Claims Billing Specialist Job at Robert Half (Philadelphia)

Medical billing claims collections specialist

We are looking for experienced professionals to assist with medical billing, cla...

Location

United States , Austin

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing, claims processing, and collections
Strong knowledge of accounts receivable management, particularly aged accounts
Familiarity with insurance follow-up processes, including handling denials and claim status evaluations
Understanding of appeals and resubmission procedures for various insurance types
Ability to interpret EOBs and ERAs to accurately assign financial responsibilities
Excellent communication skills for patient collections and negotiations
Proficiency in handling sensitive financial conversations with empathy and professionalism
Knowledge of Medicare, Medicaid, and commercial insurance regulations and processes

Job Responsibility

Conduct follow-ups on aged accounts receivable to ensure timely resolution and recovery
Review and analyze claims to determine appropriate actions, including resubmissions, appeals, write-offs, or patient collections
Manage patient collections by initiating contact, negotiating payment plans, and addressing financial concerns with sensitivity
Handle invoicing tasks, ensuring accuracy and compliance with organizational protocols
Evaluate insurance denials and claims statuses to identify resubmission opportunities and payer-specific requirements
Process appeals and resubmissions, adhering to industry standards and documentation guidelines
Interpret explanation of benefits (EOBs) and electronic remittance advices (ERAs) to determine financial responsibility between payers and patients
Collaborate with team members to ensure efficient handling of accounts and claims
Maintain detailed records of all actions taken for claims and collections
Utilize knowledge of commercial and government insurance processes, including Medicare and Medicaid, to guide decision-making

What we offer

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

Claims Resolution Specialist I, Hospital Billing Office

Baptist Health is hiring a Claims Resolution Specialist I for our Hospital Billi...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Accounts Receivable Experience Required
Billing Experience Required
Knowledge of CPT, ICD10, HCPCS, and Modifiers Required
Medical Insurance Experience Required
Reimbursement Experience Required
1-2 years of Revenue Cycle Operations Experience Required
High school diploma (or higher) Required

Job Responsibility

Resolves each medical claim sent to commercial insurance companies, third party organizations and/or government payers
Analyzes explanation of benefits to insure proper payment to Baptist Health from paying entities
Communicates with third-party representatives as necessary to complete claims processing and /or resolve problem claims
Follows-up daily on post processing activity including but not limited to, rejected billings, adjustments, corrected claims, overpayments, and denied claims
Works all assigned accounts on worklist in order depending on balance and age
Identify and communicate trends in denials to leadership
Requires experience in either HB or PB while working toward competency in all areas of the assigned vertical
Communicates with various departments to resolve any outstanding issues with claim to resolve denials
Possesses up to date knowledge related to CPT codes, ICD/10 codes

Fulltime

New

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to support reven...

Location

United States , Charlotte

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical billing, including claim submission, denial review, and payment follow-up
Working knowledge of medical coding principles and the ability to recognize and correct claim-related errors
Background in medical collections and account resolution within a healthcare billing environment
Familiarity with medical claims processing and payer reimbursement procedures
Experience using EPACES or similar eligibility and claims support systems
Strong customer service skills with the ability to handle billing inquiries clearly and professionally
High attention to detail, solid organizational skills, and the ability to manage deadlines effectively

Job Responsibility

Review denied and rejected medical claims, identify the source of billing or coding discrepancies, make necessary corrections, and submit claims again within required timeframes
Confirm patient insurance eligibility and benefit details before services are provided to help prevent avoidable claim issues and support accurate cost estimates
Apply medical billing and coding knowledge to ensure claim information is complete, compliant, and aligned with payer requirements
Monitor claim status and pursue outstanding balances through consistent follow-up with insurance carriers and other payers
Support collection efforts by investigating unpaid accounts and coordinating appropriate next steps for resolution
Use billing platforms and tools such as EPACES to access coverage information, review claim activity, and maintain accurate account updates
Communicate clearly with patients, payers, and internal teams to address billing questions and resolve account concerns professionally

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan

Parttime

New

Billing Specialist

This is a full-time position with full benefits (health, dental, vision, 403B, p...

Location

United States , Shrewsbury

Salary:

26.44 - 31.25 USD / Hour

Veterans Inc.

Expiration Date

Until further notice

Requirements

Associate degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field preferred
Equivalent work experience may be substituted for formal education
Minimum of five (5) years of healthcare billing experience
Minimum of three (3) years of experience in insurance verification, authorizations, billing support, claims preparation, or payer relations
Experience in Behavioral Health and/or Substance Use Disorder services strongly preferred
Experience working with MassHealth, Medicare, Medicaid Managed Care Organizations, and commercial insurance plans
Must be able to successfully pass a CORI/Background records check
Compliance with Veterans Inc. COVID-19 Vaccination Policy

