Medical Billing Specialist Job at Robert Half (Philadelphia)

Medical Billing Specialist

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

Location

United States , King of Prussia

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical billing, claims, or collections
Proficiency in accounting software systems and electronic health record (EHR) systems
Familiarity with Medicaid processes and commercial insurance claims
Strong understanding of accounts receivable, denial management, and appeals
Experience working with billing and authorization functions
Ability to accurately input and manage billing data
Excellent communication skills to collaborate with team members and external payors
Knowledge of compliance policies related to medical billing and collections

Job Responsibility

Process and submit primary and secondary claims for both commercial insurance and Medicaid
Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement
Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections
Input and review billing data for accuracy, ensuring compliance with company policies and procedures
Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing
Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing
Assist intake teams with Medicaid documentation for new clients and those requiring reassessment
Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups
Ensure adherence to compliance standards in all billing and collections activities
Perform other tasks as assigned by the Billing Manager or Director

What we offer

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

Fulltime

Medical Billing Specialist

Location

United States , Dothan

Salary:

Not provided

RealTime (AL)

Expiration Date

Until further notice

Requirements

Medical Billing Experience
Perform posting charges
Perform completion of claims to payers
Conduct duties in a professional and timely fashion
Submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Perform claim follow-up
Achieve maximum reimbursement for services provided
Deploy, maintain and report on various programs

Job Responsibility

Medical billers play a vital role in the connection between health care providers, patients, and insurance companies. At RealTime, we provide excellent Revenue Cycle Management to medical practices across the Southeast and through the Midwest.

What we offer

Training
Competitive pay
Phone allowance
Generous PTO
401(k) with company match
Health & Wellness Benefits including medical, dental, and vision
Company-sponsored events for fun and fellowship

Fulltime

Medical Accounts Receivable and Billing Specialist

This role will support a growing department. Our client offers great work-life b...

Location

United States , Odenton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Small, private clinic AR experience highly preferred
Solid understanding of medical billing
Knowledge of Accounts Receivable (AR) in a healthcare/clinical environment
Demonstrated analytical skills in basic accounts receivable and accounting policy
Current and relevant ERP system experience
AA or BS/BA degree in Accounting or in a related field

Job Responsibility

Responsible for billing and coding
Collecting on past due balances
Insurance company follow-up
Maintain up to date information from insurance companies and customers
Reduce AR aging
Special project as assigned
Provide and obtain necessary documentation as needed

What we offer

Great work-life balance
Free online training
Medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

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

Medicaid Billing Specialist

Pafford Medical Services is seeking a detail-oriented and experienced Medicaid B...

Location

United States

Salary:

Not provided

Pafford EMS

Expiration Date

Until further notice

Requirements

Minimum of 2-3 years of experience in medical billing, with a focus on Medicaid billing and follow-up
In-depth knowledge of Medicaid regulations, coding (ICD-10, CPT), and billing procedures
Experience with medical billing software and electronic health records (EHR) systems
Strong analytical and problem-solving abilities
Excellent attention to detail and accuracy
Effective communication and interpersonal skills
Ability to work independently and manage multiple tasks
Proficiency in Microsoft Office Suite (Word, Excel)
High School Diploma or GED
Minimum of 2-3 years revenue cycle management experience

Job Responsibility

Accurately prepare and submit Medicaid claims for services rendered by Pafford EMS
Ensure all claims are coded correctly and comply with Medicaid regulations and guidelines
Monitor and verify patient eligibility and insurance coverage
Conduct follow-up on outstanding claims and ensure timely resolution of billing issues
Communicate with Medicaid offices, patients, and other relevant parties to resolve claim discrepancies, denials, or rejections
Review and appeal denied claims, providing necessary documentation and information
Maintain accurate and up-to-date records of billing activities, payments, and follow-ups
Generate regular reports on billing status, outstanding claims, and payment trends
Stay informed about changes in Medicaid regulations and billing procedures
Participate in training and development opportunities to enhance knowledge and skills

Fulltime

Cash Application Specialist

The Cash Application Specialist is responsible for performing cash postings for ...

Location

United States , Hempstead County

Salary:

Not provided

Pafford EMS

Expiration Date

Until further notice

Requirements

Proficient with a PC
Prior Medical accounts receivable experience
Ability to read and interpret EOBs
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
Ability to work independently and with a group
Proficient with MS Word and MS Excel
Ability to maintain effective working relationships

Job Responsibility

Compiling and sorting documents such as invoices and copies of checks
Preparing cash batches by identifying the batch and setting it up in TriTech (billing software)
Using computer data processing system to post funds received to appropriate accounts
Reconciling posted checks received with checks deposited
Processing write-offs in accordance with Federal/State regulations and/or company policy
Post debits and credits to practice management system in accordance with insurance explanation of benefits (EOB)
Download and post EFT transactions to practice management system
Maintaining appropriate reconciliation and tracking logs in Excel
Working Special Projects as assigned
Performing other duties as assigned

Client Partner – CDI Specialist

Looking for a new challenge in your coding career? Join our Manila office as a q...

Location

Philippines , Manila

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Working knowledge of medical business office procedures and basic accounting
Fluent in English speaking and possess basic computer knowledge
Available to work in night shifts
Graduate with bachelor’s degree in nursing
2 to 3 years of work experience in nursing
Certification in Clinical Documentation Improvement (CDI) Coding

Job Responsibility

Study inpatient records and determine their authenticity
Review patients’ documentation to determine diagnosis, co-morbidities, and complications
Verify that each code assigned is accurate and correlates to the condition and diagnosis provided in the source document
Serve as a resource for coding related queries after verifying authenticity of inquirer
Ascertain that quality and integrity of coding including accurate determination of principle diagnosis, secondary diagnosis, and PCS codes
Responsible for reviewing patient medical records in the inpatient setting to capture accurate illustration of the severity of illness and facilitate proper coding
Facilitate appropriate coding that reflects the severity of the patient’s illness along with expected risk of mortality and complexity of care required
Documentation of discharge diagnoses and co-morbidities is a comprehensive reflection of the patient’s clinical status and care
Use advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps
Recognize opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding

What we offer

We will provide free training on the client’s medical billing software to perform this role

Fulltime

Client Partner – Credentialing Specialist

Join our team in Manila as a Client Partner - Credentialing Specialist. We are s...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Strong knowledge of Payer Processes and Credentialing
Willingness to work continuously in night shifts
Must be fluent in English language
Willing to work in the night shift at our office in McKinley Hill, Taguig
Must have at least 1 year of experience in Credentialing processes for US healthcare customers

Job Responsibility

Manage the end-to-end provider enrollment process, ensuring healthcare providers are properly credentialed and enrolled with insurance networks
Conduct thorough review of provider documentation, ensuring compliance with credentialing requirements and proactively resolving any discrepancies
Serve as a liaison between healthcare providers and insurance companies, addressing enrollment-related inquiries and facilitating timely resolution
Maintain accurate and up-to-date provider information in databases, and collaborate with internal teams to streamline the enrollment and billing processes

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Medical Billing Specialist

Job Description

Job Responsibility

Requirements

What we offer

Looking for more opportunities?

Medical Billing Specialist

Medical Billing Specialist

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Cash Application Specialist

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Client Partner – Credentialing Specialist

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