<p>We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide critical support in managing claims-related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims. This is a long-term contract position ideal for professionals with strong organizational skills and a background in medical office operations.</p><p><br></p><p>Responsibilities:</p><p>• Match checks with remittance advice, prepare and insert them into envelopes for mailing.</p><p>• Reconcile processed batches within the audit database to ensure accuracy.</p><p>• Create and mail denial trailers and letters to providers.</p><p>• Print and send out claim requirement letters for Covered California members.</p><p>• Forward claims to the appropriate health plan when necessary.</p><p>• Process and mail claims deemed unable to process, including generating the necessary correspondence.</p><p>• Batch trailers created by various departments and ensure proper documentation.</p><p>• Audit the batch log key to confirm claims have been assigned and logged correctly.</p><p>• Verify member information to determine line of business and coordination of benefits in the system.</p><p>• Collaborate on process adjustments and work independently or as part of a team.</p>
We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a collaborative team player who is dependable, punctual, and committed to delivering high-quality results.<br><br>Responsibilities:<br>• Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date.<br>• Resubmit denied or rejected claims, following proper protocols to secure approvals.<br>• Post payments accurately into multiple systems, maintaining consistency and precision.<br>• Utilize payer portals to manage claims and track progress effectively.<br>• Perform clerical tasks such as data entry and filing with a focus on accuracy and attention to detail.<br>• Collaborate with a team of professionals to ensure smooth workflows and timely completion of tasks.<br>• Monitor claim statuses to identify and resolve discrepancies proactively.<br>• Maintain compliance with relevant policies and regulations in the healthcare industry.<br>• Provide support in behavioral health payment posting processes.<br>• Communicate effectively with team members and external parties regarding claim-related issues.
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 looking for a dedicated Claims Intake Coordinator to join our team in Ontario, California. This long-term contract position involves supporting the claims processing team by ensuring accurate intake, sorting, and preparation of medical claims for further handling. The role is vital in maintaining efficient workflows and providing support to healthcare providers across various regions.</p><p><br></p><p>Responsibilities:</p><ul><li>Open, sort, prioritize, batch, log, and track all incoming claims mail.</li><li>Distribute claims according to market, priority, appeal status, scanning need, and health plan risk.</li><li>Ensure all claims received are complete and ready for processing.</li><li>Route unclean claims back to providers for correction.</li><li>Forward out-of-state claims to the appropriate health plan for handling.</li><li>Run the Claims Fallout process and distribute Fallout Worksheets via email to relevant departments.</li><li>Assist with the distribution of checks (match checks with Explanation of Benefits, fold, and insert into correct envelopes).</li><li>Match remittance advices with checks and prepare mailing.</li><li>Reconcile processed batches within the audit database.</li><li>Create denial trailers and mail denial letters accordingly.</li></ul>
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
We are looking for an experienced Database Administrator to join our team on a long-term contract basis in Philadelphia, Pennsylvania. In this role, you will play a crucial part in maintaining, optimizing, and securing database systems that support insurance claims processes. This position offers an opportunity to work in a mission-driven organization dedicated to protecting policyholders and ensuring financial stability.<br><br>Responsibilities:<br>• Manage and maintain Microsoft Access front-end applications connected to SQL Server back-end databases.<br>• Perform routine database maintenance tasks, including backups, restores, and integrity checks to ensure system reliability.<br>• Develop, modify, and optimize database queries, stored procedures, and reports to support claims processing.<br>• Monitor and improve system performance, availability, and security within the claims database environment.<br>• Collaborate with claims processing teams to understand workflows, data requirements, and reporting needs.<br>• Document database structures, dependencies, and support procedures for efficient system management.<br>• Work with IT leadership to explore modernization or migration strategies for legacy systems.<br>• Create and maintain PowerShell scripts to automate data tasks, file transfers, system monitoring, and reporting.<br>• Oversee secure data transmission processes with external stakeholders and troubleshoot issues in coordination with partners.<br>• Conduct regular performance monitoring of databases, scheduled jobs, and logs to ensure system integrity.
