<p>Robert Half's client is seeking an Administrative Assistant to join a non-profit organization in Martinez, California. In this PART-TIME, contract position, you will play a vital role in supporting office operations, handling public inquiries, and ensuring accurate documentation and records management. This opportunity is ideal for someone who thrives in a fast-paced environment and enjoys multitasking while maintaining high levels of organization.</p><p><br></p><p>Administrative Assistant Responsibilities:</p><p>• Respond to public inquiries, route requests to appropriate departments, and provide excellent customer service.</p><p>• Manage claims processing by logging, coordinating, and tracking deadlines while maintaining accurate documentation.</p><p>• Handle requests under the California Public Records Act by clarifying inquiries, coordinating searches, and preparing responsive records.</p><p>• Organize, index, and maintain records through filing, scanning, and retention tracking according to established schedules.</p><p>• Provide administrative support such as preparing documents, entering data, scheduling appointments, and maintaining office logs.</p><p>• Assist with clerical accounting tasks, including processing invoices, purchase requests, and reimbursements while maintaining accurate records.</p><p>• Utilize office software and document management systems, ensuring confidentiality of sensitive information.</p><p>• Support the City Clerk with daily office functions and ensure compliance with policies and standards.</p><p>• Maintain clear and effective communication and business correspondence in all interactions.</p><p>• Prioritize tasks effectively and work independently while managing multiple deadlines.</p><p><br></p><p>If you are interested in this part-time Administrative Assistant position, please submit your resume today for immediate consideration.</p>
<p>We are looking for 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>
We are looking for a motivated and detail-oriented Customer Service Representative to join our team in Richburg, South Carolina. In this role, you will handle customer claims, coordinate communication across departments, and ensure customer satisfaction through efficient claim processing. This position is Contract to permanent and offers the opportunity to work directly on the warehouse floor in a dynamic wholesale distribution environment.<br><br>Responsibilities:<br>• Evaluate incoming claims from customers and collaborate with the Quality Manager to ensure accurate processing.<br>• Gather supporting evidence for claims, such as product samples or photographs.<br>• Process customer claims, including managing material returns and issuing credits.<br>• Enter vendor claims into the system and oversee their resolution, including issuing debits.<br>• Handle the processing of credits and debits within the company’s system.<br>• Communicate effectively with sales, quality, and production teams throughout the claims process.<br>• Provide support for supplier and customer interactions during claim resolutions.<br>• Track rejected materials and inventory, and assist with documentation to reduce discrepancies.<br>• Conduct material inspections and contribute to internal audits as needed.<br>• Perform administrative tasks such as filing and contributing to root cause analysis documentation.
<p><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>
<p><br></p><p><br></p><p>Responsibilities:</p><p>• Respond to customer inquiries and resolve issues related to billing, enrollment, and account management.</p><p>• Process claims, contractor invoices, and fulfillment requests with precision and efficiency.</p><p>• Collaborate with internal teams and external vendors to address and resolve account-related concerns.</p><p>• Maintain accurate and up-to-date records while adhering to established procedures and policies.</p><p>• Ensure compliance with relevant regulations and company guidelines in all account-related activities.</p><p>• Communicate effectively with customers, providing clear and attentive assistance.</p><p>• Participate in training sessions and development programs to enhance customer service skills.</p><p>• Support financial and operational functions by managing accounts and processing invoices.</p><p>• Handle customer complaints with care, ensuring prompt resolution and satisfaction.</p><p>• Assist in project-specific tasks as needed, ensuring timely and accurate completion.</p>
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.
We are looking for a diligent and resourceful Executive Assistant to support our Finance and Risk Management teams in an automotive industry setting. This contract-to-permanent position is based in Raleigh, North Carolina, and requires an individual who excels in administrative tasks, system navigation, and detailed coordination. The role focuses on treasury management and insurance claims processing, requiring a strong aptitude for organization, vigilance, and collaboration with internal and external stakeholders.<br><br>Responsibilities:<br>• Manage corporate banking platforms to generate reports, initiate workflows, and oversee treasury activities.<br>• Facilitate the opening, maintenance, and closure of corporate bank accounts, ensuring all documentation is complete and accurate.<br>• Conduct audits of banking permissions and monitor system access on a quarterly basis.<br>• Collaborate with auditors and provide necessary treasury documentation, including bank confirmations.<br>• Oversee the filing, tracking, and resolution of insurance claims, including property, casualty, workers’ compensation, and inventory claims.<br>• Work with department leaders to gather detailed incident information, such as photos and statements, for claims processing.<br>• Review and audit insurance claims for completeness to prevent delays and ensure accuracy.<br>• Assist in identifying operational risks and implement policies to mitigate liability across multiple locations.<br>• Analyze claims data to detect trends, safety concerns, and opportunities for operational improvements.<br>• Contribute to annual insurance renewals by preparing organized loss runs and related documentation for brokers.
