We are looking for a Medical Collections Specialist to join a healthcare team in Westerville, Ohio in a contract-to-permanent role. This position focuses on resolving patient account balances with a service-oriented approach while ensuring billing and collections activities are handled accurately and efficiently. The ideal candidate will be comfortable researching account issues, guiding patients through financial responsibilities and coverage questions, and collaborating across departments to support a positive patient experience.<br><br>Responsibilities:<br>• Manage outstanding patient balances by reviewing accounts, taking timely collection actions, and helping reduce aging receivables.<br>• Speak with patients about billing obligations, insurance benefits, coverage limitations, and available payment arrangements in a clear and respectful manner.<br>• Investigate account discrepancies, resolve claim-related concerns, and initiate refund requests when account reviews support reimbursement.<br>• Maintain and monitor payment plans to confirm compliance with established terms and follow up when payments fall behind.<br>• Update account records by correcting guarantor information, addressing registration-related errors, and revising insurance details as needed.<br>• Escalate delinquent balances to outside collection partners when internal efforts have been exhausted and placement criteria are met.<br>• Review specialized account situations, including bankruptcy filings and deceased patient accounts, and process them according to policy.<br>• Partner with scheduling and internal staff to clarify network participation, reimbursement guidelines, and other insurance-related questions that affect account handling.<br>• Contribute to team effectiveness by sharing knowledge, assisting with coverage needs, and offering practical ideas that improve workflow and service quality.
<p>We are looking for a Medical Biller and Collections specialist to support a non-profit healthcare organization in Oakland, California. This Long-term Contract position is ideal for someone with strong coding and billing experience who can help maintain accurate claims processing, reimbursement follow-up, and compliant outpatient documentation practices. The right candidate will bring a solid understanding of medical coding standards and work closely with billing operations to improve timely payment and account resolution.</p><p><br></p><p>Responsibilities:</p><p>• Review clinical and billing documentation to assign accurate medical codes for outpatient services using ICD-10 and CPT guidelines.</p><p>• Prepare and submit claims with careful attention to coding accuracy, payer requirements, and supporting documentation.</p><p>• Monitor unpaid balances and take prompt action to investigate denials, underpayments, and outstanding reimbursement issues.</p><p>• Work within Epic hospital billing tools to update account details, track claim status, and maintain complete billing records.</p><p>• Partner with internal teams to resolve coding discrepancies and support clean claim submission across healthcare billing workflows.</p><p>• Follow up with insurance carriers and other payers to secure payment, clarify claim issues, and advance collection efforts.</p><p>• Maintain compliance with coding standards, billing regulations, and organizational policies related to revenue cycle activities.</p><p><br></p><p>If you are interested in the role, please apply today and call us back at (510) 470-7450</p>
<p>A nationally recognized Hospital in Los Angeles is in the immediate need of a Medical Collector II. The Medical Collector II must be well versed with insurance collections preferably from Medi-Cal/Medicaid and CCS (California Children’s Services). The Medical Collector II is responsible for analyzing denied claims and appeal accordingly. The Medical Collector II also performs a variety of duties which may include answering in-coming telephone calls, documenting insurance information, verification of eligibility and billing/appealing claims to the various insurance carriers. This position is responsible for handling patient accounts in a high-performance team environment with a number of additional duties as needed for operational needs. </p><p><br></p><p><strong>This position is a Hybrid / Remote role requiring an employee to come in office 1 day per week. </strong></p><p><br></p><p>Essential Duties: </p><p>• Reviews claims to ensure all key components were submitted accurately to the correct payer. </p><p>• Review Medi-Cal/Medicaid and CCS (California Children’s Services) claims. </p><p>• Reviews correspondence and denial information to determine why claims have not been paid and takes appropriate actions to ensure the accurate and timely submission of claims. </p><p>• Researches and analyzes accounts and payments to determine whether charges were billed properly, and to resolve incorrect information on patient accounts; reverses balance to credit or debit if charges were improperly billed. </p><p>• Corrects and resubmits claims and identifies issues that require attention. Makes all the appropriate corrections in the system and submits appeals as appropriate, following </p><p>individual payer guidelines and including all supporting documentation. </p><p>• Contacts insurance companies and or patient/guarantor to verify insurance eligibility and resolve payment problems; provides information to expedite collection process. </p><p>• Prepares adjustments for charges which cannot be billed and processes or submits to the supervisor per adjustment guidelines. </p><p>• Ensures authorization, TARs/SARs are included in claim submissions to payers and follows appropriate steps to secure the authorization/retro authorization. </p>