<p>We are seeking a seasoned Technical Project Manager with deep expertise in the Life Insurance and Annuity domain to lead strategic initiatives across our enterprise systems and data platforms. This role will be instrumental in driving projects that enhance our data warehouse, modernize claims management systems, and optimize enterprise applications to support business growth and operational efficiency.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Lead cross-functional teams to deliver complex technology projects on time and within scope.</li><li>Manage full project lifecycle: planning, execution, monitoring, and closure.</li><li>Collaborate with business stakeholders, data architects, and engineering teams to define project requirements and success criteria.</li><li>Oversee enhancements to the enterprise data warehouse, ensuring scalability, performance, and data integrity.</li><li>Drive modernization efforts for claims management platforms and other core insurance systems.</li><li>Identify and mitigate risks, manage dependencies, and resolve issues to ensure project success.</li><li>Communicate project status, risks, and milestones to senior leadership and stakeholders.</li><li>Ensure compliance with industry regulations and internal governance standards.</li></ul><p><strong>Qualifications</strong></p><ul><li>10+ years of project management experience in the life insurance and annuity industry.</li><li>Proven track record managing enterprise application and data-focused projects.</li><li>Strong understanding of insurance operations, claims processing, and data warehousing.</li><li>Experience with Agile, Scrum, and Waterfall methodologies.</li><li>Proficiency in project management tools (e.g., Jira, MS Project, Smartsheet).</li><li>Excellent communication, leadership, and stakeholder management skills.</li><li>PMP, PMI-ACP, or equivalent certification preferred.</li></ul><p><strong>Preferred Skills</strong></p><ul><li>Familiarity with cloud-based data platforms (e.g., Snowflake, Azure, AWS).</li><li>Experience integrating legacy systems with modern enterprise applications.</li><li>Knowledge of regulatory requirements in the insurance industry (e.g., NAIC, FINRA).</li></ul><p><strong>Why Join Us?</strong></p><ul><li>Be part of a forward-thinking team driving digital transformation in insurance.</li><li>Work on impactful projects that shape the future of our enterprise technology landscape.</li><li>Competitive compensation, benefits, and career development opportunities.</li></ul><p><br></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 detail-oriented Account Specialist to join our team in Miami, Florida. In this role, you will provide comprehensive account management support to a variety of customers, including business, commercial, industrial, national, and government clients. This is a long-term contract position, ideal for professionals with a strong background in customer service, claims processing, and accounts receivable functions.<br><br>Responsibilities:<br>• Manage customer accounts by addressing requests, resolving complaints, and ensuring satisfaction.<br>• Collaborate with vendor partners and internal teams to resolve customer issues effectively.<br>• Process claims and contractor invoices with accuracy and efficiency.<br>• Handle customer enrollment, billing tasks, and fulfillment operations.<br>• Maintain strong relationships with customers to support account retention and growth.<br>• Monitor revenue recovery processes and ensure timely resolutions.<br>• Provide detailed reporting and analysis of account activities to management.<br>• Ensure compliance with company policies and procedures in all account-related tasks.<br>• Identify opportunities for process improvements and implement solutions to enhance service quality.
