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Description

Our healthcare client is actively seeking a highly skilled Medical Collections Specialist with extensive insurance experience. In this role, you will be responsible for managing the collection, follow-up, and resolution of outstanding claims with insurance companies while maintaining a high level of accuracy and professionalism. This is a critical position for ensuring timely reimbursement and maintaining strong financial processes in a fast-paced and dynamic healthcare environment.

Key Responsibilities:

+ Review unpaid or incorrectly processed claims and proactively follow up with commercial and government insurance providers to ensure timely payment

+ Analyze and resolve insurance claim denials and underpayments by applying knowledge of payer policies and procedures.

+ Validate patient insurance coverage and review claims to ensure accurate coding and documentation compliance

+ Manage patient and insurance receivables, track aging accounts, and escalate unresolved claims to appropriate leadership as needed.

+ Ensure adherence to HIPAA regulations, payer-specific guidelines, and organizational policies

Requirements

Qualifications:

+ Minimum 2–5 years of experience in medical collections and insurance follow-up.

+ Strong familiarity with healthcare payers, including Medicare, Medicaid, and commercial carriers.

+ Proficiency in medical billing software and electronic medical records (EMR) systems like Cerner or Epic

+ Thorough understanding of medical coding (CPT, ICD-10, HCPCS) and payer reimbursement methodologies.

+ Advanced skills in problem-solving and communicating effectively with insurance providers and patients.

Certifications (Preferred):

+ Certified Professional Biller (CPB)

+ Certified Professional Coder (CPC)

+ Registered Health Information Technician (RHIT)

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) .