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We are looking for a detail-oriented Medical Biller/Collections Specialist to join a healthcare team in Washington. This contract-to-permanent opportunity is ideal for someone with hands-on experience in medical billing, payment posting, credits review, and insurance-related collections work. The person in this role will help resolve outstanding credit balances, support refund processing, and ensure account activity is researched and documented accurately. Success in this position requires strong Excel skills, sound judgment when evaluating payer and patient payments, and the ability to work efficiently across multiple reports and billing systems.
Job Responsibility:
Review account data across assigned tracking reports to identify payment discrepancies, open credits, and refund-related issues
Post and reconcile incoming payments while verifying that transactions are applied correctly within the billing system
Investigate credit balances to determine the cause, confirm whether adjustments are needed, and recommend appropriate account resolution
Process payer and patient refunds by validating overpayments, confirming responsible parties, and following each payer’s required refund method
Prepare and submit refund documentation, including special forms or retraction requests when a payer does not accept standard reimbursement processing
Use billing system tools and research resources to analyze account history, payment activity, and collection details with accuracy
Maintain organized records of account actions, findings, and next steps to support timely follow-up and financial accuracy
Collaborate with team members handling payment posting and refund work to ensure consistent resolution of accounts and backlog priorities
Requirements:
Prior experience in a medical billing or healthcare revenue cycle role is required
Background in billing, collections, and accounts receivable processes within a medical setting
Working knowledge of insurance payment practices, credit balance review, and refund procedures
Proficiency with Microsoft Excel, including functions such as VLOOKUP and pivot tables
Ability to research payment issues and reconcile account activity with strong attention to detail
Experience using billing, EHR, or practice management systems
familiarity with Bonified, Allscripts, or Cerner is helpful
Strong organizational skills and the ability to manage multiple worklists or spreadsheets at the same time