<p><strong><u>💼 HR Manager Needed for Healthcare Group in Carlsbad 🌟</u></strong></p><p><strong>Looking for an impactful leadership role in HR?</strong> Our client, a leading <strong>healthcare group</strong> in <strong>Carlsbad</strong>, CA, is seeking a highly motivated <strong>HR Manager</strong> to join their team and help support their mission of providing quality care. This position will give you the chance to lead HR operations, develop employee relations strategies, and play a key role in shaping the workforce that supports patients and healthcare professionals alike.</p><p><br></p><p><strong><u>💡 What You'll Be Doing:</u></strong></p><ul><li><strong>Strategic HR Leadership:</strong> Lead HR functions, including talent management, employee relations, compliance, and training, ensuring alignment with the company’s goals and values.</li><li><strong>Staffing & Recruitment:</strong> Oversee recruiting efforts and help build a <strong>high-performing team</strong> by identifying top talent in the healthcare industry. Drive the hiring process, from sourcing candidates to managing interviews and selection.</li><li><strong>Employee Relations & Performance:</strong> Serve as a go-to resource for employees, addressing concerns and providing advice on performance management, conflict resolution, and engagement strategies.</li><li><strong>Compensation & Benefits:</strong> Design and manage compensation programs, including annual reviews, incentive plans, and benefits administration, ensuring competitiveness and compliance with healthcare-specific regulations.</li><li><strong>Compliance & Policy Development:</strong> Maintain up-to-date knowledge of healthcare laws, including HIPAA, and develop policies that promote a healthy, compliant work environment.</li><li><strong>Employee Engagement & Development:</strong> Develop training programs and workshops aimed at improving employee skills and morale, while supporting leadership in building a culture of continuous improvement.</li></ul>
<p>We are looking for a detail-oriented and customer-service-focused Medical Records Clerk to to support our Health Information Management (HIM) department in SeaTac, Washington. This Contract-to-Permanent position offers an excellent opportunity for individuals passionate about maintaining the accuracy and confidentiality of health information. This role is primarily responsible for processing and fulfilling requests for medical records and patient information in compliance with HIPAA and organizational policies. The ideal candidate has strong organizational skills, a commitment to confidentiality, and the ability to balance accuracy with efficiency in a fast-paced healthcare environment</p><p><br></p><p>Responsibilities:</p><p>• Process incoming requests for medical records and health information from patients, providers, attorneys, insurers, and other authorized entities.</p><p>• Verify that all authorization forms comply with legal and organizational standards before releasing medical records.</p><p>• Prepare and transmit medical records using electronic systems, fax, mail, or secure portals as required.</p><p>• Address inquiries related to medical record requests, providing updates and clarifying documentation needs.</p><p>• Maintain detailed logs of all requests, releases, and associated paperwork.</p><p>• Safeguard patient confidentiality and ensure the integrity of health records at all times.</p><p>• Work collaboratively with clinical staff, providers, and other departments to gather necessary information.</p><p>• Perform general administrative tasks such as scanning, indexing, and filing records to ensure efficient record management.</p>
<p>We are partnering with a longstanding & respected non-profit healthcare organization in the SW Metro that is looking to hire a Healthcare Counsel/Privacy Officer to lead healthcare contracting, privacy compliance, and regulatory guidance. This is a hybrid position (3 days in-office/2 days WFH).</p><p><br></p><p><em>The ideal candidate will have 4-7+ years of experience in healthcare law, with a strong background in healthcare contracts, regulatory compliance, and transactional work.</em></p><p><br></p><p>This is a fantastic opportunity to join a mission-driven organization. This person will play a key role in shaping the organization's legal and regulatory landscape while ensuring compliance and best practices in healthcare law.</p><p><br></p><p><u>Key Responsibilities:</u></p><ul><li>Contract Negotiation & Review: Draft, negotiate, and review healthcare contracts, such as provider agreements, service contracts, and medical director agreements.