<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>
<p>We are looking for an experienced Insurance Claims Examiner to join our team on a contract basis in Oakland, California. In this role, you will analyze and process medical claims, ensuring accuracy and compliance with healthcare regulations. Ideal candidates will have a strong background in insurance claims management and coding, along with the ability to work independently in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Review and adjudicate medical claims for accuracy and compliance with Medi-Cal, Medicare, and other healthcare regulations.</p><p>• Research and resolve claim discrepancies, ensuring proper payment and documentation.</p><p>• Utilize coding systems such as ICD-10, CPT, and HCPCS to verify claim accuracy.</p><p>• Maintain confidentiality while handling sensitive participant and family information.</p><p>• Follow organizational policies and procedures to ensure compliance and attention to detail.</p><p>• Exhibit consistent attendance and punctuality while meeting deadlines.</p><p>• Communicate effectively with internal teams and external stakeholders to address claim issues.</p><p>• Input accurate data into various computer systems and software programs.</p><p>• Provide courteous and detail-oriented customer service to all stakeholders.</p><p>• Perform additional duties as assigned to support claims processing activities.</p><p><br></p><p>If you are interested in this role please apply now and call us at (510) 470-7450, it is an urgent need for our client. </p>
<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 an experienced Medical Insurance Claims Specialist to join our team in Worthington, Ohio. In this long-term contract role, you will play a key part in ensuring accurate processing of medical claims and verifying patient insurance eligibility. This position offers the opportunity to work in the dynamic social care/services industry, contributing to efficient billing and claims management.<br><br>Responsibilities:<br>• Process medical insurance claims with a high level of accuracy and attention to detail.<br>• Verify patient eligibility and insurance coverage to ensure proper billing procedures.<br>• Collaborate with healthcare providers and insurance companies to resolve claim discrepancies.<br>• Maintain comprehensive records of claims and billing activities for audit purposes.<br>• Identify and address issues with insurance claims to prevent delays in processing.<br>• Review and analyze patient data to ensure compliance with insurance requirements.<br>• Assist in the preparation and submission of claims to insurance carriers.<br>• Provide support and guidance to team members regarding claims procedures and policies.<br>• Stay updated on changes in medical billing regulations and insurance policies.<br>• Communicate effectively with patients and stakeholders to address billing inquiries.
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
<p>We are seeking a skilled Medical Billing Specialist to join a busy team and assist with processing and submitting medical insurance invoices and claims. The successful candidate will be responsible for ensuring accurate and timely submission of claims to insurance companies, reviewing and verifying insurance information, and resolving any issues or errors related to patient accounts.</p><p> </p><p>As a Medical Billing Specialist, you will work in this fast-paced environment, collaborating with other members of the medical billing team to ensure efficient and effective billing and claims processing. The ideal candidate will have strong attention to detail, excellent communication and customer service skills, and the ability to work independently. **This is an onsite role in the greater Chattanooga/North Georgia area**</p><p> </p><p>Responsibilities:</p><ul><li>Process and submit medical insurance claims accurately and in a timely manner</li><li>Review and verify patient insurance information, including policy numbers and coverage</li><li>Resolve any issues or errors related to patient billing</li><li>Communicate with patients and insurance companies regarding claim status and payment</li><li>Collaborate with other members of the medical billing team to ensure efficient and effective claims processing</li><li>Maintain accurate records and documentation of claims and payments</li></ul><p>Please complete an application and call (423) 244-0726 directly for more information!</p><p> </p>
<p>We are looking for an experienced IT Business Analyst to join our team in the Tampa, FL office location a, on a Contract-to-Permanent basis. In this role, you will collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements, analyzing systems, configuring changes, and ensuring seamless integration across departments.</p><p><br></p><p>Responsibilities:</p><p>• Gather and document detailed business requirements to support claims administration systems.</p><p>• Create and maintain comprehensive documentation on system functionality and processes.</p><p>• Collaborate with Quality Analysts to develop and execute test cases, ensuring system changes align with business needs.</p><p>• Conduct systems analysis and testing to identify and resolve application issues.</p><p>• Coordinate and communicate system changes, including demos, with internal departments and external stakeholders.</p><p>• Perform UI-based configuration changes to enhance system functionality and usability.</p><p>• Build strong relationships with Claims management and other key stakeholders to align project goals.</p><p>• Partner with development teams to ensure seamless integration and proper implementation of system updates.</p><p>• Provide detailed answers to technical and functional questions from team members during project execution.</p>