<p>We are looking for an experienced Medical Biller Collector to support a healthcare organization’s revenue cycle operations in Los Angeles, California. This Medical Biller Collector position is ideal for someone who understands hospital insurance follow-up, knows how to work complex outstanding claims, and can drive timely reimbursement through accurate research and persistent payer communication. The Medical Biller Collector will play an important part in reducing aged receivables, addressing claim barriers, and partnering with internal teams to improve payment outcomes.</p><p><br></p><p>Responsibilities:</p><p>• Pursue follow-up activities on unpaid and underpaid hospital insurance claims, with particular attention to major commercial and government payer accounts.</p><p>• Review UB04 claim details for accuracy and take action to correct billing issues that may delay or prevent reimbursement.</p><p>• Analyze denials, rejected claims, partial payments, and stalled accounts to identify root causes and move balances toward resolution.</p><p>• Prepare and submit corrected claims, reconsiderations, and appeal documentation to support payment recovery.</p><p>• Manage aging accounts receivable by prioritizing outstanding balances and maintaining production standards established by the department.</p><p>• Record account activity, payer responses, and collection progress thoroughly within the billing platform.</p><p>• Work closely with billing, coding, and patient financial services partners to resolve discrepancies affecting claim payment.</p><p>• Track recurring payer behavior and elevate persistent reimbursement issues when broader action is needed.</p>
We are looking for a Medical Biller/Collections Specialist to join a healthcare team in Newport Beach, California in a Contract to permanent role. This position focuses on supporting patient billing activities, answering account-related questions, and helping resolve balance and insurance issues with care and empathy. The ideal candidate is comfortable working with billing systems, reviewing payer information, and keeping account records accurate while managing daily follow-up tasks.<br><br>Responsibilities:<br>• Handle inbound and outbound communication with patients regarding billing matters, payment questions, and account balances while delivering courteous service.<br>• Update billing records and enter account information accurately within the appropriate billing platform.<br>• Retrieve and examine Explanation of Benefits documents from insurance carrier websites to support claim and payment review.<br>• Use Office Ally or comparable clearinghouse tools to research claim status and verify insurance-related details.<br>• Access insurer portals directly to gather claim information when it is not available through the clearinghouse.<br>• Conduct follow-up efforts on unpaid patient balances and collection accounts in a respectful and thorough manner.<br>• Explain coverage details, outstanding amounts, and available payment options to patients in a clear and compassionate way.<br>• Maintain organized documentation, including account notes, billing activity, and payment-related updates.<br>• Provide general administrative and data entry support as needed to assist daily billing operations.
<p>We are looking for an experienced Medical Biller/Collections Specialist to support a busy revenue cycle team in Los Angeles. This Medical Biller/Collections Specialist position is ideal for someone who understands the full medical billing lifecycle and can drive timely reimbursement across commercial, government, and patient accounts. The Medical Biller/Collections Specialist in this role will help strengthen accounts receivable performance by resolving claim issues, pursuing outstanding balances, and maintaining accurate billing documentation.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and transmit clean claims to insurance carriers and government programs in a timely manner to support consistent cash flow.</p><p>• Review outstanding accounts and take proactive steps to collect payment on unpaid, denied, or partially reimbursed claims.</p><p>• Analyze accounts receivable aging and prioritize follow-up activities to reduce open balances and improve resolution times.</p><p>• Research claim edits, rejections, and denials, then complete corrections, resubmissions, or appeals as appropriate.</p><p>• Enter payments, contractual adjustments, and denial information accurately within the billing records.</p><p>• Communicate with health plans, patients, and internal team members to clarify billing questions and move accounts toward resolution.</p><p>• Ensure billing activity aligns with payer rules, regulatory standards, and established organizational procedures.</p><p>• Assist with broader revenue cycle tasks such as claim review, payment balancing, account investigation, and detailed documentation of collection efforts.</p>
<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.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><p>Submit accurate and timely medical claims to insurance carriers and government payers</p><p>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies</p><p>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances</p><p>Investigate claim rejections and denials, and take corrective action for resubmission or appeal</p><p>Post payments, adjustments, and denials as needed</p><p>Communicate with payers, patients, and internal staff regarding billing questions and account resolution</p><p>Maintain compliance with billing regulations, payer requirements, and organizational policies</p><p>Support revenue cycle activities including claims review, payment reconciliation, and account research</p><p>Document collection activity and account status updates accurately in the billing system</p>
