We are looking for a detail-oriented Claims Processor to join our team on a contract basis in Cincinnati, Ohio. In this role, you will handle high-volume data entry tasks, manage insurance claims, and provide excellent customer service to clients. This position offers an opportunity to contribute to the efficient resolution of property insurance claims in a focused and collaborative environment.<br><br>Responsibilities:<br>• Process insurance claims with accuracy and attention to detail, ensuring compliance with company policies.<br>• Perform high-volume numeric data entry tasks to maintain accurate claim records.<br>• Utilize Microsoft Excel to organize, analyze, and track claim-related information.<br>• Assist customers by addressing inquiries and providing updates on their claims.<br>• Collaborate with team members to resolve property insurance claims efficiently.<br>• Review and verify claim documentation for completeness and accuracy.<br>• Communicate with clients to obtain necessary information and clarify claim details.<br>• Identify and report discrepancies or issues during the claims processing workflow.<br>• Maintain confidentiality and adhere to industry standards in handling sensitive client data.
<p>Robert Half's client is seeking an Administrative Assistant to join a non-profit organization in Martinez, California. In this PART-TIME, contract position, you will play a vital role in supporting office operations, handling public inquiries, and ensuring accurate documentation and records management. This opportunity is ideal for someone who thrives in a fast-paced environment and enjoys multitasking while maintaining high levels of organization.</p><p><br></p><p>Administrative Assistant Responsibilities:</p><p>• Respond to public inquiries, route requests to appropriate departments, and provide excellent customer service.</p><p>• Manage claims processing by logging, coordinating, and tracking deadlines while maintaining accurate documentation.</p><p>• Handle requests under the California Public Records Act by clarifying inquiries, coordinating searches, and preparing responsive records.</p><p>• Organize, index, and maintain records through filing, scanning, and retention tracking according to established schedules.</p><p>• Provide administrative support such as preparing documents, entering data, scheduling appointments, and maintaining office logs.</p><p>• Assist with clerical accounting tasks, including processing invoices, purchase requests, and reimbursements while maintaining accurate records.</p><p>• Utilize office software and document management systems, ensuring confidentiality of sensitive information.</p><p>• Support the City Clerk with daily office functions and ensure compliance with policies and standards.</p><p>• Maintain clear and effective communication and business correspondence in all interactions.</p><p>• Prioritize tasks effectively and work independently while managing multiple deadlines.</p><p><br></p><p>If you are interested in this part-time Administrative Assistant position, please submit your resume today!</p>
We are looking for a dedicated Insurance Follow-Up Specialist to join our team in Tampa, Florida. This role requires a proactive individual who can effectively manage communication with funeral homes and insurance representatives while ensuring timely document processing. As a contract position with potential for long-term collaboration, it offers an opportunity for growth.<br><br>Responsibilities:<br>• Collaborate with funeral homes to obtain necessary signatures and documentation promptly.<br>• Address and resolve delays in document processing with professionalism and persistence.<br>• Establish and maintain strong relationships with insurance representatives and funeral home partners.<br>• Accurately record and organize case information to ensure seamless tracking and follow-up.<br>• Provide additional support to the Concierge team by handling extra follow-up tasks when required.
