<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<p>Job Posting: Claims Adjuster – Remote</p><p>Join our team to support a leading pet insurance organization as a Claims Adjuster. This is a fully remote role offering the opportunity to help pet parents by efficiently managing, adjudicating, and finalizing insurance claims. We are looking for detail-oriented individuals who value accuracy, organization, and clear communication.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Adjudicate insurance claims in a timely and compliant manner, adhering to standard operating procedures.</li><li>Consistently meet or exceed daily claims targets.</li><li>Provide guidance, oversight, and final approval authority to non-licensed claims processors (GenPact, AdStrat, or Healthy Paws).</li><li>Maintain active adjuster licenses as required by state and municipal regulations.</li><li>Identify and recommend process improvements to enhance the claims workflow.</li><li>Ensure all claims are processed according to compliance and quality standards.</li></ul><p><br></p>
We are looking for a dedicated Damage Claims Analyst to join our team in Indianapolis, Indiana. This long-term contract position offers an excellent opportunity to address a backlog of damage claims with precision and efficiency. If you have expertise in claims processing and a strong background in casualty and property damage claims, we encourage you to apply.<br><br>Responsibilities:<br>• Review and analyze damage claims to ensure accuracy and compliance with company standards.<br>• Process casualty and property damage claims efficiently using SAP systems.<br>• Investigate claims thoroughly to determine liability and assess damages.<br>• Communicate with clients, adjusters, and other stakeholders to gather necessary documentation and information.<br>• Maintain organized records of claims and ensure all documentation is complete.<br>• Resolve claims disputes by negotiating settlements where appropriate.<br>• Collaborate with team members to prioritize and address backlog cases.<br>• Ensure compliance with insurance regulations and company policies during claims processing.<br>• Provide timely updates to management regarding claim statuses and progress.<br>• Utilize analytical skills to identify trends or issues within claims processing workflows.
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
We are looking for a skilled and detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Daytona Beach, Florida. This role focuses on managing accounts receivable and collections for commercial insurance and Medicare/Medicaid accounts while ensuring compliance and accuracy in claims processing. As a long-term contract position, it offers the opportunity to contribute to vital healthcare operations within a dynamic environment.<br><br>Responsibilities:<br>• Handle accounts receivable clean-up activities, prioritizing outstanding commercial and Medicare/Medicaid balances.<br>• Oversee collection efforts by following up on aged accounts and resolving discrepancies to ensure timely payments.<br>• Review and process claims with a focus on accuracy, compliance, and timely reimbursement.<br>• Utilize Epic system work queues to verify that claims are complete, clean, and ready for submission.<br>• Collaborate with internal teams to support efficient billing operations and resolve AR-related challenges.<br>• Identify recurring issues in claims or AR processes and recommend improvements.<br>• Maintain accurate and up-to-date documentation across systems to ensure seamless operations.<br>• Provide expertise in navigating both legacy and updated systems for efficient claims and collections handling.<br>• Communicate effectively with payers to address disputes and secure resolutions for outstanding balances.
