Medical Billing & Collections Specialist Job at Robert Half (Greenacres)

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

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

New

Medical Collections Specialist

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

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical collections, accounts receivable follow-up, or healthcare reimbursement functions
Strong understanding of Explanation of Benefits documents and insurance claim adjudication processes
Knowledge of patient financial responsibility concepts, including copays, deductibles, coinsurance, and out-of-pocket maximums
Familiarity with commercial insurance plans, PPO products, and Medicare Advantage reimbursement structures
Proven ability to write effective appeals for denied or underpaid medical claims
Confidence interacting with both insurance representatives and patients regarding account balances and claim outcomes
Ability to manage a high-volume workload, stay organized under pressure, and consistently achieve performance targets
Working knowledge of medical terminology and revenue cycle processes related to claim denials and reimbursement

Job Responsibility

Review payer contracts and reimbursement terms to determine correct allowed amounts and identify underpayments
Interpret Explanation of Benefits statements to evaluate claim decisions and confirm financial responsibility
Investigate denied, delayed, or partially paid claims and take appropriate action to secure proper reimbursement
Prepare clear, persuasive appeals that address payer findings and support claim reconsideration
Communicate with insurance carriers to resolve billing discrepancies, payment issues, and adjudication concerns
Speak with patients regarding outstanding balances, explaining how copays, deductibles, coinsurance, and out-of-pocket limits affect what they owe
Maintain consistent follow-up on assigned accounts while meeting productivity expectations in a fast-moving workload
Apply analytical judgment to determine the most effective next steps for account resolution and escalation when needed
Collaborate with team members to support collection goals and maintain quality standards across account follow-up activities

What we offer

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

New

Medical Billing Specialist

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

Location

United States of America , West Chester

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical billing within a healthcare, physician practice, or related clinical environment
Working knowledge of medical coding principles and insurance claim submission procedures
Experience handling claim follow-up, payment posting support, denials, or medical collections activities
Familiarity with insurance verification processes and payer eligibility review
Strong attention to detail with the ability to identify billing discrepancies and resolve them efficiently
Comfortable working on-site four days per week with a remote workday on Friday
Ability to manage multiple priorities during standard business hours, 8:00 AM to 5:00 PM

Job Responsibility

Review patient billing information for accuracy and submit claims in a timely manner to support consistent reimbursement
Verify insurance coverage and confirm eligibility details before services are processed or billed
Investigate claim issues, resolve denials, and follow up on unpaid balances with payers as needed
Apply medical billing and coding knowledge to ensure charges are entered correctly and aligned with documentation
Manage collection-related activities by tracking outstanding accounts and communicating with appropriate parties to secure payment
Use ePaces and related billing systems to maintain records, monitor claim status, and update account details
Assist with billing workflow adjustments and system-related process updates when required by the department
Collaborate with internal staff to address discrepancies, improve claim outcomes, and keep account information current

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Fulltime

New

Medical Billing Specialist

Location

United States , Worcester

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in medical billing within a healthcare, hospital, or social assistance setting
Working knowledge of medical coding principles and claim submission processes
Proven ability to handle accounts receivable follow-up, collections, and denial resolution
Familiarity with medical claims review, correction, and appeals procedures
Hands-on experience using EPACES or similar payer and billing systems
Strong attention to detail with the ability to manage multiple priorities accurately
Effective written and verbal communication skills for interacting with payers and internal teams

Job Responsibility

Manage billing activity for medical claims, ensuring charges are processed accurately and submitted within required timelines
Monitor accounts receivable balances and follow up on unpaid or underpaid claims to support prompt reimbursement
Investigate denied claims, determine root causes, and prepare corrected submissions or formal appeals as needed
Perform collection efforts on outstanding balances while maintaining clear communication with payers and relevant parties
Review coding and claim details for completeness and accuracy before resubmission or escalation
Use EPACES and related billing tools to verify claim status, eligibility, and payment information
Assist with reporting, documentation, and special projects related to billing operations and revenue cycle performance

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Fulltime

New

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

Current coding certification from AAPC or AHIMA is required
At least 5 years of experience in medical billing, coding, collections, revenue cycle support, or a closely related healthcare function
Demonstrated hands-on experience with E/M coding is required
Strong background in coding audits and documentation review
Working knowledge of medical claims processes, reimbursement practices, and compliance standards within a healthcare setting
Ability to interpret payer policies, investigate denials, and communicate effectively with providers and administrative teams
Experience with medical billing systems and tools, including exposure to ePACES, is preferred
Associate degree from an accredited institution is preferred

Job Responsibility

Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines
Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports
Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices
Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up
Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance
Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture
Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered
Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements
Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information

What we offer

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

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Medical Billing & Collections Specialist

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