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 meticulous Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity to contribute to the efficient management of radiology billing and insurance processes while ensuring compliance with industry standards. The ideal candidate will excel in communication and collaboration, supporting both patients and clinical staff in navigating complex billing and authorization procedures.<br><br>Responsibilities:<br>• Verify patient insurance eligibility and coverage for scheduled radiology exams, ensuring all checks are completed ahead of schedule.<br>• Initiate and secure prior authorizations or pre-certifications for radiology procedures, maintaining accuracy in coding and documentation.<br>• Follow up proactively with insurance providers to obtain approvals and communicate authorization status to patients and clinical teams.<br>• Address patient billing inquiries, assist with payment collections, and resolve discrepancies in claims or appeals.<br>• Process denied claims and write appeals for radiology procedures, ensuring timely follow-through on billing issues.<br>• Generate zero balance bills upon request and provide financial support to patients as needed.<br>• Maintain clear and precise communication with patients, physician offices, insurance companies, and internal staff.<br>• Document all interactions and updates accurately in electronic health and billing systems.<br>• Stay informed about changes in insurance regulations, payer policies, and coding guidelines relevant to radiology services.<br>• Ensure all processes adhere to compliance standards and organizational guidelines.
<p><strong>Firm seeks Coverage Opinion Writing Attorney (No Litigation)</strong></p><p><br></p><p>This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul><p><br></p><p>Billable hour target: 1850/year</p><p><br></p><p>Can work 100% remote in US (PST work hours)</p><p><br></p><p><u>Perks of Firm</u>:</p><ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol><p><br></p>
<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>
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Cincinnati, Ohio. In this long-term contract role, you will play a vital part in ensuring that patients receive timely and appropriate healthcare services by managing prior authorization requests. This position is ideal for individuals passionate about streamlining healthcare processes and improving patient care.</p><p><br></p><p>Responsibilities:</p><p>• Review and collect necessary documentation, such as medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track prior authorization requests with insurance providers, focusing on prescription medications prescribed by primary care providers.</p><p>• Communicate with healthcare providers, patients, and insurance representatives to address and resolve authorization-related inquiries.</p><p>• Monitor the status of authorization requests and promptly inform healthcare teams of approvals, denials, or pending updates.</p><p>• Stay informed about current insurance policies, procedures, and regulations to ensure compliance and efficiency in authorization processes.</p><p>• Analyze trends in authorization denials and collaborate with teams to manage appeals, escalations, and resubmissions when necessary.</p><p>• Maintain accurate and secure records of all authorization activities and ensure adherence to organizational guidelines.</p>
<p>We are looking for a meticulous Medical Billing Specialist to join our client's team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise. For immediate consideration, please apply first online, then reach out to our finance/accounting talent team at 937-224-0600</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance providers using accurate coding practices.</p><p>• Verify and update patient insurance information within internal systems.</p><p>• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.</p><p>• Review insurance claim denials and initiate corrections or appeals to ensure payment.</p><p>• Coordinate with third-party payers for authorizations and eligibility verification.</p><p>• Accurately post payments to patient accounts, including deductibles and copay amounts.</p><p>• Generate and send patient statements for outstanding balances.</p><p>• Address patient inquiries regarding billing concerns with professionalism and clarity.</p><p>• Ensure compliance with federal, state, and insurance-specific regulations.</p><p>• Create detailed reports on billing activities and accounts receivable trends for management review.</p>
<p>We are looking for a meticulous Billing Clerk to join our team in North Andover, Massachusetts. In this role, you will handle medical billing processes, ensuring accuracy and compliance with industry standards while working closely with healthcare providers, insurance companies, and patients. This position is ideal for professionals with medical billing experience who enjoy a dynamic, collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with precision and attention to detail.</p><p>• Investigate and resolve denied or rejected claims to secure timely reimbursements.</p><p>• Verify patients' insurance coverage and eligibility prior to submitting claims.</p><p>• Oversee accounts receivable, recording payments and applying necessary billing adjustments.</p><p>• Collaborate with healthcare staff to address and correct coding discrepancies.</p><p>• Generate comprehensive financial reports to monitor billing performance and metrics.</p><p>• Ensure compliance with Medicare, Medicaid, and private insurance regulations.</p><p>• Utilize medical billing software and electronic health record systems effectively.</p><p>• Provide responsive customer service by addressing patient and insurance inquiries regarding billing.</p><p>• Conduct follow-ups on unpaid claims to facilitate proper payment collection.</p><p><br></p><p><br></p><p>If interested, please reach out to jeremy.tranfaglia@roberthalf</p>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p>Summer is here! Want to be with a company that will ensure you get to enjoy this beautiful weather? You don't have to be a 'people person' to want to work for a company that prioritize cultivating a healthy work environment for their employees while emphasizing the importance of a work-life balance. </p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </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>
