We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<p>Our client in Springfield, MA is seeking an experienced Insurance Follow-Up Specialist for a contract position. This is an excellent opportunity to contribute your expertise with a respected organization, ensuring the timely and accurate management of insurance claims and reimbursement processes.</p><p>Key Responsibilities:</p><ul><li>Investigate and resolve unpaid or delayed insurance claims</li><li>Communicate effectively with insurance carriers to obtain status updates, claim resolutions, and clarification of denials</li><li>Review and analyze explanation of benefits (EOBs) and remittance advice to determine appropriate follow-up</li><li>Appeal denied claims in accordance with payer-specific guidelines</li><li>Document all interactions and claim actions in the billing system accurately</li><li>Collaborate with internal teams, such as billing and collections, to ensure coordinated efforts</li><li>Maintain up-to-date knowledge of insurance regulations and payer requirements</li></ul><p><br></p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Chattanooga, Tennessee. This Contract to permanent position offers the opportunity to work in a dynamic healthcare environment, supporting various services including primary care, pharmacy, infectious disease, and behavioral health. The ideal candidate will bring strong attention to detail, excellent organizational skills, and a willingness to interact with patients when necessary.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical billing for multiple healthcare services, ensuring accuracy and timeliness.</p><p>• Handle insurance claims, including Medicare and Medicaid, while addressing denials and resolving payment issues.</p><p>• Collaborate with team members to maintain efficient workflow and support organizational goals.</p><p>• Communicate with patients regarding billing inquiries in a detail-oriented and compassionate manner.</p><p>• Post payments and reconcile transactions using Excel spreadsheets.</p><p>• Conduct follow-ups on insurance claims and payments to ensure resolution.</p><p>• Adapt to a fast-paced environment while managing multiple tasks simultaneously.</p><p>• Stay informed about billing practices and regulations relevant to Medicare, Medicaid, and other insurance providers.</p><p>• Contribute to the growth and expansion of services by maintaining high-quality billing standards.</p><p>• Provide support for new services and providers as the organization grows.</p><p><br></p><p><strong>If interested in this role please apply, then call (423)237-7921.</strong></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Cincinnati, Ohio. This position plays a vital role in ensuring accurate and timely processing of medical claims for adult care and therapy services. The ideal candidate will bring expertise in billing systems, government healthcare payers, and commercial insurance claims.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently.</p><p>• Investigate and resolve claim denials, ensuring timely follow-up and appeals.</p><p>• Manage invoicing operations for both government payers and commercial insurers.</p><p>• Monitor reimbursement processes and address discrepancies to ensure proper payments.</p><p>• Handle Medicaid and Medicare billing with precision and compliance.</p><p>• Collaborate with team members to optimize billing workflows and minimize errors.</p><p>• Track claim statuses and maintain detailed records of billing activities.</p><p>• Ensure adherence to healthcare billing regulations and policies.</p><p>• Provide support in resolving complex billing issues that may arise.</p><p>• Communicate effectively with payers to clarify billing concerns or discrepancies.</p>
<p>This role focuses on resolving denied and non-paid insurance claims to ensure timely and accurate reimbursement. The representative will work insurance A/R accounts, communicate directly with payers, submit technical and clinical appeals, and identify root causes of underpayments, denials, and payment delays. Success in this role requires strong problem-solving skills, critical thinking, and the ability to work within federal, state, and payer-specific regulations.</p><p><br></p><p>Responsibilities:</p><ul><li>Examine denied and non-paid insurance claims to determine discrepancies</li><li>Contact insurance payers to follow up on outstanding claims</li><li>File technical and clinical appeals</li><li>Resolve underpayments, denials, and payment variances</li><li>Identify causes of payment delays and communicate trends to management</li><li>Document all account activity accurately in host and tracking systems</li><li>Maintain compliance with federal, state, and payer-specific regulations</li><li>Meet established productivity and quality standards</li></ul><p><br></p>
<p><strong>Medical Billing Specialist (Temp-to-Hire)</strong></p><p> <strong>Location:</strong> North Oklahoma City (100% Onsite)</p><p> <strong>Schedule:</strong> Monday–Friday, 8:00 AM – 5:00 PM</p><p> <strong>Pay Rate:</strong> $16–$18 per hour</p><p> <strong>Assignment Length:</strong> Temp-to-Hire (90 days)</p><p><br></p><p><strong>Job Summary:</strong></p><p> We are seeking a detail-oriented Medical Billing Specialist for a temp-to-hire opportunity with a growing healthcare organization in North OKC. This role is responsible for accurate billing, claims processing, and payment follow-up to ensure timely reimbursement. The ideal candidate has prior medical billing experience, strong attention to detail, and the ability to work efficiently in a fast-paced, onsite environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit medical claims to insurance companies accurately and timely</li><li>Verify patient insurance coverage and benefits</li><li>Post payments, adjustments, and denials to patient accounts</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Review Explanation of Benefits (EOBs) and remittance advice</li><li>Maintain accurate billing records and documentation</li><li>Communicate professionally with insurance carriers, providers, and internal teams</li><li>Ensure compliance with HIPAA and billing regulations</li></ul><p><br></p>