<p>We are currently seeking an experienced <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> to join our team in the Los Angeles, CA area. As a <strong>Workers Compensation Lost Time Senior Claim Examiner</strong>, you will handle a caseload of lost time workers compensation claims originating primarily from California. This <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> role is an on-site position located in Los Angeles and focuses on delivering high-quality claims service in a fast-paced, customer-driven environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Manage all aspects of lost time workers compensation claims from initiation through closure.</li><li>Conduct three-part investigations, including statements from insureds, claimants, and medical providers.</li><li>Determine claim compensability based on investigation outcomes.</li><li>Administer statutory medical and indemnity benefits timely and accurately.</li><li>Communicate denials and updates to insureds, claimants, attorneys, and involved parties.</li><li>Set and adjust reserves within authority, escalating when necessary.</li><li>Collaborate with legal counsel on hearings and litigation matters.</li><li>Direct vendors and medical case managers on return-to-work strategies.</li><li>Comply with all state and regulatory reporting requirements.</li><li>Refer appropriate claims for subrogation and maximize recovery efforts.</li><li>Partner with internal teams (nurses, investigators, case managers) for optimal claim outcomes.</li><li>Prepare clear, professional documentation and reports.</li></ul><p><br></p>
<p>We are seeking a <strong>Senior Workers’ Compensation Claim Representative</strong> to join our team in Los Angeles, CA. This is an on-site, full-time temporary role. The <strong>Senior Workers’ Compensation Claim Representative</strong> will be responsible for managing all aspects of lost time claims for California, ensuring superior customer service and compliance with state regulations. As a <strong>Senior Workers’ Compensation Claim Representative</strong>, you’ll work closely with attorneys, vendors, and internal teams to deliver high-quality claims management services.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage workers' compensation lost time claims from start to closure</li><li>Conduct comprehensive investigations and evaluate compensability</li><li>Communicate claim decisions to insureds, claimants, and attorneys</li><li>Administer statutory medical and indemnity benefits throughout claim lifecycle</li><li>Set and adjust reserves within authority limits</li><li>Collaborate with attorneys on hearings and litigation strategies</li><li>Direct nurse case managers, rehabilitation vendors, and telephonic case managers</li><li>Ensure compliance with all statutory filing requirements</li><li>Pursue subrogation opportunities where applicable</li><li>Maintain detailed file notes and participate in claim reviews</li></ul><p><br></p>
We are looking for a detail-oriented Automotive Claims Representative to join our team in Rockville Centre, New York. In this role, you will handle a variety of accounting tasks and ensure that claims are processed efficiently and accurately. The ideal candidate thrives in a structured environment and has a solid understanding of accounts payable, accounts receivable, and invoice processing.<br><br>Responsibilities:<br>• Process and manage automotive claims with accuracy and attention to detail.<br>• Handle accounts payable and accounts receivable transactions in a timely manner.<br>• Use QuickBooks to maintain and update financial records.<br>• Review and process invoices to ensure proper documentation and compliance.<br>• Enter data efficiently into accounting systems while maintaining accuracy.<br>• Communicate with clients and vendors to address inquiries and resolve discrepancies.<br>• Assist in reconciling accounts to ensure balanced financial records.<br>• Support the team in preparing reports and documentation as required.<br>• Monitor deadlines and prioritize tasks to meet organizational goals.
<p><br></p><ul><li><strong>Position: Claims Adjuster - Workers' Compensation - Trainee (CONTRACT ROLE)</strong></li><li><strong>Location: </strong>9200 Oakdale Avenue 8th Floor Chatsworth, Chatsworth, California, 91311, United States</li><li><strong>Type: 100% ONSITE</strong></li><li><strong>Hourly Pay Range: $30 per hour </strong></li></ul><p>Job Description:</p><p>MAJOR DUTIES RESPONSIBILITIES:</p><p>Duties may include but are not limited to:</p><p>- Compensability investigations in regards to Workers Compensation claims</p><p>- Handle new losses verifies accuracy of information</p><p>- Deals with insureds clients and other customers</p><p>- Complete claim investigation via phone and email to injured workers medical providers and employers.</p><p>- Handles jurisdictional notices payment of benefits scheduling medical appointments completion and filing of necessary forms</p><p>- Review medical reports and information to determine compensability of claims.</p><p>- Work with Special Investigation Unit when necessary</p><p>- Direct attorney representation to strategize case resolution</p><p>- Handles other administrative duties for the team as assigned</p><p><br></p><p><br></p>
<p>We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.</p><p>• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.</p><p>• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.</p><p>• Document all claim activity, correspondence, and status updates thoroughly in the billing system.</p><p>• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.</p><p>• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.</p><p>• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.</p><p>• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.</p><p>• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.</p><p>• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.</p>
We are looking for a highly organized and detail-oriented Stop Loss Coordinator to oversee and streamline the claims process for stop loss insurance. This role involves managing claims from submission to resolution, ensuring compliance with policies and timely reimbursements. The ideal candidate will collaborate with internal teams and carriers to maintain accurate documentation and provide updates on claims progress.<br><br>Responsibilities:<br>• Manage the complete lifecycle of stop loss claims, from submission to resolution, ensuring timely and accurate processing.<br>• Coordinate with the Finance department to reconcile reimbursements and payments effectively.<br>• Monitor pending claims submissions and promptly respond to carrier requests for additional information.<br>• Review and interpret stop loss policies to confirm compliance with reimbursement and claims requirements.<br>• Maintain thorough and organized records of claims documentation and correspondence following company procedures.<br>• Analyze claims data and address carrier denials or requests for further clarification.<br>• Provide regular updates to management regarding claim statuses, pending issues, and expected resolution timelines.<br>• Collaborate with internal teams to gather necessary information for claims processing.<br>• Perform additional duties as assigned to support the overall claims management process.
