Medical Billing Specialist, Robert Half

Robert Half

Location:
United States, King of Prussia

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Not provided

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Job 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.

Job Responsibility:

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

What we offer:

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan

Additional Information:

Job Posted:
April 29, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Medical Billing Specialist