Medical billing claims collections Job at Robert Half (Bakersfield)

Medical billing claims collections specialist

We are looking for experienced professionals to assist with medical billing, cla...

Location

United States , Austin

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing, claims processing, and collections
Strong knowledge of accounts receivable management, particularly aged accounts
Familiarity with insurance follow-up processes, including handling denials and claim status evaluations
Understanding of appeals and resubmission procedures for various insurance types
Ability to interpret EOBs and ERAs to accurately assign financial responsibilities
Excellent communication skills for patient collections and negotiations
Proficiency in handling sensitive financial conversations with empathy and professionalism
Knowledge of Medicare, Medicaid, and commercial insurance regulations and processes

Job Responsibility

Conduct follow-ups on aged accounts receivable to ensure timely resolution and recovery
Review and analyze claims to determine appropriate actions, including resubmissions, appeals, write-offs, or patient collections
Manage patient collections by initiating contact, negotiating payment plans, and addressing financial concerns with sensitivity
Handle invoicing tasks, ensuring accuracy and compliance with organizational protocols
Evaluate insurance denials and claims statuses to identify resubmission opportunities and payer-specific requirements
Process appeals and resubmissions, adhering to industry standards and documentation guidelines
Interpret explanation of benefits (EOBs) and electronic remittance advices (ERAs) to determine financial responsibility between payers and patients
Collaborate with team members to ensure efficient handling of accounts and claims
Maintain detailed records of all actions taken for claims and collections
Utilize knowledge of commercial and government insurance processes, including Medicare and Medicaid, to guide decision-making

What we offer

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

Sr. Medical Billing Collections Specialist

A Surgery Medical Group that is connected to a large Hospital system is seeking ...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in medical revenue cycle
Strong experience with appeals, denials management, and insurance collections
Experience with EPIC reporting and running operational or billing reports
Background in physician billing and/or surgery billing
Advanced analytical and problem-solving skills
Proficiency in Microsoft Excel, including reporting and data analysis functions
Strong attention to detail, communication, and follow-up skills

Job Responsibility

Manage and resolve insurance denials and appeals in a timely and accurate manner
Perform insurance collections and follow up on outstanding claims to maximize reimbursement
Analyze revenue cycle trends and identify root causes of billing and reimbursement issues
Run, review, and interpret reports in EPIC to support operational and financial performance
Prepare recurring and ad hoc reports related to denials, appeals, collections, and billing activity
Support physician and/or surgery billing processes, ensuring accuracy and compliance with payer requirements
Use Excel to track metrics, analyze data, and create reporting tools
Collaborate with internal teams to improve workflow efficiency and revenue cycle outcomes

What we offer

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

Medical Billing Collections Specialist

A Hospital in Los Angeles that is dedicated to highest level of patient care is ...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Handling UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely
Following up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies
Communicating effectively with internal departments and external payers to resolve outstanding accounts
Ensuring compliance with all HIPAA, insurance, and regulatory requirements
Maintaining accurate records and documentation of claim statuses within systems

Job Responsibility

Manage and process collections for medical insurance claims, including HMO and PPO plans
Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely
Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies
Communicate effectively with internal departments and external payers to resolve outstanding accounts
Ensure compliance with all HIPAA, insurance, and regulatory requirements
Maintain accurate records and documentation of claim statuses within systems

What we offer

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

Fulltime

Surgery Medical Billing Collections Specialist

A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Coll...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in the healthcare industry
Must be able to review aged EOBs and resolve denials

Job Responsibility

Performs full cycle billing and collection functions for Surgical professional fees
Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission
Performs all data entry and charge posting functions for surgical services as needed
Performs all third party follow-up functions for all products and surgical procedures
Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments
Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned
Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing
Provides the correct ICD-10M code to identify the provider's narrative diagnosis
Provides the correct HCPCS code to identify medications and supplies
Provides the correct CPT code to accurately identify the services performed based on the provider's documentation

What we offer

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

New

Medical Billing Specialist

Review and interpret Explanation of Benefits (EOBs) to determine: -Services bill...