<p>We are looking for a dedicated Personal Lines Customer Service Representative to join our client in the Lancaster, Pennsylvania area. This role involves assisting clients with their insurance needs, ensuring efficient service, and maintaining compliance with agency and carrier policies. The ideal candidate will thrive in a collaborative environment and be committed to delivering exceptional customer experiences.</p><p><br></p><p>Responsibilities:</p><p>• Provide support to the service assistant by managing client tasks from the Personal Lines service inbox.</p><p>• Assist clients with filing auto and home insurance claims and address billing inquiries.</p><p>• Update payment plans and follow up on property inspections to ensure compliance with agency processes.</p><p>• Write and review policies for existing clients, adhering to underwriting guidelines and completing necessary checklists.</p><p>• Conduct policy reviews, identify opportunities for cross-selling or upselling, and work to retain existing client policies.</p><p>• Record customer interactions in the agency management system.</p><p>• Organize daily priorities using desk management standards and maintain a streamlined workflow.</p><p>• Collaborate with the Personal Lines Sales and Service teams to achieve shared goals and enhance customer satisfaction.</p><p>• Build positive relationships with carrier personnel to ensure smooth operations.</p>
<p><strong>Join an industry leader!</strong> Our manufacturing client is seeking a highly skilled <strong>Litigation Paralegal</strong> to transition to an exciting <strong>in-house role</strong>. You will be a crucial part of the legal team, managing complex matters and contributing directly to business success.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims and lawsuits related to specific business units or product lines, gaining expertise in particular areas.</p><p>• Collaborate with internal teams to gather necessary information and provide updates on litigation progress.</p><p>• Partner with insurance providers and adjustors to address claims effectively.</p><p>• Collect, analyze, and organize internal and external documents required for legal proceedings.</p><p>• Coordinate with outside counsel, witnesses, and experts while aligning with the Legal Manager and Assistant General Counsel.</p><p>• Negotiate settlements and prepare relevant documentation, such as response letters, agreements, and releases.</p><p>• Draft responses to inquiries from federal, state, and local agencies.</p><p>• Assist with various legal projects based on the department's needs.</p><p>• Maintain meticulous records and ensure compliance with legal standards.</p><p>• Support the litigation team in trial preparation and case management activities.</p>
<p>We are looking for an experienced Customer Service Representative to join a team on a contract basis in Blue Bell, Pennsylvania. In this role, you will provide exceptional service to customers in the vehicle aftermarket sector, handling inquiries, processing orders, and resolving issues effectively. This position is ideal for someone who thrives in a dynamic team environment and has a passion for delivering outstanding customer experiences.</p><p><br></p><p>Responsibilities:</p><p>• Respond promptly to customer inquiries via phone and E-Mail, ensuring a detail-oriented and supportive approach.</p><p>• Process customer orders accurately using proprietary order management systems.</p><p>• Manage product returns and warranty claims in compliance with company policies.</p><p>• Address and resolve customer concerns, providing clear solutions and maintaining satisfaction.</p><p>• Collaborate with team members to ensure seamless communication and service delivery.</p><p>• Maintain detailed records of customer interactions, orders, and transactions for reporting purposes.</p><p>• Utilize call center software to track tickets and monitor customer service metrics.</p><p>• Stay informed about aftermarket vehicle parts and services to assist customers effectively.</p><p>• Participate in team meetings and contribute to process improvements.</p><p>• Adhere to all company policies and procedures, ensuring compliance with relevant regulations.</p>
<p><strong>Summary</strong></p><p>Our client is seeking a Finance Administrative Assistant to support their Child Care Scholarship Programs on a temp-to-hire basis. Reporting to the Director of Finance, this is a client-facing, administrative role that works closely with the Accounts Payable Coordinator and Child Care Scholarship Counselors to ensure accurate, timely processing of provider payments and related documentation. This role is ideal for someone who is detail-oriented, organized, and comfortable working with financial data while communicating regularly with families and providers.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Support the Accounts Payable Coordinator with all finance-related duties for Child Care Scholarship Programs</li><li>Maintain agreements and documentation for Child Care Providers</li><li>Enter, review, and verify invoices for accuracy, approvals, and required signatures</li><li>Collect and manage W-9s; set up and maintain vendor records</li><li>Print checks, schedule check signings, and coordinate mailing</li><li>Communicate with Child Care staff, families, and providers via phone and email to gather required documentation</li><li>Manage the Child Care Scholarship finance inbox, responding to inquiries and routing information as needed</li><li>Perform invoice and general ledger entries in MIP Fund Accounting</li><li>Track and process scholarship payment invoices</li><li>Resolve invoice discrepancies and payment disputes with providers and vendors</li><li>Update and maintain Family, Child, and Provider records across paper files, systems, and spreadsheets</li><li>Prepare documentation for monthly state reimbursement claims</li><li>Create and maintain spreadsheets and financial reports; proofread for accuracy</li><li>Assist with annual audits by providing requested financial documentation</li><li>Maintain organized and accurate accounting files</li><li>Attend Child Care staff meetings</li><li>Assist with ordering and managing finance-related supplies</li><li>Perform other related duties as assigned</li></ul>
