medical billing and collections specialist

Are you a detail-oriented billing professional ready to master the specialized world of Workers’ Compensation and Durable Medical Equipment (DME)? Randstad is partnering with a leading client to find a meticulous and compliance-focused individual for a critical billing role! As the Workers’ Compensation DME Billing Clerk, you will be the backbone of the revenue cycle, ensuring our clients receive timely and accurate reimbursement for vital medical equipment services. Your primary focus will be on preparing, submitting, and following up on claims while maintaining strict adherence to state and federal regulations. What We’re Looking For: Knowledge of workers’ compensation billing regulations, fee schedules, and electronic claims submission processes preferred but not required. Familiarity with CPT and HCPCS coding for DME, as well as EOB/EOR interpretation and appeal processes, is a major plus! Excellent written and verbal communication skills; proficiency in Microsoft Office Suite. If you thrive on accuracy, compliance, and resolving complex billing challenges, apply today! This is your chance to leverage your skills in a specialized, high-impact area of healthcare. Apply Now! Contact Angela Thompson with questions: 502-583-1237 or angela.thompson@randstadusa.com  salary: $20 - $22 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High SchoolResponsibilities Process Claims: Accurately prepare and submit workers’ compensation billing claims  Ensure Accuracy: Verify that all claims are accurate, including correct coding (CPT/HCPCS), pricing, authorizations, and necessary supporting documentation prior to submission. Manage Collections: Proactively track and monitor claim status to ensure prompt reimbursement. Dedicate time to following up on any denials, rejections, or outstanding balances. Communicate & Resolve: Effectively communicate with adjusters, case managers, and internal teams to quickly resolve any billing discrepancies or issues. Record Keeping & Compliance: Maintain meticulous records of all billing activities, claim submissions, and payment postings. Uphold strict compliance with HIPAA and state workers’ compensation regulations. Support Operations: Assist with prior authorization requests, collection of medical documentation, and preparing claim appeals as needed. Customer Service: Provide exceptional customer support to patients, payers, and referral sources regarding billing inquiries. Financial Support: Contribute to month-end reporting, reconciliation, and audit preparation as required. SkillsMedical BillingClaims ProcessingCPT CodesWorkers CompensationDurable Medical Equipment Month-End CloseHCPCS EOB/EORMicrosoft OfficeElectronic ClaimsAR BillingMedical TerminologyMedical Billing - DenialsQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad 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.

Are you a highly skilled and detail-oriented Medical Biller ready to manage the complex finances of life-saving care? Our client is seeking a dedicated professional to join their renowned Transplant Team in a hybrid role to ensure accurate and timely reimbursement for vital services. This person will be responsible for managing billing and follow-up processes for both hospital-based (HB) and physician-based (PB) services If you thrive in a challenging, compliance-focused environment and want to apply your billing acumen to a team that changes lives every day, apply now and help us keep this life-changing mission moving forward!salary: $24 - $27 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High SchoolResponsibilities Prepare, review, and submit electronic and paper claims to various payers, including commercial insurance, Medicare, Medicaid, and specialized transplant networks Manage and prioritize the accounts receivable (A/R) follow-up process, focusing on timely payment from third-party payers and patients Identify and resolve claim rejections, denials, and coding issues promptly Obtain and track all necessary pre-authorizations and referrals for transplant evaluations, surgeries, and ongoing care Review and verify all services provided by the transplant team Ensure all charges are accurately and timely entered into the billing system, adhering to strict deadlines Billing and follow-up processes for both hospital-based (HB) and physician-based (PB) services Compliance with payer requirements, accurate claim submission, and timely resolution of outstanding accounts Provide follow-up on aging accounts and ensure timely resolution of outstanding balances SkillsMedical BillingClaims ProcessingMedical Billing - DenialsAR BillingData CollectionHIPAAEHR/EpicTransplant Procedures Third Party BillingMedical TerminologyPhysician BillingHospital Billing Aging AccountsAccounts Receivable QualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad 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.

As a medical billing specialist, you will be responsible for processing and managing medical claims and invoices for healthcare services provided to patients. Your primary objective will be to ensure accurate billing, timely submission of claims, and efficient reimbursement from insurance companies or patients. You will work closely with healthcare providers, insurance companies, and patients to resolve billing issues and discrepancies. This is a temporary to hire position.  It is located in the East End and is 100% in office.  Pay will depend upon experience. Qualifications - Musthave NextGen software experience - Must have at least 2 years of medical billing experience - High School Diploma or GEDsalary: $19 - $26 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High SchoolResponsibilities Review and verify patient demographic and insurance information for accuracy. Code and submit medical claims to insurance companies or government agencies using appropriate coding systems (e.g., ICD-10, CPT). Follow up on unpaid or rejected claims, including investigating and resolving billing discrepancies and denials. Communicate with healthcare providers, insurance companies, and patients regarding billing inquiries, payment status, and appeals. Process and post payments, refunds, and adjustments accurately.  SkillsNextgenICD-10Medical BillingClaims ProcessingQualificationsYears of experience: 3 yearsExperience level: Entry LevelRandstad 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.