems with a high degree of accuracy.<br>• Review records for completeness, identify discrepancies, and correct data issues before final submission.<br>• Maintain organized electronic files and update database entries in accordance with established procedures.<br>• Compare source documents against system records to confirm information is consistent and audit-ready.<br>• Perform routine quality checks to help preserve data integrity across multiple records and reports.<br>• Support audit activities by preparing, tracking, and validating documentation as requested.<br>• Meet daily productivity expectations while following data handling standards and internal guidelines.
<p>Are you a detail-oriented multitasker looking to grow in the healthcare field? We’re hiring a<strong> Medical Records Associate</strong> to join a dedicated and supportive team at a well-established clinic. In this role, you’ll play a crucial part in supporting patient care by managing critical medical documents and assisting healthcare providers and patients. </p><p><br></p><p><strong>Why You’ll Love This Role:</strong></p><ul><li>Monday-Friday schedule with no weekends!</li><li>Join a team that values your hard work and attention to detail.</li><li>Hands-on training in healthcare systems you can take with you anywhere.</li><li>Located conveniently in Moline, IL—close to transportation with free parking.</li></ul><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Organize and Manage Medical Records: Scanning, uploading, and routing patient documents like labs or imaging.</li><li>Stay Organized in a Fast-Paced Role: Answer incoming calls to respond to requests for medical records and communicate with team members to route requests.</li><li>Be the Link Between Providers and Patients: Sort mail, handle deliveries, and distribute documents across the clinic.</li></ul><p><br></p><p>Help us create a smooth, efficient process for patients and providers. If you’re ready to contribute to a team where you can make a difference, apply here or reach out to our friendly team today at (563) 359-7535 - Erin, Christin and McKinzie are great points of contact for this role and love to help candidates land great opportunities!</p>
<p>Robert Half is seeking an Internal Auditor with deep Digital Assets Audit experience.</p><p>Does this sound like you?</p><ul><li>the audit covers governance & strategy, internal blockchain platforms, and tokenized payments.</li><li>Large bank/financial services industry experience </li><li>Walkthroughs, testing, sampling</li></ul>
<p>We are seeking an experienced <strong>Senior IT Auditor</strong> with active <strong>CISSP</strong> and <strong>CISA</strong> certifications to lead complex IT general controls (ITGC), application, infrastructure, and emerging technology audits. This role combines deep technical expertise with risk-based auditing to assess the design and operating effectiveness of controls across cloud platforms, cybersecurity programs, data governance, and third-party ecosystems. The ideal candidate thrives in dynamic environments, communicates findings to executive leadership, and drives remediation in partnership with IT, security, and business stakeholders.</p><p> </p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Lead end-to-end IT audits</strong> including planning, scoping, fieldwork, testing (design & operating effectiveness), and reporting for SOX 404, SOC 2, ISO 27001, NIST, and internal risk-based audits.</li><li>Evaluate <strong>ITGCs</strong> across ERP systems (SAP, Oracle, NetSuite), cloud environments (AWS, Azure, GCP), Active Directory, databases, and network infrastructure.</li><li>Perform <strong>integrated audits</strong> combining financial, operational, and IT controls with cross-functional audit teams.</li><li>Assess <strong>cybersecurity controls</strong> (identity/access management, encryption, vulnerability management, incident response, zero trust architecture).</li><li>Conduct <strong>third-party risk assessments</strong> and review vendor SOC reports, contracts, and SLA compliance.</li><li>Identify control gaps, quantify risk, and draft actionable, prioritized recommendations.</li><li>Present audit findings and remediation plans to <strong>C-suite, Audit Committee, and Board-level stakeholders</strong>.</li><li>Mentor junior auditors and co-source resources; review workpapers for quality and completeness.</li><li>Stay ahead of emerging risks: AI/ML governance, quantum computing threats, ransomware frameworks, and GenAI security.</li><li>Support <strong>data analytics</strong> in audits using tools like ACL, IDEA, Power BI, or Python/SQL for continuous auditing.</li></ul><p><br></p>