</li><li>Privacy Officer Duties: Oversee HIPAA compliance, conduct training, update policies and procedures, and investigate potential breaches.</li><li>Regulatory Compliance: Counsel the operations team on healthcare regulations and support the development of strategic solutions to ensure ongoing compliance.</li><li>Cross-functional collaboration: Work closely with the VP of Litigation, Risk Management, and Compliance to develop and implement policies; Advise senior management on the legal and business aspects of contracts and operations.</li><li>Litigation & Risk Management: Manage pre-litigation work, collaborate with outside counsel as needed, and advise on legal risks.</li><li>Training & Education: Provide ongoing training for the healthcare team on legal matters, including healthcare regulations and compliance updates.</li></ul><p><br></p>
<p>We are seeking an experienced Healthcare Recruiter with a bachelor’s degree and at least 3 years of proven success in full-cycle recruiting within the healthcare industry. The ideal candidate will be responsible for sourcing, screening, and placing qualified clinical and non-clinical professionals, building strong talent pipelines, and maintaining relationships with both candidates and hiring managers. This role requires excellent communication skills, knowledge of healthcare regulations and credentialing, and the ability to thrive in a fast-paced environment while meeting hiring goals.</p>
We are looking for a dedicated Medical Admin to join our team in Syracuse, New York. This Contract-to-permanent position offers the opportunity to play a key role in supporting healthcare operations by managing referrals, authorizations, and patient service coordination. The ideal candidate will thrive in a dynamic environment, collaborating with clinical staff to ensure optimal care delivery.<br><br>Responsibilities:<br>• Accurately review and input authorization data into a computerized database while managing expiring authorization reports.<br>• Schedule and coordinate patient services in collaboration with case management and clinical teams.<br>• Participate in regular team meetings to provide recommendations for process improvements.<br>• Handle clerical tasks such as filing, typing, copying, faxing, and taking messages as directed by the supervisor.<br>• Monitor and manage various organizational reports to support operational needs.<br>• Actively engage in performance and quality improvement initiatives.<br>• Coordinate authorized services with external agencies to ensure patient needs are met.<br>• Communicate with patients regularly to address concerns and provide updates on services.<br>• Perform other duties as assigned to support the healthcare team.
We are looking for a skilled Healthcare Project Manager to lead critical initiatives within the payment integrity domain. This role requires a strategic thinker with a strong background in healthcare operations and project management, capable of driving cross-functional collaboration and ensuring compliance with industry regulations. The ideal candidate will excel in managing complex projects while delivering impactful solutions that align with organizational objectives.<br><br>Responsibilities:<br>• Manage and oversee healthcare projects, including validation processes, cost analysis, and readmission reviews, ensuring they meet organizational goals and compliance standards.<br>• Coordinate the implementation of technology solutions that enhance payment integrity functions, collaborating closely with IT and business teams.<br>• Facilitate communication and collaboration across departments such as IT, clinical operations, and finance to ensure seamless project execution.<br>• Develop comprehensive project plans, including scope definition, timeline creation, resource allocation, and progress monitoring for successful delivery.<br>• Identify and address project risks, creating mitigation strategies and escalating issues as needed to maintain project continuity.<br>• Provide stakeholders and sponsors with regular updates, maintaining clear documentation and enabling informed decision-making.<br>• Ensure adherence to healthcare regulations and compliance standards, including HIPAA and HITRUST, throughout all project activities.<br>• Translate technical requirements into actionable business strategies, ensuring alignment between technical solutions and organizational needs.
