Medicare Biller Job at Robert Half (Los Angeles)

Pfs Representative Iii - Medicare Biller

Medicare Billing Specialist: Performs complex review and reconciliation of Medic...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
Three (3) years of related experience, specific to role specialty 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 three (3) years’ experience in a windows environment, including Excel
Relevant professional certification encouraged within 2 years
Knowledge of medical insurance practices and policies and regulations
Knowledge of HMO, PPO, and Indemnity third party billing guidelines
Knowledge of either UB04 hospital or CMS physician billing forms
Knowledge of government and non-government uniform billing guidelines
Knowledge of medical terminology and coding Related to hospital billing and/or professional billing such as revenue, CPT diagnosis codes, modifiers, occurrence codes, value codes, and the appropriate usage of these codes

Job Responsibility

Performs complex review and reconciliation of Medicare patient accounts
Communicates with Medicare regulatory or, state agencies, related to Medicare billing, collection or refund activities
Works independently to resolve problems and demonstrates complete understanding of payer requirements to ensure timely and accurate payment
Completes reconciliation and billing of accounts making independent decisions based on situations
Works directly with Finance Director on any Medicare payment discrepancies and works directly with Compliance on CMS Regulatory requirements
Works with Health Information Management (HIM) on coding issue and local coverage determination (LCD) issues
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

Fulltime

Inpatient Hospital Biller (Managed Care & Medicare)

The Inpatient Hospital Biller is responsible for the accurate and timely billing...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2–4+ years of hands-on inpatient hospital billing experience
Direct experience billing Managed Care and Medicare inpatient claims
Strong understanding of inpatient hospital billing workflows, UB‑04 claim forms, DRGs and hospital charge structures and Medicare inpatient billing rules

Job Responsibility

Perform hands-on billing of inpatient hospital claims using the UB‑04 claim form
Generate, review, and submit inpatient claims to Managed Care and Medicare payers
Ensure claims are complete, accurate, and compliant with payer and regulatory requirements prior to submission
Review charges, DRGs, patient demographics, and insurance information for billing accuracy
Resolve billing edits and claim rejections prior to claim release
Ensure billing practices comply with Medicare regulations, Managed Care contracts, and hospital policies
Validate billing data in coordination with Coding, Case Management, and Revenue Integrity teams
Maintain accurate documentation and notes within the billing system
Work closely with internal Revenue Cycle and Finance teams to support clean claim submission
Assist with billing-related reporting or reconciliation as requested

What we offer

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

Medical Biller

We are seeking a Medical Biller to support accurate and timely billing operation...

Location

United States , York Springs

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ year of medical billing experience
Strong understanding of insurance billing processes, claim workflows, and payment posting
Experience billing commercial insurance, Medicare, and/or Medicaid
Familiarity with medical billing systems and electronic claim submission
High level of accuracy and the ability to manage multiple claims and deadlines

Job Responsibility

Prepare, review, and submit medical claims to insurance carriers and government payers
Verify patient demographics, insurance coverage, and authorization prior to billing
Post payments, adjustments, and denials accurately in the billing system
Follow up on unpaid or underpaid claims and resolve billing rejections
Review EOBs/ERAs and research discrepancies or payer issues
Work closely with coding, registration, and clinical teams to correct errors and reduce denials
Maintain clear, compliant billing documentation and audit-ready records
Ensure adherence to payer requirements, HIPAA guidelines, and internal billing policies

What we offer

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

Fulltime

Medical Biller Collector

A large hospital system is seeking a detail-oriented Medical Biller Collector to...

Location

United States , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in hospital billing and collections
Proficiency in managing Medicare, managed care, and commercial insurance claims
Strong understanding of hospital revenue cycle processes, including inpatient and outpatient billing
Expertise in handling medical denials and appeals
Familiarity with HMO and PPO insurance plans
Ability to analyze and resolve account discrepancies effectively
Excellent communication skills for interacting with patients, providers, and payers
Strong organizational skills and attention to detail in managing complex billing cases

Job Responsibility

Submit accurate and timely medical claims to insurance carriers, government payers, and other third-party payers
Follow up on outstanding accounts to resolve denied, underpaid, or unpaid claims
Review patient accounts for billing accuracy, eligibility, authorizations, and coding-related issues
Work denials and appeals, including researching payer requirements and preparing supporting documentation
Post payments, adjustments, and contractual write-offs as needed
Communicate with insurance representatives, patients, and internal departments to resolve billing questions and account issues
Maintain productivity and quality standards in a fast-paced hospital billing environment
Ensure compliance with HIPAA, payer regulations, and hospital billing policies
Document account activity thoroughly and accurately in the billing system
Assist with special projects and reporting related to accounts receivable and collections performance

What we offer

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

Fulltime

Patient Biller

We are seeking a detail-oriented Patient Biller to join our healthcare team. Thi...

