"Alerted.org

Description

We are looking for a detail-oriented Medical Billing Specialist to join a team in King of Prussia, Pennsylvania. This Contract-to-permanent position offers an opportunity to contribute to accurate billing, claims management, and collections processes, ensuring families feel supported throughout their billing experience. You will play a vital role in maintaining compliance and optimizing revenue collection for services provided.

Responsibilities:

• Process and submit primary and secondary claims for both commercial insurance and Medicaid.

• Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement.

• Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections.

• Input and review billing data for accuracy, ensuring compliance with company policies and procedures.

• Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing.

• Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing.

• Assist intake teams with Medicaid documentation for new clients and those requiring reassessment.

• Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups.

• Ensure adherence to compliance standards in all billing and collections activities.

• Perform other tasks as assigned by the Billing Manager or Director.

Requirements • At least 1 year of experience in medical billing, claims, or collections.

• Proficiency in accounting software systems and electronic health record (EHR) systems.

• Familiarity with Medicaid processes and commercial insurance claims.

• Strong understanding of accounts receivable, denial management, and appeals.

• Experience working with billing and authorization functions.

• Ability to accurately input and manage billing data.

• Excellent communication skills to collaborate with team members and external payors.

• Knowledge of compliance policies related to medical billing and collections.

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.

• 2025 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) .