<p>We are looking for a detail-oriented Healthcare Installation Representative to join our team in Wausau, Wisconsin. In this role, you will provide essential support in administrative functions while collaborating closely with healthcare professionals. This is a long-term contract opportunity ideal for someone who thrives in a dynamic environment and is committed to delivering excellent service. Must have healthcare experience! </p><p><br></p><p>Responsibilities:</p><p>• Handle customer inquiries with professionalism, ensuring timely and accurate responses.</p><p>• Perform data entry tasks with precision to maintain accurate records and documentation.</p><p>• Manage inbound calls and provide relevant information about healthcare benefits.</p><p>• Support benefit functions by processing renewals and assisting with COBRA administration.</p><p>• Execute clerical duties such as inventory tracking and organizing documentation.</p><p>• Coordinate video calls and phone interviews to facilitate communication with team members and clients.</p><p>• Assist with offshore operations and related administrative activities.</p><p>• Ensure compliance with healthcare regulations, including TRICARE and HealthCare.gov guidelines.</p><p>• Maintain effective communication with internal and external stakeholders to support team objectives.</p><p>• Utilize time management skills to prioritize tasks and meet deadlines efficiently.</p>
We are looking for a detail-oriented Medical Scheduler to join our team in Monroe Township, New Jersey. In this Contract-to-permanent position, you will play a vital role in ensuring the seamless scheduling of patient appointments while maintaining high standards of accuracy and professionalism. This opportunity is ideal for someone who thrives in a fast-paced healthcare environment and is committed to delivering excellent service.<br><br>Responsibilities:<br>• Respond promptly to inbound calls and assist patients with scheduling needs.<br>• Coordinate and confirm appointments with patients, ensuring accuracy and clarity.<br>• Reach out to patients to provide updates or obtain additional information as needed.<br>• Utilize electronic medical record (EMR) systems, including Centricity Business, to manage patient data and scheduling.<br>• Maintain organized records of patient interactions and appointment details.<br>• Collaborate with healthcare staff to address scheduling conflicts or special requirements.<br>• Ensure compliance with healthcare regulations and patient confidentiality standards.<br>• Identify opportunities to improve scheduling efficiency and patient satisfaction.<br>• Provide exceptional customer service by addressing inquiries and resolving concerns.
Key Responsibilities:<br>Credentialing and Verification:<br><br>Oversee and facilitate the initial credentialing and recredentialing process for healthcare providers participating in managed care networks.<br>Verify licenses, certifications, education, training, and work history following California state regulations.<br>Ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), and California-specific guidelines.<br>Knowledge of Managed Care Requirements:<br><br>Maintain up-to-date understanding of managed care policies, contracts, and credentialing requirements specific to California.<br>Work with Managed Care Organizations (MCOs) to ensure timely processing and compliance with Medicaid and Medicare standards.<br>Regulatory and Compliance Adherence:<br><br>Monitor compliance with California-specific licensing and credentialing laws, including Medical Board regulations and Department of Managed Health Care guidelines (Source: SG25 US Healthcare.docx).<br>Track accrediting standards and proactively manage required provider information updates for compliance audits or inspections.<br>Data Management and Record Keeping:<br><br>Maintain accurate databases for provider credentialing files, including updates to California-specific licensing expiration dates.<br>Regularly audit credentialing documentation to ensure accuracy and meet managed care specifications.<br>Communication and Collaboration:<br><br>Serve as the liaison between healthcare providers, managed care organizations (MCOs), and regulatory agencies in California.<br>Provide clear guidance to providers regarding credentialing requirements and timelines and respond to inquiries promptly.<br>Renewals and Appeals:<br><br>Manage provider contract and credentialing renewals within California-specific timeframes.<br>Facilitate appeals and resolution of disputes related to provider denials or credentialing errors as per California laws and managed care regulations.<br>Process Improvements:<br><br>Identify areas for streamlining credentialing workflows specific to California's unique healthcare system.<br>Stay informed of changes in California managed care regulations and implement adjustments as needed.<br>Qualifications and Skills:<br>Educational Background:<br><br>Associate’s or Bachelor’s degree in healthcare administration, business, or a related field, or equivalent experience.<br>Experience:<br><br>Minimum of 2-3 years of experience in credentialing, preferably within a managed care or California-based healthcare organization.<br>Technical Proficiency:<br><br>Familiar with credentialing software and electronic medical records (EMR) systems (e.g., Cerner, Epic).<br>Knowledge:<br><br>Deep understanding of California-specific healthcare credentialing laws and managed care guidelines.<br>Familiarity with standards from NCQA, CMS, and The Joint Commission.<br>Skills:<br><br>Exceptional attention to detail and organizational skills.<br>Strong verbal and written communication.<br>Ability to manage multiple priorities in a fast-paced environment.<br>Preferred Certifications:<br>Certified Provider Credentialing Specialist (CPCS) by the National Association Medical Staff Services (NAMSS).<br>Familiarity with California Department of Managed Health Care requirements is highly valued.<br>Salary Range (2025):<br><br>This tailored job description will help target candidates with the necessary expertise in managed care and California-specific regulations, ensuring they are prepared to meet the unique demands of the role.
