Medical Revenue Cycle Specialist Job at Robert Half (Van Nuys)

Billing Specialist, Revenue Cycle, FT

Responsible for working/editing daily download of assigned Managed Care/HOM clai...

Location

United States , Boca Raton

Salary:

16.04 - 19.41 USD / Hour

Baptist Health

Expiration Date

Until further notice

Requirements

Degrees: High School,Cert,GED,Trn,Exper.
AA preferred or equivalent
Managed Care/HMO contract billing experience required
3-5 years prior experience in Billing of claims
Understanding of all required fields on a 1500 and/or UB for hospitals and diagnostic facilities is required
Background in coding or coding certification (CPC, CPC-H, CCS, or RMC) a plus
Exp in other related Business Office Functions including Federal Programs, such as: Collections, refunds, review and adjudication of claims a plus
Knowledge and understanding of: Medical terminology, Correct Coding Initiative, Revenue Codes, DRG Guidelines, ICD-9/10, CPT-4, Modifiers & HCPCS codes, HIPAA regulations, statutory regulations, On-line verifications (DDE)
Internet savvy
knowledge of Microsoft Suite a must

Job Responsibility

Working/editing daily download of assigned Managed Care/HOM claims
Optimizing the timely transmittal of accurate and clean claims daily
Identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission
Protecting payer filing deadlines by utilizing all available resources to resolve held claims
Assuring all known regulatory, contractual, compliance, and BHSF guidelines are adhered to
Taking on additional queues as back up to billing all carriers
Utilizing available system resources to resolve claim issues when appropriate
Reporting any billing system issues to Billing management
Assisting other Billing Specialists with claim resolution or other projects as assigned

What we offer

Career growth and development opportunities
Comprehensive health and wellness resources
Wellness program that can help employees eliminate their medical plan deductible
Tuition reimbursement

Fulltime

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

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

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

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

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

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

Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to join a non-profit or...

Location

United States , Alsip

Salary:

28.50 - 30.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in healthcare revenue cycle, medical billing, or claims-focused financial operations
Hands-on experience reviewing medical claims, payment application activity, and accounts receivable balances
Knowledge of long term care and disability claims processing requirements
Ability to prepare account adjustments and journal entries related to revenue, write-offs, and bad debt
Familiarity with EDI or other claim-related file processes used in billing and reimbursement workflows
Strong analytical skills with the ability to identify root causes of discrepancies and recommend corrective action
Experience using revenue cycle or healthcare billing platforms such as CareLogic or similar systems
Comfortable working onsite in Alsip, Illinois, on a Monday through Friday schedule

Job Responsibility

Examine aging data alongside claim activity to identify payment posting errors, unsupported balances, and items requiring write-offs or revenue corrections
Prepare and enter account receivable adjustments with proper documentation to address revenue changes, bad debt activity, and authorized write-offs
Correct misapplied payments and post cash transactions accurately to ensure account balances reflect current claim and revenue activity
Analyze claim outcomes, payment patterns, and rejection details within assigned systems to reconcile discrepancies against aging reports
Record journal entries tied to bad debt accruals and bad debt expense activity for fiscal year reporting needs
Maintain and update shared denial and rejection tracking tools to improve visibility into trends and support follow-up efforts
Work with long term care and disability-related claims to resolve billing issues and improve reimbursement accuracy
Take ownership of assigned revenue cycle processes by monitoring key billing metrics, investigating variances, and driving timely resolution of outstanding items

What we offer

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

Fulltime

Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to support revenue cycl...

