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.
We are looking for a detail-oriented Medical Billing Insurance Clerk to join our team on a contract basis in Barton, Vermont. In this role, you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position is ideal for someone with a strong understanding of medical billing processes and experience working with insurance claims.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and compliance with established guidelines.<br>• Utilize billing software to manage data entry and track claim statuses.<br>• Verify insurance coverage details and resolve claim discrepancies efficiently.<br>• Handle collections and follow up on outstanding payments from insurance providers.<br>• Maintain confidentiality of patient information and billing records.<br>• Collaborate with team members to ensure seamless operations and timely claim submissions.<br>• Generate and analyze reports related to billing and insurance claims.<br>• Manage Medicaid and commercial insurance billing processes, adhering to specific regulations.<br>• Update and maintain spreadsheets for tracking billing activities and payment records.<br>• Communicate effectively with insurance companies and healthcare providers to address billing concerns.
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
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.
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>We are seeking a <strong>Medical Biller</strong> for a growing healthcare provider located in <strong>Carlsbad</strong>, CA. This role is ideal for someone with strong billing experience and a solid understanding of insurance claims, coding, and the revenue cycle process. You’ll be responsible for accurately submitting medical claims, resolving billing issues, and working directly with insurance companies to ensure timely payment. If you're detail-oriented, dependable, and experienced in medical billing systems (such as Epic, Kareo, or similar), we want to hear from you.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit insurance claims accurately and efficiently</li><li>Follow up on unpaid claims and resolve denials</li><li>Verify insurance coverage and patient information</li><li>Collaborate with providers and front office staff</li><li>Maintain compliance with HIPAA and billing regulations</li></ul>
We are looking for a skilled Medical Billing Specialist to join our team on a 12-week contract in Milwaukee, Wisconsin. In this role, you will play a crucial part in ensuring accurate and timely processing of healthcare claims, contributing to the efficiency and success of our billing operations. This is an exciting opportunity to apply your expertise in a collaborative healthcare environment while making a tangible impact.<br><br>Responsibilities:<br>• Review patient accounts and billing data to ensure accuracy and completeness.<br>• Prepare and submit claims using UB04 and CMS1500 formats based on payer-specific requirements.<br>• Identify errors in billing data, correct discrepancies, and resubmit claims to facilitate timely reimbursement.<br>• Follow up on unpaid or denied claims, working with payers and internal teams to resolve issues effectively.<br>• Ensure compliance with insurance regulations and government guidelines, including Medicare and Medicaid policies.<br>• Collaborate with clinical and administrative staff to obtain necessary information for accurate billing.<br>• Utilize billing systems, such as Epic, to process claims and manage accounts receivable.<br>• Handle appeals and authorizations as part of the claims resolution process.<br>• Maintain organized records and meet deadlines in a fast-paced healthcare setting.
We are looking for a Medical Collections Specialist to join our team in Federal Way, Washington. In this long-term contract position, you will play a vital role in ensuring the accurate management of medical billing, collections, and insurance claims. This is a remote opportunity within the healthcare industry, offering flexibility while maintaining regular communication with clinics, payers, and patients.<br><br>Responsibilities:<br>• Investigate and resolve insurance denials by conducting thorough account reviews from the start of patient treatment.<br>• Verify patient benefits and eligibility to ensure accurate billing and collection processes.<br>• Manage back-end collections by coordinating with payers and filing appeals to recover owed payments.<br>• Communicate effectively with clinics, payers, and patients to address outstanding balances and resolve discrepancies.<br>• Perform root cause analysis to identify underlying issues in billing or claims processing.<br>• Utilize spreadsheets and internal systems to organize and manage financial data efficiently.<br>• Collaborate with team members to meet revenue cycle goals and optimize collection efforts.<br>• Handle pre-authorizations and eligibility verifications for accurate claims submission.<br>• Demonstrate technical proficiency in Microsoft Excel and other internal systems used for billing and collections.<br>• Maintain an organized and methodical approach to all tasks, ensuring compliance with healthcare regulations.