<p>We are looking for a Patient Admin Specialist (PAS)/Medical Scheduler to support front-office operations for an outpatient clinic in Palo Alto, California. This short-term Contract position focuses on delivering a welcoming patient experience while coordinating registration, scheduling, and essential administrative support. The ideal candidate is organized, responsive, and comfortable managing a high-volume environment with professionalism and accuracy.</p><p><br></p><p>The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced, high-volume healthcare environment while providing excellent patient service.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Review Epic scheduling reports and work queues to identify patients requiring pre-anesthesia appointments </li><li>Contact patients via phone to schedule appointments in a timely, professional manner </li><li>Determine appropriate appointment types (in-person vs. virtual) based on established guidelines </li><li>Accurately document all scheduling activities within Epic </li><li>Request and track medical records, ensuring proper documentation in the system </li><li>Collaborate with schedulers, patient care coordinators, and clinical teams to optimize workflows </li><li>Maintain high standards of customer service and patient communication </li><li>Follow clinic workflows, standard operating procedures, and escalation protocols </li></ul>
<p>We are looking for a personable and organized Medical Scheduler to support a busy healthcare practice in California. This role is ideal for someone who enjoys guiding patients through appointment coordination, treatment discussions, and financial planning in a clear and supportive way. The right candidate will build trust with patients, help them understand next steps, and contribute to a positive office experience while keeping daily scheduling and follow-up activities on track.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate patient appointments and maintain an accurate schedule to support smooth daily clinic operations.</p><p>• Speak with patients about recommended services, explain next steps, and help them understand available financial arrangements.</p><p>• Reach out to individuals who have delayed treatment decisions and provide timely follow-up to encourage continued care.</p><p>• Review patient information and verify insurance details, including benefit limits, exclusions, and coverage considerations.</p><p>• Update demographic and scheduling records in the system to ensure patient files remain complete and current.</p><p>• Handle incoming and outbound patient calls with professionalism, answering questions and assisting with appointment needs.</p><p>• Work closely with office staff to improve patient satisfaction, support care goals, and contribute to overall team performance.</p><p>• Assist with additional administrative and patient service tasks as needed to meet office needs.</p>
We are looking for a detail-oriented Medical Scheduler to support patient access operations in Michigan. This contract-to-permanent opportunity is ideal for someone who can balance accuracy, strong communication, and a service mindset while helping patients navigate scheduling and insurance-related questions. In this role, you will manage appointment activity, gather and confirm patient information, and provide clear guidance to ensure a smooth experience from first contact through pre-registration.<br><br>Responsibilities:<br>• Coordinate new, changed, and canceled appointments through the healthcare scheduling platform while keeping records current and accurate.<br>• Collect and confirm patient demographic, coverage, and financial details to support registration, billing, and payer requirements.<br>• Review pre-registration information for completeness, document updates promptly, and scan required materials into the appropriate systems.<br>• Perform live insurance eligibility checks, interpret payer responses, and explain authorization, referral, and pre-certification needs to patients.<br>• Place and receive calls to confirm visits, share preparation instructions, and improve patient access to services through responsive communication.<br>• Deliver courteous, attentive support during every patient interaction while following departmental service and service quality standards.<br>• Maintain accurate notes and records related to scheduling activity, insurance verification, and patient communications.<br>• Assist with additional administrative or patient access duties as needed to support daily operations.
