Medical Denials Specialist Job at Robert Half (Carmel)

Medical Denials Specialist

We are seeking a detail-oriented Medical Denials Specialist to join our healthca...

Location

United States , Carmel

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
associate or bachelor’s degree preferred
2+ years of experience in medical billing, claims denial management or revenue cycle operations
Strong knowledge of EOBs, ERAs, CPT, ICD-10 and HCPCS codes
Experience with appeals, claim edits and insurance follow-up
Familiarity with Medicare, Medicaid and commercial payer regulations
Proficiency with electronic medical records and billing systems
Strong analytical, organizational and problem-solving skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment

Job Responsibility

Review and investigate denied or underpaid medical claims
Identify denial trends and root causes to support process improvement
Prepare and submit claim corrections, reconsiderations and appeals
Follow up with insurance companies regarding claim status and payment resolution
Verify coding, billing and documentation accuracy to ensure compliance with payer requirements
Collaborate with billing, coding, collections and clinical teams to resolve claim issues
Maintain accurate records of denial activity, appeal outcomes and account updates
Monitor payer policy changes and reimbursement guidelines
Meet productivity and quality goals related to denial resolution and accounts receivable follow-up

What we offer

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

Fulltime

Medical Denials Specialist

Join our dynamic healthcare team as a Medical Denials Specialist and play a key ...

Location

United States , Carmel

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
associate’s or bachelor’s degree in healthcare administration or related field preferred
Minimum 2 years’ experience in medical billing, denials management, or health insurance claims
Strong understanding of coding standards (ICD-10, CPT), claims processing, and insurance guidelines
Excellent communication and negotiation skills
Proficiency with medical billing software and EMR systems
Detail-oriented, organized, and adaptable in a dynamic environment

Job Responsibility

Review insurance denial notifications and conduct thorough research to resolve outstanding claims issues
Analyze denial patterns and root causes, recommending process enhancements to prevent future occurrences
Communicate directly with insurance payers to troubleshoot and expedite claim resolutions
Prepare, document, and submit appeals for denied claims
Work closely with billing teams, healthcare providers, and insurance companies to ensure smooth claims management
Stay informed on payer guidelines and current healthcare compliance regulations
Consistently maintain adherence to HIPAA requirements and internal policies

What we offer

medical, vision, dental, and life and disability insurance
company 401(k) plan
free online training

Medical Denials Specialist

Join our fast-paced healthcare team as a Medical Denials Specialist and make a m...

Location

United States , Carmel

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
associate’s or bachelor’s degree in healthcare administration or related field preferred
Minimum 2 years’ experience in medical billing, denials management, or health insurance claims
Strong understanding of coding standards (ICD-10, CPT), claims processing, and insurance guidelines
Excellent communication and negotiation skills
Proficiency with medical billing software and EMR systems
Detail-oriented, organized, and adaptable in a dynamic environment

Job Responsibility

Review insurance denial communications and perform detailed research to address outstanding claims
Identify trends and root causes in denied claims, offering recommendations for process improvements
Liaise directly with insurance payers to resolve claim issues and accelerate resolution
Prepare and submit appeals, including all necessary documentation
Collaborate with billing teams, healthcare providers, and insurance carriers to support effective claims management
Maintain up-to-date knowledge of payer requirements and current healthcare regulations
Ensure all work adheres to HIPAA standards and internal compliance policies

What we offer

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

Claims and Denials Specialist

We are looking for a skilled Claims and Denials Specialist to join our client on...

Location

United States , Oakland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in administrative assistance or a related field
Familiarity with home health processes and insurance protocols
Proficiency in handling inbound calls and delivering excellent customer service
Strong organizational skills, particularly in calendar management and scheduling
Expertise in medical insurance verification and claims handling
Knowledge of handling claim denials and insurance appeals
Ability to work effectively in a fast-paced, detail-oriented environment

Job Responsibility

Coordinate insurance authorizations to ensure timely approval for services
Manage incoming calls professionally, providing accurate information and addressing inquiries
Oversee scheduling and calendar management to optimize workflow and appointments
Process claims and address denials, working closely with insurance providers to resolve issues
Handle appeals and payment posting with precision and attention to detail
Verify medical insurance coverage and eligibility for patients
Collaborate with healthcare professionals and administrative teams to facilitate seamless operations
Maintain comprehensive records of insurance claims and denials for auditing and reporting purposes
Provide administrative support to enhance efficiency in daily tasks and operations

What we offer

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

Medical Billing Specialist

We are looking for a Medical Billing Specialist to support a Contract opportunit...