<p>We are currently seeking a detail-oriented and proactive <strong>Insurance Verification Representative</strong> to join our dynamic team and support patients by identifying coverage options and reducing surprises related to billing.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As an <strong>Insurance Verification Representative</strong>, your key duties will include:</p><ul><li>Contacting insurance providers to verify patient eligibility, coverage, and benefits.</li><li>Completing detailed verification of copays, deductibles, co-insurance amounts, and out-of-pocket expenses.</li><li>Accurately entering and updating patient insurance information in the Electronic Medical Records (EMR) or billing system.</li><li>Communicating insurance eligibility details with patients in an easy-to-understand, professional manner.</li><li>Providing guidance to patients regarding their financial obligations, including potential costs and payment plan options.</li><li>Collaborating directly with front office staff, billing teams, and clinical departments to ensure all insurance information is accurately documented prior to medical services being rendered.</li><li>Resolving discrepancies with insurance claims and quickly addressing any issues related to denied or rejected verifications.</li><li>Maintaining compliance with HIPAA regulations and other applicable laws regarding patient confidentiality.</li></ul><p><br></p>
<p>The Robert Half Healthcare Practice is working with a local healthcare center to add a <strong>Medical Accounts Receivable Specialist </strong>to their team.<strong> </strong>This is a fully onsite position. The ideal candidate must be able pick up the role quickly. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 7am - 3:30pm (hours can be flexible)</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li><strong>Proactively manage accounts receivable:</strong> Research and resolve outstanding balances efficiently to ensure timely collections.</li><li><strong>Action correspondence:</strong> Investigate and address assigned inquiries promptly and accurately.</li><li><strong>Optimize claims processing:</strong> Utilize effective resources to secure prompt payment for open claims.</li><li><strong>Resolve payment discrepancies:</strong> Identify and resolve underpayments, overpayments, and unpaid claims, initiating adjustments, overpayment notifications, and refund requests as needed.</li><li><strong>Support team initiatives:</strong> Be adaptable and willing to assist with various projects as they arise.</li><li><strong>Address complex issues:</strong> Troubleshoot and resolve escalated AR and manufacturer-related concerns.</li></ul><p><br></p>
<p>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
<p>We are looking for a detail-oriented PART TIME Medical Administrator to join our team in Greenville, South Carolina. In this Contract-to-Permanent position, you will play a vital role in ensuring the accurate processing of medical claims while adhering to industry regulations and organizational policies. This opportunity is ideal for professionals with strong analytical skills and experience in claims administration.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough reviews of pended claims to identify and rectify billing errors, duplicate claims, and unbundling issues.</p><p>• Manually correct system-generated errors with high precision prior to final adjudication.</p><p>• Process medical claims in compliance with provider contracts, pricing agreements, and regulatory standards.</p><p>• Address and resolve complex claims issues, escalating advanced cases to management when required.</p><p>• Utilize electronic health record (EHR) systems and other software tools to support claims processing and administration.</p><p>• Collaborate with team members to ensure consistent application of organizational policies and procedures.</p><p>• Communicate effectively with providers and stakeholders to clarify claim-related discrepancies.</p><p>• Maintain accurate documentation and reporting for all claims activities.</p><p>• Stay updated on industry trends and regulatory changes to ensure compliance.</p><p>• Support continuous improvement initiatives to enhance claims processing efficiency.</p>
<p>We are seeking a highly skilled and detail-oriented <strong>Medical Biller</strong> to ensure timely and efficient processing of medical claims and support in optimizing revenue.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Biller</strong>, your duties will include:</p><ul><li>Preparing and submitting medical claims to insurance companies, government payers, and patients in compliance with healthcare regulations.</li><li>Reviewing and verifying accuracy of patient insurance information, ensuring claims are complete and error-free.</li><li>Monitoring the progress of submitted claims and following up on delayed or denied claims, resolving discrepancies appropriately.</li><li>Generating patient invoices and explaining charges while ensuring clarity for patients regarding financial obligations.</li><li>Ensuring proper coding of procedures, diagnoses, and services using CPT, ICD-10, and HCPCS codes.</li><li>Collaborating with healthcare providers and other administrative staff to resolve complex billing issues.</li><li>Handling adjustments for payments, posting refunds or corrections, and reconciling account balances.</li><li>Staying informed of changes in regulations, policies, and industry standards related to medical billing.</li><li>Maintaining compliance with HIPAA regulations to safeguard patient information.</li></ul><p><br></p>
