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Description

We are looking for a detail-oriented Medical Accounts Receivable Specialist for a client in Bellevue, Washington. This contract-to-permanent position involves managing the full insurance revenue lifecycle, ensuring accurate claim submissions, resolving denials, and maintaining compliance with payor contracts and regulations. The role also includes provider credentialing and re-credentialing responsibilities, as well as collaborating across departments to enhance operational efficiency.

Responsibilities:

• Oversee insurance accounts receivable processes from initial charge posting to final resolution.

• Investigate and resolve unpaid, underpaid, or denied claims promptly and accurately.

• Ensure claims meet payor guidelines and adhere to clean-claim standards to prevent revenue loss.

• Post payments and adjustments with precision and reconcile explanation of benefits to maintain accuracy.

• Monitor credentialing timelines for providers, ensuring timely enrollment and re-credentialing with contracted payors.

• Identify and address root causes of claim denials, implementing corrective measures to mitigate recurring issues.

• Maintain compliance with state regulations, payor contracts, and internal revenue integrity standards.

• Track and report key revenue cycle metrics, such as denial rates, days in accounts receivable, and net collection ratios.

• Collaborate with operations leadership and care center teams to resolve reimbursement issues and streamline processes.

• Serve as the primary liaison for credentialing matters, audits, and compliance reviews related to provider enrollment.

Requirements • Minimum of 3 years of experience in healthcare, dental, or medical insurance accounts receivable and revenue cycle management.

• Proficiency in handling accounts receivable, cash applications, and billing functions.

• Solid understanding of health care revenue cycle processes, including collections and cash activity.

• Strong analytical skills to identify issues and implement solutions for claim denials and payment discrepancies.

• Familiarity with payor-specific regulations and contractual requirements.

• Ability to manage provider credentialing and enrollment processes efficiently.

• Excellent communication and collaboration skills to work effectively across teams and departments.

• Strong attention to detail and organizational skills to maintain compliance and ensure accuracy in all tasks.

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.

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