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring the accuracy and efficiency of medical billing and claims processes, contributing to the financial health of our organization. This opportunity is ideal for professionals with a strong background in billing and coding who thrive in detail-oriented environments. This is a <strong>part-time</strong> opportunity only. </p><p><br></p><p>Responsibilities:</p><p>• Process medical claims with precision, ensuring compliance with billing regulations and payer guidelines.</p><p>• Verify patient insurance coverage and eligibility to facilitate proper claim submissions.</p><p>• Investigate and resolve discrepancies in billing and payment processes, maintaining accurate records.</p><p>• Collaborate with healthcare providers and insurance companies to address denied claims and secure reimbursements.</p><p>• Utilize medical coding systems and software to categorize procedures and diagnoses.</p><p>• Manage collections by following up on outstanding payments and negotiating resolutions.</p><p>• Monitor and update billing systems to reflect current codes and policies.</p><p>• Generate detailed billing reports to support financial analysis and decision-making.</p><p>• Maintain strict confidentiality of patient and financial information while adhering to HIPAA regulations.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join a team in Wilmington, Delaware. This contract position offers an opportunity to manage Medicaid billing processes and ensure compliance with regulations while contributing to efficient financial operations. The ideal candidate will bring expertise in medical billing and coding, paired with strong organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Process and verify Medicaid billing records and transactions with accuracy.</p><p>• Monitor payments, denials, and outstanding balances to ensure timely reconciliation.</p><p>• Investigate and resolve issues related to unpaid claims and payment discrepancies.</p><p>• Maintain comprehensive documentation and case files in compliance with Medicaid regulations.</p><p>• Prepare detailed financial reports for management and audits as required.</p><p>• Collaborate with case managers, healthcare providers, and state Medicaid offices to address billing inquiries.</p><p>• Stay informed on updates to Medicaid policies and ensure billing practices align with current regulations.</p><p>• Support audit processes by providing necessary records and responding to inquiries efficiently.</p>
<p>A Healthcare Company is looking for an experienced Medical Billing Specialist join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>We are seeking a skilled Medical Billing Specialist to join a busy team and assist with processing and submitting medical insurance invoices and claims. The successful candidate will be responsible for ensuring accurate and timely submission of claims to insurance companies, reviewing and verifying insurance information, and resolving any issues or errors related to patient accounts.</p><p> </p><p>As a Medical Billing Specialist, you will work in this fast-paced environment, collaborating with other members of the medical billing team to ensure efficient and effective billing and claims processing. The ideal candidate will have strong attention to detail, excellent communication and customer service skills, and the ability to work independently. **This is an onsite role in the greater Chattanooga/North Georgia area**</p><p> </p><p>Responsibilities:</p><ul><li>Process and submit medical insurance claims accurately and in a timely manner</li><li>Review and verify patient insurance information, including policy numbers and coverage</li><li>Resolve any issues or errors related to patient billing</li><li>Communicate with patients and insurance companies regarding claim status and payment</li><li>Collaborate with other members of the medical billing team to ensure efficient and effective claims processing</li><li>Maintain accurate records and documentation of claims and payments</li></ul><p>Please complete an application and call (423) 237-7921 directly for more information!</p>
<p>We are looking for a detail-oriented and experienced Medical Collections Specialist to join our team in Sacramento, California. In this Contract-to-permanent role, you will play a key part in managing accounts receivable, resolving claim denials, and ensuring accurate reimbursements from insurance providers. This position will be performed on-site during the contract assignment, with the potential for long-term employment based on your performance.</p><p><br></p><p>Responsibilities:</p><p>• Review and interpret contracts to determine allowed amounts for claims.</p><p>• Analyze Explanation of Benefits (EOBs) to resolve discrepancies and ensure proper adjudication.</p><p>• Communicate with insurance providers to address and resolve denied or underpaid claims.</p><p>• Educate patients about their account balances, including copays, coinsurance, deductibles, and other adjudication outcomes.</p><p>• Write effective appeals to challenge and overturn denied claims.</p><p>• Stay knowledgeable about various insurance products, including Medicare Advantage plans and other private policies.</p><p>• Maintain high levels of productivity and accuracy in a fast-paced work environment.</p><p>• Collaborate effectively within a team to achieve and surpass performance goals.</p><p>• Utilize strong analytical skills to determine the best course of action for claim resolution.</p><p>• Ensure timely and thorough follow-up on accounts to meet production targets.</p>
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in hospital billing and appeals, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.<br>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.<br>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.<br>• Prepare and submit medical appeals to recover denied or underpaid claims.<br>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.<br>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.<br>• Maintain detailed records of billing and collection activities for auditing purposes.<br>• Collaborate with healthcare providers and administrative teams to streamline billing processes.<br>• Identify opportunities to improve efficiency within the billing and collections workflow.<br>• Provide regular updates on accounts and collections to management.