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
<p>We are looking for an experienced Insurance Claims Examiner to join our team on a contract basis in Oakland, California. In this role, you will analyze and process medical claims, ensuring accuracy and compliance with healthcare regulations. Ideal candidates will have a strong background in insurance claims management and coding, along with the ability to work independently in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Review and adjudicate medical claims for accuracy and compliance with Medi-Cal, Medicare, and other healthcare regulations.</p><p>• Research and resolve claim discrepancies, ensuring proper payment and documentation.</p><p>• Utilize coding systems such as ICD-10, CPT, and HCPCS to verify claim accuracy.</p><p>• Maintain confidentiality while handling sensitive participant and family information.</p><p>• Follow organizational policies and procedures to ensure compliance and attention to detail.</p><p>• Exhibit consistent attendance and punctuality while meeting deadlines.</p><p>• Communicate effectively with internal teams and external stakeholders to address claim issues.</p><p>• Input accurate data into various computer systems and software programs.</p><p>• Provide courteous and detail-oriented customer service to all stakeholders.</p><p>• Perform additional duties as assigned to support claims processing activities.</p><p><br></p><p>If you are interested in this role please apply now and call us at (510) 470-7450, it is an urgent need for our client. </p>
<p>We are 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>Join our client's team as a Medical Administrative Assistant and support the delivery of quality patient care by handling a range of administrative tasks in a medical office or healthcare facility.</p><p><em>Key Responsibilities:</em></p><ul><li>Greet and assist patients and visitors</li><li>Answer phones, schedule appointments, and manage calendars</li><li>Maintain and update patient records securely and accurately</li><li>Coordinate communications between medical staff, patients, and insurance companies</li><li>Assist with billing, insurance verification, and claims processing</li><li>Perform general office tasks such as filing, faxing, and scanning documents</li><li>Ensure compliance with confidentiality and healthcare regulations</li></ul><p><br></p>
We are looking for a detail-oriented and friendly individual to join our team as a Patient Registration Specialist in Blue Ash, Ohio. In this Contract-to-Permanent role, you will play a vital part in ensuring a smooth registration process for patients while maintaining accurate records and providing excellent customer service. This position is within the healthcare sector, offering an opportunity to contribute meaningfully to patient care.<br><br>Responsibilities:<br>• Welcome patients and visitors warmly, ensuring a positive first impression.<br>• Maintain and update patient records with accuracy and confidentiality.<br>• Handle insurance claims and payment processing efficiently.<br>• Monitor inventory levels and order supplies as needed.<br>• Coordinate patient scheduling and registration processes.<br>• Verify medical insurance details to ensure proper billing.<br>• Assist patients with inquiries, providing clear and helpful information.<br>• Perform general administrative duties to support daily operations.<br>• Address any issues or concerns related to patient registration promptly.
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis in Vancouver, Washington. In this role, you will be responsible for verifying patient insurance details, ensuring accurate billing, and supporting the claims process to minimize denials. This position requires excellent communication skills and a strong ability to collaborate with patients, insurance providers, and healthcare teams.<br><br>Responsibilities:<br>• Verify patient insurance coverage, benefits, and eligibility before services or procedures are scheduled.<br>• Obtain necessary prior authorizations and referrals required by insurance carriers.<br>• Accurately input and update insurance information within patient management systems.<br>• Communicate with patients to explain coverage details, out-of-pocket costs, and financial responsibilities.<br>• Investigate and resolve discrepancies related to incomplete or denied authorizations.<br>• Ensure compliance with regulatory policies and organizational standards.<br>• Collaborate with billing and clinical staff to facilitate the timely and accurate processing of claims.<br>• Maintain thorough documentation of all insurance verification activities.<br>• Follow up with insurance companies to address any outstanding issues or inquiries.
