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69 results for Patient Service Representative in Html

Patient Account Services | Remote
  • Seattle, WA
  • onsite
  • Temporary to Hire
  • 28.50 - 33.00 USD / Hourly
  • <p>We are seeking experienced Patient Access Specialists to support an upcoming hospital go-live in downtown Seattle. This role will work onsite in an office setting and will focus heavily on patient eligibility and insurance verification.</p><p>Key Responsibilities:</p><ul><li>Contact patients and insurance companies to verify insurance coverage and eligibility</li><li>Confirm and update patient demographic and insurance information</li><li>Navigate Epic to review and document patient information</li><li>Resolve eligibility discrepancies and obtain missing information</li><li>Maintain accurate documentation while handling sensitive patient information</li><li>Support the Patient Access team during the hospital go-live and transition</li></ul><p><br></p><p>Schedule Options:</p><ul><li>Monday–Friday, 8:30 AM–4:30 PM</li><li>Four 10-hour shifts per week</li></ul><p><br></p>
  • 2026-10-02T00:38:45Z
Patient Financial Counselor
  • Naples, FL
  • onsite
  • Temporary / Contract
  • 22.00 - 22.00 USD / Hourly
  • <p>We are looking for a Patient Financial Counselor to join a behavioral health organization in Naples, Florida on a contract basis. In this role, you will help patients and families make informed decisions about the financial aspects of mental health and substance use treatment by explaining coverage, anticipated costs, and support options. This position works closely with care teams and payers to reduce confusion, resolve coverage questions, and promote a positive patient experience. The schedule is Tuesday-Friday 12pm-8pm, and Saturday 8am-4pm.</p><p><br></p><p>Responsibilities:</p><p>• Review insurance plans to confirm eligibility, covered services, patient responsibility amounts, and other benefit details before or during treatment.</p><p>• Guide patients and family members through expected charges, payment expectations, and available options in a clear and supportive manner.</p><p>• Support individuals with completing financial assistance paperwork and connect them with appropriate funding resources when available.</p><p>• Communicate with insurance representatives to address authorization needs, verify coverage information, and help resolve billing-related concerns.</p><p>• Record financial conversations, benefit findings, and assistance activity accurately while following healthcare documentation standards and organizational policies.</p><p>• Deliver empathetic service during sensitive discussions, helping patients navigate complex financial matters with professionalism and care.</p><p>• Collaborate with internal teams involved in patient intake, billing, and financial services to ensure timely and accurate information sharing.</p>
  • 2026-10-22T20:58:45Z
Medical Collections Representative
  • Minneapolis, MN
  • remote
  • Temporary / Contract
  • 20.00 - 21.00 USD / Hourly
  • <p>We are seeking an experienced <strong>Medical Collections Representative</strong> with a strong background in <strong>hospital collections</strong> to join our team. This fully remote position is responsible for resolving outstanding hospital accounts receivable, following up with insurance payers, identifying denial trends, and ensuring timely reimbursement. The ideal candidate has experience working hospital accounts, understands the revenue cycle, and can independently manage a high-volume workload while maintaining accuracy and professionalism. The <strong>Medical Collection Representative</strong> will be an integral part of one of our prestigious health systems. </p><p><br></p><p>Key Responsibilities</p><ul><li>Manage and collect on outstanding hospital accounts receivable.</li><li>Follow up with commercial, government, and managed care payers regarding claim status, denials, underpayments, and appeals.</li><li>Research and resolve billing and reimbursement discrepancies.</li><li>Review explanation of benefits (EOBs), remittance advice, and payer correspondence.</li><li>Submit appeals, reconsiderations, and supporting documentation as needed.</li><li>Document all collection activities accurately within the patient accounting system.</li><li>Identify reimbursement trends and escalate payer issues appropriately.</li><li>Work assigned accounts to meet productivity and collection goals.</li><li>Collaborate with internal teams to resolve claim edits, denials, and payment delays.</li><li>Maintain compliance with HIPAA and all applicable healthcare regulations.</li></ul><p><br></p>
  • 2026-10-12T22:24:07Z
Medical Insurance Authorization Specialist
  • Los Angeles, CA
  • remote
  • Temporary / Contract
  • 25.00 - 30.00 USD / Hourly
