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.
We are looking for a dedicated Customer Relations Representative to join our team in San Diego, California. This is a long-term contract position that offers the opportunity to provide exceptional service while supporting various administrative and operational tasks. The ideal candidate will excel in communication, organization, and problem-solving, ensuring smooth processes and positive customer experiences.<br><br>Responsibilities:<br>• Ensure the accurate and timely production of copy work and delivery to designated parties.<br>• Review payments to identify duplicates or determine proper reassignment to the correct claims.<br>• Draft and prepare correspondence, including letters, as required.<br>• Organize and process outgoing mail efficiently for postal services.<br>• Manage monthly supply orders and monitor inventory levels to ensure adequate stock.<br>• Collaborate with adjusters and medical professionals to transition injured workers to new primary treating physicians.<br>• Communicate proactively with supervisors regarding any issues that may affect workflow, insured parties, claimants, vendors, or company operations.<br>• Provide prompt assistance to both internal and external customers, meeting commitments independently.<br>• Perform additional support tasks as assigned to contribute to team goals.<br>• Maintain compliance with company policies, procedures, and project timelines.
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
<ul><li><strong>Position: CLAIMS SUPPORT (Contract Role)</strong></li><li><strong>Location: 11575 Great Oaks Way, Alpharetta, Georgia, 30022, United States</strong></li><li><strong>Type: 100% ONSITE</strong></li><li><strong>Tentative Hourly Pay Range: $18-$20/per hour</strong></li><li><strong>Job Hours: It is 40 hours per week onsite in office. The hours of operation are 8AM-5PM.</strong></li></ul><p> </p><p>Job Responsibilities</p><p>Duties may include but are not limited to:</p><p> </p><p>- Receive new losses and verifies accuracy of information via coverage</p><p>- Perform all file updates on system as directed by claim reps</p><p>- Register loss payments on system - We use Claim Vision to manage our claims.</p><p>- Provide customer service to agents insureds clients and other customers</p><p>- Process authorized payments</p><p>- Input data entry correspondence into system diaries information for claims reps and/or team leader and prepares form letters</p><p>- Typing photocopying indexing and filing</p><p>- Ability to accurately calculate wages etc. and create professional letters and correspondence</p><p>- Make call to insureds requesting missing information on the claim files</p><p>- Direct care when appropriate</p><p>- Basic SE jurisdiction knowledge regarding work comp is a plus</p>
<p>We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the financial services industry, utilizing your skills in a diverse set of roles including processing claims, maintaining customer records, and resolving inquiries.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Manages and maintains assigned book of business. Has a good understanding of relevant compliance regulations and stays up to date on changes and new legislation. Works within the guidelines, ensures compliance.</li><li>Develop and maintain key relationships critical to the sales process and negotiate with carrier contacts to seek competitive options for clients.</li><li>Coordinates with account team to understand client’s strategy, and to define roles and responsibilities including deadlines.</li><li>Prepares requests for proposals (RFP’s) for all submissions to market. Responds to all carrier and client requests.</li><li>Responsible for ensuring timely target renewal delivery. Collaborates with insurance carriers and vendors to obtain preliminary and/or firm renewals.</li><li>Analyze current benefits, evaluating coverage, effectiveness, cost, plan utilization and trends.</li><li>Analyze all marketing and plan option responses, evaluates for accuracy and completeness, and requests clarifications and revisions, as needed. Develops plan options to best meet client’s strategy.</li><li>Presents all final results to account team. Determines content and structure of renewal presentation and identifies what to include (i.e; marketing results, utilization review, contribution strategy, benchmarking, financial reporting, etc.). Prepares renewal presentation.</li><li>Gather, review and validate all information related to assigned clients for renewal analysis and marketing purposes to include cost and contract terms</li><li>Provide analysis of benchmarking, contributions, data analytics, network disruption, as applicable</li><li>Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc.</li><li>Monitor administrative costs of benefit plans and programs. Recommend cost containment strategies, including alternative methods for administration and funding.</li><li>Work with internal team regarding negotiations with carriers</li><li>Manage outsourcing of vendors and ensure reporting and other service needs are met</li><li>Build custom financial/utilization reports as needed and update monthly or as needed. Provide written and oral summary of findings.</li><li>Stays abreast of market competitiveness, carrier products and services, rate trends as well as State and Federal laws and regulations.</li><li>Supports data audits.</li><li>Updates financial summary and benefit highlight comparisons with all final renewal negotiation results</li><li>Complies with agency management system CRM standards. Saves and documents work product.</li><li>Will work primarily with medium to large clients who are fully insured and self-funded. Will also assist with the small group book of business on an as needed basis.</li></ul>
