We are looking for a detail-oriented Medical Coder to join our team on a long-term contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is based in Atlanta, Georgia, and offers the opportunity to contribute to the efficiency and compliance of healthcare documentation processes.<br><br>Responsibilities:<br>• Review inpatient medical records to assign accurate ICD-10-CM and CPT codes.<br>• Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines.<br>• Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies.<br>• Stay updated on coding standards, payment systems, and healthcare regulations.<br>• Participate in audits and quality improvement initiatives to ensure coding accuracy.<br>• Protect the confidentiality and integrity of patient information throughout the coding process.<br>• Meet established productivity and accuracy benchmarks to support organizational goals.<br>• Assist in staff training efforts to enhance coding knowledge and compliance.
We are looking for an organized and detail-oriented Medical Scheduler to join our healthcare team in Youngstown, Ohio. In this role, you will coordinate and manage medical appointments, ensuring that patients receive timely and efficient care. This is a long-term contract position offering the opportunity to contribute to a meaningful and dynamic healthcare environment.<br><br>Responsibilities:<br>• Manage electronic and physical filing systems to maintain accurate and accessible patient records.<br>• Prepare agendas and schedules for meetings, ensuring all necessary documentation is organized.<br>• Coordinate and schedule medical appointments and visits for residents, ensuring seamless communication with healthcare providers.<br>• Submit required reports and documentation to county agencies, guardians, and other relevant parties.<br>• Audit patient charts for accuracy and compliance with healthcare regulations.<br>• Collect and analyze data for reporting purposes as needed.<br>• Handle billing tasks efficiently and accurately.<br>• Serve as a backup for receptionist duties, providing support as required.<br>• Maintain communication with patients, families, and agencies to address inquiries and provide updates.<br>• Perform additional tasks as assigned by management to support the overall operations.
<p>*Email brendan.steele@rht(.com) for consideration*</p><p><br></p><p>Robert Half (Technology Solutions) is searching for an Healthcare IT Application Analyst (Meditech) with experience in Healthcare IT, Healthcare Information Systems, Meditech EHR, SQL, Microsoft Apps, User Support, Data Distribution, Application Log Monitoring, and more. If this sounds like your background, then this Healthcare IT Application Analyst (Meditech) role is for you. For this opportunity, you will work in the Van Nuys, CA area.</p><p><br></p><p><strong>Position</strong>: Healthcare IT Application Analyst (Meditech)</p><p><strong>Hours/Duration</strong>: 40 hrs/wk, M-F, CTH or FTE</p><p><strong>Top Skills</strong>: Healthcare IT, Healthcare Information Systems, Meditech EHR, SQL, Microsoft Apps, User Support, Data Distribution, Application Log Monitoring</p><p><strong>Onsite/Remote</strong>: <em>Hybrid Remote (prefer onsite)</em></p><p><strong>Company: </strong>Hospital</p><p><br></p><p>We are looking to present candidates immediately and this Healthcare IT Application Analyst (Meditech) position will not be open long. You can apply for this position today by sending your resume to Brendan.Steele@rht(.com) or texting me at (310) 905-6878 (email text-line). You can also connect with me on LinkedIn at (linkedin/in/brendan-steele-177770101/).</p><p><br></p><p><strong>Job Scope: </strong></p><ul><li>Application Analyst: Support Healthcare IT Tasks - Manage, Administer & Maintain Computer Applications & Systems</li><li>Develop, Document & Execute System Maintenance / Config Procedures</li><li>Research / Recommend Innovative / Automated Approaches to Systems Admin, Policy Changes & Service Improvements Leveraging Hospital Resources</li><li>Monitor Systems and Application Logs - Verify Integrity / Availability of Servers & Systems</li><li>Manage Projects & Planning, Develop Training Plans</li><li>Develop Reports & Data Extracts, Manage Data Uploads & Downloads</li><li>Data Distribution (Labor Productivity, Rosters, Employee Record Maintenance, Time & Attendance Logs)</li><li>Support Business Intelligence & Data Analytics</li><li>Maintain Vendor Relations & Manage Upgrades, Software Update Plans & Report Writing</li><li>New Services Config & Documentation of New Features</li><li>Investigate & Troubleshoot Issues with Stakeholders</li><li>Update Newly Created Positions, Staffing & Scheduling Settings, Profiles & Labor Productivity Goals</li><li>Resolve Hospital IT Help Desk Tickets & Incidents</li><li>Execute Ongoing Performance Tuning, System Upgrades & Resource Optimization</li><li>Train Staff on New Processes, Orient New System Users, Sponsor Re-Training</li><li>Coordinate & Plan Integration of Data between Computer Systems as SME</li><li>Analyze Data Flows for Process Improvement - Optimize Benefits of System Features</li></ul>
