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>If you’ve ever wanted to combine your administrative skills with the chance to truly make an impact in people’s lives, this opportunity is for you. Our client, a growing <strong>medical services provider in San Marcos</strong>, is seeking a <strong>Customer Service Representative</strong> who will provide compassionate, efficient, and professional support to patients, families, and providers. Healthcare is fast-paced, complex, and often stressful for the people navigating it. Patients rely on a system that is not always easy to understand — insurance claims, authorizations, billing, and appointment scheduling can quickly become overwhelming. That’s why this role is so critical: as a Customer Service Representative, you’ll act as both guide and advocate, helping patients get the answers they need and ensuring they feel cared for from the very first call.</p><p><br></p><p>You’ll work closely with clinical staff, billing teams, and insurance providers to untangle issues and make the process smoother for everyone involved. Every conversation is an opportunity to make a positive difference.</p><p><br></p><p><strong><u>What You’ll Do Every Day</u></strong></p><ul><li>Serve as the first point of contact for patients and providers by phone and email.</li><li>Answer questions related to scheduling, billing, and insurance verification with patience and clarity.</li><li>Research and resolve claims-related issues, including prior authorizations, coding questions, and payment discrepancies.</li><li>Keep detailed, accurate records in the patient management system to ensure smooth communication between departments.</li><li>Partner with clinical and administrative teams to provide timely updates and follow-up to patients.</li><li>Maintain confidentiality while handling sensitive medical and financial information.</li></ul>
We are looking for an Insurance Follow-Up Specialist to join our team in Tampa, Florida. In this Contract to permanent position, you will play a vital role in ensuring timely insurance claim processing and maintaining strong relationships with partners. If you have a knack for organization, persistence, and excellent communication, this opportunity is designed for you.<br><br>Responsibilities:<br>• Pursue prompt collection of signatures and necessary documents from funeral home partners to expedite claim processing.<br>• Investigate delays in insurance claims and provide solutions with a proactive and detail-oriented approach.<br>• Build and nurture strong partnerships with insurance representatives and funeral home stakeholders.<br>• Maintain comprehensive and accurate records to ensure all cases are tracked and managed effectively.<br>• Collaborate with the Concierge team to provide additional follow-up support as needed.
<p>We are looking for a dedicated Customer Service Representative to service clinics in LA area clinics; patients, appointments, referral issues, working with patients, appointments, prior authorizations; providers are in CA, Oregon, Washington. This is a long-term contract position starting 12.1, where you will play a vital role in ensuring exceptional service and support for our clients. As part of a global organization, you will contribute to improving health outcomes by connecting individuals with the resources and care they need.</p><p><br></p><p><strong>Training Hours: </strong>8:00 - 4:30 PST for 6 weeks</p><p><strong>Work Hours: </strong></p><p>EST: 11:30-8:00 pm </p><p>CST 10:30 - 7:00 pm</p><p>MST: 9:30-5:00 pm</p><p>PST: 8:30-5:00 pm</p><p><strong>Schedule: </strong>Full time, Monday - Friday</p><p><br></p><p>Responsibilities:</p><p>• Deliver high-quality customer service by addressing inquiries, resolving issues, and providing accurate information.</p><p>• Maintain adherence to performance metrics, including accuracy, quality, and attendance standards.</p><p>• Act as an advocate for patients by exchanging complex and sensitive information with professionalism and care.</p><p>• Assist with scheduling appointments, authorizations, and claims, utilizing internal systems effectively.</p><p>• Document customer interactions accurately and concisely according to established guidelines.</p><p>• Support team members with administrative tasks, ensuring smooth operations and resolution of patient concerns.</p><p>• Identify and mitigate potential financial, medical, or legal risks based on collected data.</p><p>• Collaborate with clinicians and telehealth nurses to provide necessary assistance and ensure seamless communication.</p><p>• Conduct training and support for new or potential members, offering general information about medical services.</p><p>• Exhibit strong interpersonal and communication skills to uphold the organization’s commitment to superior service.</p>
We are looking for a skilled Compensation & Benefits Specialist to join our team on a long-term contract basis in Stamford, Connecticut. This role is ideal for professionals with a strong background in benefits management and experience in compensation practices. You will play a key role in supporting and administering various health, welfare, and retirement programs, while also contributing to harmonization efforts during a dynamic integration period.<br><br>Responsibilities:<br>• Provide hands-on support for health, welfare, and retirement programs, as well as several global benefit initiatives.<br>• Manage and resolve issues related to benefits, including conducting root cause analysis.<br>• Develop process documentation and create clear communications for associates regarding benefits policies.<br>• Maintain and update SharePoint sites for Benefits and HR policies.<br>• Administer corporate benefit programs such as leaves of absence, tuition reimbursement, and other offerings.<br>• Oversee benefits and retirement administration, including invoice and claims processing, budgeting, reporting, and customer service.<br>• Support the onboarding and harmonization of compensation and benefits plans during mergers and acquisitions.<br>• Assist with compensation benchmarking for both domestic and international markets.<br>• Administer executive compensation programs and equity grants, ensuring accurate reporting and compliance.<br>• Coordinate the annual compensation planning process and manage incentive plan reporting and accruals.
