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Robert Half Medical Billing Specialist in Fresno, California

Description We are offering a unique opportunity for a Medical Billing Specialist in the Healthcare/NHS industry. This position is based in Fresno, California, and offers a contract to permanent employment opportunity. The role involves handling insurance billing, managing accounts receivable, and interpreting Explanation of Benefits (EOBs) among other duties.

Responsibilities:

• Handle all aspects of insurance billing including understanding and interpreting Explanation of Benefits (EOBs)

• Utilize experience in CPT/NDC/HSPCS and ICD-10 coding across various specialties

• Manage accounts receivable which includes drafting appeals, investigating outstanding claims, and handling zero EOBs

• Adhere to the billing requirements of private pay, Medicare/Medicaid, and Medi-Cal insurance

• Navigate through ICD-10 (LCD Edits) and manage CCI edits

• Verify benefits with insurance providers and interpret EOBs

• Utilize various software systems including Allscripts, Cerner Technologies, Dynamic Data Exchange (DDE), EHR SYSTEM, and Epaces

• Handle claim administration and both billing and benefit functions

• Process customer credit applications accurately and efficiently

• Maintain accurate customer credit records. Requirements • Proficiency in healthcare billing software such as Allscripts, Cerner Technologies, and EHR SYSTEM

• Familiarity with Dynamic Data Exchange (DDE) and Epaces

• Experience in managing Accounts Receivable (AR) in a healthcare setting

• Ability to successfully handle appeals and benefit functions related to medical billing

• Expertise in billing functions and claim administration within the healthcare industry

• Demonstrable understanding of the medical billing process within the NHS

• Excellent attention to detail and accuracy in data entry

• Strong communication and interpersonal skills for effective patient interaction

• Ability to work independently and make decisions under minimal supervision

• Proficient in Microsoft Office Suite, particularly Excel and Word

• Strong organizational and multitasking skills

• High level of integrity and respect for patient confidentiality

• Knowledge of medical terminology and coding.

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.

© 2024 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) .

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