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Robert Half is looking for a detail-oriented Medical Billing Specialist to join a team in Philadelphia, Pennsylvania. This contract-to-permanent Medical Billing Specialist position involves ensuring the accuracy and compliance of medical billing processes, particularly in alignment with federal government contracts. The Medical Billing Specialist role requires a proactive approach to managing provider relationships, coordinating specialty exam visits, and overseeing administrative tasks.
Job Responsibility:
Oversee the medical billing process to ensure compliance with federal government contracts
Coordinate specialty exam visits for applicants, ensuring all necessary arrangements are completed
Conduct thorough reviews of medical records to confirm compliance with regulatory standards
Identify and document exam errors, generating necessary correspondence to address incomplete cases
Act as the primary liaison between applicants, provider offices, and government officials to streamline communication
Establish and maintain contracts with national healthcare providers
Address escalated issues from provider offices related to specialty visits
Analyze data and reconcile billing discrepancies to maintain accuracy
Perform additional administrative duties as assigned
Requirements:
Experience with accounts receivable (AR), appeals, and claim administration processes
Skilled in handling benefit and billing functions within a healthcare setting
Bachelor's degree or equivalent experience with at least two years of related experience in medical billing
Proficiency in medical billing systems such as Allscripts, Cerner Technologies, and EHR systems
Strong knowledge of Dynamic Data Exchange (DDE) and Epaces
Advanced computer skills, including Microsoft Office Suite and Adobe
Exceptional verbal and written communication abilities
Ability to adapt to shifting priorities and manage multiple tasks effectively
What we offer:
medical, vision, dental, and life and disability insurance