<p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Lewiston and Bangor, ME. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status.</li></ul><p><br></p>
<p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Roanoke, Virginia. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status.</li></ul>
<p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Lewes, DE. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status</li></ul><p><br></p>
<p>We are seeking a <strong>Medical Customer Service Representative</strong> to join our team. This role is ideal for someone with strong customer service skills, call center experience, and the ability to support patients with billing and payment-related questions. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm</p><p><em>*First 3 months are fully onsite then after training will be remote 3 days and onsite 2 days</em></p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Handle approximately <strong>60 calls per day</strong> in a fast-paced call center environment.</li><li>Answer inbound phone calls and assist patients with questions related to their accounts, services received, and payment options.</li><li>Remind patients of the reason for their doctor visit and provide clear, professional support.</li><li>Help patients with payment-related inquiries, including <strong>payment plans</strong> and <strong>financial planning assistance</strong>.</li><li>Make outbound calls to follow up with patients regarding balances, payments, and account updates.</li><li>Process returned mail and update patient account information as needed.</li><li>Run credit card payments securely and accurately.</li><li>Deliver excellent customer service while maintaining professionalism and attention to detail.</li></ul><p><br></p>
We are looking for a Customer Service Specialist to support clients and internal teams by ensuring orders move smoothly from request through delivery. This position blends customer communication, order coordination, and account support to help maintain a high standard of service. The ideal candidate is organized, responsive, and confident managing multiple priorities while delivering accurate information and timely follow-up.<br><br>Responsibilities:<br>• Build and maintain positive relationships with assigned customers, serving as a reliable point of contact for ongoing account needs.<br>• Enter and manage quotes, sales orders, and billing documents with a strong focus on accuracy and turnaround time.<br>• Partner with production, yard, and transportation teams to align order details and support timely, correct fulfillment.<br>• Address questions related to pricing, stock levels, product details, and expected delivery timelines in a clear and thorough manner.<br>• Investigate and resolve service concerns, order discrepancies, and customer complaints with urgency and sound judgment.<br>• Monitor active orders and provide regular status updates to customers as well as relevant internal stakeholders.<br>• Support field sales personnel by assisting with order processing, account maintenance, and customer follow-up activities.<br>• Keep customer account information current and accurately documented within company systems.
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Rochester, New York. This Long-term Contract position focuses on accurate claim processing, payment follow-up, and timely resolution of billing issues within a fast-paced medical environment. The ideal candidate brings strong knowledge of medical billing workflows and can work effectively with coding, claims, and collections processes.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately to insurance payers and other responsible parties.<br>• Review billing documentation for completeness and coordinate corrections when claim information is missing or inconsistent.<br>• Monitor outstanding accounts and follow up on unpaid, denied, or underpaid claims to support timely reimbursement.<br>• Apply medical billing and coding knowledge to help ensure charges are aligned with payer and documentation requirements.<br>• Investigate claim discrepancies and work with internal teams to resolve billing issues efficiently.<br>• Maintain account records, payment updates, and collection activity with a high degree of accuracy.<br>• Use ePACES and related billing tools to verify claim details, review eligibility information, and support claim status follow-up.