  • <p>We are seeking a detail-oriented and organized Medical Insurance Verification Specialist / Authorization Specialist to join our healthcare team. In this role, the Medical Insurance Verification Specialist / Authorization Specialist will verifying patient insurance coverage, obtaining prior authorizations, and ensuring accurate documentation to support timely billing and reimbursement. The ideal candidate has strong knowledge of insurance verification and authorization processes, excellent communication skills, and the ability to work efficiently in a fast-paced medical environment.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Verify patient insurance eligibility, benefits, and coverage prior to appointments, procedures, or treatment.</li><li>Obtain prior authorizations and pre-certifications from insurance carriers for medical services and procedures.</li><li>Review patient accounts for accuracy and completeness of insurance information.</li><li>Communicate with patients, providers, and insurance companies regarding authorization status, coverage details, and financial responsibility.</li><li>Follow up on pending, denied, or incomplete authorizations to ensure timely resolution. .</li><li>Maintain accurate and up-to-date records in the electronic medical record (EMR) and billing systems. Based on general knowledge.</li><li>Identify and resolve insurance-related issues that may delay patient care or reimbursement.</li><li>Ensure compliance with payer guidelines, internal procedures, and regulatory requirements.</li><li>Collaborate with front office, billing, and clinical teams to support smooth patient access and revenue cycle operations.</li></ul><p>This roles is remote in the CST/EST time zone. All equipment will be provided.</p>
  • 2026-10-23T22:18:43Z
Patient Registration Supervisor
  • Woodland, CA
  • remote
  • Temporary / Contract
  • 28.00 - 30.00 USD / Hourly
  • We are looking for an experienced clinical operations supervisor to support daily administrative and staff oversight within a healthcare setting in Woodland, California. This Contract position is onsite and will focus on maintaining efficient clinic operations while leading evening and overnight team members. The role is well suited for someone who can guide staff performance, coordinate operational priorities, and communicate effectively across departments in a hospital environment.<br><br>Responsibilities:<br>• Oversee day-to-day workflow for evening and night clinical operations staff, ensuring coverage, productivity, and adherence to department expectations.<br>• Provide direct supervision to approximately 20 team members, including coaching, scheduling support, performance monitoring, and staff development.<br>• Coordinate hiring-related activities such as interviewing support, onboarding, and training to help maintain a capable and well-prepared team.<br>• Manage timekeeping and payroll-related processes, including review of overtime, attendance, and staffing adjustments.<br>• Address employee relations matters with professionalism by documenting concerns, supporting corrective action, and reinforcing workplace standards.<br>• Collaborate with hospital leadership and ancillary departments to resolve operational issues and keep services running smoothly across shifts.<br>• Use reporting tools such as Microsoft Excel to track staffing, operational metrics, and workforce trends for leadership review.<br>• Help maintain consistent communication between shift teams by sharing updates, reinforcing procedures, and supporting operational continuity.<br>• Support department processes involving healthcare administration systems, regulatory expectations, and service coordination as needed.
  • 2026-10-14T21:33:43Z
Care Coordinator
  • Syracuse, NY
  • onsite
  • Temporary to Hire
  • 19.00 - 19.00 USD / Hourly
  • We are looking for a Care Coordinator to support care management operations for a healthcare organization in Syracuse, New York. This contract-to-permanent position plays an important role in keeping referral, authorization, and service coordination activities organized and timely. The person in this role will work closely with clinical staff, community partners, and members to help ensure services are arranged efficiently and administrative processes run smoothly.<br><br>Responsibilities:<br>• Review authorization details for accuracy and enter information into internal databases with a high level of precision.<br>• Track approvals approaching expiration and follow up to help maintain uninterrupted service arrangements.<br>• Partner with case management and clinical staff to organize appointments, coordinate services, and support member care plans.<br>• Maintain regular communication with members and outside agencies to confirm services and address coordination needs.<br>• Contribute ideas during team discussions to improve workflows, reporting practices, and day-to-day operational efficiency.<br>• Prepare, monitor, and distribute assigned reports to support departmental oversight and service tracking.<br>• Complete administrative support tasks such as document management, correspondence, message handling, and record upkeep as needed.<br>• Assist with quality improvement efforts and carry out additional duties assigned by leadership to support team goals.
