<p>The Prior Authorization Specialist is responsible for obtaining and processing all prior authorization requests, coordinating phone calls, entering, and tracking data from insurance providers and health plans regarding authorization, expedited reviews, and appeals. The Prior Authorization Specialist is required to document and track all communication attempts with insurance providers and health plans, follow up on all denials while working to ensure services are validated Duties and Responsibilities.</p><p><br></p><p>o Reviews accounts, and initiate pre-authorizations, and other requirements related to managed care; route to appropriate departments as needed.</p><p>o Collects demographic, insurance, and clinical information to ensure that all reimbursement requirements are met.</p><p>o Assists in monitoring utilization services to assure cost effective use of medical resources through processing prior authorizations.</p><p>o Assists with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.</p><p>o Provides consistent and comprehensive information (both in writing and verbally) to facilitate approvals.</p><p>o Ensures insurance carrier documentation requirements are met and authorization documentation is entered and recorded in the patient's records. </p><p>o Appeals pre-authorization denials and/or set-up peer to peer reviews. </p><p>o Maintains extensive knowledge and expertise of insurance companies and billing authorization requirements.</p><p>o Submitting Authorization as required and ensuring all applicable codes, and information required were submitted to the appropriate payer.</p>
We are looking for a detail-oriented Billing Specialist to join our team in Washington, District of Columbia. The ideal candidate will play a key role in managing billing processes, ensuring accuracy in financial records, and maintaining clear and effective communication with clients. This is a great opportunity for someone with a strong background in billing systems and collection processes.<br><br>Responsibilities:<br>• Prepare, review, and issue accurate billing statements for clients in a timely manner.<br>• Manage the end-to-end billing process, including invoicing and reconciliation of accounts.<br>• Monitor and follow up on outstanding payments to ensure timely collection of receivables.<br>• Maintain and update billing records in computerized systems, ensuring all information is accurate and up-to-date.<br>• Identify and resolve discrepancies in billing and payment records to maintain financial accuracy.<br>• Collaborate with internal teams to address any billing-related inquiries or issues.<br>• Generate reports related to billing activities and provide insights to support decision-making.<br>• Ensure compliance with company policies and financial regulations in all billing operations.<br>• Assist in the development and improvement of billing procedures and systems as needed.
<p>Reputable, financial services firm seeks a Portfolio Assistant with proven expertise handling investments and financial models. This role will involve, overseeing trade transactions, account reconciliations, preparing client annual reviews, managing portfolio performance, leading a team of accounting professionals, managing the month close process, coordinating annual audits, identifying and resolving discrepancies, and interface with regulatory agencies as necessary. The ideal Portfolio Assistant for this role should have excellent analytical skills, great research abilities, and in-depth knowledge of industry trends and compliance updates.</p><p><br></p><p>Primary Responsibilities</p><p>· Analyzing financial reports</p><p>· Monitoring internal/external investments</p><p>· Account Reconciliation</p><p>· Portfolio Management</p><p>· Assist with the annual audit process</p><p>· Supervise reconciliation of investment portfolios</p><p>· Gather treasury filings as needed</p><p>· Technology Utilization</p><p>· Maintain strong client relationships</p><p>· Risk Management</p>
We are looking for a meticulous and analytical Billing Analyst to join our team in Chantilly, Virginia. In this Contract-to-Permanent position, you will play a critical role in ensuring billing accuracy and maintaining financial integrity. This opportunity offers a dynamic environment where attention to detail and strong communication skills are essential for success.<br><br>Responsibilities:<br>• Extract and analyze billing data from internal systems, ensuring that invoice rates align with system-generated rates.<br>• Handle a high volume of transactional work, including following up with various branches to resolve missing or incorrect information.<br>• Identify discrepancies and initiate investigations to address billing issues through effective communication.<br>• Collaborate with internal teams to support billing processes related to contracts, including Microsoft security operations.<br>• Utilize Microsoft Excel and various accounting software programs to manage and process invoices efficiently.<br>• Ensure timely entry and approval of invoices while adhering to company policies and procedures.<br>• Monitor and maintain accurate records of billing activities, ensuring compliance with financial standards.<br>• Transition to a hybrid work schedule after initial onboarding, balancing in-office and remote tasks effectively.
We are looking for a detail-oriented Billing Clerk to join our team on a long-term contract basis in Washington, District of Columbia. This role is essential to ensuring accurate billing processes and supporting accounts payable operations in a legal environment. The ideal candidate will bring proficiency in ProLaw and a proactive approach to handling diverse tasks.<br><br>Responsibilities:<br>• Process and manage accounts payable transactions with accuracy and efficiency.<br>• Perform billing functions, ensuring timely and precise invoicing.<br>• Utilize ProLaw software to execute billing and related tasks effectively.<br>• Collaborate with team members to address inquiries and resolve discrepancies.<br>• Handle ad hoc assignments to support the department's operational needs.<br>• Maintain organized records and documentation for all billing activities.<br>• Ensure compliance with legal billing standards and practices.<br>• Communicate professionally with internal and external stakeholders to address billing matters.
