Medical Biller (Hospital)

Robert Half • Los Angeles, CA • 3h ago

Description

At hospital committed to delivering outstanding patient care and operational excellence. As part of our team, you'll be integral to ensuring that our revenue cycle processes run smoothly while supporting the financial health of our organization. We are seeking an experienced Medical Biller with expertise in insurance collections, appeal submissions, and denials management to join our collaborative and fast-paced environment.

Position Overview:

We are looking for a proactive and detail-oriented Medical Biller to manage, analyze, and optimize the reimbursement process. The ideal candidate will have hands-on experience with medical billing, insurance collections, denial resolution, and appeal creation, ensuring accurate and timely payments for services rendered.

Core Responsibilities:

Prepare and submit claims to various insurance payers (commercial and government) in compliance with payer-specific guidelines.

Conduct insurance collections, including follow-up on outstanding claims to ensure prompt and accurate payment.

Analyze claim denials, identify root causes, and formulate effective appeals to resolve unpaid claims.

Verify insurance eligibility and patient benefits before claim submissions to avoid delays in reimbursement.

Resolve discrepancies in payments, track underpayments, and address any billing issues with payers or internal departments.

Communicate with insurance companies, patients, and internal staff regarding claim statuses, billing inquiries, and resolutions.

Stay updated on payer requirements, industry coding changes, and compliance standards to ensure claims adhere to current regulations.

Maintain accurate documentation and ensure compliance with HIPAA and other healthcare regulations.

Generate reports and provide updates to leadership on outstanding claims, denials, and appeals performance metrics.

Requirements

3 years of experience in medical billing with direct involvement in insurance collections, denials, and appeals.

Strong understanding of medical billing practices, payer rules, and healthcare reimbursement models.

Working knowledge of medical coding (ICD-10, CPT, HCPCS) and claim forms (UB-04, CMS-1500).

Proficiency with Electronic Medical Record (EMR) systems, such as Epic, Cerner, or similar platforms.

Excellent communication, organizational, and problem-solving skills with attention to detail.

Ability to work independently while managing multiple tasks in a fast-paced setting.

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 (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. 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.

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