Revenue Cycle CS Specialist
Responsibilities:
• Review outstanding patient and payer balances, investigate account discrepancies, and take appropriate action to secure payment
• Manage medical collections activities by contacting insurance carriers and other payers to follow up on unpaid or underpaid claims
• Examine billing records and claim details to identify denial trends, correct issues, and support clean claim resubmission
• Prepare and submit appeals with supporting documentation to challenge inappropriate claim denials and reimbursement reductions
• Use eClinicalWorks to document account activity, update claim status, and maintain accurate records for follow-up actions
• Coordinate with internal billing, coding, and customer support teams to resolve payment barriers and streamline account resolution
• Monitor insurance responses, interpret explanation of benefits information, and determine next steps for reimbursement recovery
• Prioritize high-value and time-sensitive accounts to help reduce aging receivables and improve collection performance
Qualifications:
• Experience handling medical collections within a healthcare revenue cycle or billing environment• Working knowledge of medical billing processes, payer guidelines, and insurance follow-up procedures
• Ability to research medical denials, identify root causes, and complete effective appeals submissions
• Familiarity with medical insurance terminology, claim adjudication, and explanation of benefits review
• Hands-on experience using eClinicalWorks or a comparable practice management or electronic health record system
• Strong attention to detail with the ability to manage multiple accounts and deadlines accurately
• Effective written and verbal communication skills for interacting with payers and internal stakeholders
Compensation
$20.00-$22.00 HourlyAbout Us
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.
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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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