<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>We are looking for a detail-oriented Administrative Assistant to join our team in Richmond, Virginia. This Contract-to-Permanent position is ideal for someone with strong communication skills and the ability to manage a variety of administrative and customer service tasks efficiently. The role involves interacting with employees, handling inquiries, and ensuring compliance in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Respond to employee inquiries via phone, addressing general questions and concerns with professionalism and clarity.</p><p>• Manage 20-30 incoming calls daily, providing accurate information and resolving issues as needed.</p><p>• Process unemployment claims efficiently and ensure all documentation is completed according to company standards.</p><p>• Support company compliance efforts by maintaining accurate records and adhering to established policies.</p><p>• Assist in filing complaints and follow up on resolution processes.</p><p>• Collaborate with team members to provide administrative support across various functions.</p><p>• Ensure data entry and order processing tasks are completed accurately and on time.</p><p>• Maintain a high level of customer service in all interactions, both inbound and outbound.</p><p>• Adapt to training and development opportunities to continuously improve skills and performance.</p>
We are looking for an experienced Insurance Service Associate to join our team on a long-term contract basis in Rochester, New York. In this role, you will provide exceptional customer service to clients in the Paychex Property and Casualty Insurance division, ensuring that all claims and inquiries are managed efficiently and in alignment with company policies. This position offers an opportunity to work in a fast-paced environment, where attention to detail and effective communication are essential.<br><br>Responsibilities:<br>• Deliver outstanding customer service to clients by addressing inquiries, resolving complaints, and processing claims in adherence to company policies.<br>• Develop and maintain a solid understanding of the Paychex Property and Casualty Insurance product offerings.<br>• Utilize various software systems, including Salesforce and Adobe Flex, to manage client interactions and maintain accurate records.<br>• Perform data entry tasks with precision, ensuring timely and organized completion of assignments.<br>• Document all client interactions and service activities to maintain detailed and accessible records.<br>• Collaborate with team members and other departments to ensure seamless customer service delivery.<br>• Prioritize and organize tasks effectively to meet deadlines and support operational efficiency.<br>• Stay updated on industry procedures and policies to enhance service quality and compliance.<br>• Assist with administrative tasks such as photocopying, scanning, and preparing documents.<br>• Provide support for HRIS systems and other tools integral to operations.
