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This long-term contract-to-hire opportunity offers an opportunity to play a key role in ensuring accurate and efficient revenue cycle operations within a healthcare setting. The ideal candidate will bring expertise in medical billing, claims processing, and collections while managing multiple priorities in a fast-paced environment.
Job Responsibility:
Perform full revenue cycle duties, including claim preparation, submission, reconciliation of AR accounts, and resolution of credit balances
Responsible for the full billing cycle, including cash posting, collections, claim processing, and follow‑up
Track progress of claims and reconcile payments to ensure accuracy
Pursue denied claims, complete resubmissions, write appeal letters, and conduct phone/portal follow‑up with payers
Review aging trial balances and work diligently to reduce AR balances
Process claims for Medicaid FFS, Managed Care, commercial payers, and no‑fault insurance
Work closely with the Patient Access Department to ensure clean claims and proper documentation
Communicate effectively with individuals across varying knowledge levels
Manage multiple priorities simultaneously while meeting strict deadlines
Requirements:
Strong knowledge of Medicaid FFS, Managed Care, and commercial payer claim processing
Experience working as a full‑cycle Patient Accounts Representative or medical biller
3–5 years of full‑cycle hospital facility billing experience preferred
Experience completing Medicaid applications is a plus
Education: Bachelor’s or associate degree preferred
High School diploma accepted with relevant billing experience
Nice to have:
Experience completing Medicaid applications is a plus
What we offer:
medical, vision, dental, and life and disability insurance