<p>We are looking for a dedicated and empathetic Customer Service Representative with expertise in healthcare call center operations. In this role, you will handle inquiries related to medical eligibility, benefits, claims, and provider information while maintaining a high level of professionalism and accuracy. This is a Contract to permanent position that offers the opportunity to grow within the organization for the right candidate. While the position is primarily remote, occasional in-office attendance may be required depending on location.</p><p><br></p><p>Responsibilities:</p><p>• Respond to a high volume of customer inquiries via phone and email regarding medical benefits, claims, and provider information.</p><p>• Provide accurate and detailed information about healthcare plans, pre-authorizations, and claim statuses.</p><p>• Utilize tracking systems to document all interactions and ensure proper follow-up.</p><p>• Stay updated on changes to healthcare policies, procedures, and benefits to provide accurate guidance.</p><p>• Resolve customer complaints and troubleshoot issues with professionalism and efficiency.</p><p>• Advise members on outstanding payments and explain billing details when necessary.</p><p>• Assist callers in navigating network provider options and understanding plan coverage.</p><p>• Escalate complex issues to supervisors or managers when required.</p><p>• Collaborate with team members to ensure seamless customer support.</p><p>• Adhere to HIPAA policies and maintain confidentiality in all interactions.</p>
<p>We are looking for a detail-oriented Medical Records Clerk to join our team in Evansville, Indiana. This Contract to permanent position offers the opportunity to contribute to the integrity of health records, ensuring compliance with regulatory standards and supporting continuity of care. The ideal candidate will play a vital role in maintaining accurate medical documentation and assisting with various processes related to record management.</p><p><br></p><p>Responsibilities:</p><p>• Analyze health records to ensure accuracy and compliance with regulatory standards.</p><p>• Monitor record deficiencies and delinquency processes to maintain data integrity.</p><p>• Prepare, scan, and index medical documents while conducting quality reviews to ensure completeness.</p><p>• Assist with registry maintenance tasks, such as the birth registry, and ensure compliance with relevant regulations.</p><p>• Perform imaging and scanning tasks to digitize paper records efficiently.</p><p>• Collaborate with leadership to meet monthly and quarterly targets related to medical record processes.</p><p>• Maintain familiarity with medical documents and their locations within electronic systems.</p><p>• Provide support for data integrity processes and assist with customer service inquiries regarding medical records.</p><p>• Uphold productivity and quality standards in daily tasks.</p><p>• Carry out additional duties related to medical record management as assigned.</p>
<p>We are looking for a detail-oriented Medical Coder to join our team on an immediate contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is located in Chattanooga, Tennessee and offers the opportunity to contribute to the efficiency and compliance of a growing, patient-oriented team.</p><p> </p><p>Responsibilities:</p><p>• Review inpatient medical records to assign accurate ICD-10-CM and CPT codes.</p><p>• Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines.</p><p>• Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies.</p><p>• Stay updated on coding standards, payment systems, and healthcare regulations.</p><p>• Participate in audits and quality improvement initiatives to ensure coding accuracy.</p><p>• Protect the confidentiality and integrity of patient information throughout the coding process.</p><p>• Meet established productivity and accuracy benchmarks to support organizational goals.</p><p> </p><p>If you are interested and available for an IMMEDIATE coding opportunity, please complete an application and call (423)244-0726! for more information TODAY!</p>
