We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
We are looking for a dedicated Revenue Cycle Associate I to join our healthcare team in Los Angeles, California. In this role, you will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. This is a long-term contract position ideal for someone with expertise in medical billing, collections, and insurance processes.<br><br>Responsibilities:<br>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.<br>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.<br>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.<br>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.<br>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.<br>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.<br>• Maintain consistent productivity and quality standards while meeting deadlines.<br>• Identify and address areas of improvement to streamline billing and collection processes.
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. In this role, you will play a vital part in ensuring the accuracy and efficiency of medical billing operations within a healthcare facility. This is a long-term contract position offering the opportunity to contribute to a dynamic and supportive environment.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers with precision and timeliness.<br>• Review patient billing records to ensure accuracy and compliance with healthcare regulations.<br>• Monitor and follow up on insurance claims to resolve discrepancies and secure payments.<br>• Collaborate with healthcare staff to clarify billing issues and address patient inquiries.<br>• Maintain up-to-date knowledge of medical billing codes and industry standards.<br>• Generate and analyze billing reports to identify trends and areas for improvement.<br>• Assist in resolving billing disputes and communicate effectively with insurance companies.<br>• Ensure confidentiality and security of patient information throughout the billing process.<br>• Support the implementation of updated billing practices and software systems as needed.
We are looking for an experienced Medical Claims Analyst to join our team in Minneapolis, Minnesota. In this long-term contract role, you will play a critical part in ensuring accurate processing and administration of medical claims and leave of absence requests. This position offers a unique opportunity to contribute to the healthcare industry by delivering high-quality service and support.<br><br>Responsibilities:<br>• Process leave of absence claims efficiently, ensuring compliance with medical certifications and organizational policies.<br>• Review and analyze medical claims to determine eligibility and benefit amounts, coordinating payments between corporate and state entities.<br>• Approve or deny claims based on thorough evaluation of supporting documentation.<br>• Manage a queue of upcoming absences, maintaining timely communication with healthcare providers for necessary certifications.<br>• Utilize systems such as ServiceNow and Workday to track claims and update records accurately.<br>• Collaborate with internal teams and external stakeholders to address claim-related inquiries and resolve discrepancies.<br>• Ensure adherence to legal regulations and corporate guidelines in claims processing.<br>• Provide clear and precise communication to employees regarding their leave and benefits.<br>• Identify and resolve rejected claims by investigating causes and implementing solutions.<br>• Monitor trends in claims to recommend process improvements and enhance efficiency.
<p>A Healthcare Company in Pasadena is in the need of a Medical Biller with at least 1 year of medical billing experience. In this role, the Medical Biller will be responsible for accurately processing insurance claims for services rendered, conducting insurance verifications, and reviewing Explanation of Benefits (EOBs) to ensure proper reimbursement.</p><p><strong>Job Responsibilities:</strong></p><ul><li>Process and submit medical claims to insurance companies and third-party payers.</li><li>Follow up on unpaid claims and resolve billing issues.</li><li>Verify insurance eligibility and calculate patient payment responsibilities.</li><li>Ensure the accuracy of patient and insurance information in billing systems.</li><li>Comply with HIPAA regulations and maintain confidentiality.</li><li>Communicate with patients, healthcare providers, and insurance representatives to resolve discrepancies.</li></ul><p><br></p>
We are looking for a detail-oriented Billing Clerk to join our team in Massillon, Ohio. This role is essential for ensuring accurate and timely processing of billing tasks, including medical billing and administrative support. If you have experience in billing or are eager to learn medical billing practices, we welcome you to apply.<br><br>Responsibilities:<br>• Process medical billing tasks, including coding, rebilling, and managing insurance claims.<br>• Follow up with insurance companies to address and resolve claim denials.<br>• Prepare and distribute accurate billing statements and ensure compliance with regulations.<br>• Provide administrative support to the office, including managing compliance certifications.<br>• Collaborate with human resources on administrative tasks, with training provided as needed.<br>• Offer support in behavioral health medical billing processes.<br>• Assist with office procedures and maintain organized billing systems.<br>• Train on medical billing practices if you have traditional billing experience.
