<p>Are you someone who thrives in a fast-paced medical billing environment, enjoys problem-solving, and values the importance of communication with both insurance providers and patients? Robert Half is seeking a skilled <strong>Medical Biller Collector</strong> to join a dynamic team focused on delivering exceptional financial and administrative support in the healthcare field.</p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Insurance Claims Follow-Up:</strong> Proactively reach out to insurance companies to resolve unpaid or denied medical claims, ensuring timely reimbursement while addressing discrepancies.</li><li><strong>Patient Communication:</strong> Serve as a resource for patients by explaining billing details, assisting with copay inquiries, and addressing any questions or concerns to enhance patient satisfaction.</li><li><strong>Claims Review and Correction:</strong> Analyze claims data, identify errors or missing documentation, and make appropriate corrections to expedite processing.</li><li><strong>Compliance:</strong> Ensure that all billing practices align with industry regulations, legal requirements, and payer-specific guidelines.</li><li><strong>Documentation:</strong> Maintain accurate, organized records of all activities related to claims and patient interactions for reporting and audit purposes.</li></ul><p><br></p>
<p>A Healthcare Company in Long Beach is looking for a proficient Medical Financial Screener. The main role of the Medical Financial Screener will be to guide patients through financial options, verify their eligibility for Medi-Cal, and ensure coverage for medical services. This is a crucial role in providing a seamless healthcare experience for individuals and families while supporting the organization’s operations.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Regularly update knowledge on changes to Medi-Cal policies, eligibility requirements, and healthcare regulations.</p><p>• Verify patient's financial status, required documentation, and insurance eligibility for services.</p><p>• Explain coverage options to patients, guiding them through the application or enrollment process.</p><p>• Conduct financial screenings for patients to assess their eligibility for Medi-Cal and other programs.</p><p>• Aid patients in navigating financial options and completing Medi-Cal applications in a timely and accurate manner.</p><p>• Work collaboratively with billing departments and other staff to ensure accurate coding, claims processing, and compliance with Medi-Cal regulations.</p><p>• Maintain detailed records of screenings and interactions while following HIPAA standards.</p><p>• Serve as a reliable point of contact for patients with inquiries about Medi-Cal application status or coverage benefits.</p>
<p>We are looking for an Insurance Verification Coordinator to join our clients team in Southern California. In this fully remote role, you will play a vital part in ensuring accurate insurance authorizations and verifications, contributing to seamless healthcare operations. This is a long-term contract position within the healthcare industry, offering a chance to make a meaningful impact while enhancing your skills.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient insurance coverage and ensure all required authorizations are obtained prior to services.</p><p>• Collaborate with healthcare providers and insurance companies to facilitate accurate and timely processing of claims.</p><p>• Monitor and update patient records in the Epic EMR system to reflect verified insurance information.</p><p>• Investigate and resolve discrepancies related to insurance payments and coverage.</p><p>• Ensure prompt payment by identifying and addressing any issues with insurance claims.</p><p>• Handle referrals and verify insurance details to support efficient patient care.</p><p>• Communicate with patients regarding their insurance coverage and provide clarity on any concerns.</p><p>• Maintain compliance with healthcare regulations and insurance policies.</p><p>• Generate reports on insurance verification activities and present findings to management.</p><p>• Work closely with the billing department to streamline reimbursement processes.</p>
<p>We are looking for a dedicated and detail-oriented Medical Insurance Verifier to join our team in Long Beach, California. The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their eligibility for Medi-Cal and other programs. The ideal candidate will have a strong background in medical billing, insurance verification, and financial counseling.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings to determine patient eligibility for Medi-Cal, PPO, HMO and other healthcare programs.</p><p>• Guide patients through the application process for HMO, PPO, Medi-Cal, ensuring accuracy and timely submission of required documents.</p><p>• Explain available coverage options and assist patients in understanding their financial responsibilities.</p><p>• Verify insurance eligibility, financial status, and documentation to ensure services are appropriately covered.</p><p>• Collaborate with billing teams and other departments to ensure compliance with Medi-Cal regulations and accurate claims processing.</p><p>• Maintain comprehensive records of patient interactions and screenings in alignment with organizational standards.</p><p>• Stay informed about updates to HMO, PPO, Medi-Cal policies, eligibility criteria, and healthcare regulations.</p><p>• Support the organization’s operations by ensuring seamless patient access to financial assistance programs.</p><p>• Utilize electronic health record (EHR) systems to document and track patient information effectively.</p>
A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, remote work opportunities may be available.<br><br>Key Responsibilities:<br><br>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.<br>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.<br>Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed.<br>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.<br>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.<br>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.<br>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.
