MEDICAL PROVIDER BILLING SPECIALIST

Responsibilities 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. 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. 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 PROVIDER BILLING (2 years of experience required) MEDICAL CLAIMS PROCESSING (2 years of experience required) DENIALS (1 year of experience required) APPEALS (1 year of experience required) MEDICAL ACCOUNTS RECEIVABLE (1 year of experience required) EPIC (2 years of experience required) Qualifications Years of experience: 2 years Experience level: Experienced Benefits Pay: $21 - $22 per hour Benefits include: medical, prescription, dental, vision, AD&D, life insurance, short-term disability, and 401(k) plan (all benefits are based on eligibility). Shift: First, Work hours: 8 AM - 5 PM, Regular business hours (9 AM - 5 PM) provided for temp-to-hire. Education required: High School 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 View email address on click.appcast.io . This posting is open for thirty (30) days. #J-18808-Ljbffr