<p>Our client is seeking a motivated and detail-oriented <strong>Entry-Level Medical Biller</strong> to join their team. This is an excellent opportunity to gain hands-on experience and learn the ins-and-outs of medical billing while working alongside a supportive and skilled team.</p><p><strong>Role Overview:</strong></p><p>As an Entry-Level Medical Biller, you will play a vital role in maintaining the financial health of the organization. You will process medical claims, verify insurance coverage, and ensure timely and accurate payments. Your attention to detail and ability to solve problems will help make a difference in this fast-paced and rewarding environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurately prepare and submit healthcare claims to insurance companies.</li><li>Review patient medical records to ensure accurate coding and documentation for billing purposes.</li><li>Verify patient insurance information and benefits to determine eligibility for services.</li><li>Follow up on unpaid or denied claims with insurance companies to ensure resolution.</li><li>Post payments and maintain accurate records in the billing software system.</li><li>Respond to patient and provider inquiries regarding billing, payments, and insurance claims.</li><li>Assist with audits and compliance to ensure adherence to HIPAA and regulatory requirements.</li></ul><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent is required; postsecondary coursework or certification in medical billing/coding is a plus.</li><li>Strong organizational and time management skills with attention to detail.</li><li>Excellent communication skills (verbal and written) and a customer service mindset.</li><li>Basic knowledge of medical terminology and insurance processes is a bonus, but not required—training will be provided!</li><li>Proficient in Microsoft Office Suite (Word, Excel) with the ability to learn industry-specific software.</li><li>A positive attitude, team spirit, and eagerness to learn and grow in the role.</li></ul><p><br></p><p><br></p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Emmett, Idaho. In this long-term contract position, you will play a crucial role in managing payment posting processes, ensuring accuracy in patient accounts, and maintaining balanced daily logs. If you have a strong background in medical billing and a commitment to excellence, we invite you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Retrieve remittance advice from clearing houses daily and ensure timely processing.</p><p>• Organize and calculate insurance payment batches to confirm deposit accuracy.</p><p>• Export electronic remittance files to revenue cycle software and assist in developing electronic payment posting systems.</p><p>• Post payments manually and electronically while verifying patient details such as account numbers, dates of service, and other identifiers.</p><p>• Apply adjustments to patient accounts for deductibles, copays, coinsurance, and contractual obligations, while directing denials to the appropriate team.</p><p>• Reconcile and balance posted payment batches daily, ensuring accounts are accurate and properly closed.</p><p>• Analyze and interpret Explanation of Benefits (EOBs) to post payments correctly to patient accounts.</p><p>• Research unidentified payments and recoupments to determine proper transactions, including refund requests and takebacks.</p><p>• Collaborate with the Controller to balance daily, weekly, and monthly financial totals.</p><p>• Assist with billing work queues, insurance follow-ups, and other assigned tasks as needed.</p><p>Cerner and TruBridge knowledge preferred</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Burr Ridge, Illinois. In this Contract-to-permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ideal candidate will bring expertise in medical collections and billing practices, along with familiarity with industry systems and Medicare billing.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and review appointment schedules to track billing for assigned locations effectively.</p><p>• Process infusion billing daily, verifying accuracy in codes, drug quantities, and pharmacy delivery documentation.</p><p>• Submit claims to insurance companies by printing and mailing forms, attaching primary explanation of benefits for secondary claims as needed.</p><p>• Monitor and coordinate drug returns for patients who did not receive infusions, working closely with clinics and pharmacies.</p><p>• Verify patient demographics and insurance information to ensure accurate billing procedures.</p><p>• Maintain oversight of assigned billing tasks and provide regular updates to supervisors.</p><p>• Collaborate with clinical staff to address and resolve missing documentation to complete billing efficiently.</p><p>• Handle additional billing-related duties and tasks as assigned by management.</p><p>• Utilize systems such as Accurint, Allscripts, and Cerner Technologies to optimize billing processes.</p><p><br></p><p>The salary range for this position is $23 to $25. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information.</p>