<p><strong>Title Insurance Industry Professionals in the Farmingdale, Long Island Area</strong> </p><p>Are you an experienced professional in the <strong>Title Insurance industry</strong> looking for your next opportunity? <strong>Anna Parson</strong> <strong>at Robert Half</strong> is working with a leading client <strong>in Farmingdale</strong> to find skilled candidates with expertise across various functions in the Title Insurance field.</p><p>We are seeking candidates with experience in areas such as:</p><ul><li><strong>Title underwriting</strong></li><li><strong>Title examination</strong></li><li><strong>Escrow coordination</strong></li><li><strong>Claims and settlement processing</strong></li><li><strong>Compliance and regulatory affairs</strong></li><li><strong>Customer service and account management</strong></li><li><strong>Operational management</strong></li></ul><p>This is a fantastic chance to leverage your experience within a growing and supportive organization. Whether you have hands-on expertise or leadership experience, we want to hear from you!</p><p>Why You Should Apply:</p><ul><li>Work with a respected company in the industry.</li><li>Gain new opportunities to further your professional growth.</li><li>Partner with Robert Half, a trusted global leader in staffing and recruitment.</li></ul><p>Connect with Anna Parson at Robert Half now to take the next step toward your future! <strong>Apply now</strong> or for more details. Let us help you find your ideal role in the Title Insurance industry today. </p>
<p>We are looking for a dedicated Benefits Specialist to join our team in Dayton, Ohio. This is a long-term contract position that requires someone with strong organizational skills and a customer-focused mindset. In this role, you will provide essential support for employee benefits programs, including open enrollment activities and ongoing administrative tasks.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate and manage employee open enrollment processes, ensuring smooth and accurate implementation.</p><p>• Provide guidance and support to employees regarding benefits options, claims, and related inquiries.</p><p>• Prepare detailed reports and analyze data using Microsoft Excel to track benefit program performance.</p><p>• Assist with COBRA administration and claim processing to ensure compliance and efficiency.</p><p>• Collaborate with internal teams to address employee relations and customer service needs.</p><p>• Utilize CRM tools to maintain accurate records and improve communication with employees.</p><p>• Conduct audits of benefits processes and systems to identify areas for improvement.</p><p>• Facilitate virtual meetings using Cisco Webex to communicate updates and provide training.</p><p>• Respond promptly to employee requests for assistance with benefit-related matters.</p><p>• Support various administrative tasks to ensure the seamless operation of all benefit functions.</p><p><br></p><p><strong>For immediate consideration, call 937.224.8326.</strong></p>
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
We are looking for a diligent Billing Analyst to join our team on a contract basis in Annapolis Junction, Maryland. In this role, you will be responsible for managing billing operations, processing sales orders, and maintaining accurate financial records. This position requires strong organizational skills and the ability to interact with vendors and customers effectively.<br><br>Responsibilities:<br>• Process and oversee sales orders, ensuring accurate tracking and management throughout the order cycle.<br>• Collaborate directly with vendors and customers to maintain seamless communication and resolve inquiries.<br>• Enhance office processes and procedures to improve efficiency and workflow.<br>• Manage accounts receivable, including customer billing, recording payments, and reconciling invoices.<br>• Prepare detailed reports and presentations to support management and business initiatives.<br>• Oversee customer contracts, registrations, and tracking systems.<br>• Maintain and utilize company applications effectively to support operations.<br>• Provide exceptional customer service, addressing complex issues promptly and professionally.<br>• Assist with marketing and business projects as required by management.
We are looking for an experienced Medical Receptionist to join our team in McKinney, Texas. In this role, you will serve as the central point of coordination for front-office operations, ensuring smooth patient experiences and efficient administrative processes. This is a Contract-to-Permanent position where you will play a vital role in supporting the clinic’s mission of delivering exceptional care.<br><br>Responsibilities:<br>• Schedule and manage patient appointments to ensure efficient clinic operations while minimizing scheduling conflicts.<br>• Facilitate patient check-in and check-out processes, maintaining a detail-oriented and welcoming environment.<br>• Handle referral coordination, ensuring timely entry of patient information and documentation into the system.<br>• Maintain and update electronic medical records, including patient demographics and insurance details.<br>• Collaborate with referring offices to collect missing documentation and ensure all records are complete before patient orientation.<br>• Monitor and manage clinic supply inventories to ensure administrative and medical needs are met.<br>• Coordinate facility maintenance and operational issues to maintain a safe and functional clinic environment.<br>• Assist clinic leadership with administrative tasks such as reporting, workflow improvements, and process standardization.<br>• Provide support for billing teams by verifying and ensuring accurate patient information for claims processing.<br>• Promote patient engagement by answering non-clinical questions and reinforcing appointment expectations.
