<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 detail-oriented Medical Records Technician to join our team in Henderson, Nevada. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Santa Ana, California. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p><strong>THIS IS AN ONSITE POSITION IN SHELTON WASHINGTON</strong></p><p>We are looking for a detail-oriented Medical Records Technician to join our team on-site on a contract basis in Shelton, Washington. In this role, you will be responsible for maintaining accurate patient records and supporting compliance efforts within a healthcare environment This position offers an excellent opportunity to utilize your organizational skills and medical records expertise while working collaboratively with healthcare professionals.</p><p> </p><p>Responsibilities:</p><p>• Organize and maintain patient medical records, ensuring all information is accurate and complete.</p><p>• Retrieve and upload records from various sources, including hospitals and clinics, into patient files.</p><p>• Review documentation from healthcare staff, clean up notes, and update charts with required information.</p><p>• Conduct audits to verify compliance and ensure patient charts are up-to-date.</p><p>• Prepare medical records for referrals, pharmacy requests, or patient history documentation.</p><p>• Verify insurance information and collect basic referral details for new patients.</p><p>• Perform census reporting and compliance checks, including daily audits.</p><p>• Manage chart documentation using online reporting systems and tools like Smartsheet.</p><p>• Scan and upload necessary patient documents, ensuring confidentiality and adherence to HIPAA regulations.</p><p>• Communicate effectively with doctors, nurses, case managers, and administrative staff to support record-keeping processes</p>
<p>We are looking for a skilled Medical Records Technician to join our team on the coast. This is a Contract position requiring a detail-oriented individual to manage health information efficiently and ensure compliance with industry standards. The role involves working with electronic health record systems and handling sensitive medical data with the utmost care.</p><p><br></p><p>Responsibilities:</p><p>• Process incoming requests for medical records from patients, healthcare providers, legal representatives, and other organizations.</p><p>• Verify the validity of authorizations and ensure compliance with applicable laws and regulations.</p><p>• Retrieve, prepare, and release medical records securely using electronic health record systems such as Epic</p><p>• Maintain strict adherence to confidentiality standards and safeguard protected health information.</p><p>• Address inquiries regarding record requests from patients, third parties, and internal teams in a thorough and timely manner.</p><p>• Manage subpoenas, court orders, and legal documentation requests under the guidance of the compliance manager.</p><p>• Perform quality checks on released information to ensure accuracy and completeness.</p><p>• Collaborate with clinical and administrative teams to resolve issues related to information release.</p><p><br></p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Flint, Michigan. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>We are looking for a detail-oriented Medical Records Technician to join our team in Queens, New York. In this long-term contract position, you will play a key role in retrieving and managing medical records to support healthcare operations. This opportunity offers a dynamic mix of fieldwork and independent tasks, perfect for someone who thrives in a flexible and fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Travel to healthcare facilities within a 40-mile radius to retrieve medical records, both in paper and electronic formats.</p><p>• Upload medical charts into a secure system using company-provided equipment, ensuring data accuracy and confidentiality.</p><p>• Manage daily tasks independently, with the flexibility to complete submissions from home after fieldwork is done.</p><p>• Participate in two days of remote, paid training to gain the necessary skills for risk adjustment processes.</p><p>• Utilize company-provided tools, including a password-protected laptop, scanner, and flash drives, to perform tasks efficiently.</p><p>• Collaborate with team members and leaders to ensure smooth chart retrieval operations.</p><p>• Maintain accurate documentation and reporting of records retrieved during field visits.</p><p>• Provide excellent customer service while interacting with healthcare providers and office staff during chart retrieval.</p><p>• Follow all data security protocols to protect sensitive medical information.</p>
