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Medical Collections and Revenue Cycle Specialist

LHH Recruitment Solutions

Denver (CO)

Remote

USD 80,000 - 100,000

Full time

2 days ago
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Job summary

A leading healthcare organization is seeking a Healthcare Billing & Claims Specialist to resolve complex insurance claims. This fully remote role requires strong skills in insurance collections and problem-solving, making it ideal for candidates who excel in analyzing claim data for effective solutions. Join a collaborative team that values proactive process improvements and offers a comprehensive benefits package including medical, dental, and retirement plans.

Benefits

Medical, dental, and vision insurance
401(k) plan
Paid sick leave and holidays
Commuter benefits
Voluntary benefits

Qualifications

  • 2+ years of healthcare revenue cycle or medical collections experience.
  • Excellent written and verbal communication skills.

Responsibilities

  • Review and resolve unpaid or underpaid claims.
  • Conduct root cause analysis on denials and billing errors.
  • Work directly with payers, providers, and internal departments.

Skills

Problem-solving
Root cause analysis
Cross-functional communication

Education

High school diploma or GED
Associate or bachelor's degree (preferred)

Tools

Microsoft Excel
Microsoft Outlook

Job description

LHH is partnering with a confidential, industry-leading healthcare organization to hire a Healthcare Billing & Claims Specialist. This fully remote position is ideal for candidates with strong insurance collections experience, particularly those who excel in root cause analysis, problem-solving, and cross-functional communication.

In this role, you'll focus on resolving complex insurance claim issues as part of a specialized projects team. You will work across payer types and systems to maximize reimbursement and ensure accurate and timely collections. Candidates who thrive in fast-paced, collaborative environments and enjoy analyzing claim data for trends and solutions will be highly successful here.

Responsibilities :

  • Review and resolve unpaid or underpaid claims through investigation, follow-up, and remediation.
  • Conduct root cause analysis on denials, billing errors, and short payments to determine trends and develop corrective actions.
  • Rebill or appeal claims, verify insurance eligibility and benefits, and correct patient or coding errors as necessary.
  • Work directly with payers, providers, clinics, and internal departments to gather documentation, provide clarification, and resolve outstanding balances.
  • Maintain detailed documentation of account activity, status, and resolution steps within internal systems.
  • Navigate multiple payer portals, healthcare applications, and billing systems to support claim resolution.
  • Proactively identify opportunities for process improvements and assist with implementing best practices.

Qualifications :

  • 2+ years of healthcare revenue cycle or medical collections experience.
  • Proficiency with Microsoft Excel, Outlook, and other Office applications.
  • High school diploma or GED required; associate or bachelor's degree preferred.
  • Excellent written and verbal communication skills.

Benefits :

Lee Hecht Harrison offers medical, dental, vision, term life, short-term disability, commuter benefits, voluntary benefits, and a 401(k) plan. Paid sick leave, holidays, and other leave options are available per applicable laws and eligibility.

Pay Details : $21.00 to $22.00 per hour

Search managed by : Shannon Implom

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer / Veterans / Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https : / / www.lhh.com / us / en / candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :

  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance
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