Billing Temps - Remote

Billing Specialist LHH Philadelphia, Pennsylvania, United States (Remote) LHH Recruitment Solutions is seeking an RCM - Revenue Cycle Management Billing Analyst to support our HealthCare industry client. The role is 100% Remote.

Billing Analyst- Revenue Cycle Management

KEY RESPONSIBILITIES

The Billing Analyst is responsible for upholding our client's mission, vision and values by providing accurate, timely, and compliant day-to-day revenue cycle services across all current and future lines of business in New Jersey and Pennsylvania. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• New Jersey IDD: Intellectual and Developmental Disabilities (IDD) services delivered through our client in New Jersey.
• Pennsylvania IDD: Intellectual and Developmental Disabilities (IDD) services delivered through our client in Pennsylvania.
• STAR New Jersey PDN: Private Duty Nursing (PDN) services delivered through STAR Pediatrics in New Jersey.
• Responsibilities apply to each service line individually; differences in payer rules, state requirements, billing systems, and workflows must be maintained rather than combined into a single program.
• Claims and Timely Filing: Prepare, validate, submit, and track claims by service line; correct edits, rejections, and submission errors before timely-filing deadlines.
• Billing Readiness: Review eligibility, payer authorizations, service documentation, rates, and applicable electronic visit verification (EVV) records; escalate missing or inconsistent information before billing.
• Accounts Receivable: Work assigned aging and unbilled work queues; research unpaid, underpaid, pending, and denied claims and document payer follow-up and next actions.
• Denials and Appeals: Research denial causes and prepare corrected claims, reconsiderations, or appeals with required supporting records.
• Payments and Reconciliation: Review remittances, assist with payment posting and cash reconciliation, and flag recoupments, credit balances, and reimbursement variances.
• Service-Line Accuracy: Apply the correct state, program, payer, authorization, documentation, and submission rules for NJ IDD, PA IDD, and STAR NJ PDN; maintain distinct work queues and records.
• Systems and Data Quality: Maintain accurate billing data in OnTarget Clinical, AlayaCare, payer portals, clearinghouses, EVV systems, and other assigned applications; report interface and data exceptions.
• Integrations and Change Support: As requested, support future integrations, acquisitions, system implementations, payer connections, and workflow changes affecting any of the three service lines by validating data, testing billing scenarios, documenting defects, and assisting with transition activities.
• Collaboration and Quality: Coordinate with operations, clinical, scheduling, authorizations, payers, and the RCM Manager; follow SOPs, privacy requirements, and productivity and quality standards.

GENERAL RESPONSIBILITIES

• Protect the confidentiality of client information.
• Comply with organizational policies and applicable billing, privacy, and reporting requirements.
• Collaborate respectfully with colleagues and partners.

Perform other duties as assigned. SKILLS/EXPERIENCE/QUALIFICATIONS

• Healthcare billing, claims, AR, denials, or similar experience preferred; familiarity with Medicaid, IDD, or PDN billing is a plus.
• Ability to navigate billing platforms and work queues, analyze discrepancies, manage deadlines, and communicate clearly.

Requirements

• High school diploma or equivalent required; additional education or relevant training preferred.
• Must handle confidential information securely.
• Reliable attendance and communication.
• Must meet applicable employment and background screening requirements.
• Classification and schedule designated by Human Resources.

Equal Opportunity Statement 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

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs.

Pay Details: $30.00 to $36.00 per hour

Search managed by: Bert Baloga

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

Military connected talent encouraged to apply

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

Massachusetts Candidates Only: 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.