<p>Robert Half is currently seeking an experienced and highly organized Medical Administrator to support a busy healthcare organization in Fresno. This contract role is responsible for overseeing daily administrative operations, coordinating patient services, supporting compliance efforts, and ensuring efficient workflow across clinical and front-office teams. The ideal candidate thrives in a fast-paced medical environment and is committed to delivering exceptional patient and provider support.</p><p><br></p><p><strong>Office & Team Coordination</strong></p><ul><li>Serve as a liaison between patients, providers, insurance companies, and internal departments</li><li>Order and manage medical and office supplies</li><li>Assist with onboarding of new staff and training on administrative procedures</li><li>Support special projects and process improvement initiatives</li></ul><p><strong>Compliance & Reporting</strong></p><ul><li>Ensure compliance with HIPAA and healthcare regulatory standards</li><li>Track required certifications, licenses, and compliance documentation</li><li>Assist with audits, quality assurance initiatives, and policy updates</li><li>Generate reports related to patient volume, scheduling, and administrative metrics</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Administrator to join our team on a contract basis in San Mateo, California. This role requires proficiency in medical terminology and administrative tasks to ensure smooth operations in a healthcare setting. The ideal candidate will possess a strong ability to manage patient records, appointments, and insurance verification processes.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient insurance coverage and eligibility to ensure smooth billing processes.</p><p>• Schedule patient appointments efficiently and maintain accurate records in electronic medical systems.</p><p>• Manage patient billing and payment documentation with attention to detail.</p><p>• Utilize electronic medical records, such as EpiCare Inpatient, to update and maintain patient data.</p><p>• Ensure patients are checked in and out seamlessly during appointments.</p><p>• Handle patient scheduling and communicate appointment details effectively.</p><p>• Provide support in maintaining compliance with healthcare regulations and standards.</p><p>• Collaborate with healthcare professionals to streamline administrative workflows.</p><p>• Assist in maintaining accurate patient records by applying knowledge of medical terminology.</p><p>• Address inquiries from patients and staff regarding scheduling and administrative procedures.</p><p><br></p><p>If you are interested in the role please apply and call us at (510) 470-7450</p>
We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.<br><br>Responsibilities:<br>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.<br>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.<br>• Abstract required data elements from medical records in alignment with facility-specific guidelines.<br>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.<br>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.<br>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.<br>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.<br>• Analyze and ensure compliance with coding, billing, and data collection regulations.<br>• Address missing or unclear information by seeking clarification and ensuring proper documentation.<br>• Independently manage workload and prioritize tasks to meet departmental productivity standards.
We are looking for an experienced Medical Scheduler to join our team in Chesterfield, Missouri. In this role, you will coordinate patient appointments and ensure the scheduling process is seamless and efficient, contributing to a positive experience for patients and referring offices alike. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to support critical medical services.<br><br>Responsibilities:<br>• Coordinate and schedule patient examinations in line with company policies and procedures.<br>• Maintain positive and attentive interactions with patients, referring offices, and staff members.<br>• Accurately collect and record personal, insurance, and financial information for all patients.<br>• Ensure all patient details are entered into the system correctly and comprehensively.<br>• Inform patients about financial obligations, preparation instructions, transportation requirements, and other pre-appointment guidelines.<br>• Communicate any changes in scheduling to technologists to ensure patient satisfaction.<br>• Manage and update databases with current and potential referring physician details.<br>• Handle overflow calls from other centers within the region to facilitate uninterrupted scheduling services.