<p>We are looking for a detail-oriented Healthcare Administrative Coordinator to join our team in Bellevue, Washington. This is a part-time, in-office role 3/days per week. This long-term contract position requires someone who excels in organizational tasks and thrives in a fast-paced healthcare environment. You will play a vital role in supporting administrative operations and ensuring seamless coordination across various functions.</p><p><br></p><p>Responsibilities:</p><p>• Manage and maintain calendars to ensure efficient scheduling and time management.</p><p>• Provide administrative support by handling correspondence, organizing files, and completing essential tasks.</p><p>• Arrange domestic and international travel, including bookings and itinerary preparation.</p><p>• Process and export necessary documents while ensuring compliance with organizational standards.</p><p>• Facilitate conference calls and prepare meeting materials as needed.</p><p>• Order supplies to maintain inventory and ensure the availability of essential resources.</p><p>• Coordinate meetings, including room reservations and agenda preparation.</p><p>• Support healthcare staff by ensuring administrative processes run smoothly.</p>
<p><br></p><p>A leading healthcare provider in San Diego is seeking a professional and compassionate Receptionist to be the welcoming face of their clinic. This high-level role is perfect for someone who thrives in a fast-paced medical environment and values patient care and confidentiality. As the first point of contact for patients and visitors, you’ll play a critical role in ensuring smooth operations and a positive experience for everyone entering the facility.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Greet and assist patients, visitors, and staff with professionalism and empathy.</li><li>Answer and direct phone calls, schedule appointments, and manage front desk operations.</li><li>Verify insurance, collect co-pays, and maintain patient records.</li><li>Coordinate with medical staff to ensure timely patient flow.</li><li>Maintain a clean and organized reception area.</li><li>Handle sensitive information with discretion and accuracy.</li></ul>
<p>Robert Half is looking for an experienced Medical Staff Coordinator to join our client's team in Portland, Oregon. This long-term contract position offers an excellent opportunity to support medical scheduling and staff coordination while contributing to the efficiency of healthcare operations. The ideal candidate will have a strong background in scheduling, credentialing, and medical staff support.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate and manage scheduling for medical staff to ensure smooth operational workflows.</p><p>• Assist patients by addressing inquiries and resolving scheduling or billing concerns.</p><p>• Oversee credentialing processes to maintain compliance with medical staff bylaws and regulatory requirements.</p><p>• Collaborate with various departments to streamline communication and improve service delivery.</p><p>• Utilize Allscripts and other healthcare technologies for scheduling and record management.</p><p>• Handle billing functions, ensuring accuracy and timely processing.</p><p>• Provide exceptional customer service in a call center environment, addressing patient and provider needs.</p><p>• Manage expense reporting using tools such as Concur to support administrative operations.</p><p>• Maintain accurate records and documentation to support compliance and audits.</p><p>• Support the implementation of best practices in medical staff coordination and scheduling.</p>
<p>Robert Half is partnering with a reputable healthcare organization in Lewes, DE, and the surrounding areas to offer <strong>entry-level opportunities</strong> for motivated and career-driven individuals. If you are looking to get a foot in the door in the medical field and gain hands-on professional experience, this is the perfect opportunity for you! These contract-to-hire roles will provide hours and the potential for long-term growth in a dynamic healthcare environment. Schedules include first and mid shifts, with some requiring availability for one or two Saturdays a month.</p><p> </p><p><strong>What’s in it for you?