Description

Robert Half is supporting a healthcare client with an immediate need for a skilled full-time OR part-time Medical Claims Specialist. As a full-time OR part-time Medical Claims Specialist, you will be supporting the submittal of medical claims to both Government and Commercial insurance payers as well as following up on denials and submitting appeals. We are offering a role in the Medical Claims located west of downtown Cincinnati. After a period of onsite training, an option to work hybrid or fully remote may be offered.

Responsibilities:

• Accurate completion of medical claims and submittals using an EHR System such as EPIC or eClinicalWorks.

• Understanding of EOB - Explanation of Benefits, Claim Denials, and Denial Codes

• Handling of appeals in cases of denied claims

• Ensuring adherence to medical billing/claims/collections industry standards and regulations

• Regularly updating skills and knowledge in the field of medical billing/claims/collections.

Requirements • Proficiency in EHR SYSTEM for handling electronic health records

• Experience in Appeals and Claim Administration for managing and resolving patient claims

• Strong understanding of Medical Billing processes and procedures

• Ability to interpret EOB - Explanation of Benefits to assist patients and healthcare providers

• Experience in handling Claim Denials and understanding of Denial Codes

• Expertise in Medical Claims processing and management

• Ability to work collaboratively with healthcare providers, insurance companies, and patients

• High attention to detail and accuracy in document handling and data entry

• Excellent communication and interpersonal skills for effective patient and team interactions

• Knowledge of healthcare regulations and medical terminologies.

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.

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.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .