Medical Claims Representative

We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract position based in Lincolnwood, Illinois. This role focuses on reviewing medical claim information, coordinating billing-related activities, and helping ensure accurate insurance processing across the claims lifecycle. The ideal candidate is organized, service-minded, and comfortable working in a fast-paced healthcare environment while maintaining accuracy and compliance.

Responsibilities:

• Review incoming medical claims for completeness, accuracy, and alignment with payer requirements before submission or follow-up.

• Manage billing-related claim activity by researching discrepancies, correcting documentation issues, and helping move claims toward resolution.

• Verify medical insurance coverage and eligibility details to support proper claim handling and reduce preventable denials.

• Track claim status with insurance carriers, document updates clearly, and communicate next steps to relevant internal stakeholders.

• Investigate denied, rejected, or delayed claims and take appropriate action to support timely reconsideration or resubmission.

• Maintain organized claim administration records and ensure case details are updated accurately within designated systems.

• Work closely with billing, administrative, and healthcare support teams to address claim questions and improve turnaround times.

Qualifications:

• Experience handling medical claims within a healthcare, hospital, or social assistance setting.
• Working knowledge of medical billing processes, insurance claim workflows, and claim administration practices.
• Ability to verify insurance information accurately and apply coverage details to claim processing activities.
• Strong attention to detail with the ability to identify errors, missing information, and claim inconsistencies.
• Effective written and verbal communication skills for coordinating with payers and internal teams.
• Proficiency in maintaining accurate documentation and managing multiple claims at different stages of review.
• Ability to work independently in a Contract role while meeting deadlines in a high-volume environment.

Compensation

$22.80-$26.40 Hourly

About 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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