We are looking for a highly analytical and detail-oriented Data Analyst to join our team in Greenville, South Carolina. In this role, you will play a key part in configuring and maintaining client benefit plans, contracts, and paycodes within a legacy AS400 claims processing system. This is a contract-to-permanent position within the insurance industry, offering the opportunity to contribute to specialized system setups and ensure accuracy in claims processing.<br><br>Responsibilities:<br>• Configure and implement new client setups in the AS400 system, including benefit plans, premium structures, paycodes, billing setups, and access controls.<br>• Convert benefit plan requirements into precise system coding based on detailed documentation.<br>• Map benefit plans to corresponding plan years, contracts, sub-plans, employer groups, and portals.<br>• Update system configurations to reflect renewals or changes to benefit plans while maintaining accurate documentation.<br>• Investigate and resolve configuration and paycode issues to ensure claims are processed correctly.<br>• Conduct testing, validation, and audits to maintain system accuracy and address discrepancies.<br>• Collaborate on special projects involving highly customized, layered software environments.<br>• Support the creation and maintenance of group plan and benefit plan documents within the system.<br>• Troubleshoot and refine formula logic for paycodes to align with client-specific needs.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare financial transactions. If you have a strong attention to detail and a commitment to maintaining compliance with medical standards, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently to ensure timely reimbursements.</p><p>• Review and verify patient account information for accuracy and completeness.</p><p>• Handle medical collections, including resolving discrepancies and communicating with insurance companies.</p><p>• Collaborate with healthcare providers and staff to address billing inquiries and resolve issues.</p><p>• Maintain up-to-date knowledge of medical billing regulations and compliance standards.</p><p>• Generate reports related to billing activities and provide insights for process improvements.</p><p>• Identify and correct billing errors to minimize delays and denials.</p><p>• Ensure confidentiality and security of patient financial information at all times.</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>Our client is looking for a medical biller who has experience with the denials process for healthcare companies. This role is 100% onsite and will be a standard 8am - 5pm schedule. </p><p><br></p><ul><li>Review, analyze, and interpret medical claim denials from insurance companies.</li><li>Investigate root causes of denials and work to resolve them via appeals or corrected submissions.</li><li>Communicate professionally with payers to gather needed information and negotiate claim resolution.</li><li>Collaborate with providers, coders, and revenue cycle staff to prevent future denials.</li><li>Maintain detailed records of denied claims and actions taken.</li><li>Prepare and submit written appeals with supporting documentation as needed.</li><li>Monitor payer trends and identify opportunities to enhance billing and collections processes.</li><li>Ensure compliance with all regulatory guidelines and organizational policies.</li><li>Meet daily and monthly productivity targets for denial resolution and claims follow-up.</li></ul><p><br></p>
We are looking for a motivated and detail-oriented Customer Service Representative to join our team in Richburg, South Carolina. In this role, you will handle customer claims, coordinate communication across departments, and ensure customer satisfaction through efficient claim processing. This position is Contract to permanent and offers the opportunity to work directly on the warehouse floor in a dynamic wholesale distribution environment.<br><br>Responsibilities:<br>• Evaluate incoming claims from customers and collaborate with the Quality Manager to ensure accurate processing.<br>• Gather supporting evidence for claims, such as product samples or photographs.<br>• Process customer claims, including managing material returns and issuing credits.<br>• Enter vendor claims into the system and oversee their resolution, including issuing debits.<br>• Handle the processing of credits and debits within the company’s system.<br>• Communicate effectively with sales, quality, and production teams throughout the claims process.<br>• Provide support for supplier and customer interactions during claim resolutions.<br>• Track rejected materials and inventory, and assist with documentation to reduce discrepancies.<br>• Conduct material inspections and contribute to internal audits as needed.<br>• Perform administrative tasks such as filing and contributing to root cause analysis documentation.