Location

United States , Aloha

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in medical billing is required
Working knowledge of Medicare or Medicaid billing practices is strongly preferred
Experience handling insurance verification, medical claims, and claim follow-up is required
Familiarity with medical collections and payer communications is preferred
Proficiency with billing platforms such as Credible and Qualifacts is helpful
Ability to review detailed information carefully and maintain accuracy across multiple tasks
Strong interpersonal skills with a calm, respectful approach suited to a behavioral health or non-profit setting
Ability to manage responsibilities independently while supporting a collaborative team environment

Job Responsibility

Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness
Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays
Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement
Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable
Maintain complete and organized billing records in designated systems such as Credible and Qualifacts
Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands
Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication
Monitor account status and identify discrepancies so billing concerns can be resolved efficiently
Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures

What we offer

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

Medical Billing Specialist

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

Location

United States , Chattanooga

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Hands-on experience in medical billing, including claims processing, payment posting, and insurance follow-up
Strong understanding of claim denials and the ability to resolve billing issues with accuracy and persistence
Familiarity with Medicare and Medicaid billing requirements and reimbursement processes
Ability to multitask effectively and stay organized in a high-volume healthcare setting
High level of attention to detail and the ability to work independently with minimal oversight
Comfortable working as part of a team and supporting a patient-centered mission
Basic proficiency with Microsoft Excel for entering and tracking payment-related information

Job Responsibility

Process medical claims accurately and efficiently for multiple healthcare services, ensuring timely submission and resolution
Review denied or rejected claims, investigate the cause, and take appropriate action to secure proper reimbursement
Post payments and maintain organized billing records, including basic entry of payment information into spreadsheets
Follow up with insurance carriers, Medicare, and Medicaid to verify claim status and address outstanding balances
Communicate with patients in a clear and compassionate manner regarding billing questions or account issues when needed
Manage several priorities at once in a busy environment while maintaining accuracy and meeting deadlines
Work closely with colleagues across the billing team to support daily operations and contribute to a collaborative workplace
Adapt to changing business needs as the organization expands services and providers over time

What we offer

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

Hospital Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and re...

Location

United States , North Hollywood

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of hospital medical collections or healthcare revenue cycle experience required
Strong understanding of hospital billing, insurance follow-up, and denial management processes
Experience working with government and commercial payers, including Medicare and Medi-Cal managed care plans
Knowledge of inpatient and outpatient claim processing preferred
Excellent analytical, problem-solving, and communication skills
Ability to work independently in a fast-paced healthcare environment while managing multiple priorities
Proficiency in healthcare billing systems and Microsoft Office applications
All applicants applying for U.S. job openings must be legally authorized to work in the United States

Job Responsibility

Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers
Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution
Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs
Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims
Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history
Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes
Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates
Monitor assigned accounts to reduce aging AR and improve overall collection performance
Support departmental goals related to cash collections, denial management, and revenue cycle efficiency

What we offer

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

Fulltime

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to support reven...

Location

United States , Columbus

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in medical billing within a healthcare or revenue cycle environment
Working knowledge of claim processing, denial management, and payment follow-up procedures
Ability to handle a high volume of claims while maintaining accuracy and meeting deadlines
Basic Microsoft Excel skills, including data entry and simple tracking tasks
Strong communication skills with a proactive approach to resolving issues
Experience with medical collections and claims management is preferred
Familiarity with medical coding concepts is beneficial
Exposure to TherapyNotes is helpful but not required

Job Responsibility

Process medical billing transactions accurately and maintain steady workflow across a high monthly volume of claims
Investigate denied or unpaid claims, identify the cause of issues, and take appropriate action to support timely reimbursement
Perform follow-up activities with payers and related parties to help reduce outstanding balances and improve collection outcomes
Enter billing and claim information into internal systems with a high degree of accuracy and attention to detail
Use Microsoft Excel for routine tracking, status updates, and organizing billing-related data
Communicate clearly and proactively with team members regarding claim status, billing concerns, and items needing resolution
Support revenue cycle management activities by helping keep billing processes organized, current, and compliant
Work in a hybrid schedule, including on-site attendance in Columbus, Ohio one to two days per week as needed

What we offer

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

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Medical Denials Specialist

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