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul>
<p><strong>Job Description</strong></p><p>The Billing Representative for the Legal Correspondence Team is responsible for managing and processing correspondence from attorneys, including subpoenas and requests for patient billing records. This role ensures that all records are released in compliance with legal regulatory and organizational policies while maintaining a high level of accuracy and confidentiality. The ideal candidate will possess excellent organizational skills, attention to detail, and a strong understanding of billing processes and legal documentation requirements.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>Review process and respond to subpoenas, attorney correspondence, and requests for patient billing records in a timely and accurate manner.</p><p>Ensure compliance with federal and state laws, including HIPAA and organizational policies regarding the release of patient information.</p><p>Verify the authenticity and completeness of legal documents before processing requests.</p><p>Collaborate with internal teams to retrieve and compile accurate billing records and other required documentation.</p><p>Maintain detailed records of all requests, correspondence, and released information for audit and tracking purposes.</p><p>Communicate effectively with attorneys legal representatives and other external parties to clarify requests or provide updates on the status of records.</p><p>Safeguard sensitive patient information and ensure confidentiality in all interactions and document handling.</p><p>Identify and escalate complex or unclear requests to appropriate leadership or legal counsel for resolution.</p><p>Contribute to process improvement initiatives to enhance efficiency and accuracy in handling records requests.</p><p>Stay current on legal and regulatory changes that may impact the release of billing records.</p><p><br></p><p><br></p>
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul><p><br></p>
<p><strong>We’re hiring: Coordination of Benefits Specialist (Remote, Alabama)</strong></p><p>Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way.</p><p><br></p><p><strong>About the Role</strong></p><p>As a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul>
<p>Review and interpret Explanation of Benefits (EOBs) to determine:</p><p>-Services billed</p><p>-Insurance coverage and adjustments</p><p>-Payment amounts</p><p>-Patient responsibility</p><p><br></p><p><br></p><p>Manage and work denial and collections queues within EPIC</p><p>Investigate and resolve denied or underpaid claims promptly</p><p>Follow up with insurance companies to resolve discrepancies and secure payment</p><p>Ensure timely resubmission of claims and appeals to avoid timely filing issues</p><p>Maintain accurate documentation of collection activity within the system</p><p>Support overall Accounts Receivable (AR) performance and aging goals</p><p><br></p><p><br></p><p>Qualifications</p><p><br></p><p>1+ years of medical collections or AR experience</p><p>Strong understanding of EOBs and insurance claim processing</p><p>Experience working in EPIC (highly preferred)</p><p>Ability to navigate denials and payer communications effectively</p><p>Detail-oriented with strong problem-solving skills</p><p>Comfortable working in a fast-paced, growth-oriented environment</p><p><br></p><p><br></p><p>Work Environment & Benefits</p><p><br></p><p>Onsite position with a collaborative team (approximately 36 employees)</p><p>Opportunity for career growth and advancement</p><p>Upon permanent hire, eligible for:</p><p><br></p><p>Health, Dental, and Vision insurance</p><p>401(k)</p><p>PTO accrual (beginning after 90 days)</p>
We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement.<br>Key Responsibilities<br><br>Review and submit hospital claims to third‑party payers<br>Resolve claim edits generated by EHR and clearinghouse systems<br>Reconcile claim acceptance and rejection reports<br>Maintain assigned work queues to meet productivity and quality standards<br>Ensure compliance with payer requirements and billing regulations<br>Coordinate with internal departments to resolve missing or incorrect claim information<br>Document claim activity and follow‑up in billing systems<br>Apply payer‑specific billing rules and reimbursement guidelines<br><br>Qualifications<br>High School Diploma or GED required<br>2+ years of medical billing or healthcare accounts receivable experience<br><br>Working knowledge of ICD‑10, CPT, and HCPCS coding<br>Experience with healthcare billing or patient accounting systems<br>Proficiency with Microsoft Office, including Excel<br>Strong attention to detail, organization, and time management skills<br>Ability to manage high‑volume workloads accurately<br><br>For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
<p><strong>We’re hiring: Coordination of Benefits Specialist (Remote, Utah)</strong></p><p>Our clients' team is seeking a dedicated, detail-oriented professional who is passionate about helping patients resolve complex insurance billing issues. In this role, you’ll serve as the bridge between patients and insurance providers—driving resolution on denied claims and ensuring patients are supported every step of the way.</p><p><br></p><p><strong>About the Role</strong></p><p>As a Coordination of Benefits Specialist, you will focus on resolving claim denials by working directly with both patients and insurance companies. This role is highly communication-driven, including three-way calls, and requires strong problem-solving to navigate complex, non-linear situations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Act as the primary liaison between patients and insurance companies</li><li>Investigate and resolve coordination of benefits claim denials</li><li>Conduct high-volume outreach (inbound/outbound calls, texts, letters)</li><li>Participate in and lead three-way calls with patients and payers</li><li>Review accounts in depth to secure insurance reimbursement</li><li>Manage a high-volume workload across multiple payers</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Lewiston, Maine. This is a Contract position focused on accurate claim preparation, timely follow-up, and consistent reimbursement processing. The ideal candidate brings strong knowledge of medical billing workflows, coding practices, and payer communication, along with the ability to manage accounts efficiently in a fast-paced setting.<br><br>Responsibilities:<br>• Prepare and submit medical claims with a high degree of accuracy to support timely payment from insurance carriers and other payers.<br>• Review billing documentation and coding details to identify discrepancies, correct issues, and reduce claim rejections or denials.<br>• Follow up on outstanding balances by working directly with payers, patients, and internal teams to resolve billing questions and secure reimbursement.<br>• Investigate denied or delayed claims, determine the cause, and take appropriate action to support successful resubmission or appeal.<br>• Maintain organized account records and update billing systems with current claim status, payment activity, and collection notes.<br>• Use EPACES and related billing tools to verify information, review claim activity, and assist with claims processing tasks.<br>• Monitor accounts receivable activity and prioritize follow-up efforts to improve collection performance and payment turnaround times.