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
<p>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>
<p>We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.</p><p>• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.</p><p>• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.</p><p>• Document all claim activity, correspondence, and status updates thoroughly in the billing system.</p><p>• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.</p><p>• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.</p><p>• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.</p><p>• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.</p><p>• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.</p><p>• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.</p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement. </p>
We are looking for a dedicated Patient Access Specialist to join our team in Pittsburgh, Pennsylvania. This role involves ensuring smooth and efficient patient admissions while maintaining compliance with organizational and regulatory standards. As a Contract to permanent position, it offers an excellent opportunity for long-term growth in the healthcare industry.<br><br>Responsibilities:<br>• Accurately assign medical record numbers and complete medical necessity checks to ensure compliance and proper patient registration.<br>• Provide clear instructions to patients while collecting insurance information and processing physician orders.<br>• Maintain excellent customer service standards during patient interactions with a compassionate approach.<br>• Meet assigned point-of-service goals and utilize auditing tools to correct account discrepancies.<br>• Conduct pre-registration tasks, including inbound and outbound calls to gather patient demographics, insurance details, and financial liabilities.<br>• Explain and obtain necessary signatures for consent and treatment forms while distributing essential patient education documents.<br>• Verify insurance eligibility and input accurate benefit data to support billing processes and enhance claim accuracy.<br>• Screen medical necessity using appropriate tools to inform Medicare patients of potential non-payment scenarios.<br>• Collect point-of-service payments, manage past-due balances, and offer payment plan options to patients.
<p>Robet Half is looking for a skilled Medical Billing Specialist to join a team based in Philadelphia, Pennsylvania. In this Contract to permanent Medical Billing Specialist role, you will play a crucial part in ensuring accurate and efficient management of patient billing and insurance claims. The ideal Medical Billing Specialist candidate is detail-oriented, well-versed in medical billing processes, and capable of maintaining data integrity across systems. If you are looking for an opportunity to get your career moving in the right direction, then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013366684.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographics, insurance details, and billing data into electronic medical records and billing systems.</p><p><br></p><p>• Examine documents such as charge tickets, encounter forms, and referrals to confirm completeness and accuracy before data entry.</p><p><br></p><p>• Utilize knowledge of medical codes to validate and ensure the accuracy of entered data.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims information.</p><p><br></p><p>• Prepare billing data for submission to insurance providers while adhering to established processes.</p><p><br></p><p>• Ensure compliance with privacy policies and regulatory guidelines in all billing operations.</p><p><br></p><p>• Collaborate with clinical teams and administrative staff to address and clarify documentation issues.</p><p><br></p><p>• Contribute to audits, report generation, and data clean-up tasks as assigned.</p><p><br></p><p>• Support the billing department by maintaining organized and accurate records for efficient workflows.</p>
<p>We are looking for an experienced Medical Collections Specialist to join our team in Blue Ash, Ohio. In this role, you will focus on managing outstanding balances for occupational health services and ensuring timely follow-up with clients. This is a long-term contract position offering an excellent opportunity to contribute to the healthcare sector while utilizing your collections expertise.</p><p><br></p><p>Responsibilities:</p><ul><li>Utilize Systoc (web-based EMR) to review accounts and follow up with employer clients regarding outstanding Occupational Health balances.</li><li>Communicate with employer groups to resolve billing issues related to services such as physicals, screenings, and occupational health visits.</li><li>Manage and prioritize significant outstanding accounts receivable, including high-volume balances totaling millions in uncollected revenue.</li><li>Investigate aging balances, identify root causes of non-payment, and implement appropriate collection strategies.</li><li>Escalate delinquent or complex accounts to specialized collections team when necessary for further action.</li><li>Document all collection activity and account updates accurately within the EMR and billing systems.</li><li>Collaborate with internal departments to ensure timely and accurate billing, payment posting, and account resolution.</li><li>Utilize experience with EMR systems (including but not limited to Systoc) to efficiently track and manage accounts; specific EMR experience not required, but general EMR familiarity preferred.</li></ul>
