Claims and Denials Specialist Job at Robert Half (Oakland)

Medical Reimbursement Specialist

We are in search of a Medical Reimbursement Specialist to join our team. Station...

Location

United States , Princeton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in a similar role
Proficient in benefit functions
Demonstrated expertise in billing functions
Experience in claim administration
Familiarity with collection processes
Ability to handle and resolve medical denials
Comprehensive knowledge of Medicare

Job Responsibility

Analyze and categorize outstanding claims based on payer, denial reason, and claim value
Investigate and take corrective action on unpaid, denied, or underpaid claims
Collaborate with internal teams to obtain missing documentation and expedite claim resubmission
Evaluate common denial reasons and address them accordingly, such as coding errors, medical necessity, and prior authorization
Submit corrected claims and formal appeals as required
Communicate with insurance payers to resolve aged claims and escalate unresolved claims as necessary
Maintain comprehensive records of all payer interactions
Identify the root causes of denials and implement best practices to prevent future issues
Suggest changes to workflow to enhance claim submission accuracy and speed
Conduct training for in-house billing teams on claim recovery strategies

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join a team i...

Location

United States , King of Prussia

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical billing, claims, or collections
Proficiency in accounting software systems and electronic health record (EHR) systems
Familiarity with Medicaid processes and commercial insurance claims
Strong understanding of accounts receivable, denial management, and appeals
Experience working with billing and authorization functions
Ability to accurately input and manage billing data
Excellent communication skills to collaborate with team members and external payors
Knowledge of compliance policies related to medical billing and collections

Job Responsibility

Process and submit primary and secondary claims for both commercial insurance and Medicaid
Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement
Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections
Input and review billing data for accuracy, ensuring compliance with company policies and procedures
Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing
Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing
Assist intake teams with Medicaid documentation for new clients and those requiring reassessment
Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups
Ensure adherence to compliance standards in all billing and collections activities
Perform other tasks as assigned by the Billing Manager or Director

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

Medical Billing Specialist

Location

United States , Dothan

Salary:

Not provided

RealTime (AL)

Expiration Date

Until further notice

Requirements

Medical Billing Experience
Perform posting charges
Perform completion of claims to payers
Conduct duties in a professional and timely fashion
Submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Perform claim follow-up
Achieve maximum reimbursement for services provided
Deploy, maintain and report on various programs

Job Responsibility

Medical billers play a vital role in the connection between health care providers, patients, and insurance companies. At RealTime, we provide excellent Revenue Cycle Management to medical practices across the Southeast and through the Midwest.

What we offer

Training
Competitive pay
Phone allowance
Generous PTO
401(k) with company match
Health & Wellness Benefits including medical, dental, and vision
Company-sponsored events for fun and fellowship

Fulltime

Hospital Denial Claims Specialist

We are looking for a meticulous Hospital Denial Claims Specialist to join our te...

Location

United States , Dallas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in hospital billing, specifically focusing on the Hospital Billing side
Proficiency in using Epic systems for claim research, account review, and documentation
Advanced skills in Microsoft Excel for tracking, reporting, and trend analysis
Strong analytical abilities to identify and address claim denial root causes
Excellent written and verbal communication skills to collaborate effectively with various teams
Familiarity with healthcare revenue cycle processes, denial management, and claim resolution
Detail-oriented approach with the ability to work independently and manage complex accounts

Job Responsibility

Investigate and resolve insurance denials for hospital billing claims, ensuring thorough account-level analysis
Identify and document root causes of claim denials, utilizing payer guidelines and system documentation
Evaluate denial reason codes and recommend corrective actions to prevent recurring issues
Collaborate with cross-functional teams, including billing, coding, and clinical staff, to address systemic claim submission errors
Communicate trends and findings to leadership, offering insights for process improvements
Conduct detailed follow-ups to resolve outstanding claims efficiently and accurately
Maintain up-to-date knowledge of hospital billing requirements, payer policies, and reimbursement guidelines
Leverage advanced Excel skills to track claims, analyze trends, and generate reports
Utilize Epic systems for comprehensive claim research and account documentation

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Claims Resolution Representative III

The Claims Resolution Representative III is responsible for working across the p...