<p>We are looking for a dedicated Customer Service Representative to join our team in Idaho. In this role, you will provide support to both internal and external customers by delivering exceptional service and addressing their needs with professionalism. This is a long-term contract position, offering an opportunity to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Provide outstanding customer service by addressing inquiries and resolving issues in a timely and accurate manner.</p><p>• Maintain detailed and precise documentation of interactions and transactions to ensure compliance with company policies.</p><p>• Support patients by scheduling appointments, verifying authorizations, and assisting with claims or benefit-related questions.</p><p>• Identify and escalate sensitive or complex issues, such as financial, medical, or legal risks, following established protocols.</p><p>• Translate verbal communications into clear and concise written documentation as required.</p><p>• Collaborate with internal teams to ensure smooth operations and a positive customer experience.</p><p>• Assist in training new team members and supporting colleagues with administrative tasks when necessary.</p><p>• Monitor and meet performance metrics related to accuracy, quality, and attendance.</p><p>• Utilize various systems and tools, including Microsoft Office Suite, to efficiently manage tasks and resolve customer needs.</p><p>• Uphold the organization’s commitment to diversity, inclusion, and superior customer care.</p>
<p>A growing health technology organization is seeking a <strong>Project Assistant</strong> to support service implementation and ongoing client operations. This role will work closely with internal teams, vendor partners, and external clients to ensure smooth launches, updates, and management of healthcare-related services. The ideal candidate will be detail-oriented, organized, and passionate about improving healthcare access and delivery through technology.</p><p><br></p><p>Monday-Friday Eastern Standard Time (the rest of the team is on the east coast)</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Support the implementation of new services and manage ongoing operations for existing employer and health plan clients.</li><li>Assist in launching additional services, conducting annual client maintenance, and processing change requests.</li><li>Maintain project documentation, including plans, deliverables, activities, and timelines.</li><li>Attend or facilitate implementation meetings and follow-up touchpoints with clients, health plans, and vendors.</li><li>Collect, document, and communicate client-specific implementation details to key stakeholders.</li><li>Coordinate data collection and integration efforts with client and vendor partners.</li><li>Partner with Client Success and other internal teams to manage implementations and ensure client satisfaction.</li><li>Identify, manage, and escalate risks or issues as needed.</li><li>Contribute to a positive client experience and maintain strong professional relationships.</li><li>Manage Timelines, Construction Projects, Master Scheduling, Scanning, Project Management</li></ul><p><br></p>
<p>A growing health technology organization is seeking a <strong>Project Assistant</strong> to support service implementation and ongoing client operations. This role will work closely with internal teams, vendor partners, and external clients to ensure smooth launches, updates, and management of healthcare-related services. The ideal candidate will be detail-oriented, organized, and passionate about improving healthcare access and delivery through technology.</p><p><br></p><p>Monday-Friday Eastern Standard Time (the rest of the team is on the east coast)</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Support the implementation of new services and manage ongoing operations for existing employer and health plan clients.</li><li>Assist in launching additional services, conducting annual client maintenance, and processing change requests.</li><li>Maintain project documentation, including plans, deliverables, activities, and timelines.</li><li>Attend or facilitate implementation meetings and follow-up touchpoints with clients, health plans, and vendors.</li><li>Collect, document, and communicate client-specific implementation details to key stakeholders.</li><li>Coordinate data collection and integration efforts with client and vendor partners.</li><li>Partner with Client Success and other internal teams to manage implementations and ensure client satisfaction.</li><li>Identify, manage, and escalate risks or issues as needed.</li><li>Contribute to a positive client experience and maintain strong professional relationships.</li><li>Manage Timelines, Construction Projects, Master Scheduling, Scanning, Project Management</li></ul><p><br></p>
<p>Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! </p><p> </p><p>Responsibilities:</p><ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol><p><br></p>
<p>We are looking for a dedicated Customer Service Representative to join our team in Idaho. In this role, you will provide support to both internal and external customers by delivering exceptional service and addressing their needs with professionalism. This is a long-term contract position, offering an opportunity to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Provide outstanding customer service by addressing inquiries and resolving issues in a timely and accurate manner.</p><p>• Maintain detailed and precise documentation of interactions and transactions to ensure compliance with company policies.</p><p>• Support patients by scheduling appointments, verifying authorizations, and assisting with claims or benefit-related questions.</p><p>• Identify and escalate sensitive or complex issues, such as financial, medical, or legal risks, following established protocols.</p><p>• Translate verbal communications into clear and concise written documentation as required.</p><p>• Collaborate with internal teams to ensure smooth operations and a positive customer experience.</p><p>• Assist in training new team members and supporting colleagues with administrative tasks when necessary.</p><p>• Monitor and meet performance metrics related to accuracy, quality, and attendance.</p><p>• Utilize various systems and tools, including Microsoft Office Suite, to efficiently manage tasks and resolve customer needs.</p><p>• Uphold the organization’s commitment to diversity, inclusion, and superior customer care.</p>
