Lead Medical Billing Specialist Job at Robert Half (Long Beach)

Credentialing Specialist Lead

The Credentialing Specialist Lead serves as the senior subject matter expert wit...

Location

United States , Long Island City

Salary:

30.00 - 32.00 USD / Hour

The Dermatology Specialists

Expiration Date

Until further notice

Requirements

3+ years of healthcare credentialing experience
dermatology or multispecialty experience preferred
Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and commercial payer portals
Exceptional attention to detail, organization, and follow-through
Excellent communication and interpersonal skills
Proficiency in Excel and credentialing systems
experience with eClinicalWorks a plus

Job Responsibility

Manage the full credentialing lifecycle for physicians, NPs, and PAs — including Medicaid, Medicare, and commercial payer enrollments (Empire BCBS, Fidelis, Aetna, etc.)
Review and verify provider documents such as medical licenses, DEA, board certifications, malpractice coverage, and CVs
Prepare, track, and submit enrollment applications accurately and within payer timelines
Monitor revalidation and re-credentialing schedules to ensure ongoing compliance
Serve as the primary point of contact for escalated payer or provider inquiries
Partner with internal billing and operations teams to ensure credentialing aligns with billing readiness
Maintain credentialing logs, dashboards, and internal trackers for reporting purposes
Assist in training and supporting new credentialing specialists, ensuring quality and consistency across workflows

New

Lead Medical Billing Specialist

A growing Behavioral Health Company is hiring a Lead Medical Billing Specialist ...

Location

United States , Long Beach

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of medical billing and insurance collections experience
Must be well versed with HMO, PPO and Government insurance

Job Responsibility

EOB review and claims submission
Send notices to insurance companies and patients for request for payment
Manage elements of specific patient accounts, such as billing and reimbursement
Coordinate with numerous working teams to guarantee quality of data and uniformity

What we offer

Medical, vision, dental, and life and disability insurance
Eligible to enroll in company 401(k) plan
Free online training

Accounts Receivable Team Lead

The Accounts Receivable Team Lead is responsible for overseeing high volume, mul...

Location

United States , Mesa

Salary:

Not provided

RISE Services

Expiration Date

Until further notice

Requirements

High school diploma or equivalent (a degree in accounting or related field preferred
equivalent work experience may be considered)
At least 3 years experience in billing and collections, preferably in a high-volume, multi-contract environment
Ability to logically and efficiently analyze issues and address multiple priorities in a professional manner
Experience developing policies and procedures for accounts receivable operations
High standard of integrity
Demonstrate excellent organizational skills, attention to detail, time management, task oriented, good interpersonal skills, patience and perseverance
Excellent knowledge of Microsoft Excel and Word as well as E-mail experience

Job Responsibility

Organize and supervise the processing of multi-state receivables and collections related to medical and Medicare billings
Assist the AR team in developing proactive processes for effective and efficient resolution
Promote a high level of customer service/satisfaction (both internally and externally)
Assist in identifying key performance indicators for AR and ensure accurate tracking of these indicators
Facilitate communication and training in the AR department
Ensure the team’s accurate processing of data by providing billing guidelines with documentation and training
Train, mentor, and provide guidance to accounts receivable team members, ensuring alignment with company policies and best practices
Openly communicate expectations, monitor and evaluate individual and team performance, provide feedback and/or disciplinary action
Provide team members performance evaluations
Attend and participate in financial operation staff meetings and/or other company meetings as requested

What we offer

medical, dental and vision coverage
generous paid time off
incentive bonuses to those who qualify

Fulltime

Medical Biller

We are looking for an experienced Medical Biller/ AR specializing in medical ope...