<p>We are looking for a <strong>Credit Collections Specialist</strong> to support cash flow and minimize financial exposure by actively managing customer accounts in York, Pennsylvania. This position involves customer communication, and coordination to keep receivables current. </p><p><br></p><p>Responsibilities:</p><p>• Oversee a customer accounts, following up on outstanding invoices and driving timely payment resolution.</p><p>• Review account payment patterns and financial risk indicators to support credit decisions and recommend appropriate limit changes when needed.</p><p>• Manage sales orders placed on hold due to account status and authorize release once payment conditions or credit standing are acceptable.</p><p>• Work closely with sales, customer support, and operations teams to address disputes, service issues, or other factors delaying payment.</p><p>• Maintain organized documentation of collection outreach, account updates, payment commitments, and resolution progress.</p><p>• Assist with month-end activities by preparing aging information and providing updates on receivables and collection progress.</p><p>• Identify opportunities to strengthen credit and collections workflows, improve efficiency, and reduce exposure to bad debt.</p>
We are looking for an Attorney to support litigation matters in Saint Louis, Missouri. This role is suited for a licensed legal practitioner who can manage casework with precision, develop persuasive written arguments, and move matters forward through each stage of the litigation process. The ideal candidate brings strong judgment, organized case management skills, and the ability to handle discovery and motion practice in a fast-paced environment.<br><br>Responsibilities:<br>• Represent clients in civil litigation matters and guide cases from initial evaluation through resolution.<br>• Prepare, review, and refine legal motions, briefs, and other court filings with a high standard of accuracy and advocacy.<br>• Manage discovery activities, including drafting requests, reviewing responses, and coordinating document production.<br>• Conduct legal research and translate findings into clear, well-supported case strategies.<br>• Organize case materials, track deadlines, and ensure timely compliance with court rules and procedural requirements.<br>• Collaborate with internal and external stakeholders to develop litigation plans and support overall case objectives.
We are looking for a detail-oriented Medical Accounts Receivable Specialist to support revenue cycle operations for a healthcare-focused team in Portsmouth, New Hampshire. This Long-term Contract position is ideal for someone who can manage outstanding balances, apply payments accurately, and help keep billing activity organized and up to date. The person in this role will work across receivables, collections, and cash posting processes while maintaining accuracy and timely follow-up.<br><br>Responsibilities:<br>• Review and manage medical receivable balances to support timely payment collection and reduce aging accounts.<br>• Post incoming payments and reconcile cash activity to ensure financial records remain accurate and current.<br>• Conduct commercial collections follow-up with payers and other responsible parties to resolve unpaid or underpaid claims.<br>• Prepare, process, and maintain billing-related transactions in alignment with established revenue cycle procedures.<br>• Investigate account discrepancies and take corrective action to address payment variances, denials, or missing remittance details.<br>• Monitor account status and document collection efforts, payment updates, and account resolutions clearly within internal records.<br>• Collaborate with internal billing and finance contacts to support smooth accounts receivable workflows and issue resolution.
We are looking for a Legal Collections Specialist to support a legal organization in La Jolla, California through effective account follow-up and client communication. This Long-term Contract position is ideal for someone who can manage a high-volume workload, maintain accurate records, and build productive relationships while resolving outstanding balances. The role works closely with accounting and client contacts to keep collections activity organized, thorough, and results-driven.<br><br>Responsibilities:<br>• Manage a large portfolio of outstanding client accounts and invoices, following up consistently to drive timely payment resolution.<br>• Conduct a high volume of daily outreach regarding overdue balances and unresolved appeals, using clear and tactful communication.<br>• Document collection activity thoroughly and keep account records current in accordance with established firm procedures.<br>• Create, review, and interpret daily reporting to monitor aging accounts, payment activity, and collection progress.<br>• Serve as a primary point of contact between the organization and clients on matters related to receivables and payment status.<br>• Partner with accounting colleagues to investigate discrepancies, address billing concerns, and help clear past-due amounts.<br>• Maintain a service-oriented approach that supports strong client relationships while advancing collection efforts.<br>• Assist with additional assignments and special projects related to collections operations as needed.
