Medical Billing Specialist Job at Robert Half (Rochester)

New

Medical Billing Specialist

Our nonprofit client is seeking a Medical Billing Specialist to manage medical b...

Location

United States , Salinas

Salary:

30.00 - 50.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Associate’s degree in Health Information Technology, Healthcare Administration, Billing/Coding, or a related field
or equivalent combination of education and directly related experience
At least 2 years of experience in medical billing, preferably including Medicaid/Medi-Cal or other public payer billing
Working knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding
Ability to read and interpret payer bulletins, remittance advice, and denial codes
High level of accuracy, attention to detail, and follow-through
Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines
Clear written and verbal communication skills with clinical and non-clinical staff
Ability to work independently and collaboratively in a team-oriented environment
Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives

Job Responsibility

Prepare, submit, and track electronic and paper claims to public and private payers, ensuring accurate coding and required documentation
Monitor claim status, resolve denials and underpayments, and resubmit corrected claims as needed
Post payments and adjustments, reconcile remittance advice, and maintain accurate billing records
Review service notes and encounter documentation for completeness, clarity, and compliance with payer and program standards
Communicate with program and administrative staff regarding documentation requirements, billing timelines, and follow-up items
Maintain organized and secure electronic records in billing, EHR, and related systems
Assist with internal billing audits, quality assurance initiatives, and preparation for external monitoring or reviews
Ensure billing practices align with payer, contract, and regulatory requirements, including timely filing limits
Support preparation of reports related to service utilization, revenue, and billing activity
Protect all client information in accordance with HIPAA and applicable privacy regulations

What we offer

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

Fulltime

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

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 Billing Specialist

We are seeking a dedicated and detail-oriented Coordination of Benefits Speciali...

Location

United States , Little Rock

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2+ years of experience in insurance follow-up, denials management, or medical billing
Strong understanding of insurance billing processes and Coordination of Benefits (COB) rules
Experience working within HIPAA-regulated environments
Proven customer service and patient interaction experience
Ability to effectively challenge and push back on insurance carriers when appropriate
Strong problem-solving, analytical, and communication skills
Experience working in electronic health record systems, preferably Epic
Familiarity with call center systems such as Genesys is a plus
Proficiency with Microsoft tools, including Microsoft SharePoint

Job Responsibility

Oversee and support the Coordination of Benefits Denial workflow within the team
Serve as the primary liaison between patients and insurance companies
Conduct high-volume outreach via phone calls, letters, and text messaging
Facilitate three-way calls between patients and insurance representatives to resolve claim issues
Investigate accounts thoroughly to ensure accurate and optimal claim resolution
Drive insurance payment resolution through effective follow-up and advocacy
Maintain detailed documentation of account activity and outcomes
Manage an assigned workload of approximately 3,000 accounts across multiple payers
Collaborate with team members to ensure consistency and accuracy in resolution strategies

What we offer

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

Medical Billing Specialist

We are seeking a dedicated and detail-oriented Coordination of Benefits Speciali...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2+ years of experience in insurance follow-up, denials management, or medical billing
Strong understanding of insurance billing processes and Coordination of Benefits (COB) rules
Experience working within HIPAA-regulated environments
Proven customer service and patient interaction experience
Ability to effectively challenge and push back on insurance carriers when appropriate
Strong problem-solving, analytical, and communication skills
Experience working in electronic health record systems, preferably Epic
Proficiency with Microsoft tools, including Microsoft SharePoint

Job Responsibility

Oversee and support the Coordination of Benefits Denial workflow within the team
Serve as the primary liaison between patients and insurance companies
Conduct high-volume outreach via phone calls, letters, and text messaging
Facilitate three-way calls between patients and insurance representatives to resolve claim issues
Investigate accounts thoroughly to ensure accurate and optimal claim resolution
Drive insurance payment resolution through effective follow-up and advocacy
Maintain detailed documentation of account activity and outcomes
Manage an assigned workload of approximately 3,000 accounts across multiple payers
Collaborate with team members to ensure consistency and accuracy in resolution strategies

What we offer

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

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