Location

United States , Scranton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Extensive experience in medical billing and collections
Proficiency in multi-specialty coding practices
Certified Coding credentials are required
Familiarity with federal and state medical billing regulations
Strong analytical skills for trend analysis and audit processes
Proven ability to supervise and manage billing teams effectively
Excellent communication skills for collaboration with healthcare providers and payers
Attention to detail and commitment to maintaining data accuracy

Job Responsibility

Perform multi-specialty coding with precision to ensure timely submission of claims
Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively
Develop and implement an audit process to validate clinical documentation and coded data integrity
Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions
Supervise the daily tasks of billing specialists to maintain workflow efficiency
Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances
Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies
Prepare and analyze monthly aging reports to support financial oversight
Establish best practices to uphold data integrity and quality throughout the revenue cycle
Lead staff training initiatives to promote adherence to industry standards and compliance requirements

What we offer

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

Physician Coding Review Specialist

Location

United States

Salary:

26.55 - 39.85 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA)
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA)
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA)
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC)
Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC)
Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC)
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist
Typically requires 5 years of experience in expert-level professional coding and at least 3 years of experience in the education of clinicians in physician revenue cycle processes, health information workflows, and medical record auditing experience
Advanced knowledge of ICD, CPT, and HCPCS coding guidelines

Job Responsibility

Review assigned codes, which most accurately describe each documented diagnosis and/ or procedure according to established CPT, HCPCS, and ICD-10-CM coding guidelines along with modifier usage and medical terminology
Monitor all coding accuracy at various levels of detail and maintain coding quality as needed
Track coding issues and review coding inaccuracies to highlight areas of improvement
Report or resolve escalated issues as necessary
Responsible for reviewing Clinician documentation and billed codes for Medical Group physicians and non-physician clinicians
Review of medical records in collaboration with key stakeholders such as Internal Audit, Compliance, and Clinic Operations
Responsible for completing all certified coder quality reviews
Working in collaboration with Coding Production Leads and Supervisors
Follows the prospective and/or retrospective review plan to sample employed Clinician's medical record documentation in comparison to services selected for billing, based on best practice methodologies which will be presented and reviewed with Clinicians to provide feedback on proper coding and documentation practices
Follows the necessary schedules for team assignments of documentation/coding accuracy

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

Pro Fee Denials/follow-up coder

Under the direction of the Revenue Cycle Supervisor – Coding the Physician Codin...

Location

United States , Shaker Heights

Salary:

19.53 - 30.53 USD / Hour

University Hospitals

Expiration Date

Until further notice

Requirements

High School Equivalent / GED
2+ years Of medical billing experience
Excellent interpersonal skills
Ability to recognize, evaluates, and solves problems
Strong verbal and written communication skills
Extensive knowledge of the claims development process, as well as third party insurance program requirements
Must possess basic knowledge of ICD-9 and CPT coding
Ability to handle a variety of tasks with speed, attention to detail, and accuracy
Computer literate, experience with basic software packages
Certified Professional Coder (CPC) CPC-A, CPC-H, or CPC-P or Certified Coding Specialist (CCS) or CCS-P or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA)

Job Responsibility

Monitors and analyzes unresolved third party accounts for multi-specialty group practices
Initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims
Analyzes outstanding insurance accounts
Initiates appropriate and effective telephone and/or written follow-up
Communicates with payors and other internal departments
Researches and responds to all telephone inquiries from the customer service department
Reviews and corrects coding edits and denials
May code ICD-10 from written documentation
May abstract CPT/HCPCS codes
May perform computer assisted coding functions

What we offer

Healthcare
dental
vision
retirement plan options

Fulltime

Lead Regional Oncology Specialist

Working on the Oncology Sales team, the Lead Regional Oncology Specialist (Lead ...

Location

United States , Cincinnati; Dayton; Covington

Salary:

127000.00 - 191000.00 USD / Year

Exact Sciences

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Sales, Business Management, Marketing or, Science, or any other related field or 4 years relevant experience in lieu of degree
5+ years of sales experience with a strong record of success selling/promoting complex products in medical oncology and/or diagnostics or similar experience in selling/promoting complex healthcare products
3+ years medical sales experience in specialty areas including: Buy & Bill, Medical Device, highly clinical Specialties like urology, cardiology, GI
3+ years experience selling in a highly competitive environment
Demonstrated clinical and scientific expertise
Demonstrated strong territory or account management skills
Demonstrated strong understanding of competitors and market trends that are impacting product utilization of customers
Possession of a valid driver's license
no suspended, revoked, surrendered, invalid, etc. allowed
No more than two moving violations, events, or accidents within the last 36 months