<p><strong>Job Description</strong>: Medical Billing Specialist </p><p><br></p><p><strong>Overview:</strong> We are seeking a highly motivated and detail-oriented Medical Billing Specialist for an organization located in Mars, PA. The ideal candidate will have expertise in medical billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions and claims processing.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>1. Billing:</strong></p><ul><li>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</li><li>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</li><li>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</li><li>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</li></ul><p><strong>2. Payment Posting:</strong></p><ul><li>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</li><li>Reconcile posted payments with bank statements and patient billing systems.</li><li>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</li></ul><p><strong>3. Revenue Cycle Management:</strong></p><ul><li>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</li><li>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</li><li>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</li></ul><p><strong>4. Customer and Client Communication:</strong></p><ul><li>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</li><li>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</li></ul><p><strong>5. Compliance:</strong></p><ul><li>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</li><li>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</li></ul><p><strong>Location:</strong> This position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong>Schedule:</strong> The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong>Why is this role available?</strong> This organization recently had a tenured team member retire.</p><p><br></p><p><strong>How to Apply: </strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App.</p>
<p>We are seeking a motivated and detail-oriented Pharmacy Billing Specialist to join our team! The ideal candidate will have a strong background in medical billing, excellent organizational skills, and a commitment to providing superior support in pharmacy claim handling and insurance billing. Must be local to Indianapolis.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position include the following:</p><ul><li>Provide assistance in preparing and submitting pharmacy claims to third-party insurance carriers as needed.</li><li>Secure and verify all necessary medical documentation required by third-party insurance carriers for claims processing.</li><li>Conduct follow-ups with third-party insurance carriers and patients to address unpaid claims or balances and resolve discrepancies.</li><li>Research and analyze payer regulations and claim guidelines, ensuring compliant billing practices by leveraging payer-specific tools and resources.</li><li>Verify insurance coverage for pharmacy services prior to rendering services, when applicable.</li><li>Re-validate benefit coverage criteria during claim follow-up processes.</li><li>Maintain accurate and thorough documentation of all steps taken to resolve claim-related issues within billing software systems.</li><li>Regularly report claim trends and issues to the Team Lead and/or Billing Manager.</li><li>Collaborate with the Team Lead and/or Billing Manager to establish and achieve short-term and long-term goals while providing progress updates.</li></ul>
<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>
<p>We are looking for a dedicated Patient Financial Services Supervisor to oversee medical billing operations in a healthcare environment. This long-term contract position is based in French Camp, California, and offers an excellent opportunity to lead a team responsible for ensuring accurate claims processing and maximizing reimbursements. The ideal candidate will have a strong background in medical billing and coding, along with proven leadership skills.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage the daily operations of the medical billing and collections team to ensure efficiency and accuracy.</p><p>• Identify and resolve complex billing issues, including denials, appeals, and system errors.</p><p>• Collaborate with insurance companies, internal departments, and external stakeholders to streamline processes and improve reimbursement outcomes.</p><p>• Train and mentor staff on billing policies, compliance standards, and industry updates.</p><p>• Audit and review claims such as UB-04 and CMS-1500 to ensure accuracy and adherence to guidelines.</p><p>• Monitor account workflows and implement strategies to enhance productivity and cash flow.</p><p>• Prepare detailed reports and analyses on billing performance and account status.</p><p>• Ensure compliance with Medicare, Medicaid, and commercial payer requirements.</p><p>• Leverage billing systems and tools to optimize operations and reduce errors.</p><p><br></p><p>For immediate consideration please call Cortney at 209-225-2014 </p>
We are looking for a skilled Medical Collections Specialist to join our team in Irvine, California. This is a Contract-to-Permanent position, offering an excellent opportunity to grow your career in a dynamic healthcare environment. The ideal candidate will play a vital role in managing accounts receivable, resolving payment discrepancies, and ensuring compliance with industry regulations.<br><br>Responsibilities:<br>• Manage accounts receivable by following up on outstanding payments, payment errors, and claim denials.<br>• Analyze insurance Explanation of Benefits (EOBs) and initiate appeals when necessary to resolve discrepancies.<br>• Maintain detailed documentation of account issues, resolutions, and follow-up actions for patient records.<br>• Prepare and send required documentation via mail or other channels to support claims processing.<br>• Stay informed about commercial and managed care pricing models, as well as relevant rules and regulations.<br>• Ensure compliance with organizational policies and healthcare laws, safeguarding patient confidentiality at all times.<br>• Participate in compliance training sessions and promptly report any concerns or incidents to management.<br>• Utilize systems such as EHR platforms, Epic Software, and IBM AS/400 to ensure efficient claims and collections processes.<br>• Support the team by performing additional tasks as directed by supervisors or management.<br>• Contribute to the overall success of the department by collaborating with colleagues to meet organizational goals.