<p>A boutique <strong>family medicine and wellness practice</strong> in <strong>Rancho Santa Fe</strong> is looking for a reliable and detail-oriented <strong>Medical Biller</strong> to join their administrative team. This role will handle end-to-end billing functions including claim submission, payment posting, and patient collections for a small but high-volume private office.</p><p>The ideal candidate will be self-sufficient, organized, and knowledgeable in both insurance and private-pay billing processes.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately process and submit insurance claims through clearinghouses and payer portals.</li><li>Verify patient eligibility and benefits prior to appointments.</li><li>Post insurance and patient payments; reconcile deposit logs.</li><li>Manage denials, rejections, and appeals with appropriate documentation.</li><li>Generate patient statements and follow up on outstanding balances.</li><li>Maintain compliance with HIPAA and practice policies.</li><li>Communicate with patients regarding billing inquiries in a professional manner.</li><li>Coordinate with the front office and clinical staff to resolve coding or authorization discrepancies.</li><li>Maintain accurate digital and paper billing files.</li></ul>
<p><em>The salary range for this position is up to $190,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p>You know what’s awesome? PTO. You know what else is awesome? A high-paying job that respects your work-life balance so you can enjoy your PTO. This role has perks that are unmatched by its competitors. Plus, this position doubles as a fast-track career advancement opportunity as they prefer to promote from within. </p><p><br></p><p><strong><u>Position Responsibilities</u></strong></p><ul><li>Work with Senior Leadership Team and Financial Leadership Team to understand the company’s vision and strategy and develop integrated EPM vision and strategies that are aligned with the company's overall strategic initiatives and financial objectives</li><li>Facilitate the establishment of daily, weekly and monthly reporting requirements</li><li>Give significant input to the development of company enterprise structure required to achieve reporting requirements and coordinate with finance and IT resources towards implementation of a transaction systems all the way through EPM reporting systems</li><li>Participate in the selection and configuration of EPM reporting tools consisting of 1) Actual Consolidation, 2) Planning and Forecasting, 3) Workforce Planning, 4) Long Range Planning (3 to 5 years), 5) Integrated Management Reporting and 6) External / SEC Reporting among others [tools currently being implemented are Tagetik and SAP’s SAC]</li><li> Create the vision and strategies for actual, plan / forecast and long range planning reporting</li><li>Establish financial standard reports to assure “one version of the truth”</li><li>Create and govern required reporting Master Data Management (MDM) Change Control processes (for entities, profit centers, cost centers, chart of accounts, standard reporting formats among others) as part of the Enterprise Master Data Governance program.</li><li>Establish links between various transformation initiatives and business strategies using methods/approaches such as capability assessment, business/financial analysis, process management and re-design, organizational assessment and stakeholder management</li><li>Contribute with financial specific expertise in establishing governance program conducted by the Master Core Data Team.</li><li>Support acquisition integration efforts by developing/enhancing playbook activities and repeatable processes for efficient and timely integration of financial data</li><li>Provide direct oversight for the management and prioritization of key projects and milestones. Responsible for overall project/program quality assurance</li><li>Provide thought leadership to ensure program objectives are achieved and stakeholders are aligned</li><li>Work directly with key stakeholders and business partners to drive improvements in core financial processes such as close/consolidations; planning, budgeting and forecasting; and management reporting</li><li>Foster continuous improvement mindset to drive change, improve access to critical information and enhance decision support capabilities across finance</li></ul>
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.
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
<p><em>The salary for this position is $85,000 to $86,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Coordinate Treasury data retrieval. Retrieve and process electronic bank statements and coordinate information flow into SAP. Resolve issues related to obtaining electronic banking information. Ensure that inflows and outflows have proper G/L coding.</li><li>Payment processing. Run daily payment programs, process wires that need to be uploaded into bank websites, process Federal/State/Canadian tax payments, process ACH drawdowns, and troubleshoot any payment-related problems.</li><li>Various banking-related activities. Online banking user maintenance, signatory updates, process remote check deposits, handle auditor information requests, and maintain a list of all bank accounts.</li><li>Assist with month-end activities, such as interest accrual reports, letter of credit reporting, and distribution of various reports. Verification of interest payment calculations with third parties.</li><li>International activities. Review and initiate/approve international payments, work with the Cash Manager to place international investments, and assist with intercompany transactions.</li></ul>
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p>Robert Half is working with a growing company in Andover seeking a Billing Specialist to join its team. This is a permanent role, that can move into a "Lead" or "Supervisor" role for the right candidate long term. Our client is looking for at least 2 years of billing experience and strong Excel skills. The selected candidate must have proven vendor relationship skills too.</p><p><br></p><p>Target salary for this opportunity is between 50-65K. If interested and qualified send your resume to Bill.Nichols@roberthalf. Thanks!</p>
<p>We are looking for a skilled Medical Payment Poster Specialist to join our client's team near Cincinnati, Ohio. In this long-term contract position, you will play a vital role in accurately managing patient account payments, including electronic remittance advice (ERAs), explanations of benefits (EOBs), and manual checks. This is an excellent opportunity for professionals with experience in medical billing and payment posting who thrive in a collaborative, fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post payments, denials, and adjustments from ERAs, EOBs, and manual checks to patient accounts.</p><p>• Ensure daily claim batching and deposits are completed and reconciled with bank deposits.</p><p>• Verify and apply appropriate write-offs based on EOBs while making necessary adjustments to accounts.</p><p>• Assist in resolving cash application issues and support billing requests.</p><p>• Participate in month-end reconciliation processes to ensure accuracy.</p><p>• Respond to inquiries from patients, insurance companies, and clients regarding billing and insurance matters.</p><p>• Maintain detailed and accurate records while adhering to established procedures.</p><p>• Collaborate with team members to address and resolve any discrepancies.</p><p>• Handle other billing and finance-related tasks as required.</p>