<p>Join our team as a Medical Scheduler, assisting healthcare providers by coordinating patient appointments. This role requires strong organizational and communication skills, attention to detail, and the ability to multitask in a busy setting.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Schedule and confirm patient appointments using scheduling systems</li><li>Answer inbound calls, help patients with appointment inquiries, and resolve scheduling issues</li><li>Update records and maintain accurate schedules</li><li>Communicate with medical and administrative staff to ensure smooth operations</li><li>Uphold confidentiality and compliance standards</li><li>Deliver excellent customer service both in person and by phone</li><li>Assist with appointment changes, cancellations, and other scheduling needs</li></ul><p><br></p>
<p>Join our team as a Medical Records Data Analyst, responsible for the management, retrieval, analysis, and reporting of data within SCMHC. This is a fully onsite role designed for a skilled Excel/Access user with strong experience in EMR/EHR systems and proven data reporting abilities.</p><p>Key Responsibilities:</p><ul><li>Organize, retrieve, and analyze data from the organization’s electronic medical record (EMR/EHR), specifically Credible Behavioral Health.</li><li>Become the subject matter expert in our EMR/EHR and lead its adoption across the organization.</li><li>Develop data solutions by integrating information from multiple data sources and applications.</li><li>Create and manage data reports for both internal departments and external partners.</li><li>Perform daily, monthly, and quarterly data uploads and submissions as required.</li><li>Maintain data integrity and security, ensuring proper access controls are in place.</li><li>Support end-users with EMR/EHR issues and troubleshoot data-related problems.</li><li>Organize and deliver training for new hires and provide ongoing EMR/EHR training for all users.</li><li>Participate in team meetings, additional training, and user support tasks as assigned by a supervisor.</li></ul><p><br></p>
<p>A leading Healthcare Sub-Acute Care Center is seeking a diligent and highly organized Medical Administrative Assistant to support our growing team. In this vital role, the Medical Administrative Assistant will ensure the seamless operation of our office environment, with a primary focus on healthcare administration. Candidates with a proven track record in managing administrative operations in healthcare settings are encouraged to apply. This role can lead to exciting opportunities in healthcare administration.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Oversee daily administrative functions to facilitate efficient facility operations.</li><li>Coordinate with patients, healthcare providers, and insurance companies to obtain treatment authorizations.</li><li>Verify insurance coverage, including benefit validation and eligibility checks, and perform accurate patient data entry.</li><li>Process referrals, pre-authorizations, and pre-certifications for all patient cases.</li><li>Act as the first point of contact, answering phones, scheduling appointments, filing paperwork, and assisting patients and staff with inquiries.</li><li>Communicate professionally and courteously with patients, families, physicians, facility staff, and external partners.</li><li>Maintain strict compliance with HIPAA and patient confidentiality standards.</li><li>Support other general administrative tasks and adapt to rapidly changing priorities.</li></ul><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p>
We are looking for a detail-oriented Medical Records Clerk to join our team on a long-term contract basis in Kingsburg, California. In this role, you will play a vital part in managing and maintaining patient medical records, ensuring compliance with regulations and standards. If you have a strong background in electronic medical record systems and a commitment to accuracy, this position offers an excellent opportunity to contribute your expertise.<br><br>Responsibilities:<br>• Organize and maintain patient medical records with accuracy and confidentiality.<br>• Update and manage electronic medical records using specialized software systems.<br>• Ensure compliance with healthcare regulations and standards in record-keeping practices.<br>• Retrieve and process medical records for authorized personnel and healthcare providers.<br>• Collaborate with healthcare teams to ensure timely access to patient information.<br>• Conduct regular audits of medical records to identify and resolve discrepancies.<br>• Provide support in transitioning between electronic medical record systems when required.<br>• Train staff on best practices for handling and accessing medical records.<br>• Respond promptly to requests for patient information while maintaining data security.<br>• Generate reports and summaries from medical records as needed.