  • 2026-10-13T15:28:47Z
Medical Billing Specialist
  • Syracuse, NY
  • onsite
  • Temporary to Hire
  • 22.00 - 25.00 USD / Hourly
  • We are looking for a Medical Billing Specialist to join a healthcare team in Syracuse, New York. This contract opportunity is ideal for someone with experience in medical billing and coding who can manage claim preparation, account follow-up, and reimbursement support with accuracy and care. The role requires close attention to documentation, insurance guidelines, and patient account details to help maintain efficient revenue cycle operations.<br><br>Responsibilities:<br>• Assign accurate medical billing and diagnostic codes for daily physician charges based on clinical documentation.<br>• Review charts and evaluate charges thoroughly before claims are submitted to help ensure billing accuracy.<br>• Verify patient demographic details and insurance information while completing required billing system entries in accordance with office procedures.<br>• Monitor daily encounter activity to identify missing charges and follow up to resolve gaps promptly.<br>• Enter and attach authorization information needed for claim submission to support timely processing.<br>• Respond to patient inquiries regarding account balances, billing questions, and claim-related concerns in a courteous manner.<br>• Submit supporting records and other documentation to insurance carriers to help secure appropriate reimbursement.<br>• Use payer portals and online insurance tools to review claim status, investigate unpaid balances, and confirm patient eligibility.<br>• Participate in coding audits and collaborative meetings focused on billing quality, compliance, and process improvement.
  • 2026-10-14T19:38:42Z
Medical Billing Specialist
  • New Orleans, LA
  • onsite
  • Temporary to Hire
  • 21.00 - 23.00 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in a contract-to-permanent position located in New Orleans, Louisiana. This role focuses on accurate claim processing, timely follow-up on unpaid balances, and effective resolution of billing issues across medical and dental accounts. The ideal candidate brings strong knowledge of insurance verification, coding support, and reimbursement workflows while maintaining a high standard of accuracy and customer service.</p><p><br></p><p>Responsibilities:</p><p>• Prepare, review, and submit medical and dental claims to insurance carriers with close attention to accuracy and compliance.</p><p>• Investigate denied, rejected, or underpaid claims and take appropriate action through corrections, appeals, or rebilling activities.</p><p>• Follow up on outstanding accounts to support collections efforts and help reduce aging receivables.</p><p>• Verify patient coverage, benefits, and plan details to ensure claims are billed correctly the first time.</p><p>• Apply knowledge of medical coding and dental terminology to support proper documentation and reimbursement.</p><p>• Communicate with insurance representatives, patients, and internal staff to resolve billing discrepancies and payment questions.</p><p>• Maintain organized billing records, update account information, and track claim status through resolution.</p><p>• Use Microsoft Excel and related systems to monitor billing activity, reconcile data, and prepare routine reports.</p>
  • 2026-10-12T14:23:45Z
Outside Sales Representative
  • Oak Brook, IL
  • onsite
  • Temporary / Contract
  • 23.00 - 25.00 USD / Hourly
  • We are looking for an efficient Outside Sales Representative to join a growing healthcare team in Oak Brook, Illinois. This Long-term Contract position is ideal for someone who thrives in face-to-face interactions, enjoys being active in the community, and is motivated by performance-based earnings. You will represent the organization at local events, connect with prospective patients, and help expand awareness of wellness services through meaningful conversations and relationship-building.<br><br>Responsibilities:<br>• Attend multiple community, wellness, and local business events each day to promote health and wellness services.<br>• Engage directly with attendees to explain the value of chiropractic care and encourage interest in available services.<br>• Turn conversations into leads by booking appointments and creating follow-up opportunities.<br>• Develop strong connections with community members and local organizations to strengthen market presence.<br>• Record outreach efforts, lead details, and appointment activity accurately in Salesforce.<br>• Serve as a brand representative in public settings while maintaining an approachable presence.<br>• Travel throughout the assigned local territory to support field-based sales and event participation.<br>• Participate in occasional weekend programs and adjust availability for early-start events when needed.