We are looking for an experienced Practice Administrator to lead human resources operations within a healthcare setting in Little Rock, Arkansas. This role requires a detail-oriented individual who excels in managing employee relations, benefits administration, and HR processes while ensuring compliance with organizational policies. The ideal candidate will bring over five years of expertise in HR management and demonstrate strong leadership and organizational skills.<br><br>Responsibilities:<br>• Oversee all aspects of human resources management, including employee relations, recruitment, onboarding, and retention.<br>• Manage benefits programs and ensure accurate administration of employee compensation packages.<br>• Maintain and optimize HRIS systems to streamline processes and improve data accuracy.<br>• Develop and implement HR policies and procedures that align with organizational goals and regulatory requirements.<br>• Facilitate training sessions and development opportunities to enhance staff performance.<br>• Address employee concerns and mediate workplace issues to promote a positive work environment.<br>• Monitor compliance with labor laws and healthcare-specific regulations.<br>• Collaborate with leadership to align HR strategies with business objectives.<br>• Generate regular reports on HR metrics and provide insights to support decision-making.<br>• Ensure smooth transitions and integration of new systems or processes related to HR.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
We are looking for a dedicated Business Analyst and Implementation Specialist with a strong background in healthcare systems to join our team on a long-term contract basis. This position offers an exciting opportunity to lead the deployment of critical systems in an environment without an established IT team, making a direct impact on clinical and financial operations. Located in Rock Island, Illinois, this role requires a proactive individual with strong attention to detail, capable of managing multiple priorities and engaging diverse stakeholders.<br><br>Responsibilities:<br>• Act as the main point of contact between stakeholders, vendors, and implementation partners during system deployments.<br>• Facilitate requirements gathering sessions to define processes and document workflows for clinical and financial systems.<br>• Organize and lead product demonstrations, providing recommendations tailored to organizational needs.<br>• Coordinate and oversee user acceptance testing, ensuring solutions are validated and any issues are promptly addressed.<br>• Develop change management strategies, including creating training materials and supporting staff throughout system adoption.<br>• Deliver ongoing support for system optimization and process enhancements post-implementation.<br>• Evaluate and recommend point-of-sale solutions that align with operational goals.<br>• Ensure seamless communication across teams to manage project timelines and deliverables effectively.<br>• Identify gaps in current processes and propose actionable solutions to improve efficiency.<br>• Collaborate with stakeholders to ensure all project objectives are met within the established timeframe.
<p>A healthcare services organization in Vista is looking for a <strong>Staff Accountant</strong> to support financial reporting, reconciliations, and compliance in a regulated environment. This role is well-suited for someone who enjoys precision, documentation, and supporting a mission-driven organization. You’ll work closely with accounting leadership to maintain accurate financial records and assist with reporting and audits.</p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare journal entries and maintain general ledger accuracy</li><li>Perform monthly bank, AR, and AP reconciliations</li><li>Assist with month-end close and financial statement preparation</li><li>Track and reconcile prepaid expenses and accrued liabilities</li><li>Support payroll and benefits-related accounting entries</li><li>Assist with audit requests and regulatory reporting</li><li>Maintain organized accounting documentation and schedules</li></ul>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Elizabethtown, North Carolina. This is a long-term contract position offering an excellent opportunity to contribute to a healthcare environment dedicated to patient care and operational excellence. The ideal candidate will bring expertise in medical billing processes and a commitment to accuracy and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance companies with accuracy and attention to detail.</p><p>• Review and resolve claim denials or discrepancies to ensure timely reimbursement.</p><p>• Maintain up-to-date knowledge of medical billing codes and insurance regulations.</p><p>• Collaborate with healthcare providers and administrative staff to address billing inquiries.</p><p>• Monitor and track payments, ensuring proper documentation and record-keeping.</p><p>• Generate and analyze billing reports to identify trends and improve processes.</p><p>• Assist patients with billing-related questions and provide clear and precise communication.</p><p>• Ensure compliance with all billing policies, procedures, and legal requirements.</p><p>• Support the implementation of new billing systems or updates as needed.</p>