Location

United States , Minnetonka

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience working in healthcare revenue cycle operations with a strong understanding of end-to-end billing workflows
Practical knowledge of medical billing procedures, claim submission standards, and reimbursement processes
Ability to review and process medical claims with a high level of accuracy and attention to detail
Familiarity with core revenue cycle functions, including follow-up, payment posting support, and issue resolution
Strong analytical and problem-solving skills for identifying billing errors and resolving claim-related concerns
Effective communication skills with the ability to work across teams in a detail-oriented healthcare environment
Experience working with payers specific to the State of Minnesota
Experience working within behavioral health

Job Responsibility

Manage day-to-day billing activities by reviewing charges, preparing claims, and ensuring submissions are completed accurately and on schedule
Investigate claim issues and resolve billing discrepancies by working through denials, rejections, and payment variances
Monitor accounts throughout the revenue cycle to support prompt reimbursement and reduce outstanding balances
Review medical claims for completeness and compliance before transmission to payers and other relevant parties
Maintain detailed records of billing actions, claim status updates, and follow-up efforts within established workflows
Collaborate with internal teams to address documentation gaps, correct account issues, and improve claim outcomes
Apply revenue cycle best practices to strengthen billing accuracy, streamline processes, and support financial performance
Assist with department wide reporting and analysis
Present regular analysis to senior leadership, acknowledging trends and area of opportunity
Document process and procedures

What we offer

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

Fulltime

Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to join a healthcare or...

Location

United States , Chicago

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in healthcare revenue cycle, medical billing, or claims management
Hands-on knowledge of Medicare and Medicaid billing practices, including claim review, submission, and follow-up
Familiarity with CMS regulations, reimbursement methodologies, and healthcare audit expectations
Experience resolving denied or underpaid medical claims and improving billing accuracy
Understanding of revenue cycle processes across charge capture, claims processing, and payment reconciliation
Background working in an FQHC or similar healthcare setting is strongly preferred
Strong analytical skills with the ability to identify process gaps and support compliance-focused billing operations

Job Responsibility

Manage day-to-day revenue cycle activities, including charge review, claim submission, payment posting, denial follow-up, and account resolution
Prepare and submit accurate medical claims for Medicare, Medicaid, and other applicable payers while ensuring timely reimbursement
Investigate billing discrepancies and denied claims, identify root causes, and take corrective action to reduce payment delays
Conduct audits of billing and reimbursement activity to confirm alignment with CMS guidelines and internal compliance standards
Monitor revenue cycle performance trends and recommend process improvements that support cleaner claims and stronger collections
Collaborate with clinical, administrative, and finance teams to resolve account issues and maintain accurate documentation for billing purposes
Support billing operations within an FQHC environment, including payer-specific requirements related to Medicare and Medicaid programs
Maintain current knowledge of reimbursement regulations, risk adjustment considerations, and evolving government payer requirements

What we offer

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

Revenue Cycle CS Specialist

We are looking for a Revenue Cycle CS Specialist to support healthcare revenue o...

Location

United States , Henrico

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience handling medical collections within a healthcare revenue cycle or billing environment
Working knowledge of medical billing processes, payer guidelines, and insurance follow-up procedures
Ability to research medical denials, identify root causes, and complete effective appeals submissions
Familiarity with medical insurance terminology, claim adjudication, and explanation of benefits review
Hands-on experience using eClinicalWorks or a comparable practice management or electronic health record system
Strong attention to detail with the ability to manage multiple accounts and deadlines accurately
Effective written and verbal communication skills for interacting with payers and internal stakeholders

Job Responsibility

Review outstanding patient and payer balances, investigate account discrepancies, and take appropriate action to secure payment
Manage medical collections activities by contacting insurance carriers and other payers to follow up on unpaid or underpaid claims
Examine billing records and claim details to identify denial trends, correct issues, and support clean claim resubmission
Prepare and submit appeals with supporting documentation to challenge inappropriate claim denials and reimbursement reductions
Use eClinicalWorks to document account activity, update claim status, and maintain accurate records for follow-up actions
Coordinate with internal billing, coding, and customer support teams to resolve payment barriers and streamline account resolution
Monitor insurance responses, interpret explanation of benefits information, and determine next steps for reimbursement recovery
Prioritize high-value and time-sensitive accounts to help reduce aging receivables and improve collection performance

What we offer

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

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Medical Revenue Cycle Specialist

Job Description

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