Healthcare Clinical Billing Research Specialist Job at Robert Half (Dallas)

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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

Current coding certification from AAPC or AHIMA is required
At least 5 years of experience in medical billing, coding, collections, revenue cycle support, or a closely related healthcare function
Demonstrated hands-on experience with E/M coding is required
Strong background in coding audits and documentation review
Working knowledge of medical claims processes, reimbursement practices, and compliance standards within a healthcare setting
Ability to interpret payer policies, investigate denials, and communicate effectively with providers and administrative teams
Experience with medical billing systems and tools, including exposure to ePACES, is preferred
Associate degree from an accredited institution is preferred

Job Responsibility

Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines
Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports
Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices
Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up
Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance
Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture
Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered
Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements
Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information

What we offer

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

Medical Billing Specialist

The Medical Billing Specialist is responsible for accurately processing and subm...

Location

United States , Jackson

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent required
2+ years of medical billing or healthcare revenue cycle experience preferred
Experience with insurance claims, payment posting, and accounts receivable follow-up
Knowledge of CPT, ICD-10, and medical terminology preferred
Strong Microsoft Excel and computer skills
Excellent communication, customer service, and organizational abilities
Ability to manage multiple priorities in a fast-paced environment

Job Responsibility

Submit accurate and timely insurance claims through Practice Management Systems and clearinghouse portals
Post insurance, contractual, and patient payments accurately
Research and resolve denied, rejected, or missing claims and payments
Reconcile payer takebacks and payment discrepancies
Balance and post daily deposits within established timelines
Maintain accurate documentation of payment activity using Excel spreadsheets
Monitor and resolve patient and insurance credit balances
Review and follow up on outstanding insurance claims and aged accounts receivable
Verify patient demographics, insurance coverage, and billing information
Obtain missing documentation required for claim processing

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan
Free online training
Access to top jobs
Competitive compensation

Fulltime

Senior Analyst - Financial - Clinical Research

The Senior Financial Analyst will serve as a subject matter expert in coverage a...

Location

United States , Hollywood

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Bachelors (Required)
Three (3) years experience with coverage analysis, clinical trial budget development and negotiation, clinical research study coordination or management, health system operations, or other related research or healthcare experience
A Bachelor s degree in finance, science, business, healthcare administration or related field experience
Critical thinking skills
Effective communication
Decisive judgment
Ability to build and foster positive relationships
Ability to work with minimal supervision

Job Responsibility

Performs comprehensive and independent analysis of clinical trial protocols and other study documents, including the research study budget, contract, informed consent, pharmacy and lab manuals, and other supporting documentation
Perform detailed coverage analysis of research procedures in alignment with CMS rules and develop audit-ready study billing grids
Assist Research Specialists in determining study status under Medicare coverage rules and in identifying services as non-covered research-only, routine care, investigational items, and services along with their associated costs
Lead the development, implementation, analysis and validation of clinical trial financial systems design and operational workflows to optimize performance and productivity
Ensure electronic and paper study files are created, updated, stored, and maintained according to established office practices, and MHS record retention policies, from initial contact to study closeout and beyond
Review and scrub patient bills to ensure claims are being processed accordingly and routed to the correct payor
Analyze industry sponsor budget proposal, clinical trial protocol and manuals to develop and negotiate comprehensive study budgets and payment terms

Fulltime

Clinical Nurse Specialist

Location

United States , Park Ridge

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Masters of Nursing Degree as APRN-CNS
2 years RN experience preferred
1 year APRN-CNS experience in the relevant setting preferred
Well-developed interpersonal and communication skills
Proficiency with an Electronic Medical Record
National certification as a CNS from an accredited body
Current Illinois APRN License
Current Illinois Registered Nurse license
Current Illinois Controlled Substance License within 6 months of hire
Eligible for DEA registration

Job Responsibility

Completes and documents accurate comprehensive, episodic history and physical assessments
Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies
Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment
Implements primary and secondary prevention strategies and management of acute and chronic health problems
Provides clear, concise, accurate, and legible information regarding patient care in the record
Formulates a comprehensive plan of care in collaborating with the patient and interdisciplinary team
Fulfills billing and productivity metrics requirements where appropriate and maintains relevant documentation
Provides other clinical duties as appropriate
Works with interdisciplinary team to develop resource conscious care delivery strategies
Provides education to patients, families, staff and significant others using established education materials and assists patient and families in making healthcare decisions

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinical Nurse Specialist Cardiac and Heart Failure