<p>We are looking for a detail-oriented Accounts Payable Lead to join our team in Jacksonville, Florida. In this role, you will play a vital part in ensuring timely research and accurate processing of vendor payments and invoices within a healthcare environment. This is a Contract-to-permanent position that offers an excellent opportunity to grow your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Process and prepare vendor invoices and employee check requests for timely payment.</p><p>• Coordinate weekly check runs, ensuring all checks are accurately processed, mailed, or distributed.</p><p>• Upload vendor invoice files to Great Plains for accurate expense tracking at the patient level.</p><p>• Verify that billing from contracting facilities, hospitals, doctors, and pharmacies complies with Medicare regulations and agreements.</p><p>• Maintain and update vendor files, process checks, void payments, and manage data entry tasks.</p><p>• Accrue payments accurately within the appropriate accounting period and ensure proper coding to general ledger accounts.</p><p>• Collaborate with Patient Care Administrators to verify vendor payments align with contractual pricing and hospice care requirements.</p><p>• Investigate and resolve payment discrepancies and vendor issues in a timely manner.</p><p>• Collect and manage W-9 forms from vendors to ensure compliance.</p><p>• Monitor and process recurring payment obligations as needed.</p>
We are looking for a detail-oriented Medical Billing - Denials Processor to join our team in Olathe, Kansas. In this long-term contract position, you will play a crucial role in managing accounts receivable and working on insurance claim denials. If you have expertise in medical billing and a strong background in resolving claim denials, this opportunity is perfect for you.<br><br>Responsibilities:<br>• Process and manage accounts receivable activities to ensure accurate and timely billing.<br>• Review and analyze denied insurance claims, identifying reasons for denials and taking corrective actions.<br>• Collaborate with insurance companies to resolve claim disputes and secure payments.<br>• Apply cash receipts to appropriate accounts and maintain detailed records of transactions.<br>• Investigate and address discrepancies in accounts, ensuring all billing errors are corrected.<br>• Communicate effectively with clients and internal teams to resolve payment issues and provide updates.<br>• Ensure compliance with medical billing regulations and insurance policies.<br>• Monitor and report on cash activity to maintain accurate financial records.<br>• Support the collections process by following up on outstanding payments and overdue accounts.<br>• Utilize your knowledge of medical billing processes to improve efficiency and accuracy in claim management.
<p>Nationally recognized hospital system is seeking a dedicated and experienced <strong>Medical Insurance Collections Specialist</strong> to join our dynamic team. In this critical role, you will be responsible for handling insurance collections, ensuring accurate claims processing, and collaborating with internal departments to resolve outstanding accounts. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient accounts to identify unpaid claims and follow up with insurance providers for resolution.</li><li>Resolve denials and claim discrepancies by researching and resubmitting claims where necessary.</li><li>Communicate with patients and insurance companies regarding outstanding balances and payment plans.</li><li>Maintain accurate and up-to-date records of all collections activities in compliance with company policies and healthcare regulations.</li><li>Collaborate with the billing, coding, and accounts receivable teams to address any billing issues and expedite payments.</li><li>Analyze insurance claims to identify trends, minimize denials, and maximize collections efficiency.</li><li>Ensure compliance with HIPAA and all applicable regulations in handling sensitive healthcare and financial information.</li></ul><p><br></p>
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