<p>We are looking for a dedicated Case Manager to join a stable team in Sherman Oaks looking to add a new member of the team. This firm specializes in personal injury cases, and this role is crucial to ensuring clients receive the support and advocacy they need throughout the claims process. The ideal candidate will thrive in a collaborative and focused environment while demonstrating exceptional organizational and communication skills.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims processing with various insurance carriers, including health insurance providers, Medicare, and MediCal.</p><p>• Resolve property damage and loss of use claims efficiently and effectively.</p><p>• Coordinate with healthcare providers to schedule medical appointments for injury treatment.</p><p>• Advocate for clients by monitoring medical treatments and organizing care based on provider recommendations.</p><p>• Review, analyze, and interpret medical records, surgical reports, and medical bills.</p><p>• Prepare comprehensive case files for submission to the demands department.</p><p>• Maintain clear and precise communication with clients, healthcare providers, and internal staff.</p><p>• Collaborate with team members to ensure seamless case management and support.</p><p>• Utilize case management software and tools to maintain accurate and organized documentation.</p>
<p>We are looking for a proactive and detail-oriented Medical Front Desk / Billing Clerk to join a growing healthcare team in Portland, Maine. This position offers excellent growth opportunities, including potential advancement to Office Manager, and a four-day workweek with Fridays off. The role requires someone who is eager to learn, has strong administrative and customer service skills, and thrives in a fast-paced medical office environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage front desk operations, including greeting patients, scheduling appointments, and handling inquiries.</p><p>• Perform medical billing tasks, including insurance claims processing and payment tracking.</p><p>• Maintain accurate patient records and ensure confidentiality of sensitive information.</p><p>• Collaborate with healthcare staff to ensure smooth office workflows and patient satisfaction.</p><p>• Address customer service needs by responding to patient questions and resolving issues promptly.</p><p>• Utilize computer systems effectively for scheduling, billing, and record-keeping.</p><p>• Assist with administrative tasks, such as filing, data entry, and correspondence.</p><p>• Support office efficiency by identifying areas for improvement and implementing solutions.</p><p>• Provide courteous phone etiquette when answering calls and directing them appropriately.</p>
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Scranton, Pennsylvania. In this long-term contract role, you will play a critical part in overseeing accounts receivable processes, ensuring accuracy in billing and payment activities, and maintaining efficient communication with patients, facilities, and internal teams. This position requires a strong understanding of medical billing procedures and the ability to identify and resolve discrepancies effectively.<br><br>Responsibilities:<br>• Monitor and follow up on outstanding accounts receivable to ensure aged receivables remain within acceptable timeframes.<br>• Investigate and resolve rejected claims by payers, processing necessary corrections in the billing system.<br>• Identify and address payment posting errors, communicating effectively with relevant staff to implement corrections.<br>• Respond to patient and facility inquiries regarding account balances and payment statuses.<br>• Analyze billing and coverage issues, collaborating with front office and billing teams to address unmet requirements.<br>• Research and recommend accounts for bad debt write-offs while preparing refund requests for outstanding credit balances.<br>• Recognize payment trends and report findings to supervisors, providing insights related to payers, diagnosis codes, and other relevant factors.<br>• Develop corrective action plans to resolve facility errors and ensure operational accuracy.<br>• Train team members to meet productivity goals and monitor their progress.<br>• Generate comprehensive reports to update stakeholders on billing department performance.
