CrawlJobs Logo

Payments Claim Specialist

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , Los Angeles

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes.

Job Responsibility:

  • Process and manage claims related to payments, ensuring accuracy and adherence to established policies
  • Conduct thorough investigations of disputes and chargebacks to resolve issues promptly
  • Monitor and enforce compliance with regulatory requirements related to claim administration
  • Prepare detailed reports and metrics to track progress and performance
  • Collaborate with clients to address concerns and maintain strong relationships
  • Perform quality checks on claims to ensure accuracy and compliance with procedures
  • Review ledgers, debits, and credits to identify and address discrepancies
  • Support fraud investigations by analyzing claims and payment processes
  • Maintain organized records and documentation for auditing and reporting purposes

Requirements:

  • Proven experience in claims processing, payment administration, or a related field
  • Proficiency in Microsoft Office Suite, including Excel, Word, and Outlook
  • Strong analytical skills with the ability to investigate and resolve disputes effectively
  • Familiarity with regulatory requirements and compliance standards
  • Excellent communication skills to collaborate with clients and team members
  • Attention to detail and commitment to maintaining accuracy in all tasks
What we offer:
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
March 13, 2026

Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Payments Claim Specialist

Medical Billing and Payment Posting Specialist

Our client has an immediate need for a Medical Billing and Payment Posting Speci...
Location
Location
United States , Spring
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2+ years of medical billing, payment posting, or revenue cycle experience
  • Experience working with Athena (athenaOne or athenaCollector) preferred
  • Strong understanding of EOBs, claim submissions, and denial management
  • Experience posting insurance payments, adjustments, and charge tickets
  • Ability to reconcile payment activity and maintain accurate billing records
  • Strong attention to detail and ability to manage multiple claims and accounts
Job Responsibility
Job Responsibility
  • Post insurance payments and adjustments from Explanation of Benefits (EOBs) into Athena, including denial codes, notes, and supporting documentation
  • Reconcile daily payment activity by preparing spreadsheets and validating totals against transactions recorded in Athena
  • Verify electronic claim transmissions through Athena and ensure successful submission to insurance carriers
  • Enter and post charge tickets, cash receipts, and program payments within Athena and route deposits and documentation to bookkeeping as needed
  • Review medical bills for covered services and claim accuracy prior to submission to private insurers, government programs, and third-party payers
  • Monitor unpaid or denied claims within Athena work queues and follow up appropriately, including rebilling when necessary
  • Research discrepancies and assist with claim corrections and appeals for denied or underpaid claims
  • Maintain and update patient account information, including address changes and program coverage verification
  • Respond to patient and provider inquiries regarding charges, statements, and medical billing questions
  • Conduct outbound calls to patients, providers, and insurance carriers to resolve billing issues and confirm claim status
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Billing and Payment Posting Specialist

Our client has an immediate need for a Medical Billing and Payment Posting Speci...
Location
Location
United States , Spring
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2+ years of medical billing, payment posting, or revenue cycle experience
  • Experience working with Athena (athenaOne or athenaCollector) preferred
  • Strong understanding of EOBs, claim submissions, and denial management
  • Experience posting insurance payments, adjustments, and charge tickets
  • Ability to reconcile payment activity and maintain accurate billing records
  • Strong attention to detail and ability to manage multiple claims and accounts
Job Responsibility
Job Responsibility
  • Post insurance payments and adjustments from Explanation of Benefits (EOBs) into Athena, including denial codes, notes, and supporting documentation
  • Reconcile daily payment activity by preparing spreadsheets and validating totals against transactions recorded in Athena
  • Verify electronic claim transmissions through Athena and ensure successful submission to insurance carriers
  • Enter and post charge tickets, cash receipts, and program payments within Athena and route deposits and documentation to bookkeeping as needed
  • Review medical bills for covered services and claim accuracy prior to submission to private insurers, government programs, and third-party payers
  • Monitor unpaid or denied claims within Athena work queues and follow up appropriately, including rebilling when necessary
  • Research discrepancies and assist with claim corrections and appeals for denied or underpaid claims
  • Maintain and update patient account information, including address changes and program coverage verification
  • Respond to patient and provider inquiries regarding charges, statements, and medical billing questions
  • Conduct outbound calls to patients, providers, and insurance carriers to resolve billing issues and confirm claim status
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right
New