<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>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 offering an exciting opportunity for a Branch Administrator in the construction industry, based in Denver, Colorado. This role involves various administrative tasks, including processing payroll, maintaining accurate records, and serving as a liaison between corporate HR and on-site personnel. <br><br>Responsibilities:<br>• Assisting with the hiring process, scheduling interviews, and onboarding new hires.<br>• Managing accounts payable, accounts receivable, billing, and invoicing.<br>• Overseeing job costing, reporting, job set up, and project pre-qualifications.<br>• Coordinating with field personnel who may not be accustomed to paperwork.<br>• Processing payroll using ADP Workforce Now, Ceridian, and Dayforce.<br>• Administering benefits, including 401k - RRSP Administration, Auditing, Benefit Functions, Claim Administration, and Cobra Administration.<br>• Utilizing CRM to maintain accurate customer and project records.<br>• Exercising patience and resilience in a dynamic, fast-paced construction environment.
<p>We are looking for a detail-oriented Receptionist to join our team in Ridgeland, South Carolina. This Contract position involves providing essential administrative and clerical support to the court systems while ensuring accurate processing of court documents. The ideal candidate will thrive in a fast-paced environment and possess strong organizational skills to manage multiple tasks effectively.</p><p><br></p><p>Responsibilities:</p><p>• Process a variety of court documents, including civil cases, small claims, criminal warrants, and ordinance violations.</p><p>• Collect and record civil filing fees, issue receipts, and maintain accurate financial records.</p><p>• Manage case schedules, monitor deadlines, and prepare dockets for non-jury trials.</p><p>• Identify and correct discrepancies within the case management system software.</p><p>• Input citations into the court's computer system and ensure data accuracy.</p><p>• Create and distribute criminal warrants, coordinate with the Sheriff's Office for service, and schedule hearings.</p><p>• Notify victims of bond hearings and inmate releases, ensuring timely communication and accurate documentation.</p><p>• Handle jury trial processes, including scheduling, mailing notifications, maintaining juror records, and issuing payments.</p><p>• Balance daily cash receipts, prepare bank deposits, and reconcile financial statements for monthly and annual reporting.</p><p>• Provide clerical support during court sessions, including docket management, case disposition, and issuance of bench warrants.</p>
<p>We are looking for a detail-oriented Billing Coordinator to manage and oversee billing operations for a law firm in Baltimore, Maryland. The ideal candidate will bring expertise in legal billing, 3E billing system, ensuring accuracy and efficiency in financial transactions. If you have a strong background in billing function supporting Attorneys at law firms and thrive in a fast-paced environment, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>· Produce firm standard billing proformas for review by billing responsible attorneys each month</p><p>· Edit and finalize invoices based on instructions provided by the billing responsible attorneys and client guidelines</p><p>· Respond to information requests from lawyers, clients and staff related to client billings</p><p>· Monitor invoices submitted through the various e-billing hubs to ensure submission</p><p>· Follow-up with billing responsible attorneys to ensure timely processing of bills</p><p>· Research proformas or billing-related inquiries</p><p>· Produce monthly statements for outstanding invoices and send same to clients</p><p><br></p><p> </p><p>All interested candidates in this Billing Coordinator role and other permanent opportunities please send your resume to Justin Decker via LinkedIn. </p>
<p>We are looking for a meticulous Billing Clerk to join our team in North Andover, Massachusetts. In this role, you will handle medical billing processes, ensuring accuracy and compliance with industry standards while working closely with healthcare providers, insurance companies, and patients. This position is ideal for professionals with medical billing experience who enjoy a dynamic, collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with precision and attention to detail.</p><p>• Investigate and resolve denied or rejected claims to secure timely reimbursements.</p><p>• Verify patients' insurance coverage and eligibility prior to submitting claims.</p><p>• Oversee accounts receivable, recording payments and applying necessary billing adjustments.</p><p>• Collaborate with healthcare staff to address and correct coding discrepancies.</p><p>• Generate comprehensive financial reports to monitor billing performance and metrics.</p><p>• Ensure compliance with Medicare, Medicaid, and private insurance regulations.</p><p>• Utilize medical billing software and electronic health record systems effectively.</p><p>• Provide responsive customer service by addressing patient and insurance inquiries regarding billing.</p><p>• Conduct follow-ups on unpaid claims to facilitate proper payment collection.</p><p><br></p><p><br></p><p>If interested, please reach out to jeremy.tranfaglia@roberthalf</p>
