We are looking for a Medical Billing Specialist to support revenue cycle operations for a healthcare setting in Philadelphia, Pennsylvania. This Contract position focuses on accurate claim handling, payer follow-up, and timely reimbursement across multiple insurance types, including Keystone, auto, workers’ compensation, and commercial plans. The ideal candidate brings strong billing knowledge, sharp attention to detail, and the ability to manage claim activity efficiently in a fast-paced environment.<br><br>Responsibilities:<br>• Process and submit medical claims for multiple payer categories, ensuring each submission is complete, accurate, and aligned with insurance guidelines.<br>• Investigate unpaid, delayed, or denied claims and work with payer representatives to drive resolution and secure payment.<br>• Review billing records for errors or inconsistencies, make necessary corrections, and promptly refile claims when needed.<br>• Monitor payer-specific rules, reimbursement terms, coding standards, and applicable billing regulations to maintain compliance.<br>• Coordinate with internal teams such as coding, registration, and clinical staff to gather information needed for clean claim processing.<br>• Respond to insurance requests and provide supporting documentation to address claim questions or outstanding issues.<br>• Record account activity, update claim status notes, post remittance details, and reconcile payer and patient balances.<br>• Contribute to denial review efforts and support audit-related activities by maintaining thorough and accurate billing documentation.
<p>Robert Half is seeking a Billing Administrator to oversee legal and insurance-related billing operations for our client's team. This Billing Administrator position is ideal for someone who can manage invoice activity with precision, navigate electronic billing platforms confidently, and partner effectively with internal stakeholders to keep accounts moving smoothly. The role requires strong follow-through, sound judgment, and a detailed approach to resolving billing issues while supporting accurate and timely revenue processes.</p><p><br></p><p>Responsibilities:</p><ul><li>Oversee the complete billing cycle, from invoice preparation through final submission, with a focus on accuracy and timeliness.</li><li>Submit and track invoices through client e-billing portals, ensuring documentation is entered correctly and processed without unnecessary delays.</li><li>Manage insurance appeal activity by responding to denials, addressing disputed charges, and following through until resolution.</li><li>Audit billing entries and supporting data to identify inconsistencies, then work with attorneys and internal partners to correct issues.</li><li>Monitor invoice progress, payment updates, and aged balances to help maintain healthy receivables.</li><li>Apply client-specific billing rules and legal invoicing standards to reduce rejections and maintain compliance.</li><li>Keep organized billing records and generate reports that support visibility into billing performance and account status.</li><li>Partner with cross-functional teams to streamline billing workflows and improve collection outcomes.</li></ul>
<p>We are looking for a Billing Specialist II to support billing operations and process excellence for a long-term contract opportunity in Allentown, Pennsylvania. This role is ideal for someone who can interpret complex billing scenarios, strengthen operational controls, and serve as a knowledgeable resource for cross-functional teams. The position focuses on improving accuracy, resolving issues efficiently, and helping the organization refine billing-related workflows and communications.</p><p><br></p><p>Responsibilities:</p><p>• Analyze complex billing issues, identify underlying causes, and recommend effective solutions that support accurate and timely processing.</p><p>• Act as a knowledgeable resource on billing operations and meter-to-cash activities, helping team members build a stronger understanding of end-to-end processes.</p><p>• Document business workflows, system usage, and operational procedures in a clear and organized manner to support consistency and compliance.</p><p>• Review control reports and operational data to detect discrepancies, determine root causes, and drive issue resolution.</p><p>• Introduce and refine process controls that improve billing accuracy, reduce risk, and strengthen overall operational performance.</p><p>• Provide guidance, training, and day-to-day support to colleagues by sharing best practices and process knowledge.</p><p>• Correct account-level data issues so billing activities can move forward without unnecessary delays.</p><p>• Respond to questions from internal departments, customers, and external partners while maintaining strong working relationships.</p><p>• Partner on process improvement initiatives by defining requirements, supporting testing, mapping workflows, and helping implement billing-related changes tied to regulatory or business needs.</p><p>• Prepare business communications, contribute to business case development, and lead meetings or presentations for stakeholders across departments and external agencies.</p>