<p>We are seeking a Medical Customer Service Specialist to join a dynamic team, serving as the first point of contact for patients and healthcare providers. You will help ensure a positive experience by answering inquiries, resolving concerns, verifying information, and supporting daily operations within a medical office or healthcare organization.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Respond to patient requests via phone, email, and in person, delivering prompt, professional assistance</li><li>Manage patient registration, scheduling appointments, and verifying insurance coverage</li><li>Resolve billing, claims, and account inquiries accurately</li><li>Maintain confidential patient information in compliance with HIPAA regulations</li><li>Collaborate with clinical and administrative staff to coordinate patient care and communications</li><li>Document interactions and follow up to ensure timely resolution of issues</li><li>Educate patients on office procedures, healthcare services, and next steps</li></ul><p><br></p>
We are looking for an experienced Financial Controller to lead and manage our organization's financial operations. This role is integral to ensuring the accuracy of financial data, compliance with regulations, and providing strategic insights to support decision-making. The ideal candidate will bring expertise in accounting, financial reporting, budgeting, and forecasting.<br><br>Responsibilities:<br>• Oversee all accounting operations, including accounts payable, accounts receivable, payroll, and general ledger activities.<br>• Ensure the accuracy and compliance of financial records with applicable regulations and standards.<br>• Develop and manage budgets, forecasts, and cash flow strategies to support organizational goals.<br>• Prepare detailed financial statements and reports for review by senior leadership.<br>• Collaborate with payroll and regulatory compliance services to ensure operational efficiency.<br>• Conduct financial analyses to identify trends and provide strategic recommendations.<br>• Supervise and mentor the accounting team to encourage attention to detail and growth.<br>• Utilize advanced Excel and QuickBooks Pro tools for accurate reporting and data analysis.
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis in Vancouver, Washington. In this role, you will be responsible for verifying patient insurance details, ensuring accurate billing, and supporting the claims process to minimize denials. This position requires excellent communication skills and a strong ability to collaborate with patients, insurance providers, and healthcare teams.<br><br>Responsibilities:<br>• Verify patient insurance coverage, benefits, and eligibility before services or procedures are scheduled.<br>• Obtain necessary prior authorizations and referrals required by insurance carriers.<br>• Accurately input and update insurance information within patient management systems.<br>• Communicate with patients to explain coverage details, out-of-pocket costs, and financial responsibilities.<br>• Investigate and resolve discrepancies related to incomplete or denied authorizations.<br>• Ensure compliance with regulatory policies and organizational standards.<br>• Collaborate with billing and clinical staff to facilitate the timely and accurate processing of claims.<br>• Maintain thorough documentation of all insurance verification activities.<br>• Follow up with insurance companies to address any outstanding issues or inquiries.
We are on the lookout for a Workday Integrations Developer to become a part of our team in the Healthcare, Hospitals, and Social Assistance sector, located in McLean, Virginia. You will be tasked with the responsibility of managing complex integrations with the Workday cloud application, using your skills to solve intricate business problems and ensure seamless functionality across various Human Capital Management and Financial functional areas. This role also requires you to handle internal IT security and reporting needs.<br><br>Responsibilities:<br><br>• Take the lead in the design, development, and support testing of the Workday integration code base, including Workday Studio, EIB, Core Connectors, DT, XSLT, RaaS, and supporting 3rd party coding.<br>• Conduct Discovery sessions with business and 3rd party vendor subject matter experts for integrations and reports.<br>• Develop detailed integration specifications, field mappings, and designs to support the entire integration and report deployment life cycle.<br>• Handle the investigation of integration and report failures, perform root cause analyses, and provide detailed findings and recommendations to management and business leaders.<br>• Identify and escalate risks in a timely manner, while developing alternative technical and functional solutions as needed.<br>• Manage the processing of customer credit applications accurately and efficiently.<br>• Ensure the maintenance of accurate customer credit records.<br>• Monitor customer accounts and take appropriate action when necessary.<br>• Utilize your skills in Client Side Scripting, Cloud Technologies, CRM, ERP - Enterprise Resource Planning, Microsoft, AB Testing, API Development, Business Process Functions, Business Requirement Document, and Configuration Management to achieve these tasks.