<p>Robert Half is assisting a client in the logistics industry seeking a detail-oriented Billing Specialist to join their team. If you excel at invoicing, managing customer accounts, and have a keen eye for accuracy, this is a fantastic opportunity to grow your career in a dynamic organization.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Generate and issue timely invoices to customers, ensuring accuracy and compliance with contracts </li><li>Manage client billing records and update necessary adjustments in the company’s systems.</li><li>Reconcile billing discrepancies by collaborating with customers and internal departments.</li><li>Monitor and track accounts receivable balances and follow up on overdue payments.</li><li>Prepare detailed billing reports and summaries for management review.</li><li>Coordinate with the finance team during month-end and year-end close processes.</li><li>Ensure compliance with internal policies and external regulations related to financial transactions.</li><li>Provide excellent customer service to clients regarding account and billing inquiries.</li></ul><p><br></p>
<p>Are you a detail-oriented professional with excellent organizational skills and a knack for managing financial transactions? Robert Half is seeking a Billing Specialist to work with an established client in the property management industry. This exciting role offers the opportunity to contribute to property operations and ensure seamless billing processes.</p><p><br></p><p>As a Billing Specialist in the property management industry, you will be responsible for managing tenant and property account billing processes. Your ability to handle invoices, payments, and financial records with accuracy and efficiency will directly contribute to the client’s success in managing their portfolio of properties.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Generate and send invoices, ensuring accurate billing for rent, utilities, and services across multiple property accounts </li><li>Monitor tenant accounts, process payments, and reconcile discrepancies.</li><li>Verify and confirm lease agreements and billing rates for each property or tenant.</li><li>Track and follow up on outstanding and overdue payments to maintain timely collections.</li><li>Prepare monthly billing and revenue reports for review by management and accounting teams.</li><li>Maintain organized records and documentation of billing transactions, adhering to compliance standards.</li><li>Research and resolve billing inquiries and disputes professionally and efficiently.</li></ul><p><br></p>
<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 dedicated and detail-oriented Customer Service Representative to join our team in Indianapolis, Indiana. This position plays a key role in delivering exceptional service to our customers while supporting business operations. As part of a non-profit organization, you will have the opportunity to make a meaningful impact while working in a dynamic, collaborative environment. This is a Long-term Contract position.<br><br>Responsibilities:<br>• Handle a wide range of customer service tasks, including responding to inquiries and resolving issues efficiently and effectively.<br>• Process integrated and non-integrated orders accurately, ensuring customer satisfaction and addressing errors promptly.<br>• Prepare and deliver monthly reports to management, providing accurate data and insights.<br>• Collaborate with freight carriers to file claims for damaged or lost goods, ensuring cost recovery.<br>• Utilize various software tools, including Salesforce, Microsoft Word, Excel, and Gmail, to manage daily tasks effectively.<br>• Maintain up-to-date knowledge of organizational products and services to address customer needs and provide effective solutions.<br>• Ensure department files and records are organized and current, adhering to best practices.<br>• Communicate effectively with customers, colleagues, and stakeholders, fostering positive relationships.<br>• Suggest and implement process improvements to enhance customer service operations.<br>• Handle sensitive data and information with discretion and confidentiality.
· Demonstrates the ability to analyze, resolve, and prevent insurance rejections and claim denials.<br><br>· Documents all responses and actions taken to reach claim resolution in the billing revenue cycle management system.<br><br>· Reviews and resolves claim issues in assigned error processing and denial queues in billing accounts receivable management system.<br><br>· Prepares billing, as required, including registration of patient demographic information, verification of insurance eligibility, review of charges, performs functions to validate accuracy, enters charges into the accounts receivable management system, and assembles supporting documentation as needed.<br><br>· Ensures claims are submitted to the appropriate responsible party within designated filing limit guidelines.<br><br>· Exhibits strong communication skills and a positive attitude with internal and external customers.<br><br>· Maintains thorough knowledge of third-party eligibility and claim inquiry tools and applications, requirements, and regulatory guidelines.<br><br>· Audits all explanations of benefits to confirm appropriateness of patient responsibility to ensure correct registration, coding, payment/adjustment posting, and insurance processing of claims.<br><br>· Processes remittance, payment, and other documentation including scanning and submission of information according to CAHNs policy and procedure.<br><br>· Meets or exceeds departmental productivity standards on a consistent basis.<br><br>· Selects priorities and organizes work and time to meet them in order of importance.<br><br>· Recognizes and researches problematic trends regarding non-payment in an effort to implement preventive measures to increase velocity of cash collections.<br><br>· Informs the Revenue Cycle Manager of consistent issues as they occur and makes recommendations to improve departmental quality outcomes.<br><br>· Communicates any payor changes and updates to Revenue Cycle Manager.<br><br>· Participates as a team member by performing additional assignments not directly related to the job description when workload requires and as directed by management.<br><br>· Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations.<br><br>· Demonstrates attention to detail, initiative, and judgment.
