In this role, you won't just process claims—you will serve as the team’s Subject Matter Expert, mentor junior billing staff, and act as a key contributor to revenue cycle optimization. We are looking for an active field expert who thrives in a fast-paced environment and can help our client navigate a rapid organizational growth phase
Qualifications & Requirements
- Experience: 7+ years of dedicated medical billing experience is strictly required. At least 5 years must be specialized in plastic/reconstructive surgery (specifically breast reconstruction); however, experience with general surgery and trauma billing is also acceptable.
- Certification: Must hold an active, continuous Certified Professional Coder (CPC) credential with no lapses.
- Career History: Steady career history with no recent gaps in employment (candidate must be currently active in the field).
- Systems Knowledge: Proficiency in Nextech, Trizeto (claims clearinghouse), Google Platform (Drive, Sheets), and ADP is highly preferred.
- Screening Requirement: Candidates must be willing to complete a background check, drug screening, and submit a video digital cover letter/recorded interview as part of the screening process.
salary: $28 - $36 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
- Full-Cycle Billing Management: Oversee full-cycle billing, charge entry, coding validation, and claim submissions using Nextech software.
- Team Leadership: Act as a lead and mentor for the existing billing team, assisting them in clearing a current daily backlog to reach a maintenance phase.
- Daily Productivity: Process and release a steady workflow of 20 to 30 claims per day.
- Specialized Claims Handling: Manage complex out-of-network claims, telehealth billing, authorizations, letters of agreement, and payer escalations.
- Compliance & Denials: Maintain strict compliance with federal and state regulations, specifically the No Surprises Act. Analyze claims to identify trends, manage denials, and execute appeals processes.
The essential functions of this role include:
Skills
Qualifications
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.
