salary: $30 - $35 per hour
shift: First
work hours: 9 AM - 5 PM
education: No Degree Required
Responsibilities
- Complex Claims Management: Review and scrub encounters for sub-specialties including Sleep Medicine, Audiology, and Facial Plastics
- Surgical Billing: Expertly code and bill for in-office and hospital-based surgical procedures, ensuring all modifiers (e.g., -50, -51, -59) are applied correctly to maximize reimbursement
- Denial Advocacy: Investigate and appeal complex clinical denials. You won’t just "resubmit"—you will build cases using medical necessity documentation to overturn insurance rejections
- Account Reconciliations: Utilize NextGen EMR and Waystar (Clearinghouse) to track EDI files, work rejections immediately, and resolve unapplied credits
- Patient Financial Counseling: Act as the "expert voice" for patients in Levittown, explaining high-deductible plans, co-insurance, and pre-certification requirements for specialized allergy treatments
- Provider Feedback: Meet with physicians to provide updates on coding trends and documentation improvements to reduce future claim "kick-backs"
Skills
- Claims Processing
- Claims Management
- Credentialing
- ICD-10 (5 years of experience is required)
- CPT Codes (5 years of experience is required)
- Revenue Cycle Management
- Vendor Relations
- Insurance Claim Processing
- Insurance Eligibility
- Prior Authorizations
- Patient Support
- Denial Management
- Customer Relations
- Customer Service
- Training
- Analytical Thinking
- Filing
- Medical Billing - Denials
- Medical Billing - Underpayments
- Medical Secretary Duties
- EMR
- Microsoft Office
Qualifications
- Years of experience: 5 years
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