<p>Our client, north of Houston, is looking for a Payroll Administrator. This role requires a detail-oriented individual who can effectively manage high-volume payroll operations for over 1,000 employees while ensuring accuracy and compliance. The ideal candidate will bring expertise in handling garnishments, employment verifications, and unemployment claims, along with advanced proficiency in Microsoft Excel.</p><p><br></p><p>Responsibilities:</p><p>• Process payroll for a large workforce of 1,000+ employees with a focus on accuracy and timeliness.</p><p>• Manage garnishments, ensuring proper deductions and compliance with applicable laws.</p><p>• Handle employment verifications and respond to unemployment claims promptly and efficiently.</p><p>• Utilize advanced Microsoft Excel functions, including data exporting, sorting, filtering, and formula creation, to streamline payroll processes.</p><p>• Conduct audits to verify payroll data accuracy and identify discrepancies.</p><p>• Collaborate with HR and finance teams to address payroll-related inquiries and resolve issues.</p><p>• Support multi-state payroll processes, ensuring compliance with varying state regulations.</p><p>• Maintain detailed records and documentation for payroll activities.</p><p>• Provide exceptional customer service to employees regarding payroll concerns and inquiries.</p><p>• Assist in benefit-related functions as they pertain to payroll processing.</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.
We are looking for a detail-oriented Treasury Analyst to join our team on a long-term contract basis in Goleta, California. This role offers an exciting opportunity to contribute to the efficient management of treasury operations while supporting various administrative and process improvement initiatives. The ideal candidate will bring expertise in corporate treasury functions and a proactive approach to ensuring smooth workflows within a dynamic environment.<br><br>Responsibilities:<br>• Provide administrative support to the treasury and accounting teams, including managing schedules, coordinating meetings, and maintaining organized documentation.<br>• Oversee the structure and organization of digital files to ensure accurate and efficient record-keeping.<br>• Assist in drafting and updating desk procedures to reflect current operational standards.<br>• Handle bank account management tasks, such as account closures, signatory updates, and related documentation.<br>• Prepare entitlement reports and ensure compliance with Know Your Customer (KYC) requirements.<br>• Coordinate and maintain bank documentation, including overseeing updates for signer details and other business needs.<br>• Facilitate the transition from paper statements to digital workflows to enhance operational efficiency.<br>• Support the preparation of Foreign Exchange (FX) presentations and reports.<br>• Contribute to the processing and documentation of insurance claims, ensuring deadlines are met and outstanding tasks are followed up.<br>• Participate in process improvement initiatives to streamline administrative procedures and enhance overall efficiency.
<p>We are looking for a skilled individual to join our healthcare team in Henrico, Virginia, as a Medical Billing Specialist. In this long-term contract role, you will play a vital part in ensuring the accuracy and efficiency of billing processes, claims management, and collections. This position offers an excellent opportunity to contribute to the healthcare industry's revenue cycle management while utilizing your expertise in medical billing systems.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and on time to ensure timely reimbursement.</p><p>• Review and resolve billing discrepancies, denials, and appeals effectively.</p><p>• Manage collections activities by following up on outstanding balances and communicating with patients and insurance providers.</p><p>• Utilize eClinicalWorks (eCW) to maintain and update billing records and claims information.</p><p>• Identify and address issues related to hospital billing processes to improve efficiency.</p><p>• Collaborate with the revenue cycle management team to optimize billing workflows.</p><p>• Analyze financial data and prepare reports related to claims and collections.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Provide excellent customer service while addressing patient inquiries regarding billing and payments.</p><p>• Stay updated on industry best practices and changes in medical billing policies.</p>