<p>We are seeking a compassionate, detail-oriented <strong>Medical Customer Service Representative</strong> to join our team. In this role, you will serve as a primary point of contact for patients, providers and internal staff, helping ensure a positive experience through excellent service and accurate support. The ideal candidate is professional, organized and comfortable working in a fast-paced healthcare environment.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Answer incoming calls and respond to patient inquiries in a courteous and timely manner</li><li>Assist patients with appointment scheduling, registration and general service questions</li><li>Verify patient information and update records accurately in the system</li><li>Explain office procedures, insurance requirements and billing-related information as appropriate</li><li>Route calls and messages to the appropriate departments or medical staff</li><li>Resolve customer concerns efficiently while maintaining empathy and professionalism</li><li>Support patient intake and administrative processes</li><li>Maintain confidentiality of patient information and follow all applicable privacy guidelines</li><li>Document all interactions clearly and accurately</li><li>Assist with additional front office or customer support duties as needed</li></ul><p><br></p>
<p>Robert Half has partnered with a thriving manufacturer on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, applying daily payments, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed.</p><p><br></p><p>How you will make an impact</p><p>· Review and assess customer credit applications, financial statements, and payment history to establish appropriate credit limits </p><p>· Monitor accounts receivable aging and proactively follow up on past-due balances </p><p>· Perform collections activities via phone, email, and written correspondence </p><p>· Investigate and resolve billing discrepancies, short payments, and disputes </p><p>· Maintain accurate and up-to-date customer credit files and account records </p><p>· Collaborate with sales, customer service, and accounting teams to address account issues </p><p>· Recommend accounts for credit holds or escalation based on risk assessment </p><p>· Prepare and analyze reports related to credit exposure, delinquency trends, and collections performance </p><p>· Support month-end close activities, including reconciliation of A/R accounts </p><p>· Ensure compliance with company policies and applicable regulations</p>
<p>Based on general knowledge. The Collections and Accounts Receivable Specialist is responsible for managing incoming payments, monitoring customer accounts, following up on outstanding balances, and helping maintain healthy cash flow. This role supports the finance/accounting team by ensuring invoices are accurate, payments are applied properly, and delinquent accounts are addressed in a timely and professional manner.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Process, track, and reconcile customer invoices and payments.</li><li>Monitor accounts receivable aging and follow up on past-due balances.</li><li>Contact customers by phone and email to collect outstanding payments.</li><li>Investigate and resolve billing discrepancies, payment issues, and account disputes.</li><li>Maintain accurate customer account records and collection notes.</li><li>Apply cash receipts and post payments to the appropriate accounts.</li><li>Prepare accounts receivable and collections reports for management.</li><li>Collaborate with internal departments, including sales, customer service, and accounting, to resolve account issues.</li><li>Support month-end closing activities related to accounts receivable</li><li>Help improve collection processes and reduce overdue accounts.</li><li><br></li></ul><p><strong>Preferred Skills:</strong></p><ul><li>Experience with ERP systems such as SAP, Oracle, NetSuite, or similar platforms.</li><li>Knowledge of aging reports, cash application, and account reconciliation.</li><li>Ability to work independently and manage multiple priorities in a fast-paced environment.</li></ul>
We are looking for an experienced Medical Billing Specialist to join a healthcare organization in Mashpee, Massachusetts. This Long-term Contract opportunity is ideal for someone who thrives in a busy clinical billing environment and brings strong knowledge of reimbursement processes, payer requirements, and claim resolution. The person in this role will help support accurate billing operations, improve account follow-up, and work closely with internal teams to secure timely payment. Candidates with prior experience in hospital or broader healthcare system settings will be especially well suited for this position.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims with close attention to accuracy, completeness, and payer-specific billing rules.<br>• Investigate unpaid, delayed, or rejected accounts and take appropriate action to secure timely reimbursement.<br>• Manage denial follow-up by identifying root causes, correcting claim issues, and coordinating resubmissions when needed.<br>• Resolve billing discrepancies by partnering with coding, revenue cycle, and patient access teams to clarify account details.<br>• Process Medicare, Medicaid, and commercial payer billing in alignment with regulatory standards and internal compliance expectations.<br>• Use Epic and related billing tools, including ePaces when applicable, to maintain account documentation and support claim activity.<br>• Monitor account status and collections activity to help reduce outstanding balances and improve payment turnaround times.<br>• Maintain clear records of claim actions, payer communications, and account updates to support audit readiness and reporting.