We are looking for an Accounts Receivable Specialist to join our team in Clayton, Missouri. This is a contract position offering the opportunity to contribute to key financial processes, including insurance billing and claims resolution. The role begins with on-site training and transitions to remote work, providing flexibility and opportunities for growth.<br><br>Responsibilities:<br>• Process insurance claims efficiently and ensure timely collection of payments.<br>• Prepare and submit accurate billing statements to insurance providers.<br>• Investigate and resolve claim rejections, working closely with insurance companies to address issues.<br>• Monitor accounts receivable records and ensure proper documentation for all claims.<br>• Collaborate with relevant departments to resolve billing discrepancies and ensure compliance.<br>• Maintain up-to-date knowledge of Medicaid and other insurance policies.<br>• Provide regular updates on outstanding claims and collections to management.<br>• Ensure adherence to company policies and procedures for financial transactions.<br>• Support continuous improvement efforts within the accounts receivable process.
<p>A Medical Center in Los Angeles is looking for a dedicated Surgery Medical Biller/Collections Specialist. This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement. The ideal candidate will bring expertise in medical billing, collections, denial management, and appeals, as well as familiarity with Epic billing workflows. </p><p><br></p><p>Responsibilities:</p><p>• Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing.</p><p>• AR Insurance follow up via phone and online web portals. </p><p>• Submit electronic claims in compliance with specific payer guidelines and requirements.</p><p>• Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues.</p><p>• Handle claim attachments and supporting documentation to meet payer requirements.</p><p>• Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation.</p><p>• Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts.</p><p>• Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy.</p><p>• Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials.</p><p>• Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission.</p><p>• Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution.</p>
<p>Our client is looking for a detail-oriented Liabilities Claim Specialist to join their team on a contract-to-hire basis in Santa Ana, California. In this role, you will be responsible for managing a variety of claims processes, ensuring seamless communication between stakeholders, and maintaining compliance with documentation standards. This position requires strong organizational skills and the ability to handle multiple tasks effectively while adhering to deadlines.</p><p><br></p><p>Responsibilities:</p><p>• Process incident reports by gathering necessary documentation and submitting first notices of loss.</p><p>• Maintain organized and accurate claim files, ensuring all deadlines and regulatory requirements are met.</p><p>• Act as the main point of contact between internal teams and external partners, including vendors and consultants.</p><p>• Coordinate vehicle repairs, property remediation efforts, and environmental response actions while validating associated invoices.</p><p>• Support recovery efforts by preserving evidence and assisting with subrogation processes.</p><p>• Generate regular claim reports, analyze trends, and provide actionable insights for improvement.</p><p>• Ensure compliance with documentation standards and assist with cross-functional investigations.</p><p>• Manage communications and follow-ups to ensure timely resolution of claims.</p><p>• Oversee the coordination of vendor services and repairs while monitoring progress and quality.</p><p>• Provide administrative assistance to ensure smooth operations within the claims management process.</p>
We are looking for an organized and detail-oriented Administrative Assistant to join our team in Avon, Minnesota. In this long-term contract position, you will play a pivotal role in managing incident claims, ensuring smooth communication, and maintaining accurate data records. This is an excellent opportunity for professionals with strong administrative and communication skills who thrive in a collaborative environment.<br><br>Responsibilities:<br>• Oversee the triaging of incident claims, determining escalation needs, and directing them to the appropriate departments.<br>• Process invoices accurately and in a timely manner.<br>• Conduct follow-ups to gather missing information and ensure claims progress efficiently.<br>• Communicate with insurance companies to facilitate claim resolutions and updates.<br>• Perform extensive data entry tasks to maintain accurate records and documentation.<br>• Utilize Microsoft Outlook and Teams for effective communication and scheduling.<br>• Collaborate with internal analysts and other team members to ensure smooth operations.<br>• Leverage incident management systems, such as Power BI, to track and report claims.<br>• Provide support in claims-related tasks, including appraisals and auto estimating processes.<br>• Maintain a positive attitude and demonstrate a willingness to learn new systems and procedures.