<p>Robert Half is looking for a dedicated Health Information Management (HIM) Clerk to complete a long-term project in Pasco, WA. This role involves handling and organizing medical records with precision and efficiency, ensuring compliance with retention requirements and facilitating smooth record management processes. </p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough reviews of boxes of medical records to ensure compliance with retention policies.</p><p>• Accurately label and categorize records, including marking destruction dates for future reference.</p><p>• Organize documents to facilitate efficient storage and eventual disposal processes.</p><p>• Create electronic documentation for selected records using designated software tools.</p>
<p>Our client is seeking an experienced <strong>Medical Billing Specialist </strong>to join their healthcare team in <strong>Basking Ridge, New Jersey. </strong>In this role, you will handle <strong>Medicare billing processes </strong>for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities.</p><p><br></p><p><strong>Medicaid Medical Biller Responsibilities:</strong></p><p>• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.</p><p>• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.</p><p>• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.</p><p>• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.</p><p>• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.</p><p>• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.</p><p>• Monitor accounts receivable aging and escalate high-risk accounts when necessary.</p><p>• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.</p><p>• Ensure timely and accurate submissions by verifying all claim data for completeness.</p><p>• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.</p>
We are looking for a dedicated Medical Billing Specialist to join our team on a contract basis in Addison, Texas. This role requires working fully onsite to support billing operations at a psychiatry healthcare facility. The ideal candidate will ensure accurate billing processes while providing exceptional communication with patients and maintaining detailed records.<br><br>Responsibilities:<br>• Enter billing slips into Practice Suites with precision and efficiency.<br>• Verify patient insurance benefits and ensure accurate documentation.<br>• Communicate professionally with patients regarding account balances and payment inquiries.<br>• Maintain and update patient profiles to reflect current information.<br>• Collaborate with the team to address billing discrepancies and resolve issues.<br>• Ensure compliance with healthcare billing regulations and standards.<br>• Handle sensitive patient information with confidentiality and care.<br>• Provide support in utilizing Practice Suites and other billing systems effectively.<br>• Assist in improving billing workflows to enhance overall efficiency.
<p><strong>Job Title:</strong> Medical Billing Clerk (Temp to Hire)</p><p><strong>Location:</strong> 100% Onsite – North Oklahoma City, OK</p><p><strong>Schedule:</strong> Monday – Friday, 8:00am – 5:00pm</p><p><strong>Pay:</strong> $18–$22 per hour, DOE</p><p><strong>Assignment:</strong> 90-day Temp to Hire Opportunity</p><p>Robert Half is seeking an experienced Medical Billing Clerk for a local client in North OKC. This is a full-time, onsite position—with the potential to become a permanent role after 90 days. The ideal candidate is detail-oriented, reliable, and has hands-on experience with Medicaid, Medicare, and true medical accounts receivable (AR) functions.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit accurate medical claims to Medicaid, Medicare, and commercial insurance carriers</li><li>Review and post payments, reconcile accounts, and resolve discrepancies</li><li>Manage insurance denials, appeals, and follow-up on outstanding claims to ensure timely reimbursement</li><li>Maintain and update patient billing records and related documentation</li><li>Assist with patient billing inquiries, statements, and collections as needed</li><li>Support compliance with HIPAA and other industry regulations</li></ul>
We are seeking a detail-oriented Medical Biller specializing in billing and follow-up for IBC, Keystone, Auto, Workers' Compensation, and Commercial Insurances. This position plays a vital role in the hospital’s revenue cycle by ensuring accurate claim submission and timely reimbursement from various insurance payers. The hours for this position are 8am-4:30pm, on-site in 19154 zip code area. <br>Key Responsibilities:<br>• Prepare, review, and submit medical claims to IBC, Keystone, Auto, Workers' Compensation, and commercial insurance providers, ensuring all claims are accurately completed and compliant with payer requirements.<br>• Perform thorough and timely follow-up on unpaid or denied claims, working directly with insurance representatives to resolve issues and secure reimbursement.<br>• Identify and correct billing errors and discrepancies; resubmit corrected claims promptly.<br>• Maintain up-to-date knowledge of payer contracts, medical coding (ICD-10, CPT), and state/federal billing regulations.<br>• Respond to insurance inquiries, provide requested documentation, and communicate with clinical, registration, and coding teams as needed to ensure successful claim processing.<br>• Track account status and payments, posting remittances and reconciling patient and payer accounts.<br>• Document all actions, communications, and status updates in the billing/account system.<br>• Participate in audits and assist with denial management efforts.<br>Requirements:<br>• 2+ years’ experience in hospital or physician billing, with a focus on multi-payer environments (IBC, Keystone, Auto, Work Comp, Commercial).<br>• Proficiency in electronic medical records (EMR), hospital billing systems, and payer web portals.<br>• Strong understanding of insurance claims processes, medical coding, and relevant regulations.<br>• Excellent written and verbal communication skills; professional, courteous telephone etiquette.<br>• High attention to detail and organizational skills; ability to handle high-volume work and meet deadlines.<br><br>For immediate consideration please call Christine at the Trevose PA office of Robert Half at 215-244-1870. Or send your updated resume to christine.macmahon@roberthalf com Thank you!