Location

United States , Riviera Beach

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ years of medical collections or AR experience
Strong understanding of EOBs and insurance claim processing
Experience working in EPIC (highly preferred)
Ability to navigate denials and payer communications effectively
Detail-oriented with strong problem-solving skills
Comfortable working in a fast-paced, growth-oriented environment

Job Responsibility

Review and interpret Explanation of Benefits (EOBs) to determine: Services billed
Insurance coverage and adjustments
Payment amounts
Patient responsibility
Manage and work denial and collections queues within EPIC
Investigate and resolve denied or underpaid claims promptly
Follow up with insurance companies to resolve discrepancies and secure payment
Ensure timely resubmission of claims and appeals to avoid timely filing issues
Maintain accurate documentation of collection activity within the system
Support overall Accounts Receivable (AR) performance and aging goals

What we offer

Health, Dental, and Vision insurance
401(k)
PTO accrual (beginning after 90 days)

Medical Billing Specialist

We are looking for a Medical Billing Specialist to support billing operations fo...

Location

United States , North Charleston

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical billing, insurance claims processing, or a closely related healthcare revenue cycle role preferred
Understanding of medical coding, claims workflows, and payment posting procedures
Ability to analyze insurance denials and identify next steps for resolution
Familiarity with medical collections processes and account follow-up practices
Experience using EPACES or similar payer and billing platforms is preferred
Strong attention to detail with the ability to manage accurate records in a fast-paced environment
Entry-level candidates may be considered if they learn quickly and hold a degree in a health-related field

Job Responsibility

Process medical insurance claims and ensure billing information is entered accurately and submitted in a timely manner
Apply insurance payments to patient accounts and verify that reimbursements are recorded correctly
Investigate denied or underpaid claims, determine the cause, and take appropriate steps toward resolution
Review account activity for billing discrepancies and coordinate corrections when needed
Communicate with insurance carriers and internal teams to obtain claim status updates and support payment follow-up efforts
Assist with collections-related billing tasks to help maintain account accuracy and reduce outstanding balances
Use billing tools and payer systems, including EPACES when applicable, to manage claims and payment activity

What we offer

Medical, vision, dental, and life and disability insurance
Enrollment in our company 401(k) plan

Fulltime

Medical Collections Specialist

We are looking for a Medical Collections Specialist to join a healthcare revenue...

Location

United States , Greenacres

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical collections, accounts receivable, or a closely related healthcare revenue cycle function
Working knowledge of explanation of benefits review and insurance claim processing practices
Ability to manage denials, payer follow-up, and appeals with accuracy and persistence
Strong attention to detail with effective analytical and problem-solving skills
Comfortable working onsite in a fast-paced, team-oriented environment
Experience with Epic or a similar healthcare billing platform is strongly preferred

Job Responsibility

Analyze explanation of benefits statements to identify billed services, payer reimbursements, contractual adjustments, and patient balances
Work assigned denial and collection accounts to recover outstanding revenue and move claims toward resolution
Research unpaid or partially paid claims and take corrective action to resolve billing discrepancies
Communicate with insurance carriers to clarify claim status, address payment variances, and secure accurate reimbursement
Prepare and submit corrected claims or appeals within required deadlines to prevent filing limit issues
Record all collection efforts, account updates, and follow-up activity accurately within the designated system
Contribute to accounts receivable objectives by helping reduce aging balances and supporting overall collection performance

What we offer

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

Hospital Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and re...

Location

United States , North Hollywood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of hospital medical collections or healthcare revenue cycle experience required
Strong understanding of hospital billing, insurance follow-up, and denial management processes
Experience working with government and commercial payers, including Medicare and Medi-Cal managed care plans
Knowledge of inpatient and outpatient claim processing preferred
Excellent analytical, problem-solving, and communication skills
Ability to work independently in a fast-paced healthcare environment while managing multiple priorities
Proficiency in healthcare billing systems and Microsoft Office applications

Job Responsibility

Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers
Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution
Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs
Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims
Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history
Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes
Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates
Monitor assigned accounts to reduce aging AR and improve overall collection performance
Support departmental goals related to cash collections, denial management, and revenue cycle efficiency

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

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Medical billing claims collections

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