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join a growin...
Location
Location
United States , Chattanooga
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Hands-on experience in medical billing, including claims processing, payment posting, and insurance follow-up
  • Strong understanding of claim denials and the ability to resolve billing issues with accuracy and persistence
  • Familiarity with Medicare and Medicaid billing requirements and reimbursement processes
  • Ability to multitask effectively and stay organized in a high-volume healthcare setting
  • High level of attention to detail and the ability to work independently with minimal oversight
  • Comfortable working as part of a team and supporting a patient-centered mission
  • Basic proficiency with Microsoft Excel for entering and tracking payment-related information
Job Responsibility
Job Responsibility
  • Process medical claims accurately and efficiently for multiple healthcare services, ensuring timely submission and resolution
  • Review denied or rejected claims, investigate the cause, and take appropriate action to secure proper reimbursement
  • Post payments and maintain organized billing records, including basic entry of payment information into spreadsheets
  • Follow up with insurance carriers, Medicare, and Medicaid to verify claim status and address outstanding balances
  • Communicate with patients in a clear and compassionate manner regarding billing questions or account issues when needed
  • Manage several priorities at once in a busy environment while maintaining accuracy and meeting deadlines
  • Work closely with colleagues across the billing team to support daily operations and contribute to a collaborative workplace
  • Adapt to changing business needs as the organization expands services and providers over time
What we offer
What we offer
  • medical insurance
  • vision insurance
  • dental insurance
  • life insurance
  • disability insurance
  • 401(k) plan
Read More
Arrow Right

Medical Insurance Claims Specialist

We are looking for a detail-oriented Medical Insurance Claims Specialist to join...
Location
Location
United States , Spokane
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in medical billing, claims processing, or insurance-related roles
  • Familiarity with third-party payer systems and medical billing procedures
  • Strong knowledge of patient and insurance eligibility verification processes
  • Proficiency in handling insurance claims and resolving issues related to denials or discrepancies
  • Exceptional attention to detail and accuracy in managing financial transactions
  • Excellent communication skills for interacting with patients and insurance providers
  • Ability to work independently while adhering to established procedures and deadlines
Job Responsibility
Job Responsibility
  • Process medical claims for third-party payers and rebill as necessary to ensure accurate submission
  • Investigate unpaid claims, determine payment status, and take corrective action by appealing denials or resubmitting claims
  • Communicate with insurance providers to resolve discrepancies in payments or unpaid services
  • Identify and correct errors in claim information to ensure successful submissions
  • Assist patients with understanding their insurance claims and address their basic billing concerns
  • Provide support for patient collection inquiries during the absence of the Collections Specialist
  • Authorize write-offs for uncollectible balances within designated authority limits
  • Research and resolve credit balances, issuing refunds to the appropriate parties as necessary
  • Complete assigned special projects and additional tasks as required
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Medical Billing Specialist

A Behavioral Healthcare Company is looking for an experienced Medical Billing Sp...
Location
Location
United States , Encino
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance
  • Monitor and track the status of submitted claims to ensure timely reimbursement
  • Post payments from insurance companies and patients with precision and accuracy
  • Manage patient account balances, including collections and establishing payment plans when necessary
  • Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement
  • Draft and submit appeals with supporting documentation to resolve complex claim issues
  • Communicate effectively with insurance carriers and patients to address billing inquiries and concerns
  • Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines
  • Support the organization’s financial health by optimizing the revenue cycle processes
Job Responsibility
Job Responsibility
  • Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance
  • Monitor and track the status of submitted claims to ensure timely reimbursement
  • Post payments from insurance companies and patients with precision and accuracy
  • Manage patient account balances, including collections and establishing payment plans when necessary
  • Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement
  • Draft and submit appeals with supporting documentation to resolve complex claim issues
  • Communicate effectively with insurance carriers and patients to address billing inquiries and concerns
  • Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines
  • Support the organization’s financial health by optimizing the revenue cycle processes
What we offer
What we offer
  • Medical, Dental and Vision Insurance
  • 401K Retirement Plan
  • Sick Time Off
  • Tuition reimbursement
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Medical Billing Specialist

