<p>We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.</p><p>• Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.</p><p>• Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.</p><p>• Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.</p><p>• Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.</p><p>• Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.</p><p>• Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.</p><p>• Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.</p>
<p>Robert Half is partnering with a well-established North County San Diego company seeking an experienced Billing Specialist to support its growing accounting operations. This role is ideal for someone who thrives in a fast-paced environment, enjoys working with customers and internal stakeholders, and takes pride in ensuring billing accuracy. The organization offers a positive team culture, stable leadership, and opportunities for advancement within the accounting and finance department.</p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare and process customer invoices</li><li>Review billing documentation for completeness and accuracy</li><li>Research and resolve billing discrepancies</li><li>Communicate with customers regarding invoice questions</li><li>Maintain billing records and supporting documentation</li><li>Assist with accounts receivable collections activities</li><li>Process billing adjustments and credit memos</li><li>Reconcile customer accounts</li><li>Generate billing reports for management review</li><li>Support month-end close related billing activities</li></ul>