<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><u>Job Summary:</u></strong> </p><p>We are seeking an <strong>experienced Dental Billing Specialist</strong> to join a fast-paced, customer-facing practice. This role focuses on managing complex dental billing processes, claims attachments, pre-determinations for treatment coverage, and all other administrative steps unique to dental billing. The ideal candidate is detail-oriented with strong communication skills, has direct dental billing experience, and is accustomed to working in an open and collaborative work environment.</p><p> </p><p><strong><u>Key Responsibilities:</u></strong> </p><ul><li><strong><u>Dental Billing Expertise:</u></strong> Process dental-specific claims accurately, ensuring all required documents, coding, and attachments are completed and submitted within specified deadlines. </li><li><strong><u>Pre-Determinations:</u></strong> Manage pre-determination requests for dental treatments, including navigating insurance requirements for advanced or specialized dental procedures. </li><li><strong><u>Claims Attachments</u></strong>: Compile, prepare, and submit claims attachments and required paperwork for insurance companies, ensuring compliance with dental-specific documentation protocols. </li><li><strong><u>Customer Interaction:</u></strong> Work closely with patients, insurance companies, and resolve billing inquiries promptly and professionally. Maintain a courteous and patient-first approach in customer-facing scenarios. </li><li><strong><u>Compliance: </u></strong>Stay updated on dental billing codes, insurance regulations, and healthcare compliance standards to ensure accuracy and precision in work execution. </li><li><strong><u>Team Collaboration: </u></strong>Work in a highly collaborative, open-office environment alongside front-facing staff and other departments to ensure seamless operational functioning. </li><li><strong><u>Multi-Step Processes:</u></strong> Navigate the more intricate and multi-step requirements of dental billing compared to other healthcare settings accurately and efficiently. </li></ul><p>Please complete an application and call (423) 244-0726 for more information and IMMEDIATE CONSIDERATION!</p>
<p>Are you passionate about delivering top-tier service in a virtual healthcare setting? We are currently seeking a <strong>Remote Patient Service Representative</strong> for a dynamic 4-month temp-to-hire opportunity. This <strong>Remote Patient Service Representative</strong> role offers a competitive pay rate of $19.50 per hour and the flexibility of working remotely.</p><p><br></p><p><strong>Position Highlights:</strong></p><ul><li><strong>Remote work – </strong>California, Texas, and Illinois residents not eligible</li><li><strong>Pay: </strong>$19.50 per hour</li><li><strong>Hours: </strong>This role does not follow a set schedule or specific shifts at this time. The team operates 24/7, so flexibility is important as coverage needs may vary.</li><li><strong>Duration: </strong>4 months with potential for temp-to-hire, dependent on performance</li></ul><p><strong>Responsibilities:</strong></p><ul><li>Deliver exceptional service to patients and internal teams in a remote call center environment</li><li>Handle a high volume of back-to-back calls (80+ daily) efficiently and professionally</li><li>Meet performance goals related to satisfaction, quality, and attendance</li><li>Use dual monitors to manage data entry, live calls, and various resources</li><li>Assist with documentation, claims processing, and insurance benefits</li><li>Maintain confidentiality while handling sensitive patient data</li><li>Provide support for Telehealth and other administrative functions</li></ul>
<p>Are you passionate about delivering top-tier service in a virtual healthcare setting? We are currently seeking a <strong>Remote Patient Service Representative</strong> for a dynamic 4-month temp-to-hire opportunity. This <strong>Remote Patient Service Representative</strong> role offers a competitive pay rate of $19.50 per hour and the flexibility of working remotely.</p><p><br></p><p><strong>Position Highlights:</strong></p><ul><li><strong>Remote work – </strong>California, Texas, and Illinois residents not eligible</li><li><strong>Pay: </strong>$19.50 per hour</li><li><strong>Hours: </strong>This role does not follow a set schedule or specific shifts at this time. The team operates 24/7, so flexibility is important as coverage needs may vary.</li><li><strong>Duration: </strong>4 months with potential for temp-to-hire, dependent on performance</li></ul><p><strong>Responsibilities:</strong></p><ul><li>Deliver exceptional service to patients and internal teams in a remote call center environment</li><li>Handle a high volume of back-to-back calls (80+ daily) efficiently and professionally</li><li>Meet performance goals related to satisfaction, quality, and attendance</li><li>Use dual monitors to manage data entry, live calls, and various resources</li><li>Assist with documentation, claims processing, and insurance benefits</li><li>Maintain confidentiality while handling sensitive patient data</li><li>Provide support for Telehealth and other administrative functions</li></ul>