  • 2026-10-14T00:38:43Z
Insurance Verification Coordinator
  • Canton, MI
  • onsite
  • Temporary / Contract
  • 18.00 - 21.00 USD / Hourly
  • We are looking for an experienced Insurance Verification Coordinator to support a healthcare team in Canton, Michigan. This position focuses on reviewing coverage details before services are delivered so billing can proceed accurately and patients have a clear understanding of their financial responsibility. The ideal candidate will work onsite Monday through Friday 9am - 5pm and brings prior experience verifying medical insurance information, coordinating authorizations, and communicating effectively with patients, providers, and payers. They work with insurance companies, patients, and healthcare providers to ensure accurate billing and prevent claim denials. Pay up to $21/hr. Only those who qualify will be considered. <br><br>Key Responsibilities<br>Verify insurance eligibility and benefits for upcoming appointments via phone. <br>Confirm co‑pays, deductibles, out‑of‑pocket maximums, and coverage limits. <br>Check network status (in‑network vs. out‑of‑network). <br>Obtain pre‑authorizations or referrals when required. <br>Communicate with insurance companies, patients, and providers to clarify coverage. <br>Document all verified information accurately in the patient’s record. <br>Prevent billing errors and claim denials by ensuring coverage before treatment. <br><br>Skills Required<br>Strong understanding of insurance policies and healthcare regulations. <br>Attention to detail and accuracy in data entry. <br>Effective communication with patients and insurers. <br>Ability to navigate insurance portals and electronic health record systems
  • 2026-09-23T10:03:48Z
Medical Collections Representative
  • Albuquerque, NM
  • remote
  • Temporary / Contract
  • 20.50 - 21.00 USD / Hourly
  • Robert Half is seeking experience in Medical Collections Representatives for this exciting remote opportunity! Hospital Collections Representative (Revenue Cycle) Location: Remote (Must be able to work Pacific Standard Time hours) Schedule: Monday-Friday, 7:00 AM-3:30 PM PST (Some flexibility available, but shift cannot begin earlier than 7:00 AM PST) Duration: Long-term contract through at least June 2027 with potential for permanent conversion based on performance and business need <br> Position Overview: We are seeking experienced Hospital Collections Representatives to join a high-volume Revenue Cycle team supporting multiple acute care hospitals. This role focuses on resolving outstanding accounts receivable, maximizing reimbursements, reducing AR days, and ensuring timely collections from commercial and government payers. The ideal candidate will have hands-on hospital collections experience, a strong understanding of healthcare billing and reimbursement processes, and the ability to independently analyze accounts, interpret EOBs, and resolve payment discrepancies. Successful candidates will thrive in a productivity-driven environment while maintaining a high level of quality and accuracy. Key Responsibilities Manage and resolve outstanding hospital accounts receivable balances through payer follow-up and account research. Review and interpret Explanation of Benefits (EOBs) to identify payment issues, denials, underpayments, and next steps for resolution. Contact commercial, Medicare, Medicaid, Medi-Cal, and other payers to obtain claim status and secure appropriate reimbursement. Investigate and resolve claim denials, rejections, non-payments, and payment variances. Analyze billing and reimbursement issues related to hospital claims and revenue codes. Review account documentation to determine appropriate collection actions and account resolution. Maintain productivity and quality standards in a fast-paced collections environment. Document account activity thoroughly and accurately within billing systems. Collaborate with internal teams to resolve complex reimbursement issues and payer discrepancies. Stay current on payer guidelines, reimbursement requirements, and industry best practices. Support process improvements and cross-training initiatives as business needs evolve.
  • 2026-10-12T20:58:41Z
Insurance Authorization Specialist
  • Little Rock, AR
  • remote
  • Temporary / Contract
  • 18.91 - 25.09 USD / Hourly
  • <p>We are looking for an Insurance Authorization Specialist to support patient access and reimbursement activities for a healthcare team. This Insurance Authorization Specialist position focuses on confirming insurance coverage, securing approvals for services, and keeping records accurate so care and billing can move forward without unnecessary delays. The ideal candidate brings strong payer knowledge, clear communication skills, and the ability to manage multiple cases in a fast-paced medical setting. Must have experience with EPIC software. </p><p><br></p><p>Responsibilities:</p><p>• Confirm active insurance coverage, plan benefits, and service eligibility before scheduled visits, procedures, or treatment.</p><p>• Secure prior approvals and pre-certifications from health plans for ordered services and document outcomes promptly.</p><p>• Audit patient accounts to ensure insurance details are complete, current, and aligned with billing requirements.</p><p>• Communicate with patients, clinical staff, providers, and payers regarding coverage status, authorization progress, and expected financial responsibility.</p><p>• Track outstanding, denied, or incomplete authorization requests and take follow-up action to reach resolution within required timeframes.</p><p>• Maintain precise documentation in the electronic medical record and related billing platforms to support clean claims and reimbursement.</p><p>• Investigate insurance-related barriers that could interrupt care delivery or delay payment, and work toward timely correction.</p><p>• Follow payer policies, organizational procedures, and applicable regulations while supporting efficient revenue cycle operations.</p><p>• Partner with front office, billing, and clinical teams to improve coordination around patient access and authorization workflows.</p>
