<p>Nationally recognized hospital system is seeking a dedicated and experienced <strong>Medical Insurance Collections Specialist</strong> to join our dynamic team. In this critical role, you will be responsible for handling insurance collections, ensuring accurate claims processing, and collaborating with internal departments to resolve outstanding accounts. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient accounts to identify unpaid claims and follow up with insurance providers for resolution.</li><li>Resolve denials and claim discrepancies by researching and resubmitting claims where necessary.</li><li>Communicate with patients and insurance companies regarding outstanding balances and payment plans.</li><li>Maintain accurate and up-to-date records of all collections activities in compliance with company policies and healthcare regulations.</li><li>Collaborate with the billing, coding, and accounts receivable teams to address any billing issues and expedite payments.</li><li>Analyze insurance claims to identify trends, minimize denials, and maximize collections efficiency.</li><li>Ensure compliance with HIPAA and all applicable regulations in handling sensitive healthcare and financial information.</li></ul><p><br></p>
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.
<p>Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! </p><p> </p><p>Responsibilities:</p><ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol><p><br></p>
We are looking for a detail-oriented Medical Billing Insurance Clerk to join our team on a contract basis in Barton, Vermont. In this role, you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position is ideal for someone with a strong understanding of medical billing processes and experience working with insurance claims.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and compliance with established guidelines.<br>• Utilize billing software to manage data entry and track claim statuses.<br>• Verify insurance coverage details and resolve claim discrepancies efficiently.<br>• Handle collections and follow up on outstanding payments from insurance providers.<br>• Maintain confidentiality of patient information and billing records.<br>• Collaborate with team members to ensure seamless operations and timely claim submissions.<br>• Generate and analyze reports related to billing and insurance claims.<br>• Manage Medicaid and commercial insurance billing processes, adhering to specific regulations.<br>• Update and maintain spreadsheets for tracking billing activities and payment records.<br>• Communicate effectively with insurance companies and healthcare providers to address billing concerns.
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
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.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
<p>We are looking for a skilled Claims Specialist to join our team in Los Angeles, California. . The ideal candidate will bring expertise in managing workers' compensation claims and ensuring seamless communication between all parties involved.</p><p><br></p><p>Responsibilities:</p><p>• Manage a portfolio of modified duty and lost time claims with efficiency and accuracy.</p><p>• Forward medical records related to workplace injuries to the appropriate insurance adjuster.</p><p>• Input data from medical records into the system while maintaining attention to detail.</p><p>• Notify supervisors of initial diagnoses and work status for injured employees.</p><p>• Support the Hospital Manager and injured employees in implementing early return-to-work programs.</p><p>• Schedule and track follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of each visit.</p><p>• Communicate appointment outcomes to insurance adjusters and supervisors promptly.</p><p>• Monitor lost time and modified work data, updating the system regularly.</p><p>• Maintain regular communication with insurance adjusters, providing updates at least every 60 days until claims are resolved.</p><p>• Conduct audits of claim data and related records consistently to ensure accuracy</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
We are looking for a detail-oriented Medical Billing - Denials Processor to join our team in Olathe, Kansas. In this long-term contract position, you will play a crucial role in managing accounts receivable and working on insurance claim denials. If you have expertise in medical billing and a strong background in resolving claim denials, this opportunity is perfect for you.<br><br>Responsibilities:<br>• Process and manage accounts receivable activities to ensure accurate and timely billing.<br>• Review and analyze denied insurance claims, identifying reasons for denials and taking corrective actions.<br>• Collaborate with insurance companies to resolve claim disputes and secure payments.<br>• Apply cash receipts to appropriate accounts and maintain detailed records of transactions.<br>• Investigate and address discrepancies in accounts, ensuring all billing errors are corrected.<br>• Communicate effectively with clients and internal teams to resolve payment issues and provide updates.<br>• Ensure compliance with medical billing regulations and insurance policies.<br>• Monitor and report on cash activity to maintain accurate financial records.<br>• Support the collections process by following up on outstanding payments and overdue accounts.<br>• Utilize your knowledge of medical billing processes to improve efficiency and accuracy in claim management.
<p>We have partnered with a client in San Jose who is seeking a Billing Specialist who can start immediately! This position is looking to convert from contract to full time depending on performance. </p><p> </p><p>Responsibilities:</p><ul><li>Prepare and submit electronic and paper claims to insurance companies, government programs, and third-party payers.</li><li>Review patient bills for accuracy and completeness before submission.</li><li>Verify patient insurance coverage and obtain necessary pre-authorizations or referrals.</li><li>Follow up on unpaid or denied claims; research and resolve billing discrepancies.</li><li>Post payments, adjustments, and denials to patient accounts.</li><li>Generate patient statements and respond to billing inquiries.</li><li>Maintain patient confidentiality and comply with HIPAA regulations.</li><li>Communicate with insurance companies, patients, and healthcare providers to resolve billing issues.</li><li>Maintain up-to-date knowledge of billing guidelines, payer policies, and coding changes (ICD-10, CPT, HCPCS).</li><li>Prepare and submit billing reports and reconcile accounts as needed.</li></ul>
<p>We are looking for a skilled Medical Coding Specialist to join our team in New York, New York. In this contract position, you will play a pivotal role in ensuring the accuracy and efficiency of medical claims processing and coding. This is an excellent opportunity for professionals with expertise in medical coding to contribute to a high-performing healthcare organization.</p><p><br></p><p>Responsibilities:</p><ul><li>Review medical records, reports, and claim files to determine applicable diagnoses and procedures.</li><li>Assign accurate ICD-10 codes to support claim analysis and reporting.</li><li>Collaborate with claims professionals to clarify medical details and ensure coding accuracy.</li><li>Assist with reporting medical malpractice claims to the New York State Department of Health (NYS DOH), as needed.</li><li>Maintain confidentiality and adhere to all compliance standards.</li><li>Participate in training and review sessions to ensure consistency and quality in coding practices.</li><li>Demonstrate flexibility in adapting to evolving processes and a willingness to take on new challenges. </li><li>Engage proactively with team members to support shared goals and continuous improvement. </li><li>Uphold professional conduct and business etiquette in all communications and interactions.</li></ul><p><br></p>
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 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.
