Medical Billing Claims Collections Job at Robert Half (Daytona Beach, Florida)

Claims Adjustor

We are looking for a dedicated Claims Adjustor to join our team on a contract ba...

Location

United States , Des Moines

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical billing, insurance claims, or a related field
Strong knowledge of medical collections and workers' compensation processes
Familiarity with medical denials and appeals procedures
Experience in hospital billing and insurance claims management
Excellent customer service skills with the ability to handle inquiries effectively
Strong organizational abilities and attention to detail
Ability to manage low volumes of calls (10-20 daily) while maintaining productivity
Proficiency in handling medical billing systems and related tools

Job Responsibility

Review workers' compensation claims to ensure compliance with medical and insurance standards
Process medical-only claims accurately and in a timely manner
Communicate with customers to address inquiries and provide exceptional service
Collaborate with team members to maintain organized and efficient claim workflows
Handle medical billing and insurance claim documentation with precision
Monitor and manage medical denials and appeals to resolve issues
Support hospital billing processes and ensure proper claim handling
Maintain detailed records for claims and related communications
Identify discrepancies in claim submissions and take corrective actions
Provide regular updates and reports on claim processing activities

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan
free online training

Fulltime

Billing Clerk

We are looking for a detail-oriented Billing Clerk to join our team in Somerswor...

Location

United States , Somersworth

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in billing functions within medical, dental, or mental health settings
Familiarity with Medicare, Medicaid, and third-party insurance billing processes
Knowledge of coding systems such as ICD-10 coding
Proficiency in computerized billing systems and practice management software
Strong organizational skills and attention to detail
Excellent communication skills, especially when handling sensitive financial matters
Ability to work collaboratively with team members and patients
Problem-solving skills to address aged balances and claim denials effectively

Job Responsibility

Process charges and input data into the practice management system accurately
Generate and submit primary and secondary insurance claims in a timely manner
Record payments, adjustments, and denials from insurance correspondence
Review and address aged trial balances, resolving outstanding issues promptly
Collaborate with front office staff to enhance patient account handling and activity
Manage patient payment plans, including setup and follow-up on overdue payments
Address patient inquiries professionally, providing sensitive financial discussions when necessary
Transfer unpaid self-pay balances exceeding $25 to collections after 120 days without payment
Assist with external reporting needs such as audits, cost reports, and budgets
Perform additional tasks as assigned to support billing operations

What we offer

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

Fulltime

Medical billing claims collections

We are looking for an experienced individual with attention to detail in medical...

Location

United States , Bakersfield

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in medical billing, claims, and collections
Proficiency in handling medical denials and appeals processes
Strong knowledge of hospital billing practices and insurance verification
Skilled in collecting copayments and managing patient accounts
Bilingual Spanish proficiency is required
Exceptional attention to detail and accuracy in data entry
Ability to effectively communicate with insurance providers and patients
Familiarity with healthcare billing systems and software

Job Responsibility

Process insurance claims and ensure timely billing to maximize revenue collection
Verify patient insurance information accurately and update records as needed
Follow up with insurance companies regarding pending or denied claims to secure payments
Collect copayments from patients and ensure proper documentation of transactions
Investigate and resolve medical denials, initiating appeals when necessary
Handle hospital billing processes with a focus on accuracy and compliance
Perform data entry of patient information, ensuring all records are complete and up-to-date
Maintain clear communication with patients regarding their billing inquiries
Collaborate with the team to improve billing workflows and efficiency

What we offer

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

Medical Collections Specialist

A Hospital in Los Angeles is seeking a Medical Collections Specialist with exper...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2 years medical billing and medical insurance collections experience
Strong understanding of HMO and PPO
Must be successful with investigating, tracking, and resolving denied medical insurance claims

Job Responsibility

Investigating and resolving denied claims from various insurance providers
Reviewing credit balances and denials management
Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing
Follow up on outstanding claim denials and secure reimbursement where possible
Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies
Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates
Submit appeals and reconsideration requests to insurance companies for denied claims

What we offer

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

Client Partner for Accounts Receivable - Claims Tracking

Access Healthcare is hiring Accounts Receivable (AR) Claims Tracking specialists...

Location

Philippines , Taguig

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Fluent verbal communication skills for outbound calling
Strong knowledge of denials management and A/R fundamentals
Willingness to work continuously in night shifts
Basic working knowledge of computers
1-4 years of experience in AR follow-up/denial management for US healthcare
Knowledge of healthcare terminology and ICD/CPT codes

Job Responsibility

Follow up with insurance companies on denied claims through internal/client workflows
Inspect patient documentation including authorization, nursing notes, medical documentation on client's systems, etc. and interpret the explanation of benefits ahead of conducting follow up
Work towards optimizing key metrics such as days in A/R and collections rate, while keeping accurate records of all actions taken, insurance documentation and call notes to maintain a clear audit trail
Analyze accounts receivable data to understand reasons for underpayment, denials and excessive days in A/R and document these using appropriate codes

Billing Specialist

Location

United States

Salary:

Not provided

Pafford EMS

Expiration Date

Until further notice

Requirements

Proficient with a PC
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and commercial payers
Customer service skills for interacting with patients regarding medical claims and payments
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
Ability to work independently and with a group
Working knowledge of MS Word, Excel

Job Responsibility

Obtain referrals and pre/post-authorizations for ambulance services
Check eligibility and benefits verification
Review insurance and facility claims for accuracy and completeness
Prepare, review, and transmit claims using billing software, clearinghouse, and payer websites
Following up on unpaid claims within standard billing cycle timeframe
Reviewing underpaid claims for appropriate escalation steps to ensure appropriate reimbursement for services
Calling insurance companies regarding any payment discrepancies
Identifying and billing secondary or tertiary insurance
Processing incoming mail and taking appropriate follow up actions to resolve accounts
Researching and appealing denied claims

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

Medical Biller/Collections Specialist

We are looking for a dedicated Medical Biller/Collections Specialist to join our...

Location

United States , Blue Ash, Ohio

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing, including hospital or physician billing
Strong understanding of medical collections processes and best practices
Ability to manage denied claims and appeals effectively
Familiarity with medical billing software and systems
Knowledge of healthcare regulations and compliance standards
Excellent communication skills, both verbal and written, for interacting with patients and providers
Detail-oriented with strong organizational abilities to manage multiple tasks
Previous experience working in a healthcare environment is preferred

Job Responsibility

Verify and input provider charges accurately into billing systems to ensure proper invoicing
Manage medical billing processes, including claim submissions and payment tracking
Address denied claims by identifying issues and initiating appeals to secure reimbursement
Monitor collections efforts and follow up on outstanding accounts to ensure timely payments
Collaborate with healthcare providers to resolve billing discrepancies and maintain accurate records
Utilize medical billing software effectively to streamline operations and improve efficiency
Ensure compliance with relevant healthcare regulations and billing practices
Prepare and analyze reports related to billing and collections to identify trends and areas for improvement
Communicate with patients and insurance representatives to clarify billing inquiries
Maintain up-to-date knowledge of hospital and physician billing practices

What we offer

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

Fulltime

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Medical Billing Claims Collections

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