We are looking for a dedicated Medical Accounts Receivable Specialist to join our team on a long-term contract basis in Scranton, Pennsylvania. In this role, you will focus on managing and resolving outstanding accounts receivable while ensuring compliance with billing and payment processes. Your expertise in medical billing and insurance will play a key role in maintaining financial accuracy and delivering exceptional service.<br><br>Responsibilities:<br>• Monitor and follow up on aged accounts receivable to ensure balances remain within acceptable timeframes.<br>• Investigate and resolve rejected claims by payers, applying necessary corrections in the billing system.<br>• Identify and address payment posting errors, ensuring accurate updates and communication with relevant staff.<br>• Handle inquiries from patients and facilities regarding account balances and payment statuses.<br>• Research and reconcile outstanding credit balances, preparing refund requests as needed.<br>• Communicate payment trends and emerging issues related to payers, codes, or diagnoses to supervisors and leadership.<br>• Provide training and guidance to team members to enhance productivity and achieve departmental objectives.<br>• Develop and implement corrective action plans for identified billing or coverage errors.<br>• Prepare comprehensive reports to track progress and performance within the billing department.
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. This is a long-term contract position offering an excellent opportunity to contribute to a healthcare environment dedicated to patient care and operational excellence. The ideal candidate will bring expertise in medical billing processes and a commitment to accuracy and efficiency.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance companies with accuracy and attention to detail.<br>• Review and resolve claim denials or discrepancies to ensure timely reimbursement.<br>• Maintain up-to-date knowledge of medical billing codes and insurance regulations.<br>• Collaborate with healthcare providers and administrative staff to address billing inquiries.<br>• Monitor and track payments, ensuring proper documentation and record-keeping.<br>• Generate and analyze billing reports to identify trends and improve processes.<br>• Assist patients with billing-related questions and provide clear and precise communication.<br>• Ensure compliance with all billing policies, procedures, and legal requirements.<br>• Support the implementation of new billing systems or updates as needed.
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-Permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with healthcare regulations. This is an excellent opportunity for professionals with expertise in medical billing systems and a commitment to providing high-quality service.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and adherence to guidelines.<br>• Verify patient information and eligibility prior to claim submission.<br>• Monitor accounts receivable and follow up on unpaid or denied claims.<br>• Collaborate with healthcare providers to resolve billing discrepancies and ensure proper coding.<br>• Utilize systems such as MEDENT and Epic EMR to manage billing operations efficiently.<br>• Conduct audits to ensure compliance with billing and coding regulations.<br>• Communicate with patients regarding billing inquiries and payment options.<br>• Maintain up-to-date knowledge of medical billing policies and insurance requirements.<br>• Generate and analyze financial reports related to billing and collections.<br>• Provide support during system updates or transitions to ensure continuity in billing processes.
A Robert Half client is looking for a Member Services Representative to join their team near Hoffman Estates, Illinois. In this role, you will serve as a key point of contact for members, fostering positive relationships and assisting with their needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. <br> Key Details: Role: Member Service Associate (similar to CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/claims—NOT a call center position) Schedule: Mon–Fri, 8AM–4PM, 100% on-site Compensation/Benefits: $26–$29/hour, based on experience and education; overtime opportunities available + full benefits package Position Highlights: Serve as the first point of contact for insured members to process claims, answer inquiries, and update information Handle sensitive member data and documents, ensuring privacy, security, and compliance Work closely with beneficiaries throughout claims and changes (address updates, beneficiary designations, etc.) Perform administrative/research tasks and support department projects Maintain accurate records in Salesforce and other internal systems Participate in weekly team meetings and ongoing training as you grow in the role <br> If you are interested in contributing to a friendly and committed team that makes an impact for its members—and your experience aligns with any of the above—please apply!
