Managed Care Medical Billing Specialist Job at Robert Half (Los Angeles)

Managed Care Billing Specialist

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable
Prior hospital-based billing or collections experience is required
Hands-on experience working with UB04 claims in a hospital environment
Strong understanding of payer guidelines, reimbursement practices, and insurance follow-up procedures
Background in denial resolution, appeals processing, and correction of claim-related issues
Ability to manage a high-volume workload with strong accuracy, organization, and attention to detail
Effective written and verbal communication skills with solid analytical and problem-solving ability
Familiarity with hospital billing systems and electronic medical records is preferred

Job Responsibility

Perform insurance collections follow-up on outstanding hospital claims with a focus on Medicare and Managed Care payers
Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement
Investigate and resolve claim denials, rejections, underpayments, and payment delays
Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution
Follow up on aged accounts receivable and maintain productivity in line with departmental goals
Document all collection activity, account updates, and payer communications in the billing system
Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes
Monitor payer trends and escalate recurring issues impacting collections

What we offer

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

Fulltime

Medicare Managed Care Medical Collections Specialist

A hospital in Los Angeles is seeking a Medicare Managed Care Medical Collections...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical collections, insurance follow-up, or healthcare accounts receivable required
Experience with Medicare managed care collections in a hospital or healthcare setting preferred
Strong knowledge of insurance appeals, denial management, and insurance AR follow-up
Familiarity with medical billing processes, payer guidelines, and reimbursement practices
Strong communication, negotiation, and problem-solving skills
Ability to organize and prioritize a high-volume workload in a fast-paced environment
Proficiency with hospital billing systems and electronic medical or revenue cycle platforms preferred
At least 3 years of experience in medical collections, insurance follow-up, or healthcare accounts receivable
Background in Medicare managed care or Medicare Advantage collections within a hospital or healthcare setting is preferred
Working knowledge of denial management, insurance appeals, and payer follow-up practices

Job Responsibility

Call insurance companies, payers, and/or patients to secure payment on unpaid claims
Perform timely follow-up on outstanding insurance accounts receivable to ensure appropriate reimbursement
Manage and prioritize daily workload to maximize collection efforts and minimize delays in payment resolution
Submit and track insurance appeals related to denied or underpaid claims
Review denials, determine root cause, and take corrective action to support claim resolution
Gather and provide required documentation to payers to support payment or appeal requests
Work closely with internal departments to resolve billing discrepancies and improve claim turnaround times
Maintain accurate account notes and update billing systems with collection and follow-up activity
Monitor unpaid claims to ensure timely escalation and resolution

What we offer

medical insurance
vision insurance
dental insurance
life insurance
disability insurance
401(k) plan

Fulltime

Medical Billing Specialist

We are looking for a Medical Billing Specialist to support a Contract opportunit...

Location

United States , Aloha

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical billing is required
Working knowledge of Medicare or Medicaid billing practices is strongly preferred
Experience handling insurance verification, medical claims, and claim follow-up is required
Familiarity with medical collections and payer communications is preferred
Proficiency with billing platforms such as Credible and Qualifacts is helpful
Ability to review detailed information carefully and maintain accuracy across multiple tasks
Strong interpersonal skills with a calm, respectful approach suited to a behavioral health or non-profit setting
Ability to manage responsibilities independently while supporting a collaborative team environment

Job Responsibility

Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness
Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays
Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement
Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable
Maintain complete and organized billing records in designated systems such as Credible and Qualifacts
Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands
Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication
Monitor account status and identify discrepancies so billing concerns can be resolved efficiently
Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures

What we offer

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

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join our team...