<p>Our client, a community-focused healthcare organization, is seeking a <strong>Medical Scheduler</strong> to support daily front office operations in a fast-paced clinical environment. This position is responsible for coordinating patient appointments, managing check-in and check-out, verifying insurance information, collecting payments, and ensuring accurate patient data entry. The ideal candidate will bring strong administrative experience, excellent customer service skills, and the ability to thrive in a high-volume setting serving a diverse patient population.</p><p><br></p><p>This role is especially important within a Federally Qualified Health Center environment, where patients may require assistance with insurance verification, eligibility documentation, and access to affordable care services. The Medical Scheduler will help create an efficient, welcoming, and patient-centered experience while supporting providers and clinical staff.</p><p><br></p><p><strong>Hours: </strong></p><p>• Monday: 9a – 3pm</p><p>• Tuesday: 8am – 5pm</p><p>• Wednesday: 10am – 8pm</p><p>• Thurs: 8am – 5pm</p><p>• Fri: 8am – 2pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Schedule and confirm patient appointments</li><li>Manage patient check-in and check-out processes</li><li>Collect patient payments and prepare payment batches for posting</li><li>Verify insurance eligibility and enter insurance information accurately into the system</li><li>Gather and update patient demographic and registration details</li><li>Answer incoming calls, direct calls appropriately, and document messages</li><li>Monitor voicemail and respond or escalate as needed</li><li>Maintain accurate phone notes within patient records</li><li>Scan and upload documentation into electronic charts</li><li>Complete prior authorizations for insurance as required</li><li>Receive lab cases and coordinate pickups with lab vendors</li><li>Support medical records and other administrative functions as assigned</li><li>Provide front office coverage for absent team members when needed</li><li>Participate in staff meetings and team communications</li><li>Maintain an organized, professional, and confidential work environment</li><li>Deliver excellent service to patients, visitors, and coworkers</li><li>Perform additional duties as assigned</li></ul>
<p>We are looking for a detail-oriented Medical Scheduler to support patient access and appointment coordination for a busy oncology practice in San Luis Obispo, California. This contract position is ideal for someone who is comfortable managing a high volume of scheduling activity, communicating with patients and clinical teams, and helping ensure records are in place for timely care. The role requires strong organizational skills, professionalism, and the ability to work onsite Monday through Friday in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate appointments for new and existing patients, ensuring schedules are accurate and aligned with clinic availability.</p><p>• Respond to incoming calls promptly and follow up on messages to provide clear, timely assistance to patients and internal teams.</p><p>• Manage new patient referral intake and help guide cases through the scheduling process.</p><p>• Partner with departments across the organization to obtain medical documentation and support continuity of care.</p><p>• Maintain appointment and patient information within electronic health record and scheduling platforms with a high degree of accuracy.</p><p>• Work closely with oncology, hematology, and infusion teams to support efficient patient flow and treatment planning.</p><p>• Use office and clinical software tools to track communications, update records, and complete daily scheduling tasks.</p><p>• Provide courteous service to patients while helping resolve routine scheduling questions and access-related concerns.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis in Mt. Laurel Township, New Jersey. In this role, you will play a key part in managing billing and accounts receivable tasks for Medicare and Medicaid while ensuring accuracy and compliance with healthcare regulations. This position offers an excellent opportunity to contribute to the financial health of a respected organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims for Medicare and Medicaid reimbursement, ensuring accuracy and adherence to regulatory requirements.</p><p>• Monitor accounts receivable and follow up on outstanding claims to ensure timely payment.</p><p>• Investigate and resolve medical billing denials and appeal claims when necessary.</p><p>• Collaborate with healthcare providers and insurance companies to address discrepancies or issues in billing.</p><p>• Maintain accurate and up-to-date records of billing activities and payment statuses.</p><p>• Handle hospital billing tasks, including verifying patient information and coding procedures correctly.</p><p>• Provide support for resolving patient billing inquiries and concerns with strong attention to detail.</p><p>• Stay informed about changes in healthcare billing regulations and industry standards.</p><p>• Assist in identifying process improvements to enhance billing efficiency and reduce errors.</p>