We are looking for a detail-oriented Workers' Compensation Coordinator to join our team on a contract basis in Torrance, California. This role is dedicated to supporting patient financial services and ensuring smooth coordination of workers' compensation claims. The ideal candidate will bring expertise in handling authorizations, managing progress reports, and interacting with patients to provide exceptional service.<br><br>Responsibilities:<br>• Generate and submit authorization requests for workers' compensation claims.<br>• Review, interpret, and manage progress reports, including PR2 documentation.<br>• Utilize relevant tools and systems to copy, paste, and submit documentation accurately.<br>• Process submissions through designated portals to ensure timely approvals.<br>• Collaborate with patients to gather necessary intake information and address financial concerns.<br>• Monitor and track the status of workers' compensation cases for updates.<br>• Ensure compliance with organizational policies and regulatory requirements in all processes.<br>• Work with internal teams to resolve issues and streamline workflows.<br>• Maintain organized records of all claims and patient interactions.<br>• Provide clear communication and updates to patients regarding their claims.
<p>Our client in Springfield, MA is seeking an experienced Insurance Follow-Up Specialist for a contract position. This is an excellent opportunity to contribute your expertise with a respected organization, ensuring the timely and accurate management of insurance claims and reimbursement processes.</p><p>Key Responsibilities:</p><ul><li>Investigate and resolve unpaid or delayed insurance claims</li><li>Communicate effectively with insurance carriers to obtain status updates, claim resolutions, and clarification of denials</li><li>Review and analyze explanation of benefits (EOBs) and remittance advice to determine appropriate follow-up</li><li>Appeal denied claims in accordance with payer-specific guidelines</li><li>Document all interactions and claim actions in the billing system accurately</li><li>Collaborate with internal teams, such as billing and collections, to ensure coordinated efforts</li><li>Maintain up-to-date knowledge of insurance regulations and payer requirements</li></ul><p><br></p>
<p>We are looking for an experienced Patient Accounts Representative / Biller to join our team <strong>fully on-site in Valhalla, New York</strong>. This <strong>long-term contract-to-hire</strong> opportunity offers an opportunity to play a key role in ensuring accurate and efficient revenue cycle operations within a healthcare setting. The ideal candidate will bring expertise in medical billing, claims processing, and collections while managing multiple priorities in a fast-paced environment.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Perform full revenue cycle duties, including claim preparation, submission, reconciliation of AR accounts, and resolution of credit balances.</li><li>Responsible for the <strong>full billing cycle</strong>, including cash posting, collections, claim processing, and follow‑up.</li><li>Track progress of claims and reconcile payments to ensure accuracy.</li><li>Pursue denied claims, complete resubmissions, write appeal letters, and conduct phone/portal follow‑up with payers.</li><li>Review aging trial balances and work diligently to reduce AR balances.</li><li>Process claims for <strong>Medicaid FFS</strong>, Managed Care, commercial payers, and no‑fault insurance.</li><li>Work closely with the <strong>Patient Access Department</strong> to ensure clean claims and proper documentation.</li><li>Communicate effectively with individuals across varying knowledge levels.</li><li>Manage multiple priorities simultaneously while meeting strict deadlines.</li></ul><p><br></p>
We are looking for a Billing Clerk to join our team in Roslyn Heights, New York. In this role, you will play a critical part in ensuring the accuracy and efficiency of billing processes within a healthcare setting. Your responsibilities will include managing insurance claims, addressing patient inquiries, and contributing to the overall success of the revenue cycle.<br><br>Responsibilities:<br>• Analyze and address denials and underpaid claims from insurance carriers based on contracted fee schedules.<br>• Submit appeals for inappropriate insurance denials in a timely manner.<br>• Communicate with patients to resolve questions about their claims, coverage, and billing concerns.<br>• Validate overpayment refund requests from insurance carriers to ensure accuracy.<br>• Monitor and identify trends among payors that impact revenue.<br>• Participate in individualized accounts receivable reviews with management.<br>• Determine coordination of benefits for patients with secondary and tertiary insurance coverage.<br>• Support various tasks related to revenue cycle operations as needed.<br>• Maintain constructive and positive interactions with patients, colleagues, and managers to foster a collaborative work environment.
