We are seeking an experienced AR / Medical Billing Specialist with deep expertise in eClinicalWorks (eCW) and FQHC (Federally Qualified Health Center) billing to support a critical, high-priority revenue cycle management project.
In this role, you will focus on resolving complex, high-aging accounts receivable. We need a self-starter who can hit the ground running, identify systemic denial patterns, resolve intricate coding/billing issues, and successfully recover revenue on stalled Medicare, Medicaid, and commercial claims.
Key Responsibilities
• Work Aged Claims: Systematically review, work, and resolve delinquent AR claims within eClinicalWorks.
• Denial & Appeals Management: Investigate, correct, and appeal claims denied due to coding discrepancies, authorization issues, coverage errors, or technical rejections.
• FQHC Revenue Cycle: Ensure proper handling of specialized FQHC billing standards for Medicare and Medicaid (including PPS/wraparound payment guidelines and sliding fee scale rules).
• Payer Follow-Up: Contact Medicare, Medicaid, and private insurance payors to advocate for payment, submit required documentation, and resolve stuck claims.
• Claim Adjustments & Corrections: Re-code, update, and resubmit rejected claims promptly.
• Pattern Identification: Identify recurring denial trends and report root causes to leadership to prevent future revenue leakage.
Must-Have Qualifications
• eClinicalWorks (eCW) Proficiency: Hands-on, proficient experience working directly in eCW for daily revenue cycle management and AR workflows is strictly required.
• FQHC Experience: Demonstrated background in FQHC billing, specifically handling Medicare and Medicaid claim requirements.
• Proven Track Record in AR Resolution: Direct career experience taking ownership of aged AR and driving measurable recovery results.
• Coding & Billing Expertise: Solid understanding of CPT, ICD-10, HCPCS, CCI edits, and payer-specific regulations.
Preferred Qualifications
• Geographic Preference: Residing in Virginia or neighboring states (MD, NC, WV, DC, PA).
salary: $20 - $25 per hour
shift: First
work hours: 8 AM - 5 PM
education: No Degree Required
Responsibilities
• Targeted AR Clean-Up: Systematically work the 180+ day aging bucket to identify, appeal, and resolve aged claims.
• Expert Denial Management: Troubleshoot complex denials stemming from coding errors, credentialing, or payer-specific technicalities.
• FQHC Reimbursement: Apply specific knowledge of Medicare/Medicaid wrap-around and PPS billing to ensure maximum recovery for a Federally Qualified Health Center.
• Platform Navigation: Utilize eCW at an expert level to research claim history, update patient records, and move claims through the revenue cycle.
• Payer Advocacy: Communicate directly with insurance carriers to resolve stalled claims and identify trends in non-payment.
• Data Integrity: Maintain precise documentation of all collection efforts and report on recovery progress to the RCM Manager.
Skills
• Medical Billing (3 years of experience is required)
• Billing
• AR Billing
• FQHC (1 year of experience is required)
• AR Medical Billing (2 years of experience is required)
• eClinicalWorks (2 years of experience is required)
• HIPAA
• Claims Processing
• Medical Billing - Denials
• PPS Billing (2 years of experience is required)
Qualifications
• Years of experience: 2 years
• Experience level: Experienced
Randstad 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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.