Location

United States , Northridge

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of experience in patient billing, medical billing, or insurance collections
Knowledge of insurance appeals, denials management, and claim follow-up
Experience working with HMO, PPO, Medicare, Medicaid, and other government insurance
Strong understanding of EOBs, payer guidelines, and reimbursement processes
Excellent communication, problem-solving, and organizational skills
High attention to detail and ability to manage multiple accounts effectively
Experience with billing systems and electronic medical records preferred

Job Responsibility

Handle insurance collections and follow up on outstanding claims
Review and resolve claim denials in a timely manner
Prepare and submit appeals for denied or underpaid claims
Perform ongoing insurance follow-up to ensure prompt reimbursement
Work with HMO, PPO, and government insurance plans including Medicare and Medicaid
Investigate claim issues, payment discrepancies, and billing errors
Verify claim status and communicate with insurance carriers as needed
Maintain accurate account documentation and billing records
Collaborate with internal departments to resolve billing and payment concerns
Ensure compliance with payer guidelines and healthcare billing regulations

What we offer

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

Fulltime

Medical Biller / Payment Poster

A Healthcare Company in Los Angeles is seeking a detail-oriented and experienced...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum 3 years of experience in Revenue Cycle Management, specifically in payment posting and medical billing
Strong understanding of insurance payment processes, including Medicare, Medicaid, and commercial payers
Experience working with Electronic Health Records (EHR) and billing systems
Proficiency in Microsoft Excel and other Microsoft Office applications
High attention to detail and strong problem-solving skills
Excellent communication and organizational abilities

Job Responsibility

Post insurance and patient payments accurately and in a timely manner
Review and interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA)
Reconcile posted payments with daily deposits and bank reports
Identify and resolve payment discrepancies, denials, and underpayments
Adjust accounts based on contractual agreements and payer guidelines
Collaborate with billing and collections teams to ensure clean claim resolution
Maintain compliance with HIPAA and company policies
Assist with month-end closing and reporting as needed

What we offer

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

Medicare/Medicaid Biller & Collector

We are seeking a detail-oriented Medicare/Medicaid Biller & Collector to join ou...

Location

United States , Lindenhurst

Salary:

27.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of Medicare/Medicaid billing and collections experience (senior living, SNF, or healthcare setting preferred)
Strong understanding of Medicare and Medicaid guidelines and reimbursement processes
Experience with electronic billing systems and accounting software
High attention to detail and accuracy
Strong communication and problem-solving skills
Ability to manage multiple priorities and meet deadlines
Proficiency in Microsoft Excel and general computer skills

Job Responsibility

Process and submit Medicare and Medicaid claims accurately and in a timely manner
Manage billing for skilled nursing and/or long-term care services
Follow up on outstanding claims, denials, and unpaid balances
Investigate and resolve billing discrepancies and rejections
Post payments, adjustments, and reconcile accounts receivable
Communicate with insurance providers, residents, and families regarding billing inquiries
Ensure compliance with federal, state, and payer-specific regulations
Maintain accurate and organized billing records
Collaborate with internal teams to ensure proper documentation and coding

What we offer

Competitive hourly pay up to $27/hour
Supportive team environment
Opportunity to make an impact in a resident-focused community
Stable, growing organization

Fulltime

Medicare/Medicaid Biller & Collector

We are seeking a detail-oriented Medicare/Medicaid Biller & Collector to join ou...

Location

United States , Lindenhurst

Salary:

27.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

2+ years of Medicare/Medicaid billing and collections experience (senior living, SNF, or healthcare setting preferred)
Strong understanding of Medicare and Medicaid guidelines and reimbursement processes
Experience with electronic billing systems and accounting software
High attention to detail and accuracy
Strong communication and problem-solving skills
Ability to manage multiple priorities and meet deadlines
Proficiency in Microsoft Excel and general computer skills

Job Responsibility

Process and submit Medicare and Medicaid claims accurately and in a timely manner
Manage billing for skilled nursing and/or long-term care services
Follow up on outstanding claims, denials, and unpaid balances
Investigate and resolve billing discrepancies and rejections
Post payments, adjustments, and reconcile accounts receivable
Communicate with insurance providers, residents, and families regarding billing inquiries
Ensure compliance with federal, state, and payer-specific regulations
Maintain accurate and organized billing records
Collaborate with internal teams to ensure proper documentation and coding

What we offer

Competitive hourly pay up to $27/hour
Supportive team environment
Opportunity to make an impact in a resident-focused community
Stable, growing organization

Fulltime

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