Denials & Accounts Resolution Specialist Job at ONESTAFF MEDICAL (Omaha)

Medical Accounts Receivable Specialist

This role is within the healthcare industry, where you will be crucial in assist...

Location

United States , Jeffersontown, Kentucky

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficient in Accounting Software Systems
Experience with ADP - Financial Services
Familiarity with CRM
Proficiency in Epic Software
Knowledge of ERP - Enterprise Resource Planning
Ability to handle Accounting Functions
Experience with Accounts Receivable (AR)
Proficient in Billing Functions
Capable of managing Cash Activity
Experience in Cash Handling

Job Responsibility

Oversee the processing of appeals by collecting necessary information and resubmitting claims
Manage the initiation of collection follow-ups for unpaid or rejected claims with the relevant Payer
Maintain a robust and positive relationship with team members and Payer representatives
Handle communication of payment or denial trending issues that impact revenue, to leadership
Take responsibility for reviewing unpaid claims and investigating reasons for payment delays
Handle the resolution of claim partial payments and denials with Payers
Engage insurance companies and attorneys to resolve any discrepancies and ascertain the status of bills to secure proper reimbursement
Review outstanding accounts receivables for assigned Payers and maintain the aging report
Ensure any necessary adjustments in accounts are processed accurately and promptly
Keep accurate customer credit records and process customer credit applications efficiently

What we offer

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

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Medical Billing Specialist

We are seeking a dedicated and detail-oriented Medical Billing Specialist to joi...

Location

United States , Hagerstown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Associate’s degree in Health Information Technology, Business Administration, or a related field is preferred
1+ years of experience in medical billing and accounts receivable, preferably within a healthcare setting
Strong knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and insurance regulations
Experience with medical billing software and electronic health records (EHR) systems
Excellent communication skills, both verbal and written
Detail-oriented with strong organizational and analytical skills
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Knowledge of HIPAA regulations and confidentiality requirements

Job Responsibility

Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided
Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection
Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement
Payment Posting: Post payments, adjustments, and denials to patient accounts accurately
Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts
Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments
Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations
Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement
Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan
Access to top jobs
Competitive compensation

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

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Meets or exceeds customer expectations and requirements, and gains customer trust and respect
Compliant with all CHRISTUS Health, payer, and government regulations

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

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

Denials & Accounts Resolution Specialist

ONESTAFF MEDICAL

Location:
United States , Omaha

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 13, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Denials & Accounts Resolution Specialist

Medical Accounts Receivable Specialist

Patient Financial Specialist

Medical Billing Specialist

Medical Billing Specialist

Patient Financial Specialist

Patient Financial Specialist

Hospital Denial Claims Specialist

Billing Supervisor

Denials & Accounts Resolution Specialist

ONESTAFF MEDICAL

Location:United States , Omaha

Category:Finance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:March 13, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Denials & Accounts Resolution Specialist

Medical Accounts Receivable Specialist

Patient Financial Specialist

Medical Billing Specialist

Medical Billing Specialist

Patient Financial Specialist

Patient Financial Specialist

Hospital Denial Claims Specialist

Billing Supervisor

Location:
United States , Omaha

Category:
Finance

Contract Type:
Not provided

Job Posted:
March 13, 2026