<p>We are looking for a motivated and detail-oriented Medical Billing Specialist to join our team in Oak Brook, Illinois. This contract position is ideal for candidates with a background in medical billing and a commitment to accuracy in claims processing and payment reconciliation. You will play a vital role in ensuring timely submissions and providing support to families relying on Medicaid-funded services.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit clinic patient claims to Medicaid and private insurers twice weekly, ensuring all necessary information is included.</p><p>• Identify and correct errors in claims submissions, resubmitting promptly to avoid delays.</p><p>• Prepare and distribute monthly invoices to families and payers.</p><p>• Perform daily reconciliation of billing records to maintain accuracy and compliance.</p><p>• Coordinate with physicians to obtain scripts for new clients, ensuring accurate documentation.</p><p>• Track claim statuses and escalate complex issues to management when needed.</p><p>• Ensure compliance with Medicaid-specific billing and reporting requirements.</p><p>• Maintain organized records of all billing activities and client interactions.</p><p>• Communicate effectively with families and physicians regarding payment plans and billing inquiries.</p><p><br></p><p>The hourly pay range for this position is $24 to $29/hour. 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 an Accounts Receivable Specialist to join one of our healthcare clients in Colorado Springs, Colorado. In this role, you will play a vital part in maintaining accurate records, processing claims, and ensuring timely communication with insurers and patients. This position requires strong attention to detail, problem-solving skills, and a commitment to delivering excellent service.</p><p><br></p><p>Responsibilities:</p><p>• Review denied claims and apply current coding and billing practices to resolve issues.</p><p>• Manage claim rejections through third-party clearinghouses, ensuring timely processing.</p><p>• Post and process verified denials during accounts receivable activities.</p><p>• Submit appeals for denied claims and handle overpayments from third-party payers.</p><p>• Collaborate with government and third-party insurers to follow up on missing or improperly denied claims.</p><p>• Support the team by verifying eligibility and benefits for in-office surgeries, including calculating patient estimates.</p><p>• Submit authorization requests to insurance providers for in-office surgeries and patch allergy testing.</p><p>• Coordinate with the Surgery Coordinator team to ensure patients receive approved and timely surgical care.</p><p>• Participate in team workshops and contribute to project assignments as needed.</p><p><br></p><p>Interested in applying? Contact Victor Granados at 719-249-5153 for additional details.</p>
<p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
<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 diligent and resourceful Executive Assistant to support our Finance and Risk Management teams in an automotive industry setting. This contract-to-permanent position is based in Raleigh, North Carolina, and requires an individual who excels in administrative tasks, system navigation, and detailed coordination. The role focuses on treasury management and insurance claims processing, requiring a strong aptitude for organization, vigilance, and collaboration with internal and external stakeholders.<br><br>Responsibilities:<br>• Manage corporate banking platforms to generate reports, initiate workflows, and oversee treasury activities.<br>• Facilitate the opening, maintenance, and closure of corporate bank accounts, ensuring all documentation is complete and accurate.<br>• Conduct audits of banking permissions and monitor system access on a quarterly basis.<br>• Collaborate with auditors and provide necessary treasury documentation, including bank confirmations.<br>• Oversee the filing, tracking, and resolution of insurance claims, including property, casualty, workers’ compensation, and inventory claims.<br>• Work with department leaders to gather detailed incident information, such as photos and statements, for claims processing.<br>• Review and audit insurance claims for completeness to prevent delays and ensure accuracy.<br>• Assist in identifying operational risks and implement policies to mitigate liability across multiple locations.<br>• Analyze claims data to detect trends, safety concerns, and opportunities for operational improvements.<br>• Contribute to annual insurance renewals by preparing organized loss runs and related documentation for brokers.