<p>Review and interpret Explanation of Benefits (EOBs) to determine:</p><p>-Services billed</p><p>-Insurance coverage and adjustments</p><p>-Payment amounts</p><p>-Patient responsibility</p><p><br></p><p><br></p><p>Manage and work denial and collections queues within EPIC</p><p>Investigate and resolve denied or underpaid claims promptly</p><p>Follow up with insurance companies to resolve discrepancies and secure payment</p><p>Ensure timely resubmission of claims and appeals to avoid timely filing issues</p><p>Maintain accurate documentation of collection activity within the system</p><p>Support overall Accounts Receivable (AR) performance and aging goals</p><p><br></p><p><br></p><p>Work Environment & Benefits</p><p><br></p><p>Onsite position with a collaborative team (approximately 36 employees)</p><p>Business casual dress code (jeans permitted)</p><p>Opportunity for career growth and advancement</p><p>Upon permanent hire, eligible for:</p><p><br></p><p>Health, Dental, and Vision insurance</p><p>401(k)</p><p>PTO accrual (beginning after 90 days)</p>
<p>We are looking for a detail-oriented Medical Billing Specialist, infusion focused, to support healthcare billing operations for a Long-term Contract position based in Burr Ridge, Illinois. This role focuses on accurate charge entry, claims coordination, and billing follow-through for infusion-related services while working closely with administrative, clinical, and pharmacy teams. The ideal candidate brings hands-on medical billing experience, strong organizational skills, and the ability to keep patient and insurance records current to support timely reimbursement.</p><p><br></p><p>Responsibilities:</p><p>• Oversee daily scheduling-related billing activity and keep account records accurate for assigned service sites.</p><p>• Enter and submit <strong>infusion </strong>charges each day, confirming that procedure coding, medication amounts, clinical notes, and pharmacy documentation are consistent.</p><p>• Prepare claim documentation for payers and manage submissions involving both primary and secondary insurance coverage.</p><p>• Review medication utilization records and coordinate with care and pharmacy staff to resolve discrepancies involving wasted, returned, or unused drugs.</p><p>• Confirm patient demographics and insurance details before billing to reduce claim delays and rework.</p><p>• Maintain regular reporting on billing volume, account issues, and status updates for leadership review.</p><p>• Partner with clinical personnel to obtain incomplete documentation and help keep the billing process moving without delays.</p><p>• Provide broader administrative and reimbursement support as business needs require.</p><p><br></p><p>The salary range for this position is $22 to $27. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
We are seeking a Registration / Eligibility / Charge Entry Specialist to support our client with their healthcare revenue cycle operations by ensuring accurate patient registration, insurance verification, and timely charge entry. This onsite role focuses on maintaining clean claims, improving billing accuracy, and supporting efficient claim submission processes.<br><br>Key Responsibilities<br>Perform patient registration and verify demographic and insurance information for accuracy and completeness<br>Enter charges and coding information into billing systems to support timely claim submission<br>Prepare and submit claims to insurance carriers and assist with re-billing as needed<br>Review and correct claims on hold, ensuring issues are resolved prior to submission<br>Collaborate with internal teams to support smooth claim processing and workflow<br>Reconcile charges with supporting documentation and ensure billing accuracy<br>Maintain organized and accurate patient account documentation<br>Meet productivity and quality standards in a fast-paced environment<br><br>Qualifications<br>High School Diploma or GED required<br>Experience in healthcare registration, eligibility, charge entry, or medical billing<br>Knowledge of insurance verification, billing processes, and claim submission<br>Familiarity with billing systems and Microsoft Office (Excel, Word, Outlook)<br>Strong attention to detail and ability to manage high-volume work<br><br>Preferred<br>Experience with hospital or physician billing systems<br>Exposure to coding and charge entry processes<br><br>Skills<br>Strong organizational and time management skills<br>Excellent communication and teamwork abilities<br>Ability to work independently and prioritize tasks effectively<br>Detail-oriented with a focus on accuracy and efficiency<br><br><br>For immediate consideration, please call the Trevose, PA office of Robert Half at 215-244-1870. Thank you!