</strong></p><ul><li><strong>Bonus Incentives</strong></li><li><strong>Paid Certifications</strong> to enhance your skills and value in the field</li><li><strong>Tuition Reimbursement</strong> to support your continued education</li><li><strong>Comprehensive Benefits Package</strong>, including healthcare, retirement options, and more</li><li><strong>Career Advancement Opportunities</strong> in a company committed to your professional development</li></ul><p><strong>What We’re Looking For</strong>:</p><p>Candidates with proven success in a customer service capacity are encouraged to apply, even without direct healthcare experience. Transferable skills such as effective communication, strong organizational abilities, and a passion for helping others will position you for success in this role.</p><p>We are offering a contract-to-hire employment opportunity in the healthcare industry for a Customer Service Representative. The role is located in Lewes, Delaware, United States. As a Patient Service Representative, you will be tasked with managing patient data, handling insurance details, and providing excellent customer service.</p><p><br></p><p>Responsibilities:</p><p>• Maintain precise records of customer credit information.</p><p>• Take necessary action by monitoring customer accounts.</p><p>• Handle both inbound and outbound calls to gather patient's demographic, insurance, and other relevant details.</p>
<p>A leading healthcare organization in Honolulu, Hawaii, is seeking a professional and welcoming <strong>Receptionist</strong> to be the face of its dynamic team. This position plays a key role as the first point of contact for patients, visitors, and staff and is critical to maintaining a positive and seamless experience for all. The ideal candidate will demonstrate excellent organizational and customer service skills while ensuring compliance with healthcare regulations and office protocols. This position is <strong>fully on-site</strong> at the healthcare office in Honolulu to ensure hands-on interaction with patients and staff. Candidates must be based in <strong>Hawaii</strong> and available to attend <strong>in-person interviews. To apply, please call us at 808-531-0800. </strong></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li><strong>Front Desk Duties:</strong> Greet patients and visitors with professionalism and warmth, answer incoming calls promptly, and route them to the appropriate department.</li><li><strong>Appointment Scheduling:</strong> Assist visitors and patients with scheduling, confirming, and rescheduling appointments, ensuring accuracy in the scheduling system.</li><li><strong>Patient Check-In and Check-Out:</strong> Handle patient intake, verify insurance details, collect co-pays, and ensure patient data is up to date.</li><li><strong>Administrative Support:</strong> Assist with filing, scanning, and organizing patient information and medical records, ensuring privacy and HIPAA compliance.</li><li><strong>Communication Management:</strong> Receive and distribute mail, faxes, and messages efficiently.</li><li><strong>Office Coordination:</strong> Monitor and replenish office supplies, manage vendor deliveries, and maintain the cleanliness and organization of the front office area.</li><li><strong>Customer Service:</strong> Provide accurate information about the practice’s policies, services, and procedures to patients and ensure patient concerns are addressed promptly or escalated appropriately.</li></ul><p><br></p>
We are looking for an experienced Medical Receptionist to join our team in Flint, Michigan on a contract basis. This position is ideal for someone with strong organizational skills and a background in medical office operations who enjoys interacting with patients and providing excellent service. If you have a solid understanding of medical terminology and thrive in a fast-paced healthcare environment, we encourage you to apply.<br><br>Responsibilities:<br>• Greet patients and visitors warmly, ensuring a detail-oriented and welcoming front office atmosphere.<br>• Schedule appointments and manage patient records with accuracy and efficiency.<br>• Handle incoming calls, providing information or directing inquiries to the appropriate department.<br>• Verify insurance information and assist with billing processes as needed.<br>• Maintain confidentiality of patient data in compliance with healthcare regulations.<br>• Assist with general administrative tasks, including filing, data entry, and correspondence.<br>• Utilize medical terminology to communicate effectively with staff and patients.<br>• Collaborate with healthcare providers to ensure smooth patient flow and office operations.<br>• Monitor and replenish office supplies to support daily activities.
Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
<p>A reputable healthcare company in Solana Beach is seeking an Accounting Clerk to support its finance department. This organization provides specialized medical services and is known for its commitment to patient care and operational excellence. The Accounting Clerk will assist with day-to-day financial transactions, ensuring accuracy and compliance with internal policies. This is a great opportunity for someone looking to grow in the healthcare finance field.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Process accounts payable and receivable transactions.</li><li>Reconcile bank statements and assist with month-end close.</li><li>Maintain financial records and filing systems.</li><li>Assist with payroll and expense reporting.</li><li>Support audits and financial reviews.</li><li>Communicate with vendors and internal departments regarding billing issues.</li></ul>
<p>Our healthcare client is seeking a dynamic Project Manager – Strategic Initiatives to support the CEO and executive leadership team in advancing critical organizational priorities. This role is ideal for someone who thrives in a fast-paced, highly visible environment, working directly with executive leadership while driving meaningful operational improvements across multiple departments. </p><p><br></p><p>Role Overview: Reporting directly to the CEO (with a dotted-line to systemwide leadership), the Project Manager will provide structure, oversight, and execution support for strategic initiatives that strengthen compliance, streamline operations, and enhance member and provider experiences. Unlike traditional departmental management, this role focuses on special projects and cross-functional coordination, requiring a hands-on approach to both planning and execution. </p><p> </p><p>Key Responsibilities: Partner closely with the CEO to scope, plan, and execute high-impact initiatives. Assess current state processes and develop actionable project plans to ensure forward progress. Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with the executive leadership team and external oversight bodies. Stand up and coordinate new steering committees for emerging initiatives. Develop project tracking and reporting tools, leveraging systems such as Jira, Qlik, and data visualization platforms. Translate business and regulatory requirements into structured reporting, dashboards, and metrics to monitor progress. Ensure consistent project documentation, progress tracking, and alignment with organizational priorities. Focus Areas Regulatory Compliance: Map and standardize workflows, strengthen internal audit tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while partnering with IT to implement automation and payment integrity solutions. Utilization Management: Standardize UM processes, improve turnaround times, and support Medical Directors in consistent clinical decision-making.</p>
<p>A well-established healthcare provider in Solana Beach is seeking a Patient Services Representative to join their front office team. This role is ideal for someone with strong administrative skills and a background in medical office operations. The organization is known for its patient-centered care and supportive work environment. As the first point of contact for patients, you’ll be responsible for ensuring a smooth and welcoming experience while managing essential administrative tasks.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Greet and check in patients with professionalism and empathy.</li><li>Schedule appointments and manage provider calendars.</li><li>Verify insurance and collect co-pays.</li><li>Maintain accurate patient records and update EMR systems.</li><li>Answer phones and respond to patient inquiries.</li><li>Coordinate with clinical staff to ensure timely patient flow.</li></ul><p><br></p>
We are looking for a dedicated Medical Customer Service Representative to join our team in Cordova, Tennessee. In this role, you will serve as the first point of contact for patients, providing exceptional support and addressing their inquiries with attention to detail. This is a long-term contract position offering the opportunity to make a meaningful impact in a healthcare environment.<br><br>Responsibilities:<br>• Respond to incoming calls from patients, addressing inquiries and resolving concerns in a timely and detail-oriented manner.<br>• Provide clear and accurate information about medical billing, appointments, and general procedures.<br>• Utilize basic medical terminology to communicate effectively with patients and healthcare professionals.<br>• Assist patients in navigating their billing statements and resolving payment-related issues.<br>• Maintain detailed and accurate records of patient interactions and follow-ups.<br>• Collaborate with internal teams to ensure seamless communication and patient satisfaction.<br>• Uphold a high level of customer service, ensuring every patient interaction is handled with care and empathy.<br>• Handle escalated calls with patience and attention to detail, ensuring concerns are resolved appropriately.
We are looking for a meticulous Credentialing Specialist to join our team in Palm Springs, California, for a long-term contract position. In this role, you will play a vital part in ensuring healthcare providers meet all credentialing and compliance standards, with a focus on California-specific regulations and managed care requirements. This opportunity is ideal for detail-oriented professionals who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Oversee initial credentialing and recredentialing processes for healthcare providers in managed care networks.<br>• Verify licenses, certifications, education, and work history to ensure compliance with state and national regulations.<br>• Maintain up-to-date knowledge of managed care policies and credentialing requirements, including Medicare and Medicaid standards.<br>• Monitor adherence to California-specific licensing laws and guidelines from accrediting organizations such as The Joint Commission.<br>• Manage accurate databases for provider credentialing files, including tracking expiration dates and conducting audits.<br>• Act as a liaison between healthcare providers, managed care organizations, and regulatory agencies to facilitate clear communication.<br>• Handle renewals and appeals related to credentialing errors or provider denials in accordance with state laws.<br>• Identify and implement process improvements to streamline credentialing workflows and enhance efficiency.<br>• Stay informed about changes in healthcare regulations and adjust processes accordingly.