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Palm Beach Gardens, Florida. This is a Contract to permanent position offering an excellent opportunity for growth and stability in the field of medical billing and accounts receivable. The ideal candidate will have a strong understanding of insurance claims, patient billing, and Explanation of Benefits (EOBs), combined with exceptional organizational and communication skills.<br><br>Responsibilities:<br>• Respond promptly to patient inquiries regarding billing and provide clear explanations of Explanation of Benefits (EOBs).<br>• Follow up on outstanding balances and ensure timely collection of payments from patients.<br>• Investigate and resolve insurance denials or underpayments, coordinating with insurers as needed.<br>• Manage insurance grievances and appeals related to denied or underpaid claims.<br>• Apply knowledge of medical billing practices, coding standards (such as ICD-10 and CPT-4), and insurance policies to ensure accurate processing.<br>• Utilize medical billing systems, including Athena and Google Workspace, to maintain accurate records and streamline workflows.<br>• Process cash applications and monitor accounts receivable activity to ensure accounts remain current.<br>• Handle billing functions with precision, ensuring compliance with healthcare regulations and standards.<br>• Collaborate with team members and other departments to resolve discrepancies and improve billing processes.
<p>We are seeking a motivated and detail-oriented Pharmacy Billing Specialist to join our team! The ideal candidate will have a strong background in medical billing, excellent organizational skills, and a commitment to providing superior support in pharmacy claim handling and insurance billing. Must be local to Indianapolis.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position include the following:</p><ul><li>Provide assistance in preparing and submitting pharmacy claims to third-party insurance carriers as needed.</li><li>Secure and verify all necessary medical documentation required by third-party insurance carriers for claims processing.</li><li>Conduct follow-ups with third-party insurance carriers and patients to address unpaid claims or balances and resolve discrepancies.</li><li>Research and analyze payer regulations and claim guidelines, ensuring compliant billing practices by leveraging payer-specific tools and resources.</li><li>Verify insurance coverage for pharmacy services prior to rendering services, when applicable.</li><li>Re-validate benefit coverage criteria during claim follow-up processes.</li><li>Maintain accurate and thorough documentation of all steps taken to resolve claim-related issues within billing software systems.</li><li>Regularly report claim trends and issues to the Team Lead and/or Billing Manager.</li><li>Collaborate with the Team Lead and/or Billing Manager to establish and achieve short-term and long-term goals while providing progress updates.</li></ul>
We are looking for a dedicated Medical Billing Specialist to join our team in Scottsdale, Arizona. This is a Contract to permanent position, offering an excellent opportunity for individuals with expertise in medical billing and coding to contribute to patient care and operational efficiency. The role will involve managing billing processes, insurance claims, and patient payment collections, ensuring accuracy and compliance.<br><br>Responsibilities:<br>• Process medical bills and claims accurately, ensuring compliance with insurance policies and regulations.<br>• Handle patient payment collections, including insurance and cash transactions, in a detail-oriented manner.<br>• Collaborate with insurance companies to resolve billing issues and ensure timely reimbursement.<br>• Collect and verify patient information at the front desk to facilitate smooth billing processes.<br>• Maintain detailed records of billing activities and patient transactions for audit purposes.<br>• Communicate effectively with patients regarding billing inquiries and payment options.<br>• Utilize medical billing software to streamline and manage billing operations.<br>• Support the front desk by guiding patients and managing administrative tasks.<br>• Ensure all billing operations adhere to healthcare regulations and standards.<br>• Work closely with the physical therapy team to align billing practices with patient care.