<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>We are looking for a dedicated Collections Specialist to join our team in Monmouth County, New Jersey. This Contract-to-permanent position focuses on managing accounts receivable, resolving billing discrepancies, and ensuring timely collection of outstanding balances. The ideal candidate will have strong attention to detail, excellent communication skills, and experience with financial systems.</p><p><br></p><p>Responsibilities:</p><p>• Investigate and resolve billing discrepancies to ensure accurate accounts receivable records.</p><p>• Manage collection processes to recover overdue payments efficiently and professionally.</p><p>• Communicate with customers via phone and email to address payment issues and inquiries.</p><p>• Utilize accounting software and CRM systems to track and update account statuses.</p><p>• Collaborate with internal teams to streamline claim administration and billing functions.</p><p>• Answer inbound calls related to accounts receivable and provide excellent customer service.</p><p>• Generate and analyze reports to monitor collection activities and identify trends.</p><p>• Maintain detailed and organized records of all collection efforts and communications.</p><p>• Assist in optimizing workflows related to financial services and claim processing.</p>
We are looking for a highly detail-oriented Claims Data Entry Clerk to join our team in Grand Rapids NT, Michigan. This Contract-to-permanent position is ideal for someone who thrives in a structured and repetitive work environment, with a focus on maintaining accuracy and efficiency. The role involves processing medical, dental, and vision claims, requiring precision to ensure claims are entered correctly and paid accurately.<br><br>Responsibilities:<br>• Accurately input medical, dental, and vision claims into the QuickLink claims processing system.<br>• Maintain a high level of accuracy, achieving 99% audit compliance during training and beyond.<br>• Follow strict confidentiality protocols while handling sensitive claim information.<br>• Collaborate with the team and trainer to review errors and improve data entry techniques.<br>• Meet daily productivity goals, including processing up to 60 claims per day after completing training.<br>• Complete an extensive training program lasting approximately 60 days to master the system and workflow.<br>• Handle both simple and complex claims, some requiring additional attachments and knowledge.<br>• Rely on experienced team members for guidance and support during the learning process.<br>• Take on additional responsibilities as workload expands over time.<br>• Ensure the consistent transposition of information from paper claims into digital systems.
Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
<p>We are looking for a dedicated Legal Assistant to join our family law practice on a long-term contract basis. Based in McKinney, Texas, this remote role involves providing essential administrative and legal support to ensure the smooth operation of the office. If you have a strong background in family law and exceptional organizational skills, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Manage and maintain an accurate calendar for appointments, court dates, and deadlines.</p><p>• Organize and file legal documents, ensuring accessibility and compliance with office standards.</p><p>• Assist with billing tasks, including preparing invoices and tracking payments.</p><p>• Provide administrative support by drafting correspondence and maintaining client records.</p><p>• Communicate effectively with clients, court officials, and other legal professionals.</p><p>• Support claim administration tasks, ensuring timely processing and resolution.</p><p>• Collaborate with attorneys to prepare case files and gather necessary documentation.</p><p>• Utilize legal software, such as MyCase, and standard office tools like Microsoft Office to complete tasks efficiently.</p><p>• Ensure confidentiality and professionalism when handling sensitive client information.</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>
We are looking for a dedicated Insurance Service Associate for Property and Casualty to join our team in Rochester, New York. In this long-term contract position, you will provide exceptional customer service to clients, ensuring their needs are addressed promptly and with attention to detail. Your role will involve handling client interactions, resolving complaints, and maintaining accurate documentation in alignment with company policies.<br><br>Responsibilities:<br>• Deliver outstanding customer service to clients by addressing inquiries and resolving claims in a timely and detail-oriented manner.<br>• Maintain accurate records of all client interactions, ensuring compliance with company policies and procedures.<br>• Utilize software tools, including Salesforce and Adobe Flex, to manage customer data and streamline processes.<br>• Develop a foundational understanding of Paychex products to better support client needs.<br>• Perform data entry tasks with a focus on prioritization and organizational accuracy.<br>• Handle complaints effectively, ensuring fair resolutions while maintaining positive customer relations.<br>• Collaborate with team members to provide quality service and support for property and casualty insurance clients.<br>• Scan, photocopy, and organize documents as needed to support administrative functions.<br>• Stay updated on industry best practices and internal procedures to enhance service delivery.<br>• Assist in claim administration and policy-related tasks to ensure seamless operations.