As a Warranty Claims Specialist, you will be responsible for processing, analyzing, and resolving warranty claims while providing an excellent service experience to customers and internal partners. The ideal candidate demonstrates exceptional attention to detail, communication skills, and a strong sense of accountability. Key Responsibilities: Review, evaluate, and process warranty claims according to company policies and manufacturer guidelines Communicate with customers, vendors, dealers, and internal teams to gather necessary documentation and clarify claim details Investigate and resolve claims discrepancies; escalate complex issues as needed Maintain accurate claim records and ensure compliance with audit standards Monitor claim statuses and drive timely resolution of open issues Analyze claims trends to identify potential product or process improvements Provide guidance and updates to customers on the status of their claims Collaborate with technical and customer service teams to ensure a seamless client experience
<p>Customer Service Representative – SME Accelerate Team Assistant</p><p><br></p><p>Type: Long-Term Contract</p><p><br></p><p>About the Role</p><p>We are seeking a Customer Service Representative to join our SME Accelerate team. This role focuses on delivering exceptional customer service related to sales, promotions, installations, and communications, while ensuring compliance and accuracy in all processes. The ideal candidate will have JD Edwards (JDE) experience and the ability to work within well-defined procedures in a fast-paced environment.</p><p><br></p><p>Key Responsibilities</p><p>Provide customer services relating to sales, sales promotions, installations, and communications.</p><p>Maintain strong customer relationships and resolve claims and complaints fairly and effectively in compliance with consumer laws.</p><p>Validate and process purchase orders accurately using JDE and other systems.</p><p>Ensure accuracy of data entry and proactively address discrepancies.</p><p>Keep detailed records of customer interactions, inquiries, complaints, and resolutions.</p><p>Support internal teams by providing timely responses and assisting with administrative tasks.</p><p>Develop improvement plans based on customer feedback and surveys.</p><p>Collaborate with cross-functional teams to implement initiatives that inform and educate customers.</p><p><br></p>
Ensure full reimbursement is received for clinical services rendered including detail oriented, long-term/home care and hospital care, by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to secure payment. Work as part of a dynamic team continually looking for ways to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments and coverage changes as needed. Review and process claim denials according to established processes. Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as needed according to department policy and procedure. Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we do not fail to follow-up before a payer's deadline. Participate in team meetings, which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes. Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools available, including accessing clinical documentation and authorization details. Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact insurance as needed. Coordinate resolution with Customer Service staff.
<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>
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><strong>Overview</strong></p><p> We are seeking a reliable and detail-oriented <strong>Bilingual Spanish HR Administrator</strong> to support human resources operations for a growing construction company. This role plays a critical part in supporting a diverse, field-based workforce and ensuring smooth HR processes across multiple job sites. The ideal candidate is highly organized, people-focused, and comfortable communicating with employees and managers in both English and Spanish.</p><p><strong>Key Responsibilities</strong></p><ul><li>Serve as an HR point of contact for employees and supervisors, providing support in both English and Spanish</li><li>Assist with onboarding and offboarding for field and office employees, including new hire paperwork, orientations, and I-9/E-Verify processing</li><li>Maintain accurate employee records, personnel files, and HR systems</li><li>Support recruitment activities such as coordinating interviews, scheduling, and candidate communications</li><li>Assist with timekeeping, payroll support, and resolving employee timecard issues</li><li>Support benefits administration, including enrollment assistance and employee inquiries</li><li>Help track certifications, licenses, safety training, and compliance documentation</li><li>Assist with workers’ compensation claims and injury reporting as needed</li><li>Ensure HR practices align with company policies and applicable labor laws</li><li>Provide general administrative and clerical support to the HR department</li></ul><p><br></p>