<p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
<p>We are in search of a diligent <strong>Insurance Claims Assistant</strong> to join our client's team in the life insurance industry!</p><p><br></p><p>The primary responsibility of this role is to ensure that beneficiaries of life insurance certificates receive their funds in a timely and accurate manner when funds have not been claimed. This position involves thorough investigation and follow-up to resolve the claims process for these outstanding funds.</p><p><br></p><p>Apply today or contact our team to learn more! Lydia, Christin, or Erin are great points of contact for this opportunity & can be reached at 563-359-3995.</p><p><br></p><p><strong><u>Key Responsibilities include:</u></strong></p><p>-Investigative research using multiple resources to locate the correct beneficiary and update beneficiary contact information for successful distribution</p><p>-Review and analyze member files and verifying information</p><p>-Utilize problem-solving skills to trace the line of beneficiaries</p><p>-Understand the progression of claims to apply changes to these aged claims</p><p>-Communicating professionally via phone and email</p>
We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a collaborative team player who is dependable, punctual, and committed to delivering high-quality results.<br><br>Responsibilities:<br>• Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date.<br>• Resubmit denied or rejected claims, following proper protocols to secure approvals.<br>• Post payments accurately into multiple systems, maintaining consistency and precision.<br>• Utilize payer portals to manage claims and track progress effectively.<br>• Perform clerical tasks such as data entry and filing with a focus on accuracy and attention to detail.<br>• Collaborate with a team of professionals to ensure smooth workflows and timely completion of tasks.<br>• Monitor claim statuses to identify and resolve discrepancies proactively.<br>• Maintain compliance with relevant policies and regulations in the healthcare industry.<br>• Provide support in behavioral health payment posting processes.<br>• Communicate effectively with team members and external parties regarding claim-related issues.
<p>A Hospital in Los Angeles is seeking a detail-oriented EOB Review Specialist to join the healthcare billing team. The EOB Review Specialist is responsible for reviewing Explanation of Benefits (EOBs), managing incoming mailings, sorting live checks, requesting authorizations, answering questions relating to EOBs and medical bills, and submitting necessary documentation. The ideal candidate will have strong analytical skills, experience in medical billing, and the ability to communicate effectively with patients and insurance providers.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review EOBs for accuracy, completeness, and compliance with healthcare billing standards.</li><li>Open and process incoming mail, including EOBs and related correspondence.</li><li>Accurately sort and record live checks received from payors.</li><li>Request authorizations from insurance companies or providers as needed for billing purposes.</li><li>Respond to inquiries from patients, providers, and internal staff regarding EOBs, charges, and medical bills.</li><li>Gather and submit required documentation to payors, providers, or internal systems to support claims and billing activities.</li><li>Maintain organized records of EOB reviews, authorizations, and documentation submitted.</li><li>Collaborate with the billing, collections, and medical records teams to resolve discrepancies.</li></ul><p><br></p>
<p>Robert Half is seeking a detail-oriented and experienced Medical Billing Specialist. The ideal candidate will be responsible for managing patient billing processes, ensuring accurate claim submissions, and following up on outstanding payments. This role plays a critical part in maintaining the financial health of our organization.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and government payers.</li><li>Review and verify patient billing data for accuracy and completeness.</li><li>Resolve billing discrepancies and denials through follow-up and appeals.</li><li>Post payments and adjustments to patient accounts.</li><li>Communicate with patients regarding billing inquiries and outstanding balances.</li><li>Maintain compliance with HIPAA and other regulatory requirements.</li><li>Collaborate with clinical and administrative staff to ensure proper documentation and coding.</li></ul><p><br></p>
<p>The Medical Biller will be responsible for managing patient billing processes, ensuring claims are submitted accurately and efficiently, and following up on payment resolutions. This role is vital to the financial health of the organization and requires a high level of attention to detail, organization, and knowledge of medical billing procedures.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Process, review, and submit claims to insurance carriers efficiently and accurately.</li><li>Verify patient insurance coverage and eligibility.</li><li>Resolve claim errors or discrepancies, including follow-ups with insurance providers and patients.</li><li>Generate billing statements for patient accounts and ensure proper posting of payments.</li><li>Communicate with insurance companies, patients, and other third-party payers regarding claims and payments.</li><li>Monitor and follow up on outstanding accounts receivable balances and unpaid claims.</li><li>Maintain knowledge of current billing codes (e.g., ICD-10, CPT, HCPCS) and updates to healthcare regulations.</li><li>Collaborate with other departments (e.g., medical records or patient services) to gather accurate information.</li><li>Ensure compliance with industry standards and regulations, including HIPAA.</li></ul><p><br></p><p><br></p>
We are looking for a detail-oriented Medical Credit Clerk to join our team in Federal Way, Washington. In this long-term contract role, you will be responsible for analyzing and resolving credit balances related to insurance payments, ensuring accurate claim adjustments, and collaborating with various teams to address discrepancies. This position offers a structured training program and the opportunity to work remotely after completing the training period.<br><br>Responsibilities:<br>• Analyze credit balances caused by overpayments from insurance providers and determine appropriate actions.<br>• Investigate claims to validate discrepancies and decide whether refunds or adjustments are needed.<br>• Conduct root cause analysis to identify and resolve payment inconsistencies.<br>• Utilize payer portals and insurance documentation to research and process payment retractions.<br>• Communicate with insurance companies to confirm claim details and initiate necessary corrections.<br>• Work with electronic remittance advice (ERAs) and other insurance-related forms to ensure accurate processing.<br>• Coordinate with internal departments to resolve credit balance issues promptly and accurately.<br>• Participate in a structured training program that includes both classroom and hands-on components.<br>• Use company-provided equipment to perform job responsibilities remotely after training completion.
