CrawlJobs Logo

Lead Medical Billing Specialist

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , Long Beach

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

A growing Behavioral Health Company is hiring a Lead Medical Billing Specialist with strong behavioral health skills. The Medical Billing Specialist will be tasked with submitting claims to insurance companies for services rendered.

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

Requirements:

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

Nice to have:

Behavioral Health or DMH experience

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

Additional Information:

Job Posted:
March 01, 2026

Job Link Share:

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

Briefcase Icon

Similar Jobs for Lead Medical Billing Specialist

Credentialing Specialist Lead

The Credentialing Specialist Lead serves as the senior subject matter expert wit...
Location
Location
United States , Long Island City
Salary
Salary:
30.00 - 32.00 USD / Hour
thedermspecs.com Logo
The Dermatology Specialists
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
Read More
Arrow Right

Lead Medical Billing Specialist

A growing Behavioral Health Company is hiring a Lead Medical Billing Specialist ...
Location
Location
United States , Long Beach
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 3 years of medical billing and insurance collections experience
  • Must be well versed with HMO, PPO and Government insurance
Job Responsibility
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
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Eligible to enroll in company 401(k) plan
  • Free online training
Read More
Arrow Right

Medical Accounts Receivable Specialist

Our team is seeking a skilled professional to assist with the implementation of ...
Location
Location
United States , Indianapolis
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 2 years’ experience in medical accounts receivable, billing, or revenue cycle management
  • Hands-on experience with the SIS RCM Platform and/or involvement in system implementation projects is highly preferred
  • In-depth knowledge of insurance guidelines, medical billing regulations, claim adjudication, and collections strategies
  • Strong technical aptitude and adaptability—demonstrated success learning new systems and processes quickly
  • Ability to multitask, prioritize competing deadlines, and thrive in a fast-paced, change-driven environment
  • Exceptional attention to detail, analytical skills, and written/verbal communication
  • Commitment to upholding the highest standards of professionalism, integrity, and patient confidentiality
Job Responsibility
Job Responsibility
  • Partner with implementation teams and end users to facilitate a seamless transition to the new SIS RCM Platform
  • Aggressively review and collect on aging accounts receivable, working closely with insurance payers and patients to resolve outstanding balances
  • Perform payment posting, account reconciliation, denial management, and appeals within the current and new platforms
  • Identify process improvements and actively contribute insights to optimize revenue cycle workflows during system migration
  • Troubleshoot and resolve system, billing, or integration discrepancies with urgency and attention to detail
  • Maintain strict adherence to HIPAA regulations and company policies to ensure confidentiality and compliance at all times
  • Provide training and frontline support to teammates as needed through the transitional phase
  • Communicate effectively with management, project leads, and cross-functional teams regarding progress, challenges, and solutions
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Medical AR Specialist in SIS

Our team is seeking a skilled professional to assist with the implementation of ...
Location
Location
United States , Indianapolis
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 2 years’ experience in medical accounts receivable, billing, or revenue cycle management
  • Hands-on experience with SIS (Surgical Informatics Software)
  • In-depth knowledge of insurance guidelines, medical billing regulations, claim adjudication, and collections strategies
  • Strong technical aptitude and adaptability—demonstrated success learning new systems and processes quickly
  • Ability to multitask, prioritize competing deadlines, and thrive in a fast-paced, change-driven environment
  • Exceptional attention to detail, analytical skills, and written/verbal communication
  • Commitment to upholding the highest standards of professionalism, integrity, and patient confidentiality
Job Responsibility
Job Responsibility
  • Partner with implementation teams and end users to facilitate a seamless transition to the new SIS Platform
  • Aggressively review and collect on aging accounts receivable, working closely with insurance payers and patients to resolve outstanding balances
  • Perform payment posting, account reconciliation, denial management, and appeals within the current and new platforms
  • Identify process improvements and actively contribute insights to optimize revenue cycle workflows during system migration
  • Troubleshoot and resolve system, billing, or integration discrepancies with urgency and attention to detail
  • Maintain strict adherence to HIPAA regulations and company policies to ensure confidentiality and compliance at all times
  • Provide training and frontline support to teammates as needed through the transitional phase
  • Communicate effectively with management, project leads, and cross-functional teams regarding progress, challenges, and solutions
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Medical AR Specialist in SIS

Our team is seeking a skilled professional to assist with the implementation of ...
Location
Location
United States , Indianapolis
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 2 years’ experience in medical accounts receivable, billing, or revenue cycle management
  • Hands-on experience with SIS (Surgical Informatics Software)
  • In-depth knowledge of insurance guidelines, medical billing regulations, claim adjudication, and collections strategies
  • Strong technical aptitude and adaptability—demonstrated success learning new systems and processes quickly
  • Ability to multitask, prioritize competing deadlines, and thrive in a fast-paced, change-driven environment
  • Exceptional attention to detail, analytical skills, and written/verbal communication
  • Commitment to upholding the highest standards of professionalism, integrity, and patient confidentiality
Job Responsibility
Job Responsibility
  • Partner with implementation teams and end users to facilitate a seamless transition to the new SIS Platform
  • Aggressively review and collect on aging accounts receivable, working closely with insurance payers and patients to resolve outstanding balances
  • Perform payment posting, account reconciliation, denial management, and appeals within the current and new platforms
  • Identify process improvements and actively contribute insights to optimize revenue cycle workflows during system migration
  • Troubleshoot and resolve system, billing, or integration discrepancies with urgency and attention to detail
  • Maintain strict adherence to HIPAA regulations and company policies to ensure confidentiality and compliance at all times
  • Provide training and frontline support to teammates as needed through the transitional phase
  • Communicate effectively with management, project leads, and cross-functional teams regarding progress, challenges, and solutions
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Medical Biller

We are looking for an experienced Medical Biller/ AR specializing in medical ope...
Location
Location
United States , Scranton
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Physician Coding Review Specialist

Location
Location
United States
Salary
Salary:
26.55 - 39.85 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
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
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
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
Read More
Arrow Right

Lead Regional Oncology Specialist

Working on the Oncology Sales team, the Lead Regional Oncology Specialist (Lead ...
Location
Location
United States , Seattle
Salary
Salary:
127000.00 - 191000.00 USD / Year
exactsciences.com Logo
Exact Sciences
Expiration Date
Until further notice
Flip Icon
Requirements
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 more than two moving violations, events, or accidents within the last 36 months
  • No alcohol or drug event in which a vehicle was driven by the candidate or employee, including but not limited to Blood Alcohol Content (BAC) failure, refusal to submit to alcohol or drug test, alcohol related suspension, etc. in the last 36 months
Job Responsibility
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
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
Read More
Arrow Right