<p>A Surgery Center in Encino is in the need of a Medical Billing Specialist. The Medical Billing Specialist must have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. </p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing functions for 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 services as needed</p><p>-Performs all third-party follow-up functions for all products and procedures.</p><p> -Reviews EOBS . Make corrections as required and resubmit the claim for payments.</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-10 code to identify the provider's narrative diagnosis </p><p>-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 codes for services performed by staff surgeons</p>
<p>A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, <strong>remote work opportunities may be available</strong>.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.</li><li>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.</li><li>Manage <strong>denials and appeals</strong>, researching root causes, documenting issues, and resubmitting claims as needed.</li><li>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.</li><li>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.</li><li>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.</li><li>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.</li></ul><p><br></p>
<p>Are you an experienced medical billing professional with a background in surgery billing, ASC (Ambulatory Surgery Center) operations, and expertise in EPIC software? Do you thrive in a fast-paced environment and have a proven track record in medical insurance collections? If so, we want to hear from you! Robert Half is partnering with a leading healthcare provider to find a detail-oriented <strong>Surgery Medical Billing Specialist</strong> to join their team.</p><p><strong>Key Responsibilities</strong></p><ul><li>Process, review, and submit medical billing claims specific to surgical procedures using EPIC software.</li><li>Accurately code surgeries and other medical services in compliance with healthcare regulations.</li><li>Collaborate with ASC teams to ensure seamless coordination of patient billing and documentation.</li><li>Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies.</li><li>Manage and monitor accounts receivable, following up on unpaid claims to improve collections.</li><li>Research and resolve denials and appeals to maximize reimbursement.</li><li>Maintain strict adherence to HIPAA regulations and patient confidentiality protocols.</li><li>Provide regular reporting on billing activities, payment trends, and collections performance</li></ul><p><br></p>
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul>
<p>An outstanding company that we are partnering with in the healthcare industry in Encinitas, CA is looking for a Billing Coordinator who can bring accuracy, empathy, and efficiency to their patient billing operations. This role is perfect for someone who understands the importance of clear communication and timely billing in a healthcare setting.</p><p><br></p><p><strong><u>What You’ll Be Doing:</u></strong></p><ul><li>Prepare and submit patient billing statements and insurance claims.</li><li>Verify insurance coverage and ensure proper coding of services.</li><li>Follow up on unpaid claims and patient balances.</li><li>Maintain billing records and assist with reporting and audits.</li><li>Communicate with patients and insurance providers to resolve billing inquiries.</li></ul>
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Personal Injury Plaintiff Case Manager to join our team in Los Angeles, California. In this role, you will oversee personal injury cases, ensuring efficient claim processing, effective communication, and timely management of client needs. The ideal candidate will have a strong background in case management and a commitment to delivering exceptional client service.</p><p><br></p><p>Responsibilities:</p><p>• Process and open health insurance claims with accuracy and attention to detail.</p><p>• Upload and organize critical documents into the company’s case management software.</p><p>• Schedule and coordinate medical appointments while maintaining an up-to-date calendar.</p><p>• Serve as the primary point of contact for clients, addressing their concerns promptly and professionally.</p><p>• Ensure proper documentation and tracking of case details to support smooth claim administration.</p><p>• Collaborate with internal teams to streamline workflows and maintain case progress.</p><p>• Utilize CRM tools to manage client interactions and maintain detailed records.</p><p>• Monitor case timelines and ensure all deadlines are met.</p><p>• Stay informed about personal injury law and regulations to provide informed support.</p><p>• Maintain confidentiality and adhere to legal compliance standards.</p>
<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>