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract position, you will play a vital role in ensuring accurate billing procedures and supporting the financial operations of a local healthcare facility. This opportunity is ideal for individuals with a strong background in medical billing who are committed to maintaining high standards of professionalism and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing claims accurately and efficiently to ensure timely reimbursement.</p><p>• Review and verify essential patient information and insurance details before submitting claims.</p><p>• Investigate and resolve billing discrepancies to ensure smooth operations.</p><p>• Collaborate with healthcare staff to clarify billing issues and improve processes.</p><p>• Maintain up-to-date knowledge of billing codes, insurance policies, and regulations.</p><p>• Generate detailed billing reports to track revenue and identify trends.</p><p>• Communicate effectively with insurance companies to address denied claims or appeals.</p><p>• Ensure confidentiality and security of patient billing records.</p><p>• Assist in optimizing billing workflows to enhance overall productivity.</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>
We are looking for a skilled Medical Billing Specialist to join our healthcare team in Loveland, Colorado. In this contract role, you will contribute to the accuracy and efficiency of medical billing operations, ensuring compliance with industry standards and supporting patient care. This position is ideal for professionals with expertise in medical billing systems, a keen eye for detail, and a commitment to delivering exceptional service.<br><br>Responsibilities:<br>• Process and submit insurance claims with precision, adhering to regulatory guidelines.<br>• Monitor accounts receivable, address discrepancies, and ensure timely resolution of outstanding balances.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to manage billing tasks effectively.<br>• Follow up on denied claims, manage appeals, and secure payments from insurance providers.<br>• Perform medical coding and ensure documentation aligns with established industry standards.<br>• Oversee third-party billing and maintain communication with insurance companies for seamless operations.<br>• Verify patient benefits and eligibility while assisting with related administrative tasks.<br>• Enter numeric data accurately and maintain detailed records of billing transactions.<br>• Respond to inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to streamline billing processes and enhance workflow efficiency.
<p>Position Description:</p><p>This Billing Specialist is an experienced support role with expertise in Home Health Care billing processes, including PDGM, episodic, and institutional claims. The Billing Specialist will have work tasks and responsibilities with accounts receivable (AR) and revenue cycle management, combined with advanced knowledge of electronic billing and claims management systems. This role requires exceptional attention to detail, analytical problem-solving skills, and the ability to ensure accurate and timely claims submission and payment processing.</p><p><br></p><p>Performance Responsibilities and Standards:</p><p>1. Review and analyze claims for accuracy and completeness, obtain and/or correct any missing or inaccurate information related to Home Health Care (PDGM, Episodic, Institutional Claims)</p><p><br></p><p>2. Compile and submit claims/invoices to appropriate payors/clients within the timeframe designated within the department billing schedule.</p><p><br></p><p>3. Must have prior experience in AR/Revenue cycle to ensure timely follow up on claims/invoices.</p><p><br></p><p>4. Research and work/appeal unpaid claims when appropriate to ensure optimum collections.</p><p><br></p><p>5. Post payments timely with 100% accuracy.</p><p><br></p><p>6. Knowledge of electronic billing, billing exceptions and EDI software (Waystar) to ensure claims are submitted and followed up timely.</p><p><br></p><p>7. Communicate billing, payment and collections issues to Billing Manager on a current basis.</p><p><br></p><p>8. Utilize agency IT systems to carry out job requirements.</p><p><br></p><p>9. Attend meetings and workshops as required.</p><p><br></p><p>10. Required to bill and collect within the payor filing requirements.</p><p><br></p><p>11. All other duties as assigned</p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>