Medical EOB Reviewer Job at Robert Half (Los Angeles)

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 Billing Specialist

A well-established healthcare organization in the Central PA area is seeking a d...

Location

United States , Red Lion

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of medical billing experience required
Strong understanding of insurance processes, EOBs, and denial management
Knowledge of medical terminology, CPT/ICD coding principles
High attention to detail and ability to meet deadlines
Strong communication and problem-solving skills

Job Responsibility

Prepare and submit insurance claims (electronic and paper) in a timely manner
Review charges, coding, and documentation for accuracy prior to billing
Follow up on unpaid or denied claims and resolve discrepancies
Post payments and adjustments while ensuring proper allocation
Communicate with insurance companies, patients, and internal teams regarding billing inquiries
Maintain compliance with healthcare regulations and payer requirements (HIPAA, etc.)

What we offer

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

Fulltime

Medical Biller

Our client in Plymouth is seeking a detail-oriented Medical Biller for a permane...

Location

United States , Plymouth

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 2 years of medical billing experience
Strong understanding of medical billing processes, denials management, and insurance follow-up
Experience reviewing and interpreting EOBs
Comfortable making frequent outbound calls to insurance companies
Ability to work independently and perform detailed investigative research on claims issues
Highly detail-oriented with strong organizational skills
Able to manage fluctuating workload and high claim volumes

Job Responsibility

Open and sort incoming mail and scan documents into the system
Review and work medical billing denials to ensure claims are reprocessed appropriately
Analyze Explanation of Benefits (EOBs) and identify claim issues or discrepancies
Contact insurance companies to follow up on denied, missing, or unresolved claims
Investigate missing EOBs and perform research to determine next steps for claim resolution
Resubmit claims and manage billing corrections as needed
Handle a high volume of phone calls with insurance carriers, including extended hold times
Assist in cleaning up aged denials and supporting overall claims workflow
Prioritize back-end denial resolution while also supporting front-end billing volume
Maintain accurate documentation and status updates in the billing system

Fulltime

PFS Representative I

Performs self-pay collections or third-party billing/collections which includes ...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED) required
One (1) year of related experience such as medical billing or third-party collection, or customer service in a hospital, payer, or physician setting
Technical experience in CMS/Medicaid regulations and/or commercial payer billing requirements
Minimum one (1) years’ experience in a windows environment, including Excel

Job Responsibility

Performs self-pay collections or third-party billing/collections which includes a complex review of billing and collection activities
Resolves problems and demonstrates complete understanding of payer and/or patient requirements to ensure timely and accurate payment
Makes independent decisions based on the needs of the patients and/or payer situations
Assists management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows
Ensures UB04 and HCFA 1500 claims and/or self-pay patient accounts are billed in a timely, complete, and accurate manner in accordance with appropriate guidelines
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence
Demonstrates understanding of the entire revenue cycle
Provides routine daily internal and external interface with unit/department management and staff, other service areas, information systems, physicians, physicians’ office staff, patients, software/hardware vendors, and third-party payers in order to resolve patient concerns, disputes, and billing audits in order to receive payment
Assists with problem solving, inquiries, and customer interaction to ensure positive results
Researches and analyzes any correspondence received related to assigned accounts

Fulltime

Accounts Receivable Representative

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physi...

Location

United States , Phoenix

Salary:

Not provided

Integrated Medical Services, Inc.

Expiration Date

Until further notice

Requirements

1 to 2 years minimum experience in A/R required, specifically medical office/physician billing and insurance claim -follow-up and denial management
In depth knowledge of AC, office administration and procedures, general bookkeeping, and accounting procedures
Strong oral communication skills
Ability to work with minimal oversight and supervision
Ability to perform multiple duties in a fast pace and high-volume environment
Demonstrated ability to interact effectively with peers and subordinates of all levels
Proficiency with Microsoft Office suite (Excel, PowerPoint, Word, Outlook)
Recognizes possible solutions to problems and is able to explain issues and propose solutions
Maintains customer confidence and protects operations by keeping confidential information
Contributes to team effort by accomplishing related results as needed

