This role focuses heavily on back-end revenue cycle management, claims resolution, and accounts receivable follow-up. If you have technical billing acumen and want to join a fast-growing team right before they move into a luxury new facility, apply today
Qualifications & Requirements
- Experience: Proven industry experience in medical billing and revenue cycle management. Surgical or specialized practice experience is highly desirable.
- Technical Knowledge: Comprehensive understanding of technical medical billing terminology, EOB structures, and navigating diverse commercial payer portals.
- Out-of-Network Expertise: Solid exposure to out-of-network claims and an understanding of the No Surprises Act regulations.
- Software Skills: Familiarity with Nextech, Trizeto, and Google Suite (Sheets/Drive) is a major plus.
- Screening Requirement: Candidates must be willing to complete a background check, drug screening, and submit a short video digital cover letter during the interview process
salary: $24 - $31.25 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
- Back-End Revenue Cycle: Manage the recovery of unpaid claims, identify billing bottlenecks, and take swift corrective action on accounts receivable follow-ups.
- Denials Management: Research, appeal, and resolve complex medical claim denials.
- Payer Navigation: Utilize various payer portals and interpret technical billing documentation, including Electronic Explanation of Benefits (EOB), to resolve payment issues.
- Specialized Regulations: Navigate out-of-network claims, authorizations, letters of agreement, and ensure strict compliance with the No Surprises Act.
- System Utilization: Leverage Nextech and Trizeto clearinghouse workflows to monitor claim statuses and clear backlogs
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.
