Medical Collections Specialist Job at Robert Half (Sacramento)

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 Reimbursement Specialist

We are in search of a Medical Reimbursement Specialist to join our team. Station...

Location

United States , Princeton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in a similar role
Proficient in benefit functions
Demonstrated expertise in billing functions
Experience in claim administration
Familiarity with collection processes
Ability to handle and resolve medical denials
Comprehensive knowledge of Medicare

Job Responsibility

Analyze and categorize outstanding claims based on payer, denial reason, and claim value
Investigate and take corrective action on unpaid, denied, or underpaid claims
Collaborate with internal teams to obtain missing documentation and expedite claim resubmission
Evaluate common denial reasons and address them accordingly, such as coding errors, medical necessity, and prior authorization
Submit corrected claims and formal appeals as required
Communicate with insurance payers to resolve aged claims and escalate unresolved claims as necessary
Maintain comprehensive records of all payer interactions
Identify the root causes of denials and implement best practices to prevent future issues
Suggest changes to workflow to enhance claim submission accuracy and speed
Conduct training for in-house billing teams on claim recovery strategies

What we offer

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

Fulltime

Medical Billing Specialist

We are seeking a dedicated and detail-oriented Medical Billing Specialist to joi...

Location

United States , Hagerstown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Associate’s degree in Health Information Technology, Business Administration, or a related field is preferred
1+ years of experience in medical billing and accounts receivable, preferably within a healthcare setting
Strong knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and insurance regulations
Experience with medical billing software and electronic health records (EHR) systems
Excellent communication skills, both verbal and written
Detail-oriented with strong organizational and analytical skills
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Knowledge of HIPAA regulations and confidentiality requirements

Job Responsibility

Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided
Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection
Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement
Payment Posting: Post payments, adjustments, and denials to patient accounts accurately
Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts
Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments
Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations
Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement
Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan
Access to top jobs
Competitive compensation

Fulltime

Collections and Accounts Receivable Specialist

The Collections / Accounts Receivable Specialist will manage collection efforts,...

Location

United States , Teterboro

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2 years+ of accounts receivable collections
Bachelor’s degree in Business related studies such as Accounting, Finance, or Management
Excellent analytical, organizational, and problem-solving skills
Excellent attention to detail, proficiency in accounting software, experience with Medical collections practices, and the ability to manage a high volume of accounts while prioritizing tasks and meeting deadlines
often requiring a solid understanding of credit and collection laws as well

Job Responsibility

Support other finance team members, e.g., posting payments, bookkeeping, preparing bank checks, and ad-hoc projects
Monitor and collect accounts receivable by communicating with clients via email, telephone, and mail
Manage collection efforts, identify slow-paying customers, and escalate
Handle customer account reconciliations, assist in streamlining the accounts receivable process by identifying areas for improvement, and assist in other accounting-related tasks
Send invoices and statements to customers
Assist with accurate reporting of weekly AR, including updated status notes on past due accounts
Assist in creating monthly reports on accounts receivable status and other financial metrics
Assist with bank monitoring
Manage collection efforts, including reporting on outstanding balances
Process credit card payment

What we offer

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

Fulltime

Medical Accounts Receivable Specialist

This role is within the healthcare industry, where you will be crucial in assist...

Location

United States , Jeffersontown, Kentucky

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficient in Accounting Software Systems
Experience with ADP - Financial Services
Familiarity with CRM
Proficiency in Epic Software
Knowledge of ERP - Enterprise Resource Planning
Ability to handle Accounting Functions
Experience with Accounts Receivable (AR)
Proficient in Billing Functions
Capable of managing Cash Activity
Experience in Cash Handling

Job Responsibility

Oversee the processing of appeals by collecting necessary information and resubmitting claims
Manage the initiation of collection follow-ups for unpaid or rejected claims with the relevant Payer
Maintain a robust and positive relationship with team members and Payer representatives
Handle communication of payment or denial trending issues that impact revenue, to leadership
Take responsibility for reviewing unpaid claims and investigating reasons for payment delays
Handle the resolution of claim partial payments and denials with Payers
Engage insurance companies and attorneys to resolve any discrepancies and ascertain the status of bills to secure proper reimbursement
Review outstanding accounts receivables for assigned Payers and maintain the aging report
Ensure any necessary adjustments in accounts are processed accurately and promptly
Keep accurate customer credit records and process customer credit applications efficiently

What we offer

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

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