<p>Reputable and growing firm is seeking a Workers Compensation Attorney. This role involves providing high-quality, cost-effective legal representation and working closely with a diverse range of clients and professionals. You'll be part of a team that values excellent communication, research, and analytical skills in a dynamic work environment.</p><p><br></p><p>Responsibilities: </p><p>• Deliver high-quality legal representation in workers compensation defense</p><p>• Foster strong relationships with a diverse community of clients and colleagues</p><p>• Engage in thorough and efficient research and analytical tasks</p><p>• Participate in court appearances related to workers compensation cases</p><p>• Handle related insurance claims as part of the legal service provision</p><p>• Maintain good standing with the California State Bar</p><p>• Travel occasionally as per case requirements</p><p>• Contribute to a congenial work atmosphere, maintaining excellent communication and cooperation with attorneys/lawyers and staff</p><p>• Participate actively in the firm's Associate Bonus Program.</p>
We are looking for a skilled Business Systems Analyst to join our team in Westlake, Ohio. This role is ideal for someone who thrives on analyzing complex data, translating business needs into actionable solutions, and collaborating across teams to enhance system functionality. The successful candidate will bring expertise in business analysis and a proactive approach to ensuring seamless project execution and client satisfaction.<br><br>Responsibilities:<br>• Analyze and interpret data files to translate between proprietary and standard formats, ensuring efficient resolution of business challenges.<br>• Document and implement functional requirements, technical specifications, and templates tailored to client needs while leveraging deep product knowledge.<br>• Review complex data sets, create mapping documents, and provide guidance on best practices to meet client requirements.<br>• Utilize internal databases to identify coding issues and recommend necessary adjustments.<br>• Act as a liaison between teams, managing system enhancements, defect resolution, and validation processes in collaboration with QA teams.<br>• Build and maintain strong relationships with clients, including executive-level stakeholders, and effectively communicate technical and non-technical concepts.<br>• Collaborate with IT teams to develop or improve client products, ensuring business requirements are met, conducting validations, and delivering end-user documentation and training.<br>• Identify opportunities for system improvements and escalate issues to ensure timely resolutions.<br>• Lead discussions with clients to understand their needs and provide strategic guidance, demonstrating professionalism and technical expertise.<br>• Participate in Agile-focused daily stand-up meetings and contribute to project success through disciplined adherence to the Software Development Lifecycle.
<p><strong>Position Summary:</strong></p><p>The Logistics Claims Specialist is responsible for managing and resolving freight claims related to loss, damage, and service failures across the supply chain. This role ensures timely and accurate processing of claims, maintains compliance with carrier agreements, and provides exceptional support to internal teams and external partners. The ideal candidate will have strong analytical skills, attention to detail, and experience in logistics operations.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Claims Management:</strong></li><li>Investigate, file, and track freight claims for loss, damage, and shortages with carriers and vendors.</li><li>Ensure claims are processed accurately and within contractual timelines.</li><li><strong>Documentation & Compliance:</strong></li><li>Collect and review all required documentation (BOLs, PODs, invoices, photos) to support claims.</li><li>Maintain compliance with carrier agreements and company policies.</li><li><strong>Communication & Coordination:</strong></li><li>Serve as the primary point of contact for claims inquiries from carriers, customers, and internal teams.</li><li>Collaborate with operations, customer service, and finance teams to resolve discrepancies.</li><li><strong>Reporting & Analysis:</strong></li><li>Monitor claim trends and provide regular reports on claim status, recovery rates, and root cause analysis.</li><li>Recommend process improvements to reduce claim frequency and cost.</li></ul><p><br></p>
We are looking for an experienced Billing Clerk to join our team in Forest Hills, New York. In this role, you will manage various billing functions, ensuring accuracy and efficiency in processing claims, invoices, and payments. This is a long-term contract position within the non-profit industry, offering an opportunity for growth and stability.<br><br>Responsibilities:<br>• Prepare and process billing statements and invoices with precision.<br>• Handle claims processing for Medicaid and healthcare-related billing.<br>• Investigate and resolve discrepancies in billing records or payments.<br>• Maintain accurate documentation and records for all billing activities.<br>• Collaborate with internal teams to ensure timely submission of claims and invoices.<br>• Monitor and track payments to ensure compliance with deadlines.<br>• Apply appropriate codes to invoices and claims based on regulations and policies.<br>• Support the implementation and maintenance of billing systems.<br>• Communicate with clients and stakeholders to address billing inquiries.<br>• Generate reports to analyze billing performance and identify areas for improvement.
