About the Medical Billing/Claims/Collections Role at Robert Half

Robert Half is excited to partner with a premier healthcare facility in Wakefield, Massachusetts, to find a skilled Medical Billing/Claims/Collections specialist. This long-term contract position offers $24 per hour and plays a pivotal role in revenue cycle management. If you have expertise in medical denials, appeals, and hospital billing, this opportunity allows you to thrive in a dynamic healthcare environment while ensuring financial stability for patient services. Join Robert Half's network of top talent and contribute to efficient billing processes that support quality care delivery.

Why This Role Matters

In the fast-evolving healthcare industry, accurate medical billing and claims management are crucial for maximizing reimbursements and minimizing revenue loss. You'll handle complex hospital billing tasks, resolve denials swiftly, and drive collections success, directly impacting the facility's financial health. With Wakefield, MA's growing healthcare sector, this position offers stability and growth potential through Robert Half's esteemed placements.

Key Responsibilities

As a Medical Billing/Claims/Collections professional, your daily tasks will focus on precision and proactive problem-solving. Here's what you'll do:

• Process medical billing for diverse hospital services, verifying accuracy and compliance with HIPAA and other regulations to prevent costly errors.
• Submit claims to insurance providers and follow up diligently to accelerate reimbursements and reduce aging accounts.
• Conduct thorough investigations into medical denials, pinpointing issues like coding errors or eligibility problems, and execute corrective measures.
• Craft compelling appeals for denied claims, gathering supporting documentation to overturn decisions and recover funds.
• Keep meticulous records of all billing and collections activities using industry-standard software for easy retrieval and reporting.
• Build relationships with insurance carriers and internal teams to negotiate resolutions on complex, outstanding claims.
• Track accounts receivable metrics, generating insightful reports to highlight trends and forecast cash flow.
• Develop and implement strategies like denial prevention workflows to boost billing efficiency and cut down on future rejections.
• Assist in audits and compliance reviews, ensuring all records withstand scrutiny from regulators or payers.
• Continuously update your knowledge on evolving billing codes (ICD-10, CPT), payer policies, and federal guidelines.

Required Qualifications

To excel in this Medical Billing/Claims/Collections role, candidates need a blend of technical expertise and soft skills. Robert Half seeks:

• 3+ years of hands-on experience in medical billing, claims processing, and collections, preferably in a hospital or large clinic setting.
• Deep understanding of medical denials management, appeals processes, and hospital-specific billing nuances.
• Proficiency in EHR systems like Epic or Cerner, plus billing platforms such as Kareo or AdvancedMD.
• Strong analytical skills to dissect denial trends and optimize revenue cycle performance.
• Exceptional attention to detail to maintain 99%+ accuracy in high-volume billing environments.
• Excellent communication abilities for interacting with insurers, providers, and leadership teams.
• Knowledge of healthcare compliance standards, including Medicare/Medicaid rules and private payer guidelines.
• Ability to multitask in a fast-paced setting while meeting strict deadlines for claims submission.
• High school diploma required; associate's or bachelor's in healthcare administration preferred.
• Coding certifications like CPC or CPB are highly advantageous.

This role demands a proactive mindset and passion for healthcare finance, making it ideal for seasoned billers ready to advance their careers.

Why Join Us Through Robert Half?

Partnering with Robert Half means accessing unparalleled support and opportunities. Enjoy competitive $24/hour pay, weekly direct deposit, and a long-term contract with extension potential. Work in modern Wakefield, Massachusetts facilities with collaborative teams dedicated to patient care. Robert Half provides exclusive training resources, career coaching, and a vast network for future placements. Benefit from our 70+ years of expertise in staffing, ensuring you're placed in roles that match your skills and ambitions. In Wakefield's vibrant community, near Boston's medical hubs, this position offers professional fulfillment and work-life balance. Apply today to secure your spot in healthcare revenue cycle excellence!

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