<p>We are looking for a Medical Claims Supervisor to lead a dynamic team in Winston-Salem, North Carolina. This role requires a skilled leader with a strong background in healthcare claims and a commitment to driving performance while maintaining a supportive team environment. The ideal candidate will bring both industry expertise and leadership experience to help the department achieve its goals. This is an onsite position. </p><p><br></p><p>Responsibilities:</p><p>• Oversee the daily operations of a team handling healthcare claims inquiries and adjudications.</p><p>• Monitor performance metrics, including KPIs, to ensure the department meets its objectives.</p><p>• Provide guidance and support to team members, fostering growth and accountability.</p><p>• Address escalated claims-related issues and ensure timely resolution.</p><p>• Collaborate with team leads to implement strategies that enhance efficiency and service quality.</p><p>• Develop and maintain workflows for processing claims and customer service inquiries.</p><p>• Train and onboard new hires, ensuring they understand company policies and procedures.</p><p>• Maintain a cohesive team environment, balancing empathy with performance-driven management.</p><p>• Evaluate and improve processes related to CRM systems to optimize customer interactions.</p><p>• Coordinate with upper management to align departmental goals with organizational priorities.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Glen Burnie, Maryland. In this Contract-to-permanent role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.</p><p>• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.</p><p>• Review denied or unpaid claims and work on appeals to secure payment.</p><p>• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.</p><p>• Utilize medical coding knowledge, including ICD-10, to process claims accurately.</p><p>• Maintain confidentiality of patient information in compliance with healthcare regulations.</p><p>• Handle insurance verifications and follow up on outstanding claims.</p><p>• Collaborate with team members to streamline billing processes and improve efficiency.</p><p>• Utilize electronic medical record (EMR) systems to manage data entry and documentation.</p><p>• Stay updated on changes in medical billing procedures and insurance policies.</p>
<p>We are looking for a skilled Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Chattanooga, Tennessee, and requires expertise in Medicare billing and claims management. The position focuses on resolving returned claims due to clerical errors while ensuring accuracy and efficiency in all billing processes. This is an in-office position, with a Monday-Friday schedule.</p><p><br></p><p>Responsibilities:</p><p>• Review and correct Medicare claims that have been returned due to clerical errors.</p><p>• Refile claims with updated and accurate information to ensure successful submission.</p><p>• Monitor billing processes to identify trends in denials and implement corrective measures.</p><p>• Conduct appeals for denied claims, providing necessary documentation and follow-up.</p><p>• Collaborate with team members to maintain consistency and accuracy in billing practices.</p><p>• Utilize hospital billing systems to process claims efficiently and accurately.</p><p>• Communicate with insurance providers to clarify billing issues and secure payment.</p><p>• Maintain detailed records of claims, appeals, and collections for auditing purposes.</p><p>• Ensure compliance with Medicare regulations and guidelines in all billing activities.</p><p><br></p><p>Please complete an application and call (423) 237-7921 for IMMEDIATE consideration! </p>