Location

United States of America , Albany

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate degree and 2 years of related relevant experience
or equivalent combination of education and/or experience
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills

Job Responsibility

Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable
Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections
Research claims, identify problems, and takes appropriate action to assure claim resolution
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Keeps management informed of changes in billing requirements and rejection or denial codes
Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists

Fulltime

Billing Supervisor

The Billing Supervisor will play a critical role in overseeing the daily operati...

Location

United States

Salary:

68000.00 - 85000.00 USD / Year

Equip Health

Expiration Date

Until further notice

Requirements

High school diploma or GED required
Associate’s or Bachelor’s degree strongly preferred
Minimum of 5 years of billing experience, including at least 3 years in a supervisory role
Proven experience in leading, training, and supporting team members in a healthcare billing environment
Proficient knowledge of healthcare revenue cycle, charge entry processes and billing requirements
expertise in Behavioral Health strongly preferred
Strong understanding of payer guidelines, and insurance claims workflows, including denials and resubmissions
Excellent verbal and written communication skills
ability to coordinate with cross-functional departments and relay clear guidance to team members
Strong attention to detail, time management, and problem-solving skills, with the ability to prioritize and delegate tasks effectively

Job Responsibility

Supervise and mentor a team of denial follow-up specialists to ensure timely and accurate resolution of insurance claim denials
Oversee daily denial worklists to ensure prompt follow-up within payer filing deadlines
Generate and analyze denial reports (aging, write-offs, recovery rates, etc.)
Serve as the primary point of contact for follow-up workflow questions, providing guidance and resolution support to team members with escalations
Collaborate closely with the Billing Manager to monitor key performance metrics and assist in meeting department goals and targets
Ensure proper training, onboarding, ongoing development, and timely feedback, performance evaluations, and coaching for Billing Specialists to maintain high accuracy, productivity, and support professional growth and accountability
Monitor daily follow-up workflows for completeness and accuracy, identifying trends, inconsistencies, or bottlenecks and implementing corrective actions as needed
Maintain a working knowledge of the full Revenue Cycle Management (RCM) process, including patient registration, insurance verification, coding, billing, and collections
Analyze insurance claim denials related to charge entry or billing errors
develop and implement strategies to minimize recurring denials

What we offer

Flex PTO (3-5 wks/year recommended) + 11 paid company holidays
Generous parental leave
Competitive Medical, Dental, and Vision plans with generous employer contributions for both individuals and families
Company-paid Short-Term Disability, Long-Term Disability, Life and AD&D insurance
Company-paid partnership with Maven Clinic to provide comprehensive reproductive and family care resources
Employee Assistance Program (EAP), a company-paid resource for mental health, legal services, financial support, and more
401(k) retirement plan

Fulltime

Medical Collections Specialist

A Hospital in Los Angeles is seeking a Medical Collections Specialist with exper...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2 years medical billing and medical insurance collections experience
Strong understanding of HMO and PPO
Must be successful with investigating, tracking, and resolving denied medical insurance claims

Job Responsibility

Investigating and resolving denied claims from various insurance providers
Reviewing credit balances and denials management
Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing
Follow up on outstanding claim denials and secure reimbursement where possible
Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies
Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates
Submit appeals and reconsideration requests to insurance companies for denied claims

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

Claims Resolution Representative III

The Claims Resolution Representative III is responsible for working across the p...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate degree and 2 years of related relevant experience
or equivalent combination of education and/or experience
Excellent problem-solving skills
Excellent communication skills
Excellent customer service skills

Job Responsibility

Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable
Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections
Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner
Keeps management informed of changes in billing requirements and rejection or denial codes
Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ’s to identify opportunities for improvement in clean claims rate

Fulltime

Claims and Denials Specialist

Robert Half

Location:
United States , Oakland

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 16, 2026

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Claims and Denials Specialist

Robert Half

Location:United States , Oakland

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:January 16, 2026

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Location:
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Job Posted:
January 16, 2026