Location

United States

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Masters of Nursing Degree as APRN-CNS or must be currently enrolled
2 years RN experience preferred
1 year APRN-CNS experience in the relevant setting preferred
Well-developed interpersonal and communication skills
Proficiency with an Electronic Medical Record
National certification as a CNS from an accredited body
Current Illinois APRN License
Current Illinois Registered Nurse license
Current Illinois Controlled Substance License within 6 months of hire
Eligible for DEA registration

Job Responsibility

Completes and documents accurate comprehensive, episodic history and physical assessments
Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies
Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment
Implements primary and secondary prevention strategies and management of acute and chronic health problems
Provides clear, concise, accurate, and legible information regarding patient care in the record
Formulates a comprehensive plan of care in collaborating with the patient and interdisciplinary team
Fulfills billing and productivity metrics requirements where appropriate and maintains relevant documentation
Provides other clinical duties as appropriate
Works with interdisciplinary team to develop resource conscious care delivery strategies
Provides education to patients, families, staff and significant others using established education materials and assists patient and families in making healthcare decisions

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Clinical Nurse Specialist Cardiac and Heart Failure

Location

United States

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Masters of Nursing Degree as APRN-CNS or must be currently enrolled
2 years RN experience preferred
1 year APRN-CNS experience in the relevant setting preferred
Well-developed interpersonal and communication skills
Proficiency with an Electronic Medical Record
National certification as a CNS from an accredited body
Current Illinois APRN License
Current Illinois Registered Nurse license
Current Illinois Controlled Substance License within 6 months of hire
Eligible for DEA registration

Job Responsibility

Completes and documents accurate comprehensive, episodic history and physical assessments
Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies
Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment
Implements primary and secondary prevention strategies and management of acute and chronic health problems
Provides clear, concise, accurate, and legible information regarding patient care in the record
Formulates a comprehensive plan of care in collaborating with the patient and interdisciplinary team
Fulfills billing and productivity metrics requirements where appropriate and maintains relevant documentation
Provides other clinical duties as appropriate
Works with interdisciplinary team to develop resource conscious care delivery strategies
Provides education to patients, families, staff and significant others using established education materials and assists patient and families in making healthcare decisions

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinical Nurse Specialist

Location

United States

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Masters of Nursing Degree as APRN-CNS
2 years RN experience preferred
1 year APRN-CNS experience in the relevant setting preferred
Well-developed interpersonal and communication skills
Proficiency with an Electronic Medical Record
National certification as a CNS from an accredited body
Current Illinois APRN License
Current Illinois Registered Nurse license
Current Illinois Controlled Substance License within 6 months of hire
Eligible for DEA registration

Job Responsibility

Completes and documents accurate comprehensive, episodic history and physical assessments
Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies
Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment
Implements primary and secondary prevention strategies and management of acute and chronic health problems
Provides clear, concise, accurate, and legible information regarding patient care in the record
Formulates a comprehensive plan of care in collaborating with the patient and interdisciplinary team
Fulfills billing and productivity metrics requirements where appropriate and maintains relevant documentation
Provides other clinical duties as appropriate
Works with interdisciplinary team to develop resource conscious care delivery strategies
Provides education to patients, families, staff and significant others using established education materials and assists patient and families in making healthcare decisions

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

Billing and Collections Specialist

We are seeking a detail-oriented Billing Specialist to support the full lifecycl...

Location

United States , Middlebury

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Associate’s degree plus 1+ years of relevant experience, or equivalent combination of education and experience
Experience with healthcare billing, insurance reimbursement processes, and client record management
Strong attention to detail and organizational skills
Ability to audit, verify, and reconcile billing and financial data accurately
Strong communication skills, with the ability to interact professionally with clients, staff, and external partners
Proficiency with Microsoft Office and data entry systems
EMR experience preferred
Ability to manage multiple priorities and work both independently and collaboratively

Job Responsibility

Maintain and manage client demographic, financial, and billing information within the electronic medical record (EMR) system
Process the full billing cycle, including claim preparation, submission, review, and follow-up
Verify insurance benefits and coverage with payers as needed
Audit services prior to submission to ensure accurate coding, documentation, and reimbursement eligibility
Post payments, denials, recoupments, and adjustments
research and resolve account discrepancies
Prepare and submit insurance claims (electronic and paper), including corrections and resubmissions
Support clinical staff with insurance authorizations and required documentation for ongoing services
Track and manage treatment request forms and authorization timelines
Respond to client, staff, and insurance carrier inquiries regarding billing, balances, and records

What we offer

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

Fulltime

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Healthcare Clinical Billing Research Specialist

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What we offer

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