Medical Billing Specialist

Responsibilities

• Prepare, review, and submit medical claims to insurance carriers with a high level of accuracy and timeliness.
• Investigate rejected or unpaid claims, determine the cause of the issue, and take appropriate action to secure reimbursement.
• Manage follow-up activities for insurance and patient balances, including collections efforts when needed.
• Apply billing knowledge and coding-related understanding to help ensure claims are compliant and properly documented.
• Use EPACES and related billing systems to verify claim status, review eligibility details, and support reimbursement activities.
• Analyze denial trends and resolve insurance-related payment issues by communicating with carriers and internal stakeholders.
• Maintain complete and organized billing records while updating account activity and claim notes consistently.
• Collaborate with team members to improve billing efficiency and support changes to processes or systems when required.

Requirements

• At least 3 years of experience in medical billing within a healthcare or physician practice setting.
• Working knowledge of medical coding concepts as they relate to claim preparation and reimbursement.
• Experience handling medical collections, claim follow-up, and account resolution activities.
• Proficiency in researching and resolving claim denials and insurance denials.
• Hands-on experience using EPACES or comparable billing and eligibility tools.
• Strong attention to detail with the ability to manage multiple claims and deadlines effectively.
• Clear communication skills and the ability to interact professionally with insurance representatives and internal teams.

Qualifications

The ideal candidate will have a strong background in medical billing, coding, and compliance. They should be able to work independently and as part of a team, handle multiple tasks simultaneously, and communicate effectively with both internal and external parties.

Skills

• Medical billing and coding
• Denial management
• EPACES or similar billing systems
• Attention to detail
• Communication skills

Benefits

Robert Half offers competitive compensation and benefits, including medical, vision, dental, and life and disability insurance. Contract/temporary professionals are also eligible to enroll in our company 401(k) plan.

Pay

Compensation is based on experience and qualifications.

Schedule

This is a contract-to-permanent role.