<p>We are looking for an Expense Processor to join our team in New Jersey. This long-term contract position offers an exciting opportunity to contribute to the financial and administrative operations of the company. The ideal candidate will bring a proactive approach, strong organizational skills, and attention to detail to ensure smooth and efficient expense processing and administrative support.</p><p><br></p><p>Responsibilities:</p><p>• Administer and oversee the company's credit card program, ensuring proper usage and compliance with policies.</p><p>• Process employee expense reimbursements accurately and promptly in alignment with company guidelines.</p><p>• Perform monthly reconciliations of company credit card accounts, investigating and resolving any discrepancies.</p><p>• Collect necessary approvals and process payments within accounting software.</p><p>• Address transaction or documentation discrepancies to maintain financial accuracy.</p><p>• Sort and distribute company mail from Central Jersey mailboxes up to three times per week.</p><p>• Handle administrative tasks such as document management, scanning, filing, and maintaining records.</p><p>• Assist with ad hoc projects and operational tasks from the Accounting team and other departments.</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 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 dedicated and experienced Human Resources Manager to oversee comprehensive HR operations within our dynamic manufacturing environment. This role is suited for a proactive individual who excels at creating efficient processes and fostering strong relationships across teams. Working onsite in Glen Burnie, Maryland, you will play a pivotal role in driving organizational success through strategic HR practices.<br><br>Responsibilities:<br>• Manage the entire employee lifecycle, including recruitment, onboarding, performance management, and offboarding.<br>• Administer employee benefits programs, including open enrollment, workers’ compensation, and unemployment claims.<br>• Support biweekly payroll processing across multiple states, with training provided as necessary.<br>• Collaborate with department managers to address staffing needs and implement HR initiatives.<br>• Travel occasionally to plant locations to assist with hiring and operational setup.<br>• Lead projects to update key HR documents, such as employee handbooks and performance appraisal systems.<br>• Analyze and maintain HR data using Excel, ensuring accuracy and effective reporting.<br>• Ensure compliance with labor laws, company policies, and industry standards.<br>• Contribute to strategic HR planning and process enhancement efforts.
<ul><li><strong>Position: Claims Examiner - Lost Time (Contract Role)</strong></li><li><strong>Location: 555 Long Wharf Drive New Haven CT USA 06511-5941</strong></li><li><strong>Type: 100% Onsite</strong></li><li><strong>Hourly Pay Range: $30-33/per hour</strong></li><li><strong>Interview Process: Virtual interview 1-2 round of 30 minute interview</strong></li></ul><p> </p><p><strong>Job Description: </strong></p><p>Job Schedule-100% ONSITE</p><p>Job hours-8:30am-5:00pm EST</p><p> </p><p>3 years of Workers Compensation Lost Time Claim Examiner or Commensurate Experience </p><p> </p><p>Duties and Responsibilities:</p><p>- Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.</p><p>- Reviews claim and policy information to provide background for investigation.</p><p>- Conducts 3-part ongoing investigations obtaining facts and taking statements as necessary with insured claimant and medical providers.</p><p>- Evaluates the facts gathered through the investigation to determine compensability of the claim.</p><p>- Informs insureds claimants and attorneys of claim denials when applicable.</p><p>- Prepares reports on investigation settlements denials of claims and evaluations of involved parties etc.</p><p>- Timely administration of statutory medical and indemnity benefits throughout the life of the claim.</p><p>- Sets reserves within authority limits for medical indemnity and expenses and recommends reserve changes to Team</p><p>Leader throughout the life of the claim.</p><p>- Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.</p><p>- Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.</p><p>- Works with attorneys to manage hearings and litigation</p><p>- Controls and directs vendors nurse case managers telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.</p><p>- Complies with customer service requests including Special Claims Handling procedures file status notes and claim reviews.</p><p>- Files workers compensation forms and electronic data with states to ensure compliance with statutory regulations.</p><p>- Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.</p><p>- Works with in-house Technical Assistants Special Investigators Nurse</p><p>Consultants Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.</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>
