;

10 results for Denials Specialist Healthcare

Relevance

Date Posted

Create a Job Alert

Email me about new Denials Specialist Healthcare jobs

Are you sure you want to pass on this job?

We are offering a permanent employment opportunity for a Hospital Medical Collections Specialist in the healthcare industry, located in Van Nuys, California. The primary functions of this role will be to manage billing and collection processes within a hospital environment, including managing Medicare managed care and other health insurance types.

Responsibilities:
• Efficiently administer appeals and denial management processes.
• Oversee claim administration, billing functions, and collection processes.
• Handle various forms of managed care including Medicare, commercial, PPO/HMO, and Medical.
• Conduct comprehensive hospital billing and collection procedures with precision.
• Monitor patient accounts and initiate necessary actions to facilitate insurance payments.
• Ensure accurate management of insurance correspondence and record maintenance.
• Provide necessary training and support for Collector I positions.
• Engage in both hospital outpatient and inpatient billing processes and revenue cycle management.

• Applicant must have a minimum of 3 years of experience in the healthcare industry, specifically in hospital-related roles
• Proficiency in Medical Billing and Medical Collections is required
• Experience with Medical Appeals and handling Medical Denials is necessary
• Familiarity with HMO PPO is expected
• Expertise in Hospital Billing is crucial
• Understanding of the Hospital Revenue Cycle is necessary
• Experience with both Hospital Outpatient and Hospital Inpatient environments is required

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use.

10 results for Denials Specialist Healthcare

Hospital Medical Collections Specialist We are offering a permanent employment opportunity for a Hospital Medical Collections Specialist in the healthcare industry, located in Van Nuys, California. The primary functions of this role will be to manage billing and collection processes within a hospital environment, including managing Medicare managed care and other health insurance types. Responsibilities: • Efficiently administer appeals and denial management processes. • Oversee claim administration, billing functions, and collection processes. • Handle various forms of managed care including Medicare, commercial, PPO/HMO, and Medical. • Conduct comprehensive hospital billing and collection procedures with precision. • Monitor patient accounts and initiate necessary actions to facilitate insurance payments. • Ensure accurate management of insurance correspondence and record maintenance. • Provide necessary training and support for Collector I positions. • Engage in both hospital outpatient and inpatient billing processes and revenue cycle management.

Medical Claims Representative We are offering a contract to permanent employment opportunity for an Insurance Follow-Up Specialist in FORT WAYNE, Indiana. This role is in the healthcare industry and will involve follow-ups on medical claims. The workplace environment is business casual and requires a high level of interaction with doctor offices. Responsibilities: • Follow-up on insurance claims and patient claims payments. • Provide customer service in relation to medical billing and insurance follow-ups. • Utilize skills in Medical Claims, Medical Billing, and Medical Insurance Billing for efficient execution of tasks. • Manage Insurance Denials and Payer Denials, and handle Medical Appeals. • Leverage expertise in Insurance Follow-up, Claim Denials, Denial Management, and Claim Adjudication. • Interact with doctor offices to resolve any discrepancies or issues related to medical claims.

Medical Billing and Collections Specialist Are you experienced in medical billing and collections? Robert Half is working with leading healthcare organizations to find talented professionals who excel in billing processes and accounts receivable management. Take the opportunity to join a dynamic and fast-growing team today!Key Responsibilities:<ul><li>Process and submit accurate claims to insurance carriers and government payers.</li><li>Conduct follow-up on outstanding claims and patient accounts to ensure timely payments.</li><li>Research and resolve payment discrepancies and denials.</li><li>Manage patient billing inquiries and provide exceptional service by explaining account details.</li><li>Prepare statements and manage collections activities efficiently while adhering to healthcare compliance guidelines.</li><li>Maintain organized electronic medical records (EMR) to support seamless billing workflows.</li></ul>

Medical Biller/Collections Specialist We are offering a permanent employment opportunity for a Medical Biller/Collections Specialist in the Healthcare/NHS industry, situated in CHICAGO, Illinois. The role involves maintaining an orderly and efficient system for managing customer accounts, processing customer applications, and resolving inquiries. You will also be tasked with monitoring customer accounts and taking appropriate action in a formal office setting. Responsibilities: • Efficiently process customer credit applications• Keep customer credit records up-to-date and accurate• Monitor customer accounts and initiate suitable action on overdue accounts• Engage with customers over phone to understand reasons for overdue payments and negotiate debt repayment strategies• Address customer queries regarding account balances and third-party payments in a timely manner• Maintain comprehensive files and records to effectively monitor payment and payment plan programs• Update customer demographics as required• Perform various administrative tasks such as answering correspondence, preparing reports, and opening mail• Communicate with third-party payers that have not made appropriate payments• Post adjustments, write-offs, and process accounts for bad debt when necessary• Regularly review accounts receivable aging reports and date of service histories for payment activity, ensuring billing rejections are reviewed and corrected. The salary range for this position is $20 to $22/hr. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit Robert Half Benefits Website for more information.

