Job Description
Are you a "Claims Crusader" who hates leaving money on the table? We are looking for a sharp, tenacious Medical Provider Billing Specialist to join our client's team. If you enjoy the "detective work" of investigating denials and find deep satisfaction in turning an aging report from red to green, we want to talk to you. Qualifications: PLEASE READ (non negotiables)
- 2+ years of professional billing experience for physicians
- Hands-on experience in claim rejections, edits, denials, appeals, and reconsiderations
- Knowledge of A/R processes
- Proficiency in EPIC is preferred
- Knowledge of OB/GYN billing is a plus
Please apply to the posting for consideration and complete the pre-screening questionnaire in order to reserve a spot on our recruiter's calendar.
salary: $21 - $22 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Claims Management & Resolution - Full-Cycle Billing: Manage the submission, tracking, and proactive follow-up of all insurance claims to ensure timely reimbursement.
- Denial Management: Investigate rejected or denied claims, identify root causes, and execute strategic appeals to secure payment.
- Account Analysis: Monitor aging reports and prioritize accounts receivable (AR) to minimize outstanding balances and improve cash flow.
Patient & Payer Communication - Issue Resolution: Act as a primary liaison between insurance carriers and patients to troubleshoot and resolve complex billing discrepancies.
- Financial Counseling: Assist patients with payment collections, provide clarity on their statements, and establish manageable payment plans when necessary.
- Account Escalation: Determine the appropriate trajectory for unpaid accounts, including internal escalation or referral to external collection agencies.
Compliance & Documentation - Precision Record-Keeping: Maintain meticulous documentation of all account activities, ensuring every interaction is logged accurately.
- Regulatory Standards: Uphold strict compliance with HIPAA regulations and internal billing protocols to protect patient privacy and data integrity.
Skills
- epic (2 years of experience is preferred)
- Medical Provider Billing (2 years of experience is required)
- Claims Rejections and Denials (2 years of experience is required)
- Appeals and Reconsiderations (2 years of experience is required)
- Medical A/R processes (2 years of experience is required)
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Job Tags
Hourly pay, Permanent employment, Temporary work, Work experience placement, Shift work