Our client, a well-established company in the medical industry, is seeking a proactive and hands-on Customer Service Call Center Supervisor for an onsite, permanent contract-to-permanent opportunity. The organization has just over 100 employees and is dedicated to providing exceptional service and support to its clients and patients. This role offers strong growth potential and the prospect of permanent employment for high performers. <br> Key Responsibilities: <br> Supervise and manage a call center staff of up to 15 employees, overseeing day-to-day operations and team productivity. Ensure staff effectively handle incoming medical billing inquiries and contractual questions in a prompt, detail oriented manner. Lead recruitment, hiring, onboarding, and training processes for new and current call center employees. Monitor call volumes, hold times, and performance standards, using data analytics to track team and individual metrics. Coach and mentor team members, assisting with escalated and challenging customer calls to maintain service quality. Drive employee development through regular feedback, performance reviews, and ongoing training. Manage and contribute to revenue cycle billing operations, ensuring accuracy and timely resolution of cases. Maintain strong organizational systems and reporting practices using Microsoft Office Suite and other relevant software. Ensure compliance with healthcare industry regulations and company policies. Collaborate cross-functionally with internal departments to approve contracts and support resolution of medical billing matters. Requirements: <br> Proven experience supervising a call center team, preferably within the medical, healthcare, or revenue cycle management field. Strong understanding of medical billing cycles and contracts. Demonstrated ability to deescalate complex customer issues and provide effective solutions. Solid organizational and multitasking skills, with the capacity to prioritize in a fast-paced environment. Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint). Excellent verbal and written communication skills. Ability to coach, mentor, and lead staff while maintaining a positive team culture. Experience tracking performance metrics and using analytics for operational improvement. This role is a contract position with the possibility of permanent employment based on performance. <br> Ready to make an impact? Apply today to help lead and support a dedicated team at the heart of healthcare customer service operations. Please apply and contact: Kelly Fellows for immediate consideration at 865-370-2219
<p>Join our team as a Medical Payment Posting Specialist and make a direct impact on the financial success of leading healthcare organizations. In this vital role, you’ll help ensure accurate and timely processing of medical payments—promoting a smooth revenue cycle and enhancing the patient experience.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am -5pm</p><p><br></p><p><strong>Job Responsibilities: </strong></p><ul><li>Precisely post insurance and patient payments into billing systems, maintaining up-to-date records.</li><li>Analyze Explanations of Benefits (EOBs) to verify and allocate payments accurately.</li><li>Reconcile deposits and payment activity with patient accounts, resolving discrepancies quickly.</li><li>Proactively identify and address denials, underpayments, or posting errors to optimize account accuracy.</li><li>Collaborate with internal teams and insurance carriers to resolve payment inquiries efficiently.</li><li>Uphold industry standards by maintaining compliance with HIPAA and other healthcare regulations.</li><li>Support month-end close processes related to payment posting and financial reporting.</li></ul><p><br></p>
<p>Join our dynamic healthcare team as a Medical Denials Specialist, where you will play a vital role in resolving denied medical claims efficiently and accurately in a fast-paced setting.</p><p><br></p><p><strong>Schedule:</strong> Monday through Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Primary Responsibilities:</strong></p><ul><li>Review insurance denials and conduct thorough research to resolve outstanding claims.</li><li>Analyze patterns and trends in denied claims to identify underlying issues and recommend process improvements.</li><li>Communicate with insurance payers to clarify claim status and expedite resolutions.</li><li>Prepare and submit appeals with supporting documentation when necessary.</li><li>Work closely with billing teams, healthcare providers, and insurance carriers to facilitate effective claims management.</li><li>Stay current on payer requirements, and relevant healthcare laws and regulations.</li><li>Ensure all activities comply with HIPAA and internal organizational policies.</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
We are looking for a skilled Surgery Scheduler to join our team in Glendale, California. This Contract to permanent position offers an excellent opportunity to contribute to patient care by coordinating surgical schedules and ensuring smooth operations. The ideal candidate will have strong organizational skills and experience in medical scheduling and insurance verification.<br><br>Responsibilities:<br>• Coordinate and manage surgery schedules, ensuring accuracy and efficiency.<br>• Verify patient information and insurance coverage prior to scheduling procedures.<br>• Utilize Epic EMR to maintain accurate records and streamline scheduling processes.<br>• Communicate effectively with patients, surgeons, and healthcare staff to confirm schedules and resolve any conflicts.<br>• Ensure compliance with hospital policies and procedures during the scheduling process.<br>• Collaborate with surgical teams to optimize scheduling and resource allocation.<br>• Provide patients with pre-operative instructions and ensure they are well-informed about their procedures.<br>• Handle last-minute changes or emergencies with professionalism and efficiency.<br>• Work closely with insurance providers to confirm coverage for surgical procedures.<br>• Maintain confidentiality and professionalism while handling sensitive patient information.
