TEKsystems

Job Description As a Medical Collections Specialist, you will manage tasks related to rejected, denied, and outstanding insurance claims, ensuring accuracy throughout the billing process. This includes addressing issues such as missing or incomplete documentation, delays in claim processing due to submission requirements, and credentialing concerns. Success in this role depends on thorough research, timely communication, and proactive problem-solving. Complete accounts receivable collections and follow-ups to expedite insurance payments for assigned claims. Contact insurance companies via phone, mail, or clearinghouse correspondence to address account inquiries and update information. Communicate claim issues related to patient benefits to the verification team and field staff for resolution. Proactively collaborate with third-party payers to resolve claims processing issues, improve communication, and stay updated on changes to plan requirements....

TekSystems is currently hiring for several AR Medical Billers in the Chesapeake, VA Area! MUST HAVE: 1-3 years of medical AR follow up experience, must have medical billing experience. Prefers EPIC experience! Description Day to day responsibilities: Work out of EPIC work ques or an "ATB report" which is an Aged Trial Balance report to hit aged accounts more quickly (once aged accounts are achieved they will go back to work ques) Work high dollar accounts first, work down from there- organizing their report They will sort by age of claims first and work accounts from oldest to newest Go through the accounts to see what is paid, what is denied and then start working from there Working denials If they need a medical records request they will request it from medical records and then load it onto the provider portal Reaching out to insurance companies to figure out why there are denied claims Getting with the patients to update coordination of benefits Anything...

*IMMEDIATE OPENING FOR MEDICAL CODER - HYBRID SCHEDULE OFFERED* *OPPORTUNITY TO WORK FOR ONE OF THE LARGEST ONCOLOGY/HEMATOLOGY PROVIDERS IN THE AREA * *FULL TIME POSITION WITH ROOM FOR ADVANCEMENT * *MONDAY -FRIDAY 8AM-430PM - HYBRID SCHEDULE OFFERED * *ALBANY, NY * *$65,000/year * *Qualifications: * * 3 years of medical coding/billing experience * Coding from a hospital or specialty practice setting * Proficiency in billing software / ICD/CPT codes *Description* The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations Complying with medical coding guidelines and policies Receiving and reviewing patients' charts and documents for verification and accuracy...

*Description* The role involves providing administrative support (primarily in the form of data entry). Duties in the job include transferring data using Microsoft excel and sorting it with intermediate functions. Candidates will require a degree of comfortability when it comes to math due to nature of the role and what they will be dealing with. Other duties include using spreadsheets to track customer information, organizing data, administrative support, data review for errors, and to provide data entry support as needed. Other duties as needed. *Skills* Data entry, benefits, Outlook, Office support, Clerical, Customer service, Scanning, Administrative support, Filing, Typing, Administration, Clerical support, Microsoft, It support, Customer service oriented, Windows, Microsoft powerpoint *Top Skills Details* Data entry,benefits,Outlook,Office support *Additional Skills & Qualifications* - 1-2 years of administrative experience - High School Degree required...

Responsibilities Manage and follow up on outstanding insurance balances and collections Contact insurance companies regarding claim status, payment delays, denials, and discrepancies Research, correct, and resubmit claims as needed to ensure accurate reimbursement Work with various insurance payers to resolve billing and payment issues Respond to client questions related to balances and billing inquiries after accounts are established Maintain accurate documentation of all payer and client communications Collaborate with internal teams to resolve complex billing or claims issues Skills & Qualifications Healthcare insurance experience Prior authorization, billing, and collections experience preferred Basic Excel skills Strong communication and documentation skills Benefits Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D...

TEKsystems is looking for a Medical Billing Professional in Evansville, IN. The position involves provider enrollment, claim submission, third-party follow-up, and patient collections. Candidates should have over a year of experience in health insurance and medical billing. This is a Contract to Hire, hybrid position with a pay range of $16.00 - $17.00 per hour. Benefits include medical, dental, vision, a 401(k) plan, and more. #J-18808-Ljbffr

Job Description Provider enrollment Claim submission Third party follow up Denial appeal and recovery Audit defense and recovery Patient collections Additional Skills & Qualifications 1+ years of health insurance knowledge 1+ years of medical billing experience Ability to work in multiple systems at once Previous experience with medical coding & billing required Strong attention to detail and organizational skills required Ability to work independently required Job Type & Location Contract to Hire position based out of Evansville, IN. Hybrid position in Evansville, IN. Pay and Benefits The pay range for this position is $16.00 - $17.00/hr. Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance...

IMMEDIATE OPENING FOR MEDICAL CODER - HYBRID SCHEDULE OFFERED OPPORTUNITY TO WORK FOR ONE OF THE LARGEST ONCOLOGY/HEMATOLOGY PROVIDERS IN THE AREA FULL TIME POSITION WITH ROOM FOR ADVANCEMENT MONDAY -FRIDAY 8AM-430PM - HYBRID SCHEDULE OFFERED ALBANY, NY $65,000/year Qualifications: 3 years of medical coding/billing experience Coding from a hospital or specialty practice setting Proficiency in billing software / ICD/CPT codes Description The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations Complying with medical coding guidelines and policies Receiving and reviewing patients' charts and documents for verification and accuracy...