<p><strong>Location:</strong> Remote (Central Time Zone preferred)</p><p><strong>Schedule:</strong> 9:00 AM – 6:00 PM CST</p><p><strong>About the Role</strong></p><p>We are looking for a Customer Service Representative with strong interpersonal skills and a proactive mindset to support our Trauma & Extremities Business Units. This role is ideal for someone who is committed to delivering exceptional service and going above and beyond to meet customer needs.</p><p><strong>Key Responsibilities</strong></p><ul><li>Provide customer service related to sales, order entry, and purchase order collections.</li><li>Maintain positive customer relationships and resolve claims and complaints in compliance with consumer laws.</li><li>Develop initiatives to inform and educate customers about products and processes.</li><li>Collaborate with internal teams to create improvement plans for purchase order collections.</li><li>Follow clearly defined procedures and guidelines to ensure accuracy and consistency.</li></ul><p><br></p><p><strong>Why Join Us?</strong></p><ul><li>Remote work flexibility.</li><li>Opportunity to support a critical business unit in the healthcare industry.</li><li>Collaborative team environment with clear processes and guidelines.</li></ul>
<p><strong>Job Summary:</strong> The Medical Billing Specialist is responsible for accurately processing and managing healthcare billing information for medical practices, clinics, or hospitals. This role ensures that insurance claims are correctly coded, submitted, and followed up to maximize reimbursements and minimize errors. Medical Billing Specialists serve as a liaison between healthcare providers, patients, and insurance companies, helping to resolve billing issues and maintain compliance with relevant regulations.</p>
<p>We are looking for a dedicated Customer Service Representative to join our client's team on a contract basis in Bristol, Connecticut. In this role, you will collaborate closely with regional sales managers and various departments to ensure customer satisfaction throughout the project lifecycle. Your ability to maintain attention to detail and build rapport will be essential in delivering exceptional service and exceeding expectations.</p><p><br></p><p>Responsibilities:</p><p>• Review contracts, quotes, purchase orders, and project documents to understand customer requirements and ensure accuracy.</p><p>• Maintain clear and detail-oriented communication with customers, fostering positive relationships.</p><p>• Coordinate with the technical team to address and fulfill specific technical needs.</p><p>• Schedule and facilitate project meetings to kick off complex assignments.</p><p>• Update and create quotes as needed to support the regional sales team.</p><p>• Collaborate with marketing, finance, and other departments to align efforts and meet project goals.</p><p>• Accurately enter order details into Salesforce and internal systems while maintaining comprehensive project documentation.</p><p>• Monitor backlogs and ensure customer ship dates remain accurate and up-to-date.</p><p>• Record and address customer complaints or claims, working with management to improve overall service quality.</p><p>• Identify packaging and shipping requirements, including special handling conditions.</p>
<p>We are looking for a dedicated Revenue Cycle Management Director to lead and manage all aspects of our client's revenue cycle operations. This position plays a critical role in optimizing billing, coding, claims processing, insurance verification, and collections to ensure compliance and maximize reimbursement. The ideal candidate will bring strategic leadership and collaboration skills to support equitable healthcare access and operational efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the revenue cycle processes for Medicaid, Medicare, managed care, commercial payers, and sliding fee programs.</p><p>• Establish and enforce billing policies that align with regulatory requirements and organizational guidelines.</p><p>• Manage provider and facility credentialing processes to ensure timely enrollment with insurance payers.</p><p>• Monitor and analyze key performance indicators, accounts receivable data, and reimbursement trends to identify and implement performance improvements.</p><p>• Handle payer contracts, denial management, and appeals to ensure accurate and timely resolutions.</p><p>• Collaborate with departments such as operations, finance, and quality to enhance workflows and support population health goals.</p><p>• Ensure accurate medical, dental, behavioral health, and vision coding and claims submissions.</p><p>• Provide strategic direction, foster staff development, and oversee performance management within the revenue cycle team.</p><p>• Lead initiatives to improve compliance and efficiency across the revenue cycle.</p><p>• Drive continuous improvement in revenue cycle operations by leveraging data insights and industry best practices.</p>