Location

United States , Baton Rouge

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Certification in medical billing and/or medical coding is required
Demonstrated experience with medical billing, coding, claims processing, and collections
Working knowledge of insurance claim submission, payment posting, and denial resolution procedures
Familiarity with payer guidelines, billing compliance standards, and current coding practices
Ability to review account details carefully and maintain a high level of accuracy in documentation
Strong communication skills for working with insurance representatives, patients, and internal teams
Comfortable managing multiple priorities in a deadline-driven healthcare billing environment

Job Responsibility

Assign appropriate billing and coding details to patient accounts based on documented diagnoses, treatments, and services provided
Prepare and submit insurance claims accurately, then monitor their progress to support prompt payment and correct posting of reimbursements
Research denied, rejected, or outstanding claims and coordinate with payers, patients, and internal staff to resolve discrepancies
Confirm insurance coverage and eligibility information before billing and assist in addressing patient account and payment-related questions
Reconcile billing records and account activity to help maintain accurate financial information across the revenue cycle
Document billing actions thoroughly and preserve organized records to support audit readiness and operational accuracy
Stay current on payer policies, coding standards, and healthcare billing regulations to promote compliant claim submission
Identify recurring billing issues and recommend process improvements that strengthen collections and overall revenue cycle performance

What we offer

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

Medical Billing Specialist

We are looking for a Medical Billing Specialist to support a Contract opportunit...

Location

United States , Aloha

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical billing is required
Working knowledge of Medicare or Medicaid billing practices is strongly preferred
Experience handling insurance verification, medical claims, and claim follow-up is required
Familiarity with medical collections and payer communications is preferred
Proficiency with billing platforms such as Credible and Qualifacts is helpful
Ability to review detailed information carefully and maintain accuracy across multiple tasks
Strong interpersonal skills with a calm, respectful approach suited to a behavioral health or non-profit setting
Ability to manage responsibilities independently while supporting a collaborative team environment

Job Responsibility

Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness
Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays
Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement
Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable
Maintain complete and organized billing records in designated systems such as Credible and Qualifacts
Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands
Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication
Monitor account status and identify discrepancies so billing concerns can be resolved efficiently
Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures

What we offer

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

Medical Billing Specialist

Location

United States , Lantana

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in medical billing within a nursing home, long-term care, or skilled nursing facility environment is required.
Working knowledge of medical claims processing, billing follow-up, collections, and payment resolution.
Familiarity with healthcare billing systems such as Matrix, Change Healthcare, and Inovalon
experience with additional related platforms is a plus.
Understanding of medical coding fundamentals and their impact on clean claim submission and reimbursement.
Experience using tools such as DDE and ePaces for claim inquiry, eligibility, or billing support is preferred.
Ability to work independently in a fully remote Monday through Friday schedule while maintaining accuracy and productivity.
Strong attention to detail, problem-solving ability, and organizational skills in a deadline-driven billing environment.

Job Responsibility

Prepare, review, and submit medical claims for skilled nursing and long-term care services with close attention to accuracy and payer requirements.
Investigate billing discrepancies, correct claim errors, and follow through on denied or rejected submissions to improve reimbursement outcomes.
Manage account follow-up activities, including collections work, payment research, and resolution of outstanding balances.
Use billing platforms and clearinghouse tools to process claims and monitor claim status.
Verify coding and claim details before submission to help reduce delays, underpayments, and avoidable denials.
Coordinate with internal teams to gather documentation, clarify billing questions, and support complete and compliant claim processing.
Track remittance activity, post payment information as needed, and reconcile billing records to maintain organized account data.
Support electronic billing workflows involving systems when required for payer communication and claim review.

What we offer

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

Fulltime

Medical Billing Specialist

We are seeking a detail-oriented Medical Billing Specialist to join our team. Th...

Location

United States , Bowling Green

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous medical billing experience preferred
Exposure to Primary Care billing
Strong organizational and communication skills
Experience with EMR/billing systems preferred

Job Responsibility

Submit and manage medical claims
Verify insurance eligibility and benefits
Resolve claim denials and billing discrepancies
Post payments and maintain accurate records
Communicate with patients and insurance providers

What we offer

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

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

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Managed Care Medical Billing Specialist

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