  • 2026-10-23T22:18:43Z
Case Manager
  • San Francisco, CA
  • onsite
  • Temporary / Contract
  • 25.00 - 25.00 USD / Hourly
  • We are looking for a compassionate and organized Case Manager to support formerly homeless adults in San Francisco, California. This Long-term Contract position focuses on helping residents maintain stable housing, connect with essential services, and improve overall well-being through consistent, person-centered case management. The ideal candidate brings strong administrative support skills, sound judgment in challenging situations, and the ability to build trust with tenants, property staff, and community partners.<br><br>Responsibilities:<br>• Oversee an assigned portfolio of residents, providing consistent case management support tailored to individual housing stability and wellness goals.<br>• Meet with tenants regularly through outreach, intake conversations, and ongoing check-ins to assess needs, monitor progress, and adjust support plans as appropriate.<br>• Help residents secure and maintain public benefits, stay current with rent obligations, and address barriers that may affect continued housing.<br>• Coordinate referrals to community-based resources such as health care, behavioral health, substance use services, and employment programs, while encouraging successful follow-through.<br>• Partner with property management during unit walkthroughs, pest control visits, and habitability-related concerns to support safe and stable living conditions.<br>• Foster a positive tenant community by organizing group activities, resident meetings, and engagement events in collaboration with staff and tenants.<br>• Intervene during tenant crises by using de-escalation techniques, documenting incidents, and connecting individuals with appropriate support services.<br>• Maintain accurate case records, complete required documentation, and safeguard confidential client information in accordance with agency standards.<br>• Work closely with internal teams and external service providers to advocate for residents and report any suspected abuse or neglect through proper channels.<br>• Assist with site-based operational support activities, including resident recertification efforts, check disbursement days, and attendance at scheduled meetings.
  • 2026-10-22T22:28:47Z
Billing Specialist
  • Carlsbad, CA
  • onsite
  • Temporary / Contract
  • 24.00 - 30.00 USD / Hourly
  • <p>A growing healthcare organization in North County is looking for a detail-driven <strong>Medical Billing Specialist</strong> to support claims processing, insurance follow-up, payment posting, and account resolution. This is an excellent opportunity for someone who enjoys investigative work, understands the importance of accurate documentation, and wants to play a meaningful role in the revenue cycle. The organization needs someone who can look beyond a rejected claim, determine what went wrong, and take the appropriate steps to get it corrected. You'll collaborate with internal billing staff, insurance representatives, and other departments to reduce outstanding balances and keep accounts moving toward resolution.</p><p>Candidates with medical billing, insurance claims, or revenue cycle experience will be especially well suited for this role.</p><p><strong>Key responsibilities:</strong></p><ul><li>Prepare and submit medical claims to insurance companies and other payers.</li><li>Review claim information for completeness, accuracy, and proper supporting documentation.</li><li>Investigate rejected or denied claims and correct errors before resubmission.</li><li>Follow up with insurance carriers regarding unpaid claims and outstanding balances.</li><li>Post insurance payments, patient payments, adjustments, and contractual write-offs.</li><li>Research underpayments and discrepancies between expected and actual reimbursement.</li><li>Verify insurance information and assist with eligibility questions as needed.</li><li>Maintain accurate account notes and billing records.</li><li>Respond to billing inquiries from patients, payers, and internal departments.</li><li>Track aging claims and prioritize accounts requiring additional follow-up.</li><li>Assist with monthly AR reports and revenue cycle tracking.</li><li>Protect confidential patient information and follow applicable privacy requirements.</li></ul><p><br></p>
  • 2026-10-12T17:33:46Z
Case Manager
  • Oakland, CA
  • onsite
  • Temporary / Contract
  • 28.00 - 30.00 USD / Hourly
  • <p><strong>Case Manager</strong></p><p><strong>Brief Job Description</strong></p><p>We are hiring a Case Manager to work directly with clients, assess needs, develop service plans, and connect individuals with appropriate resources and support services.</p><p><strong>Responsibilities</strong></p><ul><li>Conduct client intakes and needs assessments</li><li>Develop and monitor individualized service plans</li><li>Coordinate referrals to community resources and partner agencies</li><li>Maintain accurate case notes and documentation</li><li>Advocate for clients and monitor progress toward goals</li><li>Ensure compliance with program standards and reporting requirements</li></ul>
