Houston, TX, 77007, USA
7 days ago
RCM Specialist / Claims Analyst
Description We are looking for a meticulous and dedicated RCM Specialist / Claims Analyst to join our client in Houston, Texas. In this Contract-to-Permanent role, you will play a pivotal part in ensuring the accuracy and resolution of claims while maintaining compliance with billing guidelines. The ideal candidate thrives in a fast-paced environment and is skilled in navigating complex data and resolving discrepancies. Responsibilities: • Conduct thorough reviews of claims and denials to determine validity and resolve issues efficiently. • Perform detailed account clean-ups, ensuring all data entries are accurate and organized. • Gather missing information and preserve critical data needed for claim resolution. • Handle disputes and appeals by presenting well-reasoned arguments to achieve favorable outcomes. • Collaborate with cross-functional teams to streamline claim resolution and address related concerns. • Stay updated on billing regulations and guidelines to ensure compliance in all processes. • Utilize CRM tools to manage and track claims effectively. • Respond to inbound calls and provide clear, precise communication regarding claim inquiries. • Process authorizations and benefits-related functions with precision. • Administer billing functions and ensure the accuracy of medical and insurance claims data. Requirements • Proven experience in claims analysis or a similar role, preferably within a laboratory or medical billing setting. • Proficiency in data entry with exceptional attention to detail and organizational skills. • Strong analytical and problem-solving abilities to identify and address discrepancies. • Excellent verbal and written communication skills for effective dispute resolution. • Familiarity with medical codes, billing practices, and insurance claim processes. • Ability to adapt to fast-paced environments and prioritize tasks effectively. • Working knowledge of CRM systems and other relevant tools. • Demonstrated capability to manage high volumes of claims data while maintaining accuracy. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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