We are looking for a detail-oriented Billing Coordinator to join our team on a Contract basis in Smyrna, Georgia. In this role, you will oversee and manage the billing process for pharmacy claims, ensuring timely reimbursements from insurance providers and patient payments. Your expertise will be key to maintaining compliance with industry standards while fostering efficient communication between payers, patients, and internal teams.<br><br>Responsibilities:<br>• Submit and monitor pharmacy claims to third-party payers, including commercial insurance, Medicare, and Medicaid, ensuring timely reimbursements.<br>• Track aging reports and follow up on unpaid or partially paid claims to facilitate full payment collection.<br>• Investigate and resolve claim rejections and denials by identifying errors, making corrections, and re-filing or appealing claims as necessary.<br>• Generate patient invoices, explain billing charges, and collect payments while delivering excellent customer service.<br>• Accurately post payments from insurance providers and patients to the appropriate accounts in the billing system.<br>• Reconcile accounts receivable regularly to maintain accurate financial records and address discrepancies promptly.<br>• Communicate with insurance providers to verify coverage details, clarify claim issues, and expedite resolutions.<br>• Maintain organized and detailed records of all billing activities to ensure compliance with pharmacy industry regulations.<br>• Provide clerical support, including sorting, filing, and maintaining departmental reports, to support seamless operations.<br>• Collaborate with management to suggest strategies for improving data accuracy and provide backup assistance to team members when needed.
<p>Chris Preble from Robert Half is working with an Ithaca area client of his that is looking to hire an HR Generalist - Benefits Administrator. This organization has excellent benefits, terrific work life balance and an opportunity to grow.</p><p><br></p><p><strong>Position Objective</strong></p><p>The HR Generalist – Benefits Specialist is a detail-oriented human resources professional with a primary focus on employee benefits administration and employee support. This role is well suited for someone with a solid HR foundation who is interested in further developing expertise in benefits. The organization is committed to training and supporting the successful candidate, providing the tools and guidance needed to grow into the role while contributing meaningfully to employee engagement, retention, and overall organizational effectiveness.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>A. Benefits Administration (Primary Focus)</strong></p><ul><li>Support the administration of health, dental, vision, life insurance, and flexible spending programs, including new hire enrollments, eligibility changes, and ongoing employee support.</li><li>Process benefits elections and updates within HRIS and payroll systems with accuracy and attention to detail.</li><li>Serve as an accessible point of contact for employee benefits questions, escalating complex issues as needed.</li><li>Partner with internal teams and external benefits providers to ensure timely resolution of benefits-related inquiries.</li><li>Assist with open enrollment activities, employee communications, and documentation.</li><li>Support the preparation and maintenance of benefits compliance documentation and reporting.</li></ul><p><strong>B. Leave Management & Workers’ Compensation</strong></p><ul><li>Assist with the administration of workers’ compensation claims, including injury reporting and documentation.</li><li>Support employees with disability, FMLA, and other protected leave requests under the guidance of HR leadership.</li><li>Track leave usage and coordinate information with payroll and benefits systems.</li></ul><p><strong>C. Retirement Plan Support</strong></p><ul><li>Assist with employee education and enrollment for retirement plan offerings.</li><li>Support employees with contribution changes, beneficiary updates, and basic plan inquiries.</li><li>Coordinate with plan providers to resolve routine questions and requests.</li></ul><p><strong>D. Payroll & Compensation Support</strong></p><ul><li>Assist with processing compensation changes within HRIS/payroll systems.</li><li>Support periodic payroll updates as directed.</li></ul><p><strong>E. Employee Relations</strong></p><ul><li>Serve as a first point of contact for employee questions and concerns, providing guidance and directing issues appropriately.</li></ul><p><br></p>