<p><br></p><p>Our company is seeking a detail-oriented Claims and Payments Specialist to join our administrative or healthcare support team. This position is responsible for processing claims, working on denials, posting payments, and managing bill payments for our clients. The ideal candidate is proactive, organized, and committed to ensuring accurate handling of financial and billing requests.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Accurately process client claims and documentation.</li><li>Review, research, and resolve claim denials in a timely manner.</li><li>Post payments received to the proper accounts, maintaining clear and accurate records.</li><li>Pay bills for clients, ensuring deadlines and processes are followed.</li><li>Communicate with internal teams and clients regarding billing status, issues, and resolutions.</li><li>Maintain compliance with company and industry billing standards.</li><li>Support additional administrative or billing tasks as needed.</li></ul><p>Qualifications:</p><ul><li>Prior experience in claims processing, payment posting, billing, or related administrative duties is preferred.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent verbal and written communication abilities.</li><li>Proficiency in basic office software and billing systems.</li><li>Willingness to pay bills on behalf of clients as required by the role.</li></ul><p><br></p>
<p><strong>Join an industry leader!</strong> Our manufacturing client is seeking a highly skilled <strong>Litigation Paralegal</strong> to transition to an exciting <strong>in-house role</strong>. You will be a crucial part of the legal team, managing complex matters and contributing directly to business success.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims and lawsuits related to specific business units or product lines, gaining expertise in particular areas.</p><p>• Collaborate with internal teams to gather necessary information and provide updates on litigation progress.</p><p>• Partner with insurance providers and adjustors to address claims effectively.</p><p>• Collect, analyze, and organize internal and external documents required for legal proceedings.</p><p>• Coordinate with outside counsel, witnesses, and experts while aligning with the Legal Manager and Assistant General Counsel.</p><p>• Negotiate settlements and prepare relevant documentation, such as response letters, agreements, and releases.</p><p>• Draft responses to inquiries from federal, state, and local agencies.</p><p>• Assist with various legal projects based on the department's needs.</p><p>• Maintain meticulous records and ensure compliance with legal standards.</p><p>• Support the litigation team in trial preparation and case management activities.</p>
<p>Robert Half's client is seeking an Administrative Assistant to join a non-profit organization in Martinez, California. In this PART-TIME, contract position, you will play a vital role in supporting office operations, handling public inquiries, and ensuring accurate documentation and records management. This opportunity is ideal for someone who thrives in a fast-paced environment and enjoys multitasking while maintaining high levels of organization.</p><p><br></p><p>Administrative Assistant Responsibilities:</p><p>• Respond to public inquiries, route requests to appropriate departments, and provide excellent customer service.</p><p>• Manage claims processing by logging, coordinating, and tracking deadlines while maintaining accurate documentation.</p><p>• Handle requests under the California Public Records Act by clarifying inquiries, coordinating searches, and preparing responsive records.</p><p>• Organize, index, and maintain records through filing, scanning, and retention tracking according to established schedules.</p><p>• Provide administrative support such as preparing documents, entering data, scheduling appointments, and maintaining office logs.</p><p>• Assist with clerical accounting tasks, including processing invoices, purchase requests, and reimbursements while maintaining accurate records.</p><p>• Utilize office software and document management systems, ensuring confidentiality of sensitive information.</p><p>• Support the City Clerk with daily office functions and ensure compliance with policies and standards.</p><p>• Maintain clear and effective communication and business correspondence in all interactions.</p><p>• Prioritize tasks effectively and work independently while managing multiple deadlines.</p><p><br></p><p>If you are interested in this part-time Administrative Assistant position, please submit your resume today for immediate consideration.</p>
<p>We are looking for an experienced Medical Billing Specialist to join a team in Wilmington, Delaware. This position plays a vital role in ensuring accurate billing, claims processing, and accounts receivable management within a healthcare setting. As a Contract to permanent opportunity, this role offers the chance to demonstrate your expertise and grow within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims using UB04 forms while ensuring compliance with healthcare regulations and payer requirements.</p><p>• Perform detailed medical coding using current standards to accurately reflect resident care and services.</p><p>• Manage accounts receivable for Medicaid and Medicare billing, resolving discrepancies and handling claim denials effectively.</p><p>• Update and reconcile resident census data to ensure accurate billing for insurance providers.</p><p>• Coordinate billing for resident accounts, verify insurance eligibility, and maintain precise records of claim statuses.</p><p>• Utilize PointClickCare and other healthcare software to manage billing and documentation processes.</p><p>• Monitor claim statuses, investigate rejections or denials, and prepare corrected claims when necessary.</p><p>• Collaborate with clinical and administrative teams to ensure accurate census reporting and smooth billing operations.</p><p>• Uphold compliance with healthcare policies and regulations, safeguarding patient information and confidentiality.</p>