<p>We are looking for a highly skilled Benefits Specialist to join our team on a long-term contract with our client based in New Jersey. In this role, you will take charge of managing employee benefits across Continental Europe and Latin America, ensuring compliance and alignment with global strategies. You will collaborate closely with international teams to implement effective benefit plans while contributing to the overall organizational strategy.</p><p><br></p><p>Responsibilities:</p><p>• Oversee and manage risk benefits such as life and disability insurance, retirement arrangements, and tax-efficient schemes.</p><p>• Administer medical insurance and country-specific allowances, ensuring local choice schemes are implemented effectively.</p><p>• Collaborate with local brokerage services and branch assistance, escalating issues to relevant managers when necessary.</p><p>• Approve invoices, manage benefit renewals, and track documentation to completion with the support of the Benefit Coordinator.</p><p>• Lead the implementation of local benefits for new branches across Europe and Latin America.</p><p>• Prepare detailed benefits overviews, conduct benchmarking, and respond to benefit surveys.</p><p>• Stay updated on evolving benefits laws in supported countries, providing actionable recommendations.</p><p>• Support local management with absence plans, coordinating leaves and ensuring timely insurance claims processing.</p><p>• Work closely with global benefits and HR teams to create communication materials such as intranet updates and benefit summaries.</p><p>• Partner with the Workday team to build and enhance the benefit platform, ensuring accurate and confidential data management.</p>
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care.</p>
<p>We are looking for a detail-oriented Medical Front Desk / Billing Clerk to join a thriving healthcare team in Portland, Maine. This role offers a unique opportunity to grow professionally in a supportive environment, with potential advancement into an Office Manager position. Enjoy a four-day work week with Fridays off, alongside generous benefits that include health insurance, paid vacation, and more.</p><p><br></p><p>Responsibilities:</p><p>• Manage front desk operations, including greeting patients and handling inquiries with professionalism and care.</p><p>• Process medical billing tasks accurately and efficiently, ensuring compliance with industry standards.</p><p>• Maintain and update patient records, ensuring confidentiality and attention to detail.</p><p>• Coordinate patient scheduling to optimize office workflows and enhance service delivery.</p><p>• Handle insurance claims and related documentation, resolving discrepancies as needed.</p><p>• Provide exceptional customer service, addressing patient concerns and fostering positive relationships.</p><p>• Utilize computer systems and software for administrative tasks, demonstrating strong technical skills.</p><p>• Collaborate with healthcare staff to ensure seamless communication and efficient operations.</p><p>• Uphold a high level of organization and attention to detail in all administrative duties.</p><p>• Contribute to the overall success of the office by supporting team goals and adapting to evolving needs.</p>
<p>We are looking for a dedicated and detail-oriented Medical Insurance Verifier to join our team in Long Beach, California. The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their eligibility for Medi-Cal and other programs. The ideal candidate will have a strong background in medical billing, insurance verification, and financial counseling.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings to determine patient eligibility for Medi-Cal, PPO, HMO and other healthcare programs.</p><p>• Guide patients through the application process for HMO, PPO, Medi-Cal, ensuring accuracy and timely submission of required documents.</p><p>• Explain available coverage options and assist patients in understanding their financial responsibilities.</p><p>• Verify insurance eligibility, financial status, and documentation to ensure services are appropriately covered.</p><p>• Collaborate with billing teams and other departments to ensure compliance with Medi-Cal regulations and accurate claims processing.</p><p>• Maintain comprehensive records of patient interactions and screenings in alignment with organizational standards.</p><p>• Stay informed about updates to HMO, PPO, Medi-Cal policies, eligibility criteria, and healthcare regulations.</p><p>• Support the organization’s operations by ensuring seamless patient access to financial assistance programs.</p><p>• Utilize electronic health record (EHR) systems to document and track patient information effectively.</p>
<p>Our client, a complex insurance defense litigation firm in Atlanta, GA, is seeking a permanent full-time Senior Litigation Attorney to join their team. Representing large companies and small businesses, typical duties will include investigating claims, developing defense strategies, negotiating settlements, and litigating cases in court.</p><p><br></p><ul><li>Investigate claims: This may involve reviewing police reports, medical records, witness statements, and other evidence to determine the validity and extent of the claim.</li><li>Develop defense strategies: The attorney will analyze the facts of the case and the applicable law to determine the best way to defend the claim. This may involve arguing that the policy does not cover the claim, that the insured is not liable, or that the damages are exaggerated.</li><li>Negotiate settlements: The attorney will attempt to reach a settlement with the plaintiff's attorney to avoid going to trial. This may involve making offers of compromise or mediation.</li><li>Litigate cases in court: If a settlement cannot be reached, the attorney will represent the insurance company or policyholder in court. This may involve filing motions, taking depositions, conducting witness examinations, and arguing the case before a judge or jury.</li></ul><p>Benefits include affordable healthcare ($30/month for employee), 401k contributions/match, dental, vision, PTO, short and long term disability, etc. Though they are a primarily in office environment, many employees who are fully trained and ramped up do have hybrid schedule flexibility options.</p>