<p>A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,</p><p><br></p><p>Responsibilities:</p><p><br></p><p>1. Investigating and resolving denied claims from various insurance providers.</p><p>2. Reviewing credit balances and denials management. </p><p>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.</p><p>4. Follow up on outstanding claim denials and secure reimbursement where possible.</p><p>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.</p><p>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.</p><p>7. Submit appeals and reconsideration requests to insurance companies for denied claims.</p><p>8. Strong understanding of HMO and PPO. </p>
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.
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
<p>Are you a skilled Medical Biller with extensive experience in billing, and denial management? Do you thrive in solving complex billing issues, investigating denied claims, and working closely with insurance providers to ensure timely resolutions? If so, we have an exciting contract role for you!</p><p><br></p><p>Our client near Central/Thomas in Phoenix, AZ is seeking a Medical Billing Specialist to join their team for a 5-6 month contract opportunity, with the potential for conversion into a permanent role based on performance.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform detailed follow-up on denied insurance claims to determine the reason for denial and identify solutions.</li><li>Utilize payer portals effectively to research claim statuses, submissions, and discrepancies.</li><li>Resolve complex billing issues through proactive communication with insurance companies via phone, email, and portal inquiries.</li><li>Apply critical thinking to analyze denial patterns and recommend process improvements to mitigate future denials.</li><li>Work collaboratively with teammates to ensure timely collection of accounts receivable and resolution of claim-related issues</li></ul><p><br></p>
<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>
<p>We are looking for a dedicated Medical Billing Specialist to join our team located in the Greater Philadelphia Region. This Medical Billing Specialist position provides an excellent opportunity to contribute your expertise in medical billing and coding within the healthcare industry. As a Contract to permanent role, it offers the potential for long-term career growth while working in a collaborative and detail-oriented environment.</p><p><br></p><p>What you get to do every single day:</p><p>• Accurately assign procedure codes and ensure timely submission of insurance claims, both electronically and on paper.</p><p>• Prepare and distribute patient statements on a weekly basis.</p><p>• Post payments and manage secondary claims for patients, schools, and teams.</p><p>• Follow up on accounts receivable by communicating with insurance companies, schools, and teams to resolve outstanding balances.</p><p>• Handle insurance correspondence and address claim denials through appeals.</p><p>• Resubmit corrected claims as necessary and reconcile daily payment transactions in accordance with established procedures.</p><p>• Safeguard patient rights by maintaining confidentiality of personal and financial information.</p><p>• Participate in internal financial reporting activities as scheduled.</p><p>• Adhere to organizational policies and procedures to ensure smooth operations.</p><p>• Collaborate with team members to achieve shared goals and complete additional tasks as assigned.</p>
<p>We are looking for a detail-oriented Medical Billing and Payment Posting Specialist to join our team located in the Greater Philadelphia Region. In this fast-paced and rapidly growing environment, you will play a key role in supporting the fee-for-service finance department. This Medical Billing and Payment Posting Specialist role is a contract position that requires strong organizational skills and proficiency with multiple software applications.</p><p><br></p><p>What you get to do every single day:</p><p>• Review and upload claims accurately to ensure proper processing and timely reimbursement.</p><p>• Track claims manually and maintain detailed records for auditing and reporting purposes.</p><p>• Develop and refine standard operating procedures (SOPs) with guidance from leadership.</p><p>• Utilize software tools such as QuickBooks for invoicing and payment management.</p><p>• Handle customer service inquiries related to billing and payments.</p><p>• Navigate and work efficiently across various medical portals and applications, including ModMed, Ability, and Pear.</p><p>• Conduct audits to identify discrepancies and ensure compliance with billing standards.</p><p>• Address medical insurance denials and resolve issues effectively.</p><p>• Process transactions using platforms like Square and maintain accurate financial records.</p><p>• Collaborate with team members to improve processes and support departmental goals.</p>
<p>Our client is an established and robust company looking to hire a Claims Coordinator. If you are a Legal Assistant or Paralegal, this opportunity could be an excellent path to transition your skills In-House. This role is HYBRID - 3 days in office and will work with a collaborative and collegial team.</p><p><br></p><p>This role is ideal for someone with strong attention to detail who excels at managing legal documentation, investigating claims, and collaborating with insurance adjusters. If you thrive in a fast-paced environment and have a strong background in case management, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Investigate incident reports at corporate and property levels, ensuring all necessary questions are addressed.</p><p>• Serve as the primary liaison with insurance adjusters, providing accurate and timely information.</p><p>• Gather and organize insurance policy details from brokers to support claims.</p><p>• File claims on behalf of the company and ensure all required documentation is submitted.</p><p>• Compile comprehensive reports related to incidents and insurance claims.</p><p>• Maintain organized records and ensure timely follow-ups on open claims.</p><p>• Collaborate with internal teams to ensure all necessary information is collected and communicated effectively.</p><p>• Assist in small claims processes with a focus on accuracy and compliance.</p><p><br></p><p><br></p>
<p>Robert Half is currently seeking a skilled <strong>Medical Biller</strong> with <strong>3+ years of experience</strong> for a reputable healthcare organization. This is an excellent opportunity for a detail-oriented billing professional to join a collaborative team and contribute to the financial health of a mission-driven organization.</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.