Medical Billing Specialist We are seeking a dedicated and detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and collections, with a deep understanding of insurance procedures, claim management, and accounts receivable processes. As a key member of our billing department, you will be responsible for managing the billing cycle, resolving claims issues, and ensuring timely payments for medical services provided. Responsibilities:<ul><li>Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided.</li><li>Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection.</li><li>Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement.</li><li>Payment Posting: Post payments, adjustments, and denials to patient accounts accurately.</li><li>Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts.</li><li>Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments.</li><li>Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations.</li><li>Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement.</li><li>Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns.</li></ul>

Medical Biller/Collections Specialist We are offering a short term contract employment opportunity for a Medical Biller/Collections Specialist in Lauderdale Lakes, Florida. In this role, you will be part of a team focusing on billing and collections for a variety of healthcare facilities including rehab hospitals and nursing homes. Responsibilities: • Accurately processing medical claims and customer credit applications. • Maintaining precise records of customer credit. • Conducting follow-ups with insurance providers including Medicare, Medicaid, and private insurers. • Handling insurance billing and medical collections. • Pursuing accounts or claims that are more than 30 days old. • Billing accounts as necessary. • Managing appeals and denials of claims. • Communicating trends to management, such as specific codes being consistently denied by certain insurers. • Using various accounting software systems, including Allscripts and Cerner Technologies, to carry out tasks. • Handling accounts receivable tasks and various billing functions. • Dealing with authorizations and other benefit functions.

Medical Insurance Authorization Assistant Become a Key Player in Transforming Patient Care in Denver, ColoradoAre you ready to step into a dynamic, fast-paced healthcare environment that prioritizes excellence, teamwork, and patient satisfaction? We are seeking an experienced, detail-oriented Medical Insurance Authorization Specialist to join our dedicated team. This is your opportunity to help people navigate their healthcare journeys while working fully onsite in Denver, Colorado.If you have a background in pharmacy and expertise in insurance authorization processes, we want to hear from you! In this critical and rewarding role, you’ll play an essential part in ensuring patients access life-changing growth hormone therapies and other medical treatments, while improving their overall healthcare experience. Why This Role?<ul><li>Impact: You’ll directly contribute to enhancing patient outcomes by securing key medical authorizations that change lives.</li><li>Growth: Be part of a forward-thinking team in a specialized therapeutic area, where your skills truly make a difference.</li><li>Collaboration: Build meaningful connections with families, medical teams, and insurance providers every single day.</li></ul> Buzz-Worthy Responsibilities✔️ Insurance Authorizations: Spearhead the process of medical necessity submissions and prior authorizations by working hands-on with insurance providers to pave the way for patient care.✔️ Acceleration of Approvals: Own and manage the lifecycle of insurance approvals, including denials and appeals. Navigate challenges with confidence and problem-solving expertise.✔️ Data Precision: Ensure seamless completion of online submissions, paperwork, and accurate record-keeping to maintain compliance and efficiency.✔️ Patient Touchpoints: Empathically communicate with families to share updates, offer reassurance, and guide them through the authorization process.✔️ Team Synergy: Step in where necessary, supporting teammates and ensuring workflow stability during high-priority situations.✔️ High-Impact Correspondence: Handle approximately 20–30 calls daily while maintaining professional email communication across relevant stakeholders.

Medical Billing Specialist We are in the process of recruiting a Medical Billing Specialist to join our team in Richmond, Virginia. The role involves working within the healthcare industry, handling customer accounts, applications, and inquiries. This position offers a contract to permanent employment opportunity and will require the individual to be detail-oriented and highly organized. Responsibilities: • Efficiently and accurately process customer credit applications within the medical billing environment • Ensure the maintenance of precise customer credit records • Handle all outstanding patient account balances in accordance with practice protocol • Supply pertinent eligibility information related to billing, coding, and insurance carriers • Address returned claims, correspondence, denials, account reconciliations, and rebills promptly to garner maximum reimbursement • Submit primary and secondary insurance claims electronically on a daily basis to ensure timely reimbursement • Review, correct, and complete claim forms as required • Assign appropriate insurance carriers when rebilling rejected or denied claims • Appeal claims and compose clear, concise appeal letters as necessary • Resolve carrier-related payment issues, including denials and partial payments • Conduct research into insurance company issues, such as network problems and workers compensation claims • Pursue suspended claims and aged, unresolved claims • Communicate with third-party representatives to finalize claims processing • Report weekly productivity results.

Credentialing Specialist We are searching for a Credentialing Specialist to join our team located in Palm Springs, California. This role, pivotal in the non-profit sector, will focus on managing the credentialing process for healthcare providers participating in managed care networks. This position offers a long-term contract employment opportunity. Responsibilities: • Facilitate the initial and recredentialing process for healthcare providers in accordance with California state regulations. • Verify providers' licenses, certifications, education, training, and work history. • Ensure adherence to guidelines and standards set by NCQA, CMS, TJC, and specific to California. • Maintain an up-to-date understanding of managed care policies, contracts, and credentialing requirements in California. • Collaborate with Managed Care Organizations to ensure compliance with Medicaid and Medicare standards. • Monitor and uphold compliance with California-specific licensing and credentialing laws, and Department of Managed Health Care guidelines. • Maintain accurate databases for provider credentialing files and regularly audit these documents for accuracy. • Serve as a liaison between healthcare providers, managed care organizations, and regulatory agencies in California. • Provide clear guidance to providers regarding credentialing requirements and timelines, and respond to inquiries promptly. • Manage provider contract and credentialing renewals, and facilitate appeals and resolution of disputes related to provider denials or credentialing errors. • Identify and implement areas for streamlining credentialing workflows specific to the healthcare system in California.