We are looking for a Medical Billing Specialist to support a healthcare organization in Rochester Hills, Michigan on a Contract basis. This role focuses on accurate claim follow-up, insurance verification, payment review, and timely resolution of billing issues across multiple payers. The ideal candidate brings hands-on medical billing experience, works well independently, and communicates effectively with both patients and insurance representatives.<br><br>Responsibilities:<br>• Review payer explanations of benefits to confirm correct claim reimbursement and flag recurring payment issues or denial patterns for leadership awareness.<br>• Verify insurance coverage and authorization details before billing activity to help reduce avoidable claim delays and rejections.<br>• Investigate front-end denials through payer portals and direct payer communication, update claim information as needed, and submit corrected claims promptly.<br>• Re-check insurance eligibility using available verification tools, redirect claims to the appropriate payer when necessary, and bill patients when coverage does not apply.<br>• Handle payer correspondence, account adjustments, and refund activity with a high level of accuracy and within required timelines.<br>• Monitor payer notices, policy revisions, and billing regulation updates to maintain compliant and current billing practices.<br>• Recommend workflow enhancements by identifying trends, recurring obstacles, and opportunities to improve billing efficiency.<br>• Provide timely, thorough responses to patient billing questions and support account resolution efforts as needed.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are looking for an experienced Medical Billing Specialist to join a healthcare organization in California. This Medical Billing Specialist opportunity is ideal for someone with a strong background in surgical and ambulatory facility billing who can support accurate claim processing and healthy revenue cycle performance. The Medical Billing Specialist will work closely with payers, patients, and internal teams to resolve billing issues, improve reimbursement outcomes, and maintain compliant account documentation.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit facility claims for surgical services with careful attention to completeness, accuracy, and payer-specific rules.</p><p>• Review procedure details, patient information, coverage data, and required authorizations before releasing claims for billing.</p><p>• Apply appropriate coding elements, including diagnosis and procedure codes, modifiers, and revenue details, to support proper reimbursement.</p><p>• Enter and reconcile insurance payments, patient payments, adjustments, and other account activity in a timely manner.</p><p>• Analyze remittance documents and explanation of benefits statements to identify denials, short payments, and billing variances.</p><p>• Pursue outstanding receivables by contacting payers, researching account status, and escalating issues affecting reimbursement.</p><p>• Investigate rejected claims and denial trends, then prepare corrected submissions, reconsiderations, or appeals when needed.</p><p>• Monitor aging reports and organize follow-up efforts based on deadlines, claim value, and collection priorities.</p><p>• Communicate with insurance representatives, physician offices, patients, and internal departments to address account questions and resolve discrepancies.</p><p>• Maintain complete billing records while following healthcare privacy standards and current reimbursement regulations.</p>
We are looking for a Medical Billing Specialist to support revenue cycle operations for a healthcare setting in Philadelphia, Pennsylvania. This Contract position focuses on accurate claim handling, payer follow-up, and timely reimbursement across multiple insurance types, including Keystone, auto, workers’ compensation, and commercial plans. The ideal candidate brings strong billing knowledge, sharp attention to detail, and the ability to manage claim activity efficiently in a fast-paced environment.<br><br>Responsibilities:<br>• Process and submit medical claims for multiple payer categories, ensuring each submission is complete, accurate, and aligned with insurance guidelines.<br>• Investigate unpaid, delayed, or denied claims and work with payer representatives to drive resolution and secure payment.<br>• Review billing records for errors or inconsistencies, make necessary corrections, and promptly refile claims when needed.<br>• Monitor payer-specific rules, reimbursement terms, coding standards, and applicable billing regulations to maintain compliance.<br>• Coordinate with internal teams such as coding, registration, and clinical staff to gather information needed for clean claim processing.<br>• Respond to insurance requests and provide supporting documentation to address claim questions or outstanding issues.<br>• Record account activity, update claim status notes, post remittance details, and reconcile payer and patient balances.<br>• Contribute to denial review efforts and support audit-related activities by maintaining thorough and accurate billing documentation.
