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Description We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. In this long-term contract role, you will play a key part in ensuring accurate insurance verification, billing processes, and coding for medical services. This position offers an opportunity to collaborate with healthcare professionals while managing claims and patient accounts efficiently.

Responsibilities:

• Verify insurance eligibility and benefits for upcoming appointments, ensuring copays are added to schedules for front desk collection.

• Obtain referrals and prior authorizations required by insurance for procedures, office visits, and radiology services.

• Calculate and provide estimates for out-of-pocket costs based on scheduled procedures and insurance benefits.

• Maintain and update system records by entering new procedures, surgeries, and annual fee adjustments.

• Perform coding for authorizations, superbills, and hospital visits using current ICD-10-CM and CPT standards.

• Submit electronic and paper claims while investigating and resolving insurance claim denials.

• Post payments, including cosmetic, copay, and insurance transactions, using Nextech and Vision Software.

• Prepare and follow up on patient statements, addressing billing complaints and processing refund requests.

• Ensure cosmetic surgeries are fully paid prior to the scheduled date, communicating outstanding balances to consultants.

• Assist with general office duties such as scanning, faxing, filing, and surgery center scheduling as needed. Requirements • Proven experience in medical billing and coding, including familiarity with ICD-10-CM and CPT standards.

• Strong knowledge of insurance verification, claim submission, and denial reconciliation.

• Proficiency in healthcare billing systems such as Nextech and Vision Software.

• Ability to calculate patient cost estimates and manage payment posting accurately.

• Excellent organizational skills to handle multiple tasks, including scheduling and administrative duties.

• Effective communication skills to liaise with providers and resolve patient billing inquiries.

• Familiarity with electronic and paper claim submission processes.

• Experience in accounts receivable, appeals, and benefit functions within a healthcare setting.

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) .