Job Responsibility

Verify coverage: Confirm insurance eligibility, benefits, and payer-specific requirements for all new admissions and existing clients
Update systems: Maintain precise insurance records within the EHR and communicate coverage limitations or authorization needs to staff
Secure approvals: Obtain, track, and maintain authorizations for behavioral health and substance use disorder (SUD) services
Coordinate tracking: Manage expiration dates, submit Notices of Admission (NOAs), and collaborate with utilization review to prevent gaps in coverage
Audit accounts: Review documentation and authorizations prior to claim submission to prevent payment delays
Partner with contractors: Coordinate directly with the agency's external billing contractor to resolve edits, corrections, and claim issues
Stay compliant: Ensure all billing aligns with MassHealth, Medicare, Medicaid MCOs, commercial guidelines, BSAS, and HIPAA regulations
Act as an expert: Research payer updates and serve as the internal resource for evolving billing policies
Analyze trends: Identify systemic billing errors or authorization issues contributing to claim denials
Improve processes: Partner across admissions, clinical, and finance teams to implement process improvements that protect revenue

What we offer

BCBS Medical, Dental, and Vision Insurance
Employer Paid Short and Long-Term Disability and Life Insurance
$2500 Medical Opt-Out program if you have medical coverage through another source
Retirement Plan (403B) with a $2000 Match
Flexible Spending Accounts
Tuition Reimbursement Program
Paid Parental Leave

Fulltime

Medical Insurance Claims Specialist

We are looking for a Medical Insurance Claims Specialist to join a healthcare te...

Location

United States , Vancouver

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in insurance verification, medical billing, claims support, or a related healthcare administrative role
High school diploma or equivalent required
additional education in healthcare administration or a related field is preferred
Working knowledge of insurance eligibility review, patient benefits coordination, and medical claims processes
Familiarity with prior authorization and referral requirements across a range of insurance carriers
Understanding of medical terminology and its application in coverage verification and billing support
Strong organizational skills with a high level of accuracy and attention to detail
Effective verbal and written communication skills, along with a customer-focused approach when assisting patients and internal teams
Proficiency with healthcare software platforms and Microsoft Office applications

Job Responsibility

Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered
Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices
Enter, verify, and maintain accurate insurance and benefits information within the patient management system
Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner
Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission
Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification
Follow established healthcare regulations and organizational standards when handling patient information and insurance records

What we offer

medical, vision, dental, and life and disability insurance
enrollment in company 401(k) plan

Fulltime

Medical Billing Specialist

We are seeking a detail-oriented Medical Biller with strong customer service ski...

Location

United States , Charlotte

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ years of experience in medical billing, medical collections, or healthcare revenue cycle
Strong customer service skills with experience communicating sensitive financial information
Ability to explain billing concepts clearly to patients and non-technical audiences
High attention to detail and accuracy in data entry and claim processing
Strong problem-solving skills and ability to handle difficult conversations professionally
Working knowledge of medical billing codes (ICD-10, CPT, HCPCS preferred)
Experience with medical billing systems and electronic health records (EHR)
Reliable, organized, and able to manage multiple priorities in a fast-paced environment

Job Responsibility

Process and submit medical claims accurately and timely to insurance carriers
Review patient accounts and insurance payments to ensure correct posting and follow-up
Respond to patient billing inquiries with professionalism, empathy, and clear explanations
Resolve billing issues, payment discrepancies, and rejected or denied claims
Coordinate with insurance companies, providers, and internal teams to resolve account issues
Maintain accurate documentation and notes within billing systems
Follow HIPAA guidelines and maintain confidentiality of patient information

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Parttime

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to support a hea...

Location

United States , Boca Raton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 5 years of experience in medical billing, coding, collections, claims, or a closely related healthcare revenue cycle function
Demonstrated hands-on expertise with Evaluation and Management (E/M) coding
Proven experience performing documentation and coding audits in a healthcare setting
Strong understanding of payer policies, reimbursement methods, claim denials, and compliance requirements
Working knowledge of medical billing, medical coding, medical collections, medical claims, and ePaces
Current coding certification from a recognized accrediting organization is required.

Job Responsibility

Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes
Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities
Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims
Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management
Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance
Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance
Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards
Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations
Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements
Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.

What we offer

medical, vision, dental, and life and disability insurance
company 401(k) plan

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to support reven...

Location

United States , Columbus

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrated experience in medical billing and revenue cycle management within a healthcare setting
Working knowledge of claim submission, payment posting, denials management, and account follow-up processes
Ability to handle a high-volume workload while maintaining strong attention to detail and accuracy
Basic proficiency in Microsoft Excel, particularly for data entry, tracking, and simple reporting tasks
Strong communication skills with the ability to follow up consistently and resolve issues professionally
Familiarity with medical coding, claims processing, and collections practices
Experience with TherapyNotes is helpful but not required

Job Responsibility

Manage day-to-day medical billing activities and oversee a steady monthly workload of approximately 800 claims
Investigate unpaid, delayed, or rejected claims and take appropriate action to secure timely resolution
Review denial trends, correct billing issues, and resubmit claims to support accurate reimbursement
Enter and update billing information in internal systems and spreadsheets with a high level of accuracy
Use basic Microsoft Excel functions to track claim status, organize payment data, and maintain reporting records
Communicate proactively with internal stakeholders, payers, and other contacts to address billing questions and outstanding issues
Support medical collections efforts by following up on balances and documenting account activity thoroughly
Work in a hybrid schedule, including on-site attendance in Columbus, Ohio 1–2 days per week

What we offer

medical, vision, dental, and life and disability insurance
enrollment in company 401(k) plan

Parttime

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Claims Billing Specialist

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