A well-known medical group in Los Angeles is hiring a Claims Specialist to perform claims auditing and ensure compliance. The role requires at least 5 years of experience in claims processing, as well as proficiency in HMO claims and Medicare guidelines. Successful candidates will collaborate with management to improve processes and outcomes. Benefits include health insurance and a 401(k) retirement plan. This is a full-time, onsite position with an hourly pay of $26.00/hr. #J-18808-Ljbffr

*Medical Billing Specialist* *Contract | 6 Months* *Pay Rate:* $16.00-$17.00/hour *Schedule:* Flexible start (arrive between 6:00-9:00 AM, 8hour shift) *Work Location:* Fully Remote (Indiana residents only) *About the Role* We're hiring a *PFS Analyst (Billing)* to support a large, fastpaced Revenue Cycle Services team responsible for resolving insurance claims and accounts receivable. This is a *behindthescenes, productiondriven role* focused on ensuring claims are analyzed, corrected, and paid accurately and efficiently. In this role, you'll investigate unpaid or underpaid insurance claims, identify root causes, and take the appropriate next steps to resolve them-directly impacting revenue recovery and financial performance. *What You'll Do* * Analyze unpaid or denied insurance claims and determine corrective action * Perform provider enrollment and support charge description master (CDM) and fee schedule maintenance * Submit claims and conduct thirdparty payer followup...

*Description* Work assigned payer portfolios daily to review and resolve outstanding A/R. Investigate, analyze, and resolve claim denials; perform first-level appeals as needed. Conduct follow-ups with insurance carriers to determine claim status and required next steps. Make outbound calls to insurance companies, patients, and payers to obtain updated coverage or clarify discrepancies. Document all actions, communications, and outcomes accurately in the billing system. Process and manage 35-40 claims or accounts per day with strong attention to quality. Review coverage changes or updated insurance information and take appropriate action. Escalate complex issues to senior billing representatives as required. *Additional Skills & Qualifications* 2-4 years of medical billing experience (flexible for the right candidate; open to training). Experience working with commercial payers; Blue Cross Blue Shield experience is a strong plus. Strong communication skills for...

Job Description This department is in charge of turning around claims submitted in the billing process. Essentially, the PFS Analyst collects money from insurance companies. This is done by pulling up the claim, analyzing the account, determine why the claim is not paid, and take appropriate action to get it paid. This is a follow-up job. Analysts will use 5 different systems at a time including billing program, claims program, payer websites, Cerner, etc. This position is responsible for the timely and accurate resolution of accounts receivable for IU Health entities supported by Revenue Cycle System Services. MAIN FUNCTIONS: provider enrollment charge description master and fee schedule maintenance claim submission third party follow up cash posting denial appeal and recovery audit defense and recovery patient collections The software's they will be using are GI Centricity, Cerner, SMS, IDX,...

Description This is a remote, advanced position functioning under general supervision and utilizing independent decision making. -The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS-DRGs for inpatient hospital services at Hospital, an academic, Level I Trauma Center. -The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. -Coders in this role communicate with care providers when necessary mainly via the electronic query process. -In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. -The Coder Inpatient II will resolve problems and make decisions independently. -The coders in this position will apply all...

**CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a...

Medical Coders Welcome Job Title: Nurse Chart Reviewer Location: West Hills/Canoga Park 91305 (This role is HYBRID not remote) Overview: The Retro Claims Reviewer is responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication. This role is ideal for a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. Key Responsibilities: • Audit denied provider and member claims for accuracy and compliance • Review and process claims in accordance with UM guidelines and regulatory standards • Analyze benefit structures and system configurations (EZCap or similar) • Collaborate with cross-functional teams to resolve claim issues and process gaps • Document findings, prepare reports, and present trends to leadership • Support automated adjudication systems and identify strategies to reduce...

*Location:* *Remote (WI/IL preferred).* Candidates must reside in the U.S. *Schedule:* Full-time, remote | Flexible hours after training *Work Setup:* Private, dedicated workspace with a door required *About the Role* We're seeking a detail-oriented and experienced *Inpatient Coder (Coder Inpatient II)* to join our Health Information Management team. In this remote role, you will accurately assign *ICD diagnosis/procedure codes* and *MS-DRGs* for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. *What You'll Do* * *Code inpatient charts* across medical/surgical...

Location: Remote (WI/IL preferred). Candidates must reside in the U.S. Schedule: Full-time, remote | Flexible hours after training Work Setup: Private, dedicated workspace with a door required About the Role We're seeking a detail-oriented and experienced Inpatient Coder (Coder Inpatient II) to join our Health Information Management team. In this remote role, you will accurately assign ICD diagnosis/procedure codes and MS-DRGs for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. What You'll Do Code inpatient charts across medical/surgical specialties,...

HCC Medical Coder needed ASAP! Location: Onsite in West Hills, CA Schedule: Monday-Friday, 8:00 AM to 5:00 PM Setting: Established, reputable medical group Team: Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) Review medical records and superbills for accurate HCC and diagnosis coding Audit provider documentation and support accurate risk adjustment Collaborate with providers and internal teams on coding questions Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR Active coding certification (AHIMA or AAPC) Experience with HCC, ICD10, CPT, and HCPCS Experience in coding, auditing, billing, or claims (1+ year preferred) Knowledge of medical terminology and anatomy Comfortable working in EMRs and Excel Job Type & Location This is a Contract position based out of Calabasas, CA. Pay and Benefits The pay range for this position is $25.00 - $35.00/hr. Eligibility...