<p>We are seeking a <strong>Patient Billing & Resolution Specialist</strong> for a temporary position dedicated to resolving hospital and professional billing issues with a high level of customer care. The <strong>Patient Billing & Resolution Specialist</strong> will be responsible for ensuring billing accuracy, managing patient accounts, and delivering excellent service in a fast-paced environment. If you are an experienced <strong>Patient Billing & Resolution Specialist</strong> with a background in collections and healthcare billing, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><ul><li>Respond to HB (Hospital Billing) and PB (Professional Billing) inquiries, including insurance benefits, billing/payment issues, and authorizations.</li><li>Perform timely and efficient self-pay collections via phone and offer payment arrangement options.</li><li>Request and process adjustments, contractual write-offs, bad debt transfers, and presumptive charity determinations.</li><li>Document steps taken on each account accurately and consistently.</li><li>Ensure productivity standards are met by managing daily assigned accounts.</li><li>Follow established policies, procedures, and applicable regulations (federal, state, and local).</li><li>Maintain strong knowledge of billing practices, including third-party payer procedures and requirements.</li><li>Handle technical issues and system navigation with minimal supervision.</li><li>Other duties as assigned.</li></ul>
<p><strong>Job Description</strong>: Medical Billing Specialist </p><p><br></p><p><strong>Overview:</strong> We are seeking a highly motivated and detail-oriented Medical Billing Specialist for an organization located in Mars, PA. The ideal candidate will have expertise in medical billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions and claims processing.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>1. Billing:</strong></p><ul><li>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</li><li>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</li><li>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</li><li>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</li></ul><p><strong>2. Payment Posting:</strong></p><ul><li>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</li><li>Reconcile posted payments with bank statements and patient billing systems.</li><li>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</li></ul><p><strong>3. Revenue Cycle Management:</strong></p><ul><li>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</li><li>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</li><li>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</li></ul><p><strong>4. Customer and Client Communication:</strong></p><ul><li>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</li><li>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</li></ul><p><strong>5. Compliance:</strong></p><ul><li>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</li><li>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</li></ul><p><strong>Location:</strong> This position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong>Schedule:</strong> The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong>Why is this role available?</strong> This organization recently had a tenured team member retire.</p><p><br></p><p><strong>How to Apply: </strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App.</p>
<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>
<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.</p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing and collection functions for OHMG Surgical detail-oriented fees.</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.</p><p> -Performs all data entry and charge posting functions for OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned.</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies.</p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons.</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>Are you an experienced <strong>Patient Financial Authorization Specialist</strong> looking to make a direct impact in a clinical setting? We are currently seeking a <strong>Patient Financial Authorization Specialist </strong>to join our in-person team. This is not a remote opportunity—the Patient Financial Authorization Specialist will work Monday through Friday, 8:00 AM to 5:00 PM CST, in a fast-paced, collaborative healthcare environment.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Obtain and manage patient authorizations in a timely and efficient manner</li><li>Provide accurate cost estimates to patients prior to the start of treatment</li><li>Scrub the Daily Appointment Report (DAR) to ensure all scheduled patients have valid authorizations on file</li><li>Support patients in navigating claims reimbursements, particularly those covered by grants</li><li>Collaborate with a remote team and receive hands-on training from a Senior PAA</li><li>Ensure compliance with business casual dress code and participate in on-site interviews</li></ul>
<p>We are seeking a detail-oriented and experienced <strong>Medical Billing Specialist</strong> to join our team in a hybrid capacity. The ideal candidate will be responsible for ensuring accurate and timely billing and reimbursement for healthcare services. This role involves working closely with internal departments and external payers to resolve billing issues and maintain compliance with industry standards.</p><p> </p><p> </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit clean claims to insurance companies using billing software (e.g., Evolv NX, Epic).</li><li>Process remittances and deposits; analyze Explanation of Benefits (EOBs).</li><li>Track and resolve held, denied, or partially paid claims.</li><li>Bill secondary and tertiary payers as needed.</li><li>Maintain accurate records of billing activities and journal entries.</li><li>Communicate with patients regarding balances and payment plans.</li><li>Collaborate with clinical and QA teams to ensure proper documentation and coding.</li><li>Lead internal and external meetings related to billing and collections.</li><li>Generate monthly billing reports and assist with audits.</li></ul><p> </p><p> </p><p><br></p>