A Behavioral Healthcare Company is looking for an experienced Medical Billing Sp...
Location
Location
United States , Encino
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance
  • Monitor and track the status of submitted claims to ensure timely reimbursement
  • Post payments from insurance companies and patients with precision and accuracy
  • Manage patient account balances, including collections and establishing payment plans when necessary
  • Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement
  • Draft and submit appeals with supporting documentation to resolve complex claim issues
  • Communicate effectively with insurance carriers and patients to address billing inquiries and concerns
  • Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines
  • Support the organization’s financial health by optimizing the revenue cycle processes
Job Responsibility
Job Responsibility
  • Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance
  • Monitor and track the status of submitted claims to ensure timely reimbursement
  • Post payments from insurance companies and patients with precision and accuracy
  • Manage patient account balances, including collections and establishing payment plans when necessary
  • Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement
  • Draft and submit appeals with supporting documentation to resolve complex claim issues
  • Communicate effectively with insurance carriers and patients to address billing inquiries and concerns
  • Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines
  • Support the organization’s financial health by optimizing the revenue cycle processes
What we offer
What we offer
  • Medical, Dental and Vision Insurance
  • 401K Retirement Plan
  • Sick Time Off
  • Tuition reimbursement
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right
New

Medical Payment Poster Specialist

We are looking for a Medical Payment Poster Specialist on a contract-to-permanen...
Location
Location
United States , Glen Burnie
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 2 years of experience in medical payment posting, medical billing, or a closely related healthcare reimbursement role
  • Hands-on experience working with Workers’ Compensation claims, payment processes, and carrier reimbursement activity
  • Strong ability to interpret explanation of benefits statements and apply payments correctly based on payer details
  • Knowledge of fee schedules and the ability to recognize underpayments, denials, and other reimbursement variances
  • High level of accuracy, organization, and attention to detail when handling large volumes of financial transactions
  • Ability to investigate account discrepancies independently and communicate issues clearly to internal stakeholders
Job Responsibility
Job Responsibility
  • Post insurance and payer remittances with precision, ensuring all payment activity is entered accurately and promptly
  • Review explanation of benefits documents to confirm reimbursement details and match payments to the appropriate claims and patient accounts
  • Reconcile account balances by researching inconsistencies, resolving posting errors, and escalating unresolved issues when needed
  • Flag unpaid or partially paid claims for follow-up and support timely resolution of payment-related issues
  • Maintain accurate documentation of posting activity, account adjustments, and payment variances for audit readiness and reporting purposes
  • Collaborate with billing and revenue cycle team members to address claim issues and improve reimbursement accuracy in a high-volume environment
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
Read More
Arrow Right

Mechanical Claims Processing Specialist

Our client, a rapidly growing automotive service contract administration company...
Location
Location
United States , Austin
Salary
Salary:
20.00 - 21.00 USD / Hour
bhsg.com Logo
Beacon Hill
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous experience as a Warranty Administrator, Automotive Service Advisor, or similar role preferred
  • Familiarity with vehicle service contracts and mechanical claims processes
  • Experience handling financial transactions, invoice verification, and payment reconciliation
  • Ability to read and understand contractual language and automotive repair terminology
  • Ability to interpret automotive service invoices and repair orders
  • Proficiency in Microsoft Office Suite (Excel, Outlook, Word)
  • Strong verbal and written communication skills
  • High attention to detail and accuracy
  • Ability to maintain assigned production levels
Job Responsibility
Job Responsibility
  • Review, upload, and organize mechanical claims-related documents within internal systems
  • Review service invoices and repair orders for accuracy and completeness prior to payment processing
  • Process claims payments accurately and in a timely manner
  • Perform accurate data entry and maintain claims records
  • Monitor workflows to ensure claims and documentation are processed within required timelines
  • Coordinate with Claims Examiners on open or pending claims to resolve outstanding issues
  • Communicate professionally with internal teams and external partners regarding claim status and updates
  • Fulltime
Read More
Arrow Right