We are looking for a skilled Medical Biller/Collections Specialist to join our team in Berea, Ohio. This long-term contract position involves managing billing processes, addressing claims, and ensuring accurate payment collections within the healthcare industry. If you have a strong background in medical billing and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Handle medical billing tasks, including processing claims and verifying data accuracy.<br>• Review and resolve medical denials efficiently to ensure proper reimbursement.<br>• Manage appeals for denied claims, following up with insurance providers as needed.<br>• Oversee hospital billing processes to guarantee compliance and timely payments.<br>• Collaborate with healthcare providers and insurance companies to address payment discrepancies.<br>• Monitor accounts receivable and ensure timely collection of outstanding balances.<br>• Maintain detailed records of billing activities to support audits and reporting.<br>• Analyze trends in denials and collections to recommend process improvements.<br>• Ensure compliance with all applicable regulations and industry standards.
<p>This search is being conducted by Steve Spinello.</p><p><br></p><p><strong>Compensation Analyst – Healthcare Industry (Remote)</strong></p><p>Are you a detail-oriented professional with expertise in compensation analysis? We're seeking a <strong>dedicated Compensation Analyst</strong> to join our healthcare team in a fully remote capacity. In this role, you’ll provide expert consultative services on provider compensation for both employed and independent contracted providers. Partner with leadership and operational teams to ensure alignment with organizational goals and industry standards.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Conduct comprehensive data analysis and benchmarking to develop provider compensation recommendations aligned with organizational standards.</li><li>Review, interpret, and implement compensation structures based on provider employment agreements.</li><li>Prepare productivity reports, analyze incentive goal achievements, and offer recommendations during annual and bi-annual provider contract reviews.</li><li>Participate in surveys to ensure competitive provider compensation and productivity practices.</li><li>Collaborate with external consultants to evaluate fair market value and commercial reasonableness of compensation plans.</li><li>Address business and operational challenges related to provider compensation in partnership with recruitment and operational teams.</li><li>Serve as a financial process backup for incentive compensation calculations, variable compensation adjustments, and payroll uploads.</li><li>Conduct financial analysis to ensure alignment between compensation structures and productivity benchmarks.</li></ul><p><strong>Why Join Us?</strong></p><p>This remote opportunity offers incredible flexibility to high-achieving professionals looking to make a tangible impact in the healthcare industry. By leveraging your analytical and consultative expertise, you’ll play an integral part in supporting fair and competitive compensation structures that drive organizational success. This fully remote role offers impact and exposure to senior leadership. Additionally, there are opportunities to develop in other areas of the organization. If you would like to join an organization on the move, please apply today for consideration.</p>
We are looking for a dedicated Medical Front Desk Specialist to join a dynamic healthcare team in Chattanooga, Tennessee. In this long-term contract position, you will play a crucial role in ensuring smooth office operations while delivering exceptional service to patients. If you excel in a fast-paced environment and enjoy creating a welcoming atmosphere, this opportunity is perfect for you.<br><br>Responsibilities:<br>• Greet patients with warmth and professionalism, ensuring a positive experience from the moment they enter the office.<br>• Answer incoming calls, schedule appointments, and confirm patient visits with accuracy and attention to detail.<br>• Coordinate and update patient records using electronic medical record systems, maintaining confidentiality at all times.<br>• Address patient inquiries regarding office policies, procedures, and general information in a helpful and empathetic manner.<br>• Perform check-in and check-out duties, including verifying insurance information and collecting payments as necessary.<br>• Collaborate with the medical team to ensure seamless daily operations and timely patient flow.<br>• Handle various administrative tasks such as filing, faxing, and managing correspondence to support a well-organized office environment.<br>• Assist in resolving scheduling conflicts and managing last-minute changes efficiently.<br>• Maintain a clean and welcoming front desk area to create a positive environment for patients and staff.
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