<p>We are seeking a highly organized and patient-focused <strong>Medical Front Office Specialist</strong> to join our healthcare team in Carmel, Indiana. In this role, you will be the first point of contact for patients, providing excellent customer service while supporting daily front office operations. The ideal candidate is detail-oriented, professional and comfortable working in a fast-paced medical environment.</p><p><br></p><p><strong>Hours: </strong></p><p>Monday 12:30p – 5:30p</p><p>Tuesday 8:00a – 5:30p</p><p>Wednesday 8:00a – 5:30p</p><p>Thursday 7:30a – 5:30p</p><p>Friday 7:30 – 4:30p</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Greet patients and visitors in a courteous and professional manner</li><li>Answer and direct incoming phone calls</li><li>Schedule, confirm and reschedule patient appointments</li><li>Verify insurance information and collect copays or other payments</li><li>Maintain accurate patient records and update demographic information</li><li>Manage patient check-in and check-out processes</li><li>Respond to patient inquiries regarding appointments, forms and office procedures</li><li>Support medical staff with administrative tasks as needed</li><li>Ensure the front desk and reception area remain organized and welcoming</li><li>Maintain confidentiality and comply with HIPAA and office policies</li></ul><p><br></p>
<p>We are seeking a professional and detail-oriented <strong>Medical Front Office Specialist</strong> to support daily operations in a fast-paced healthcare setting. This individual will serve as the first point of contact for patients, providing excellent customer service while managing front desk responsibilities, scheduling, and administrative support.</p><p><br></p><p><strong>Hours: </strong></p><p>Monday: 8:15 AM – 5:30 PM</p><p>Tuesday: 8:15 AM – 5:30 PM</p><p>Wednesday: 9:30 AM – 5:00 PM</p><p>Thursday: 9:30 AM – 5:30 PM</p><p>Friday: 8:15 AM – 4:00 PM</p><p><br></p><p>Responsibilities:</p><ul><li>Greet patients and visitors in a courteous and professional manner.</li><li>Answer and route incoming calls, respond to inquiries, and relay messages promptly.</li><li>Schedule, confirm, and update patient appointments.</li><li>Verify patient information, insurance details, and demographic records.</li><li>Complete patient check-in and check-out processes efficiently.</li><li>Maintain accurate records and ensure documentation is entered correctly into the system.</li><li>Assist with records management, filing, scanning, and general administrative tasks.</li><li>Coordinate with clinical and administrative staff to support smooth office operations.</li><li>Handle sensitive patient information in compliance with privacy standards.</li></ul><p><br></p>
We are looking for a dedicated Client Services Specialist to join our team in Santa Barbara, California. In this role, you will be responsible for ensuring exceptional customer experiences through effective communication and problem-solving. This is a long-term contract position that offers the opportunity to make a meaningful impact by assisting clients with their needs and concerns.<br><br>Responsibilities:<br>• Respond promptly and professionally to customer inquiries via phone, email, and other communication channels.<br>• Troubleshoot connectivity issues and provide clear solutions to clients.<br>• Assist customers in navigating multiple browsers and platforms to resolve technical challenges.<br>• Ensure customer success by addressing concerns and resolving issues efficiently.<br>• Maintain detailed records of customer interactions and follow-ups to ensure resolution.<br>• Collaborate with internal teams to improve service delivery and customer satisfaction.<br>• Handle high-volume call center interactions while maintaining a positive and helpful demeanor.<br>• Provide guidance and support to customers regarding company products and services.<br>• Continuously update knowledge of company offerings to deliver accurate information to clients.
