Medical Billing/Claims/Collections

We are looking for a detail-focused Medical Billing/Claims/Collections specialist to support revenue cycle performance in Idaho. This contract opportunity is ideal for someone who can navigate payer requirements, resolve claim issues efficiently, and help accelerate reimbursement from insurers and patients. The person in this role will work across billing follow-up, denial management, and collections while maintaining accurate account documentation and supporting clean claim resolution.

Responsibilities:
• Oversee assigned accounts receivable balances and take consistent action to reduce aging and secure timely payment.
• Investigate denied, rejected, and partially paid claims to determine root causes and move accounts toward resolution.
• Prepare and submit corrected claims, payer reconsiderations, and formal appeals when additional review is required.
• Communicate with commercial carriers, government payers, and patients to confirm claim status and address payment variances.
• Examine EOBs and ERAs to verify reimbursement accuracy and identify discrepancies needing follow-up.
• Track recurring denial patterns and share recommendations that strengthen reimbursement outcomes and reduce future issues.
• Partner with providers, coding personnel, and front-desk staff to clarify billing concerns and remove obstacles to payment.
• Confirm coverage details, benefit information, and authorization requirements when account review calls for it.
• Record all account activity thoroughly in the billing platform while following payer rules and organizational standards.• Hands-on experience in medical billing with a strong background in accounts receivable follow-up and collections.
• Demonstrated ability to resolve insurance denials, underpayments, and rejected claims in a healthcare billing environment.
• Working knowledge of appeals, corrected claim submission, and payer follow-up processes.
• Ability to interpret EOBs and ERAs and use findings to support accurate reimbursement review.
• Familiarity with hospital billing practices and revenue cycle workflows.
• Strong analytical skills with careful attention to detail and accurate documentation habits.
• Comfortable using payer portals and coordinating with internal teams to address billing issues.