We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.<br>• Manage medical billing operations, ensuring timely and accurate processing.<br>• Handle medical claims by reviewing, validating, and resolving discrepancies.<br>• Collaborate with team members to streamline billing functions and improve workflows.<br>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.<br>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.<br>• Support the transition of revenue processes back in-house, ensuring seamless integration.<br>• Provide detailed reporting on billing and claims metrics to stakeholders.<br>• Assist in supply chain-related tasks when applicable to revenue cycle management.<br>• Maintain up-to-date knowledge of industry practices and regulatory changes.
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Blue Ash, Ohio. This role involves managing prior authorization processes, ensuring patients receive timely approvals for prescription medications and other healthcare services. As part of this long-term contract position, you will play a pivotal role in facilitating communication between healthcare providers, patients, and insurance companies.</p><p><br></p><p>Responsibilities:</p><p>• Review and compile necessary medical documentation to support authorization requests, including physician recommendations and patient records.</p><p>• Submit prior authorization requests to insurance providers and diligently follow up to ensure timely approvals for essential medical services.</p><p>• Communicate effectively with healthcare providers, patients, and insurance representatives to address and resolve authorization-related concerns.</p><p>• Track authorization statuses and promptly notify healthcare teams regarding approvals, denials, or pending requests.</p><p>• Stay informed about current insurance policies and regulations to optimize the authorization process.</p><p>• Investigate patterns of denied authorizations and collaborate with teams to handle appeals, escalations, or resubmissions.</p><p>• Maintain organized records and detailed reports of authorization activities, adhering to compliance standards and organizational guidelines.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a vital part in managing and processing medical claims, ensuring accurate billing, and supporting efficient revenue cycles. This is an excellent opportunity for professionals with expertise in medical billing, coding, and collections.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers and other payers.<br>• Review and verify patient billing information for accuracy and compliance with regulations.<br>• Resolve discrepancies and follow up on denied or unpaid claims to ensure timely collections.<br>• Collaborate with healthcare providers to obtain documentation needed for billing purposes.<br>• Maintain detailed records of billing activities and payment statuses.<br>• Ensure compliance with medical coding standards and billing guidelines.<br>• Address inquiries from patients and insurance companies regarding billing issues.<br>• Assist in identifying and implementing improvements to the billing process.<br>• Monitor accounts receivable and prepare reports on billing and collections.<br>• Provide support for audits and regulatory reviews related to billing procedures.
<p>Are you passionate about healthcare administration and the financial side of patient care? Join our team as a Medical Charge Entry Specialist, where your attention to detail and commitment to accuracy will help ensure seamless revenue cycle operations for leading healthcare providers.</p><p><br></p><p><strong>Schedule:</strong> Monday – Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Responsibilities for this position include the following: </strong></p><ul><li>Accurately input medical charges into electronic health record (EHR) and billing systems, keeping data organized and up-to-date.</li><li>Carefully review patient accounts to ensure all charges are coded correctly, complete, and compliant with payer requirements.</li><li>Thoroughly verify insurance and demographic information prior to submitting charges, reducing delays and denials.</li><li>Collaborate with medical billing, coding, and clinical teams to investigate and resolve discrepancies or missing information.</li><li>Follow up on incomplete or outstanding charge data, making corrections promptly to maintain billing integrity.</li><li>Support accurate claims generation, assist with reporting, and help facilitate smooth month-end billing close.</li><li>Maintain the highest level of confidentiality with patient and organizational information, adhering to HIPAA and company policies.</li></ul><p><br></p>
<p><strong>Job Summary:</strong> The Medical Billing Specialist is responsible for accurately processing and managing healthcare billing information for medical practices, clinics, or hospitals. This role ensures that insurance claims are correctly coded, submitted, and followed up to maximize reimbursements and minimize errors. Medical Billing Specialists serve as a liaison between healthcare providers, patients, and insurance companies, helping to resolve billing issues and maintain compliance with relevant regulations.</p>