<p>A National Healthcare Company is seeking a detail-oriented Medical Insurance Verification Specialist with 2+ years of experience to join our team in a fully remote capacity. In this role, the Medical Insurance Verification Specialist will be responsible for verifying patient insurance coverage, obtaining benefit information, and ensuring accurate documentation prior to services being rendered. Company-issued equipment will be provided to support your success in this remote position.</p><p>Key Responsibilities:</p><ul><li>Verify patient insurance eligibility, benefits, and coverage details prior to appointments or procedures</li><li>Work with a variety of insurance plans, including HMO, PPO, Medicare, and Medicaid</li><li>Confirm referrals, authorizations, copays, deductibles, and out-of-pocket responsibilities</li><li>Communicate with insurance carriers, provider offices, and internal teams to resolve coverage issues</li><li>Accurately document verification details in patient accounts and internal systems</li><li>Identify and escalate discrepancies or denials as needed</li><li>Maintain compliance with HIPAA and company policies</li></ul><p><br></p>
<p>Join a mission-driven healthcare team where your expertise directly impacts patient care and organizational success. We are seeking an experienced Hospital Medical Collections Specialist to support revenue cycle operations in a fast-paced hospital environment. This Hospital Medical Collections Specialist opportunity is ideal for a detail-oriented professional with a strong background in hospital billing, insurance follow-up, and complex claims resolution across inpatient and outpatient accounts.</p><p><br></p><p>In this role, you will play a critical part in maximizing reimbursement, resolving denied and underpaid claims, and partnering with internal teams to improve financial outcomes. The ideal candidate thrives in a collaborative environment, understands payer regulations, and is highly skilled in navigating hospital collections with urgency and accuracy.</p><p>What You’ll Do</p><ul><li>Drive resolution of outstanding hospital claims by reviewing account status, contacting payers, and securing timely reimbursement.</li><li>Manage collection activity across a diverse portfolio of insurance plans, including Medicare Managed Care, Medi-Cal Managed Care, commercial payers, and HMO/PPO products.</li><li>Research denied and underpaid claims, identify root causes, and prepare compelling appeals with supporting documentation.</li><li>Handle both inpatient and outpatient hospital billing accounts while ensuring compliance with payer requirements and contractual guidelines.</li><li>Analyze payment activity, billing edits, and account trends to identify reimbursement barriers and implement corrective actions.</li><li>Maintain thorough and accurate documentation of payer communication, follow-up activity, and account resolution steps.</li><li>Collaborate closely with billing, coding, and revenue cycle teams to resolve claim discrepancies and improve collection performance.</li><li>Adapt to department workflows and support Collector I-level processes and training initiatives as needed.</li></ul><p>What We’re Looking For</p><ul><li>Proven experience in hospital billing and medical collections within an acute care or healthcare revenue cycle environment.</li><li>Strong understanding of managed care plans, denial management, appeals, and payer follow-up processes.</li><li>Experience working with inpatient and outpatient hospital claims.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to prioritize workload, meet deadlines, and work efficiently in a high-volume environment.</li><li>Strong attention to detail and commitment to accuracy.</li></ul><p><br></p>
<p>A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.</p><p>The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.</p><p>Key Responsibilities</p><ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Biller to support a non-profit organization in Salinas, California. This Long-term Contract position focuses on accurate and timely follow-up on outstanding balances, and effective resolution of billing issues across insurance and state-funded programs. The ideal candidate brings strong analytical judgment, works independently with precision, and contributes to consistent, high-quality billing operations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims and superbill-related documentation with a high level of accuracy and within established timelines.</p><p>• Review patient accounts, investigate outstanding balances, and conduct collection follow-up with payers to help reduce aging receivables.</p><p>• Research denied or underpaid claims, identify the cause of discrepancies, and take corrective action to support reimbursement.</p><p>• Draft and submit appeals with appropriate supporting documentation to address claim denials and payment variances.</p><p>• Maintain billing records and account activity in computerized systems while ensuring data integrity and proper documentation.</p><p>• Coordinate with internal teams and external payers to clarify billing questions, resolve claim issues, and support account resolution.</p><p>• Apply working knowledge of hospital and medical billing practices, including insurance carriers and applicable state program requirements.</p><p>• Monitor assigned billing workloads and prioritize tasks to meet productivity expectations and service standards</p>
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.