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

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

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

New

Medical Biller/Collections Specialist

We are looking for a detail-oriented Medical Biller/Collections Specialist to su...

Location

United States , Pomona

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrated experience in medical billing and collections within a healthcare or hospital setting
Working knowledge of medical denials management and appeals processes for insurance claims
Familiarity with hospital billing practices and reimbursement workflows
Ability to read and apply ICD and CPT coding information in support of claim accuracy
Experience using electronic remittance advice tools and clearinghouse systems for claims processing
Proficiency in Excel for tracking activity, compiling reports, and supporting month-end reconciliation
Strong attention to detail with the ability to manage multiple accounts and deadlines effectively

Job Responsibility

Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts
Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly
Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review
Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files
Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors
Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance
Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution
Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers

What we offer

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

New

Medical Billing Specialist

A well-established and highly regarded surgical practice in Beverly Hills is see...

Location

United States , Beverly Hills

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in medical billing within a healthcare or surgical practice environment
Strong working knowledge of Medicare billing rules, claim workflows, and reimbursement procedures
Experience reviewing EOBs and handling claim follow-up, denial research, and payment reconciliation
Proficiency with Availity and/or Noridian, including navigation of payer web portals
Intermediate Excel skills for tracking claims, payments, and account activity
Familiarity with medical claims, collections, and coding-related billing processes
Excellent attention to detail, strong organizational skills, and the ability to manage multiple priorities independently

Job Responsibility

Managing the full billing cycle
Reviewing Explanation of Benefits (EOBs)
Verifying patient demographics and insurance information
Entering billing and procedure details
Submitting and following up on Medicare claims
Resolving claim discrepancies
Navigating Medicare web portals
Using Availity and/or Noridian
Tracking claim status and payments in Excel
Researching denied or underpaid claims

What we offer

Medical
Vision
Dental
Life and disability insurance
401(k) plan

Fulltime

New

Medical Billing/Claims/Collections Specialist

We are looking for a detail-oriented Medical Billing/Claims/Collections speciali...

Location

United States , McKinney

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in medical billing, medical claims follow-up, or healthcare collections
Working knowledge of medical accounts receivable concepts, including aging buckets and reimbursement follow-up
Ability to interpret explanations of benefits and identify denial reasons, payment variances, and next steps
Experience handling medical denials, appeals, and reconsiderations with commercial or government payers
Familiarity with hospital billing workflows and payer portal tools such as Availity
Strong multitasking skills with the ability to remain organized and productive during extended payer hold times
Clear written and verbal communication skills for payer outreach, documentation, and claim escalation

Job Responsibility

Manage outstanding insurance claims and account balances by contacting payers, researching issues, and driving timely resolution of unpaid or underpaid accounts
Use payer portals, including Availity, to submit appeals, upload supporting documentation, and process reconsideration requests while balancing multiple tasks throughout the day
Review explanations of benefits and claim outcomes to identify denials, payment discrepancies, and follow-up actions needed for hospital billing accounts
Maintain productivity during lengthy payer calls by organizing account work, documenting updates clearly, and advancing other claim-related tasks when possible
Navigate complex insurance processes to reach appropriate payer representatives and obtain accurate guidance aligned with federal program requirements
Analyze aging reports and medical accounts receivable activity to prioritize follow-up efforts and improve recovery on outstanding balances
Support denial management by investigating root causes, preparing appeal submissions, and tracking responses through final determination
Record collection activity, payer communication, and account status updates thoroughly to ensure accurate billing records and continuity of follow-up

What we offer

Medical insurance
Vision insurance
Dental insurance
Life and disability insurance
401(k) plan

Fulltime

New

Medical Billing/Claims/Collections Specialist

We are looking for a detail-oriented Medical Billing/Claims/Collections speciali...

Location

United States , Merrillville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in medical billing, claims processing, or collections
Working knowledge of medical denials management and appeals procedures
Ability to review account details carefully and address discrepancies with accuracy
Experience handling administrative support duties in a detail-oriented office environment
Strong communication skills for interacting with insurance carriers, patients, and team members
Organized approach to managing multiple tasks and following up on outstanding items

Job Responsibility

Process medical claims and billing information accurately to support timely reimbursement
Review outstanding balances and follow up on unpaid or underpaid accounts with payers and patients as needed
Investigate claim denials, identify root causes, and prepare appropriate corrections for resubmission
Assist with appeals by gathering documentation and coordinating responses to disputed or rejected claims
Maintain organized billing records and update account details to ensure accurate financial documentation
Communicate with insurance representatives, patients, and internal staff to resolve payment questions and account issues
Provide administrative support for daily office activities related to billing, collections, and account management

What we offer

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

Fulltime

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Medical Denials Specialist

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