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up.<br><br>Key Responsibilities:<br><br>Submit accurate and timely medical claims to insurance carriers and government payers<br>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies<br>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances<br>Investigate claim rejections and denials, and take corrective action for resubmission or appeal<br>Post payments, adjustments, and denials as needed<br>Communicate with payers, patients, and internal staff regarding billing questions and account resolution<br>Maintain compliance with billing regulations, payer requirements, and organizational policies<br>Support revenue cycle activities including claims review, payment reconciliation, and account research<br>Document collection activity and account status updates accurately in the billing system
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. <br> The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. <br> Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
Job Title: Medical Biller<br>Location: Plymouth, [State]<br>Job Type: permanent, Contract-to-permanent<br>Work Setting: Fully In-Office<br><br>Job Overview:** Our client in Plymouth is seeking a detail-oriented Medical Biller for a permanent, contract-to-permanent opportunity. This position is fully in-office and is ideal for someone with a strong medical billing background who is comfortable handling a high volume of claims activity, denials follow-up, and insurance communication.<br><br>The Medical Biller will play a key role in managing both back-end denials and front-end billing volume, helping to clean up outstanding claims and ensure timely reimbursement. This role requires strong analytical skills, persistence, and the ability to perform investigative work related to missing documentation and unresolved claims.<br><br>Key Responsibilities:<br><br>Open and sort incoming mail and scan documents into the system<br>Review and work medical billing denials to ensure claims are reprocessed appropriately<br>Analyze Explanation of Benefits (EOBs) and identify claim issues or discrepancies<br>Contact insurance companies to follow up on denied, missing, or unresolved claims<br>Investigate missing EOBs and perform research to determine next steps for claim resolution<br>Resubmit claims and manage billing corrections as needed<br>Handle a high volume of phone calls with insurance carriers, including extended hold times<br>Assist in cleaning up aged denials and supporting overall claims workflow<br>Prioritize back-end denial resolution while also supporting front-end billing volume<br>Maintain accurate documentation and status updates in the billing system<br>Learn and apply IOMN, perfusion, and NSA guidelines; training will be provided<br>Qualifications:<br><br>Minimum of 2 years of medical billing experience (Source: Based on general knowledge.)<br>Strong understanding of medical billing processes, denials management, and insurance follow-up<br>Experience reviewing and interpreting EOBs<br>Comfortable making frequent outbound calls to insurance companies<br>Ability to work independently and perform detailed investigative research on claims issues<br>Highly detail-oriented with strong organizational skills<br>Able to manage fluctuating workload and high claim volumes<br>Additional Role Details:<br><br>Average weekly volume varies significantly<br>May work through a queue with approximately 3,000 claims sitting in ION<br>Insurance follow-up may involve extended hold times of up to an hour<br>Focus will include both denial cleanup and ongoing billing support<br>Why Apply:<br>Medical billing and collections roles continue to see strong demand, with medical biller/collections specialist positions identified as among the roles shaping hiring strategies in non-clinical healthcare. (Source: Q1 2026_The Demand for Skilled Talent.pdf)
<p>We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support patient financial services for a healthcare organization in Plymouth, New Hampshire. This Contract position focuses on assisting patients with billing matters, maintaining accurate insurance and account information, and helping ensure smooth coordination of financial and referral-related processes. The ideal candidate is comfortable communicating with patients, handling administrative tasks, and addressing questions related to insurance coverage, balances, and payment arrangements.</p><p><br></p><p>Responsibilities:</p><p>• Confirm insurance details and accurately record billing information in the appropriate system to support timely claims processing.</p><p>• Guide patients through intake documentation by reviewing forms with them and clearly explaining required paperwork.</p><p>• Coordinate and submit internal service referrals to help patients access additional care as needed.</p><p>• Speak with patients about account balances, billing concerns, and available options for resolving outstanding charges.</p><p>• Arrange payment plans based on patient needs and collect past-due balances in a courteous and respectful manner.</p><p>• Respond to questions related to insurance, billing statements, and payment expectations with clear and helpful information.</p>