We are looking for a Medical Billing Specialist to join a healthcare team in North Canton, Ohio in a contract position with the potential to become permanent. This onsite position offers a steady Monday through Friday schedule and is well suited for someone who brings prior experience in medical billing or claims processing. The person in this role will work closely with an experienced team member while helping maintain accurate billing activity, timely claim follow-up, and dependable account resolution.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and in a timely manner to support efficient reimbursement.<br>• Review billing documentation and coding details to help reduce errors and prevent payment delays.<br>• Investigate denied, rejected, or unpaid claims and take appropriate action to resolve outstanding issues.<br>• Communicate with insurance carriers, patients, and internal staff to clarify billing questions and support account follow-up.<br>• Maintain organized billing records and update account information within EPACES and related systems as needed.<br>• Assist with collection efforts by monitoring balances and pursuing appropriate next steps for open receivables.<br>• Partner with experienced team members to learn established workflows and contribute to daily onsite billing operations.
<p>We are looking for a Medical Billing Specialist to support a healthcare facility in Fayetteville, North Carolina. This Long-term Contract opportunity is well suited for someone who can manage billing activities with accuracy, maintain organized financial records, and help keep reimbursement processes moving efficiently. The ideal candidate will bring strong attention to detail, a solid understanding of medical billing practices, and the ability to work effectively in a fast-paced healthcare setting.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical claims accurately and on schedule to support timely reimbursement.</p><p>• Investigate billing discrepancies, resolve claim issues, and follow up on unpaid or denied accounts.</p><p>• Maintain complete and organized billing documentation while ensuring information is updated correctly in billing systems.</p><p>• Coordinate with internal staff, insurers, and patients when needed to clarify charges, coverage, or account questions.</p><p>• Apply payments, reconcile account activity, and monitor outstanding balances to keep records current.</p><p>• Support compliance with healthcare billing standards, payer requirements, and internal documentation procedures.</p>
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position focuses on coding accuracy, billing compliance, and reimbursement optimization within a regulated clinical environment. The ideal candidate brings strong experience in E/M coding, documentation audits, and provider education, along with a current coding certification from a recognized credentialing body.<br><br>Responsibilities:<br>• Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.<br>• Examine clinical documentation to identify coding discrepancies, including both missed charges and overreported services, and summarize findings in clear audit reports.<br>• Partner with physicians and other care team members to clarify incomplete or conflicting documentation and support accurate claim submission.<br>• Escalate recurring documentation or coding concerns to revenue cycle leadership or practice management with recommendations for corrective action.<br>• Work closely with billing and revenue cycle staff to resolve account issues, support claim corrections, and improve accounts receivable follow-up efforts.<br>• Evaluate payer reimbursement patterns, fee schedule variances, and denial trends to identify opportunities for process improvement.<br>• Investigate questions related to payer guidelines, coding compliance, denials, and billable services, and provide informed responses to stakeholders.<br>• Deliver education, coaching, and ongoing guidance to providers and staff on documentation standards, coding rules, and third-party payer requirements.<br>• Maintain current knowledge of payer policy updates and communicate relevant changes affecting specialty billing and coding practices.<br>• Protect the confidentiality of patient records and financial information while completing assigned billing and audit duties.