  • 2026-10-09T22:28:49Z
Medical Collections Specialist
  • Baltimore, MD
  • remote
  • Temporary / Contract
  • 28.50 - 30.00 USD / Hourly
  • We are looking for a Medical Collections Specialist to support revenue cycle activities for a healthcare organization in Baltimore, Maryland. This is a Contract position focused on resolving outstanding medical balances, navigating payer-specific issues, and maintaining accurate account documentation across billing and medical records platforms. The ideal candidate brings strong analytical ability, sound billing knowledge, and a detail-oriented approach to working with patients, payers, and internal teams.<br><br>Responsibilities:<br>• Investigate aged accounts and take appropriate follow-up actions to secure payment from commercial insurers, government programs, workers’ compensation carriers, and other payer sources.<br>• Review billing records, claim history, remittance details, and supporting documentation to identify the cause of unpaid or underpaid balances.<br>• Prepare and submit claim corrections, reconsiderations, and formal appeals to address denials, payment variances, and unresolved reimbursement issues.<br>• Maintain accurate updates in multiple billing and medical record systems to reflect collection activity, account status, and next steps.<br>• Communicate with insurance representatives, patients, and internal departments to gather information, clarify discrepancies, and move accounts toward resolution.<br>• Analyze account data and payment trends to prioritize collection efforts and escalate complex cases when additional review is needed.<br>• Apply knowledge of medical billing, coding, and payer guidelines to support compliant and efficient account resolution.<br>• Track follow-up activity in Excel and other reporting tools to monitor progress, aging categories, and recovery outcomes.
  • 2026-10-16T18:48:39Z
Case Manager
  • Atlanta, GA
  • onsite
  • Temporary to Hire
  • - USD / Hourly
  • <p>We are seeking a compassionate, organized <strong>Case Manager</strong> to support attorneys and clients throughout the claims and appeals process. This role involves client communication, file management, records collection, deadline tracking, and general case support.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Communicate with clients about case status and document needs</li><li>Maintain and update case files and case management systems</li><li>Request and organize medical, employment, and government records</li><li>Track deadlines, hearings, appeals, and filings</li><li>Assist attorneys with case preparation and document gathering</li><li>Draft routine correspondence and forms</li><li>Follow up with clients, providers, and agencies as needed</li></ul><p><br></p><p><br></p>
  • 2026-10-08T15:08:43Z
Credentialing Specialist
  • Colorado Springs, CO
  • remote
  • Permanent / Full Time
  • 50000.00 - 60000.00 USD / Yearly
  • <p>Credentialing Specialist</p><p><strong>Salary:</strong> $50,000 - $60,000 DOE</p><p><strong>Location:</strong> Hybrid Opportunity</p><p><strong>Benefits:</strong> Comprehensive benefits package, growth opportunities, and the chance to make a meaningful impact in the community.</p><p><br></p><p><strong>About the Opportunity</strong></p><p>A growing healthcare organization is seeking a detail-oriented <strong>Credentialing Specialist</strong> to support provider enrollment and credentialing activities. This role plays a critical part in ensuring healthcare providers are properly credentialed and enrolled with insurance payers so patients can continue receiving access to quality care. This is an excellent opportunity for someone who enjoys process management, compliance, relationship coordination, and working in a mission-driven environment that serves the community.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage provider credentialing and recredentialing processes for physicians and other healthcare providers.</li><li>Complete and submit enrollment applications with commercial, government, and military insurance plans, including:</li><li>BCBS/Anthem</li><li>Tricare</li><li>VA</li><li>Medicare</li><li>Cigna</li><li>Monitor application status and proactively follow up with payers to ensure timely processing.</li><li>Maintain accurate provider records and documentation within credentialing systems and databases.</li><li>Track and monitor provider licenses, DEA registrations, board certifications, malpractice coverage, and other regulatory requirements to ensure ongoing compliance.</li><li>Coordinate with internal stakeholders, healthcare providers, clinics, hospitals, and insurance representatives throughout the credentialing process.</li><li>Research and resolve enrollment issues, denials, or missing documentation.</li><li>Maintain strict attention to detail, recognizing that credentialing errors may not be identified until months after submission.</li><li>Stay informed of payer requirements and regulatory changes impacting provider enrollment and credentialing.</li></ul><p>If you are a highly organized credentialing professional who thrives in a fast-paced healthcare environment and takes pride in getting the details right, we'd love to hear from you.</p>
  • 2026-10-12T19:18:46Z
Medical Billing Specialist
  • Philadelphia, PA
  • onsite
  • Temporary / Contract
  • - USD / Hourly
  • 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.
  • 2026-09-23T17:18:45Z
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