<p>We are looking for a skilled SNF Medicaid Biller to join our team in Lemont, Illinois. This long-term contract position involves handling various aspects of Medicaid billing for skilled nursing facilities, ensuring accuracy in claims submission and payment reconciliation. The ideal candidate will have a strong understanding of Medicaid regulations, excellent attention to detail, and the ability to communicate effectively with multiple stakeholders.</p><p><br></p><p>Responsibilities:</p><p>• Accurately prepare and submit Medicaid claims for skilled nursing facility residents within established deadlines.</p><p>• Monitor claim statuses, identify errors or rejections, and take corrective actions to ensure timely resubmission.</p><p>• Analyze aging reports to track outstanding balances and initiate follow-ups on unpaid or incorrectly paid claims.</p><p>• Reconcile payments, adjustments, and patient responsibility amounts to maintain accurate account records.</p><p>• Collaborate with admissions, social services, and finance teams to verify resident eligibility and payer status.</p><p>• Engage with Medicaid representatives and managed care organizations to resolve coverage issues and obtain prior authorizations.</p><p>• Maintain thorough documentation of claim statuses, correspondence, and related records.</p><p>• Ensure compliance with state and federal Medicaid regulations in all billing processes.</p><p>• Address denials by initiating appeals or reconsiderations as necessary.</p><p>• Provide support to facility staff and residents' families regarding billing inquiries.</p><p><br></p><p>The salary range for this position is $25/hr to $30/hr. 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. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Eugene, Oregon. In this role, you will play a critical part in managing insurance claims, ensuring accurate billing, and maintaining compliance with Medicare and other insurance standards. </p><p>Responsibilities:</p><p>• Process and follow up on denied insurance claims to ensure timely resolution.</p><p>• Verify and update insurance information for accuracy and compliance.</p><p>• Manage Medicare billing processes while handling limited amounts of other insurance claims.</p><p>• Utilize electronic health record systems to monitor and document billing activities.</p><p>• Collaborate with team members to maintain accurate records and streamline billing workflows.</p><p>• Ensure compliance with healthcare regulations and insurance requirements.</p><p>• Perform data entry and analysis using Microsoft Excel to support billing operations.</p><p>• Communicate with insurance providers to address discrepancies and secure payments.</p><p>• Maintain organized documentation and records to facilitate audits and reporting.</p>
We are looking for an experienced Customer Service Representative to join our team on a contract basis in Clearwater, Florida. In this role, you will play a crucial part in assisting clients with medical payment solutions, ensuring a seamless experience in resolving claims-related issues. This position requires excellent communication skills, attention to detail, and a strong focus on accuracy in a business casual environment.<br><br>Responsibilities:<br>• Handle inbound and outbound calls to provide assistance regarding medical claims.<br>• Inform customers about claim denials and guide them through available payment plan options.<br>• Collaborate with clients to create solutions that address outstanding claims.<br>• Maintain detailed and accurate records of client interactions and solutions.<br>• Deliver exceptional customer service to ensure client satisfaction.<br>• Communicate effectively with customers, addressing concerns and resolving issues promptly.<br>• Adhere to company policies and procedures while interacting with clients.<br>• Work collaboratively with internal teams to address customer inquiries.<br>• Participate in onboarding and training processes for continuous improvement.<br>• Demonstrate integrity and empathy in all customer interactions.
<p>We are looking for a dedicated Medical Billing Specialist. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient processing of medical claims, helping the organization maintain compliance and achieve timely reimbursements. This role requires a keen eye for detail and a strong understanding of medical billing processes and terminology.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit accurate medical claims to insurance providers for reimbursement.</p><p>• Verify patient information, including demographics and insurance details, to ensure claims are processed correctly.</p><p>• Review denied or unpaid claims, identify issues, and submit appeals to resolve discrepancies.</p><p>• Communicate effectively with insurance companies, patients, attorneys, and healthcare providers to address billing inquiries.</p><p>• Maintain compliance with patient confidentiality regulations and organizational standards.</p><p>• Monitor and manage accounts receivable, ensuring timely follow-up on outstanding balances.</p><p>• Collaborate with team members to improve billing procedures and enhance operational efficiency.</p><p>• Maintain accurate records of billing activities and updates within electronic medical systems.</p>