<p>We are seeking an experienced Medical Billing Specialist to support a growing healthcare organization during a period of transition and revenue cycle cleanup. This individual will play a key role in resolving billing backlogs, addressing denials and rebills, posting payments, supporting compliance-related initiatives, and assisting with reporting and special projects. This position is ideal for someone who enjoys digging into data, navigating multiple systems, solving complex billing issues, and partnering with Revenue Cycle, Accounting, and Compliance teams.</p><p><br></p><p>Responsibilities:</p><ul><li>Research and resolve billing backlogs resulting from system and vendor transitions</li><li>Process rebills, denials, payment postings, and accounts receivable follow-up</li><li>Pull, reconcile, and analyze data from multiple systems for reporting and compliance requests</li><li>Assist with financial audits, claims analysis, and payment reviews</li><li>Generate reports and provide insights to support operational and compliance initiatives</li><li>Collaborate closely with Revenue Cycle Management (RCM), Accounting, and Compliance teams</li><li>Identify trends, discrepancies, and opportunities for process improvement</li><li>Support special projects and ad hoc reporting requests</li><li>Communicate findings and recommendations clearly to internal stakeholders</li></ul>
<p>Medical Billing Specialist</p><p><strong>Position Summary</strong></p><p>The Medical Billing Specialist is responsible for the accurate and timely submission, follow-up, and resolution of medical claims to ensure maximum reimbursement and efficient cash collections. This role serves as a key contributor to the organization's revenue cycle by managing billing processes, insurance claims, payment posting, denial resolution, and accounts receivable follow-up. The ideal candidate possesses strong knowledge of healthcare billing practices, payer guidelines, and revenue cycle operations.</p><p>Key Responsibilities</p><ul><li>Prepare, review, and submit medical claims to commercial insurance carriers, Medicare, Medicaid, and other third-party payers.</li><li>Verify patient insurance eligibility, benefits, and authorization requirements.</li><li>Ensure claims are coded and billed accurately according to payer guidelines and established procedures.</li><li>Monitor claim status and follow up on unpaid, denied, or underpaid claims.</li><li>Research and resolve billing discrepancies, claim rejections, and denial issues, including submitting appeals when appropriate.</li><li>Post insurance and patient payments accurately and reconcile billing records.</li><li>Manage patient account balances and assist with collection efforts when necessary.</li><li>Respond to patient, provider, and insurance company inquiries regarding billing matters.</li><li>Maintain detailed and accurate documentation of billing activity and collection efforts.</li><li>Review aging reports and prioritize accounts receivable follow-up to improve cash flow.</li><li>Support revenue cycle initiatives by identifying trends in denials, underpayments, and reimbursement delays.</li><li>Ensure compliance with HIPAA, payer regulations, and healthcare billing standards.</li></ul><p><br></p><p><strong>Key Skills</strong></p><ul><li>Medical Billing</li><li>Claims Submission & Follow-Up</li><li>Payment Posting</li><li>Insurance Verification</li><li>Denial Management & Appeals</li><li>Accounts Receivable Follow-Up</li><li>Collections</li><li>Revenue Cycle Management</li><li>Medicare & Medicaid Billing</li><li>Healthcare Reimbursement</li><li>HIPAA Compliance</li><li>Customer Service</li></ul><p><br></p>
We are looking for a Medical Billing Specialist to join a behavioral health organization in Phoenix, Arizona in a contract-to-permanent capacity. This position is ideal for someone who brings strong accounts receivable expertise, thrives in a fast-paced billing setting, and can manage claim activity with accuracy and urgency. The role will focus on medical billing operations, payer follow-up, and revenue cycle support while helping maintain steady cash flow in a high-volume environment.<br><br>Responsibilities:<br>• Manage accounts receivable activities for medical claims, ensuring timely follow-up on outstanding balances and unresolved reimbursements.<br>• Prepare, review, and submit institutional claims, including UB-04 billing, with close attention to accuracy and payer guidelines.<br>• Investigate denied or rejected claims, determine root causes, and take corrective action to improve reimbursement outcomes.<br>• Post payments, reconcile remittances, and verify that billing records align with payer responses and account activity.<br>• Communicate with payers to resolve claim issues, clarify coverage questions, and accelerate payment turnaround.<br>• Use Excel to organize billing data, track aging trends, and produce reports that support revenue cycle performance.<br>• Support a high-volume monthly billing workload by prioritizing tasks effectively and maintaining consistent productivity.<br>• Work within billing platforms and payer portals, including systems such as Solis and Mercy Care when applicable, to manage claim status and account resolution.