Job Responsibility

Consistently meet or exceed sales objectives in an assigned geographic area (territory) through field-based call activity/meetings with healthcare providers and their staff on a regular basis
Sell company products or services, develop new accounts, and drive depth within existing accounts
Demonstrate elevated territory management, planning, and implementation
Develop and implement results-oriented territory management and planning
Develop and implement a highly strategic and actionable tactical plan to maximize the utilization of our products in the most productive accounts while staying within budget
support corporate objectives and highlight the delivery of key selling messages and provide a high-level of customer service toward being the best-in-class provider
Executes with strong understanding of key territory-related clinical/political issues while devoting whatever time is necessary to complete objectives outlined in the sales plan
Drives growth through in-depth knowledge of scientific and applicable disease states, competition, and outside influences that impact our business
Complete all training programs and work proficiently with the concepts and complexities associated with genomic testing and Exact Sciences Precision Oncology products
Invest the time necessary to maintain an in-depth understanding of all disease states associated with Exact Sciences’ products and the strengths and weaknesses of the competition

What we offer

Paid time off (including days for vacation, holidays, volunteering, and personal time)
Paid leave for parents and caregivers
A retirement savings plan
Wellness support
Health benefits including medical, prescription drug, dental, and vision coverage
Bonus eligibility

Fulltime

Lead Regional Oncology Specialist

Working on the Oncology Sales team, the Lead Regional Oncology Specialist (Lead ...

Location

United States , Charleston; Huntington; Morgantown; Wheeling

Salary:

127000.00 - 191000.00 USD / Year

Exact Sciences

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Sales, Business Management, Marketing or, Science, or any other related field or 4 years relevant experience in lieu of degree
5+ years of sales experience with a strong record of success selling/promoting complex products in medical oncology and/or diagnostics or similar experience in selling/promoting complex healthcare products
3+ years medical sales experience in specialty areas including: Buy & Bill, Medical Device, highly clinical Specialties like urology, cardiology, GI
3+ years experience selling in a highly competitive environment
Demonstrated clinical and scientific expertise
Demonstrated strong territory or account management skills
Demonstrated strong understanding of competitors and market trends that are impacting product utilization of customers
Possession of a valid driver's license
no suspended, revoked, surrendered, invalid, etc. allowed
No more than two moving violations, events, or accidents within the last 36 months

Job Responsibility

Consistently meet or exceed sales objectives in an assigned geographic area (territory) through field-based call activity/meetings with healthcare providers and their staff on a regular basis
Sell company products or services, develop new accounts, and drive depth within existing accounts
Demonstrate elevated territory management, planning, and implementation
Develop and implement results-oriented territory management and planning
Develop and implement a highly strategic and actionable tactical plan to maximize the utilization of our products in the most productive accounts while staying within budget
support corporate objectives and highlight the delivery of key selling messages and provide a high-level of customer service toward being the best-in-class provider
Executes with strong understanding of key territory-related clinical/political issues while devoting whatever time is necessary to complete objectives outlined in the sales plan
Drives growth through in-depth knowledge of scientific and applicable disease states, competition, and outside influences that impact our business
Complete all training programs and work proficiently with the concepts and complexities associated with genomic testing and Exact Sciences Precision Oncology products
Invest the time necessary to maintain an in-depth understanding of all disease states associated with Exact Sciences’ products and the strengths and weaknesses of the competition

What we offer

paid time off (including days for vacation, holidays, volunteering, and personal time)
paid leave for parents and caregivers
a retirement savings plan
wellness support
health benefits including medical, prescription drug, dental, and vision coverage
bonus eligible

Fulltime

Lead Medical Billing Specialist

Robert Half

Location:
United States , Long Beach

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
March 01, 2026

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