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Description

We are looking for an experienced Billing Representative to join a remote team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.

Responsibilities:

+ Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed Care, and other commercial and third-party payers in accordance with payer-specific billing guidelines.

+ Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure timely and accurate resolution.

+ Perform root cause analysis of claim rejections and denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement.

+ Collaborate with clinical, coding, registration, and other internal and external departments to validate demographic, insurance, authorization, and coding accuracy, including updates related to CPT, HCPCS, and ICD-10 changes.

+ Accurately document claim research, resolution actions, and follow-up steps within billing and account management systems.

+ Maintain strict compliance with hospital policies, federal and state regulations, payer requirements, and HIPAA privacy standards at all times.

+ Meet or exceed established productivity and performance metrics by effectively managing assigned work queues and daily workloads.

+ Meet or exceed quality standards by ensuring claims are submitted clean, accurate, and complete.

+ Respond promptly and professionally to billing-related inquiries and email requests to support timely account resolution.

+ Perform additional revenue cycle and billing-related duties as assigned.

Requirements

• Minimum of three years of experience in billing specifically within a hospital/facility setting outpatient in-patient

• Minimum of three years of experience in healthcare accounts receivable billing

• Minimum of three years of experience working with multiple payors including Medicare Medicaid and commercial insurance providers

• Must have Epic experience

• Proficiency in Microsoft Office applications, including Word, Excel, and Outlook, with the ability to create and manage documents and spreadsheets.

• Strong problem-solving skills and ability to navigate online resources for research purposes.

• Demonstrated interpersonal skills with the ability to work independently and collaboratively within a team.

• Excellent communication skills to effectively interact with diverse stakeholders.

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) .