We are looking for a skilled Patient Access Specialist to join our team on a contract basis in New Orleans, Louisiana. In this role, you will play a vital part in ensuring smooth patient registration and scheduling processes within a healthcare setting. This position requires a strong understanding of electronic health record (EHR) systems and a commitment to providing exceptional service to patients.<br><br>Responsibilities:<br>• Facilitate patient registration by accurately collecting and verifying personal and insurance information.<br>• Schedule patient appointments efficiently while considering clinic availability and patient needs.<br>• Assist patients with understanding their medical insurance coverage and benefits.<br>• Ensure all patient data is entered and maintained accurately in the electronic health record (EHR) system.<br>• Provide excellent customer service by addressing patient inquiries and resolving any issues promptly.<br>• Collaborate with clinical and administrative staff to ensure seamless patient care and clinic operations.<br>• Perform insurance verification to confirm coverage and eligibility prior to appointments.<br>• Maintain confidentiality and compliance with healthcare regulations during all interactions.<br>• Adapt to different clinic locations as needed to meet operational demands.<br>• Support team members with additional administrative tasks as required.
We are looking for a dedicated Medical Biller/Collections Specialist to join our team on a long-term contract basis in Blue Ash, Ohio. In this role, you will be responsible for ensuring the accuracy of provider charges, overseeing billing processes, and supporting collections efforts in the healthcare industry. This is an excellent opportunity for professionals with experience in medical billing and collections to contribute to a dynamic and fast-paced environment.<br><br>Responsibilities:<br>• Verify and input provider charges accurately into billing systems to ensure proper invoicing.<br>• Manage medical billing processes, including claim submissions and payment tracking.<br>• Address denied claims by identifying issues and initiating appeals to secure reimbursement.<br>• Monitor collections efforts and follow up on outstanding accounts to ensure timely payments.<br>• Collaborate with healthcare providers to resolve billing discrepancies and maintain accurate records.<br>• Utilize medical billing software effectively to streamline operations and improve efficiency.<br>• Ensure compliance with relevant healthcare regulations and billing practices.<br>• Prepare and analyze reports related to billing and collections to identify trends and areas for improvement.<br>• Communicate with patients and insurance representatives to clarify billing inquiries.<br>• Maintain up-to-date knowledge of hospital and physician billing practices.
<p>A growing healthcare organization in Vista is hiring a <strong>Collections Specialist</strong> to support patient and insurance collections in a fast-paced, regulated environment. This role focuses on reducing outstanding balances while delivering compassionate, compliant communication. The ideal candidate understands healthcare billing cycles and thrives in a detail-driven role that balances accuracy with patient service.</p><p><strong>Responsibilities</strong></p><ul><li>Follow up on outstanding patient and insurance balances</li><li>Communicate with patients regarding payment plans and account resolutions</li><li>Coordinate with billing, coding, and insurance teams to resolve denials</li><li>Review EOBs and identify discrepancies</li><li>Maintain accurate notes and documentation for compliance purposes</li><li>Monitor aging reports and prioritize collection efforts</li><li>Support audits and reporting requirements</li><li>Ensure adherence to HIPAA and healthcare regulations</li></ul>
We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service.<br><br>Responsibilities:<br>• Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed.<br>• Communicate with healthcare providers to gather additional documentation needed for claim evaluations.<br>• Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents.<br>• Send clear and thorough correspondence to members explaining the claim adjudication process.<br>• Provide empathetic and detail-oriented customer service, actively listening to member concerns.<br>• Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries.<br>• Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information.<br>• Organize and prioritize tasks to meet established service standards and benchmarks.<br>• Collaborate effectively in a fast-paced environment to ensure timely claim resolutions.<br>• Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</p>