Job Responsibility

Assists in the daily activities of the Medical Office including basic coding, data entry, patient registration and claim review in an effort to resolve all patient inquiries and/or disputes
Responsible for the processing of medical claim insurance payments, patient payments, and applying insurance adjustments through data-entry
Responsible for managing the use of adjustment codes, contractual adjustment codes, non-contractual adjustments codes, and bad debt codes
Responsible for managing low reimbursements and determining when a reimbursement requires appeal
Research and processes insurance denials received from Explanation of Benefits (EOBs) and Account Receivable (A/R) reports by reviewing documentation and insurance/contract/coding guidelines (This process includes written appeals when appropriate
additionally, enters internal and external review decisions including charge adjustments, corrections, proper payment and resubmission of claims in the claims system)
Responsible for assisting with billing secondary claims and EOBs that need follow up
Responsible for reviewing and correcting claims that are suspended by the billing system
Assists in identifying accurate insurance
Updates/modifies insurance information with redirection of charges when appropriate

What we offer

Medical, Dental, and Vision benefits
401k match available
Paid Time Off
short-term and long-term disability
life insurance
very lucrative 401K plan

Fulltime

Accounts Receivable Specialist

We are seeking an A/R Specialist to support hospital revenue cycle operations by...

Location

United States , Philadelphia

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
2–3+ years of experience in healthcare billing or accounts receivable
Working knowledge of insurance claims processing and A/R follow-up
Familiarity with Medicare, Medicaid, and/or commercial payers
Basic understanding of EOBs, denials, and reimbursement processes
Experience with billing systems/EMR platforms and Microsoft Excel
Strong attention to detail and ability to handle multiple tasks
High school diploma or equivalent required
At least 2 years of experience in healthcare accounts receivable, medical billing, or a related revenue cycle role
Practical knowledge of insurance claims management and follow-up procedures for unpaid accounts

Job Responsibility

Submit and track insurance claims to Medicare, Medicaid, and commercial payers
Perform A/R follow-up on outstanding, denied, or underpaid claims
Review EOBs/remittance advice to identify issues and initiate basic corrections or escalations
Communicate with insurance carriers and patients to resolve billing inquiries
Document account activity and maintain accurate patient financial records in billing systems
Assist with payment posting, adjustments, and account reconciliation
Process correspondence and support overall business office workflow
Meet daily productivity and quality expectations

What we offer

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

Patient Account Representative

Our client in Holyoke, Massachusetts is seeking a Patient Account Representative...

Location

United States , Holyoke

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience as a Patient Account Representative, Medical Biller, or in a similar healthcare revenue cycle role
Knowledge of medical billing, collections, claims follow-up, and insurance verification
Familiarity with EOBs, denials management, and patient account resolution
Strong attention to detail and organizational skills
Excellent communication and customer service abilities
Proficiency with healthcare billing systems and Microsoft Office applications
Ability to manage multiple priorities in a fast-paced environment setting.

Job Responsibility

Review, research, and resolve patient account balances
Process patient billing and follow up on outstanding claims and payments
Work with insurance companies to verify claim status, resolve denials, and secure reimbursement
Communicate with patients regarding account balances, billing questions, and payment arrangements
Maintain accurate documentation of account activity in the billing system
Investigate and resolve discrepancies related to insurance, payments, adjustments, and patient demographics
Ensure compliance with healthcare billing regulations, payer guidelines, and company procedures
Collaborate with internal departments to support efficient revenue cycle operations
Submit authorization requests to insurance carriers and monitor outstanding approvals or updates as needed
Review billing and coverage information, obtain missing details, and make corrections to ensure records are complete and accurate

What we offer

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

Healthcare Data Entry Specialist

In this role, your accuracy directly impacts healthcare operations and financial...

Location

United States , Brooklyn

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in healthcare or medical data entry required
Strong typing accuracy and high attention to detail
Ability to meet productivity goals in a fast-paced environment
Comfortable working with sensitive and confidential information
Must be able to pass typing speed (40+ WPM) and medical terminology (90%+) assessments
High school diploma or GED equivalent
Two professional references required

Job Responsibility

Accurately enter and verify healthcare data, including billing information and Explanation of Benefits (EOBs)
Review and correct OCR-scanned documents to ensure data integrity
Audit records for accuracy while meeting daily production and quality targets
Maintain strict adherence to HIPAA and data security protocols
Identify and escalate discrepancies or data issues as needed

What we offer

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

Select Country

Medical EOB Reviewer

Job Description

Job Responsibility

Requirements

What we offer

Looking for more opportunities?