<p>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><strong>Position Summary:</strong></p><p>The Logistics Claims Specialist is responsible for managing and resolving freight claims related to loss, damage, and service failures across the supply chain. This role ensures timely and accurate processing of claims, maintains compliance with carrier agreements, and provides exceptional support to internal teams and external partners. The ideal candidate will have strong analytical skills, attention to detail, and experience in logistics operations.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Claims Management:</strong></li><li>Investigate, file, and track freight claims for loss, damage, and shortages with carriers and vendors.</li><li>Ensure claims are processed accurately and within contractual timelines.</li><li><strong>Documentation & Compliance:</strong></li><li>Collect and review all required documentation (BOLs, PODs, invoices, photos) to support claims.</li><li>Maintain compliance with carrier agreements and company policies.</li><li><strong>Communication & Coordination:</strong></li><li>Serve as the primary point of contact for claims inquiries from carriers, customers, and internal teams.</li><li>Collaborate with operations, customer service, and finance teams to resolve discrepancies.</li><li><strong>Reporting & Analysis:</strong></li><li>Monitor claim trends and provide regular reports on claim status, recovery rates, and root cause analysis.</li><li>Recommend process improvements to reduce claim frequency and cost.</li></ul><p><br></p>
<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>
We are looking for a detail-oriented Claims Admin Support Specialist to join our team in Maitland, Florida. In this long-term contract role, you will perform a variety of clerical and administrative tasks to ensure smooth office operations. This position requires strong organizational skills and the ability to handle routine inquiries while supporting broader office functions.<br><br>Responsibilities:<br>• Manage and maintain office supplies, ensuring stock levels are adequate and replenished as needed.<br>• Operate and oversee the maintenance of office equipment, including printers, copiers, and fax machines.<br>• Coordinate document shredding services with designated vendors.<br>• Handle document organization by creating, retrieving, and delivering files, as well as copying and scanning documents.<br>• Compose basic correspondence and assist with routine communication tasks.<br>• Greet visitors, direct them appropriately, and address general inquiries.<br>• Open, sort, and distribute incoming mail and deliveries, including FedEx packages.<br>• Assist in setting up meetings and coordinating record retention processes.<br>• Perform additional research and reporting tasks as requested by leadership.<br>• Occasionally travel for work-related tasks or meetings.
<p>Job Posting: Claims Adjuster – Remote</p><p>Join our team to support a leading pet insurance organization as a Claims Adjuster. This is a fully remote role offering the opportunity to help pet parents by efficiently managing, adjudicating, and finalizing insurance claims. We are looking for detail-oriented individuals who value accuracy, organization, and clear communication.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Adjudicate insurance claims in a timely and compliant manner, adhering to standard operating procedures.</li><li>Consistently meet or exceed daily claims targets.</li><li>Provide guidance, oversight, and final approval authority to non-licensed claims processors (GenPact, AdStrat, or Healthy Paws).</li><li>Maintain active adjuster licenses as required by state and municipal regulations.</li><li>Identify and recommend process improvements to enhance the claims workflow.</li><li>Ensure all claims are processed according to compliance and quality standards.</li></ul><p><br></p>
We are looking for a highly analytical and detail-oriented Data Analyst to join our team in Greenville, South Carolina. In this role, you will play a key part in configuring and maintaining client benefit plans, contracts, and paycodes within a legacy AS400 claims processing system. This is a contract-to-permanent position within the insurance industry, offering the opportunity to contribute to specialized system setups and ensure accuracy in claims processing.<br><br>Responsibilities:<br>• Configure and implement new client setups in the AS400 system, including benefit plans, premium structures, paycodes, billing setups, and access controls.<br>• Convert benefit plan requirements into precise system coding based on detailed documentation.<br>• Map benefit plans to corresponding plan years, contracts, sub-plans, employer groups, and portals.<br>• Update system configurations to reflect renewals or changes to benefit plans while maintaining accurate documentation.<br>• Investigate and resolve configuration and paycode issues to ensure claims are processed correctly.<br>• Conduct testing, validation, and audits to maintain system accuracy and address discrepancies.<br>• Collaborate on special projects involving highly customized, layered software environments.<br>• Support the creation and maintenance of group plan and benefit plan documents within the system.<br>• Troubleshoot and refine formula logic for paycodes to align with client-specific needs.
<p>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>
<p>We are seeking a skilled Medical Billing Specialist to join a busy team and assist with processing and submitting medical insurance invoices and claims. The successful candidate will be responsible for ensuring accurate and timely submission of claims to insurance companies, reviewing and verifying insurance information, and resolving any issues or errors related to patient accounts.</p><p> </p><p>As a Medical Billing Specialist, you will work in this fast-paced environment, collaborating with other members of the medical billing team to ensure efficient and effective billing and claims processing. The ideal candidate will have strong attention to detail, excellent communication and customer service skills, and the ability to work independently. **This is an onsite role in the greater Chattanooga/North Georgia area**</p><p> </p><p>Responsibilities:</p><ul><li>Process and submit medical insurance claims accurately and in a timely manner</li><li>Review and verify patient insurance information, including policy numbers and coverage</li><li>Resolve any issues or errors related to patient billing</li><li>Communicate with patients and insurance companies regarding claim status and payment</li><li>Collaborate with other members of the medical billing team to ensure efficient and effective claims processing</li><li>Maintain accurate records and documentation of claims and payments</li></ul><p>Please complete an application and call (423) 244-0726 directly for more information!</p><p> </p>
<p>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 skilled Billing Clerk to join our team in Melville, New York. This role requires a detail-oriented individual with expertise in billing and claims. Accounts Receivable and Accounts Payable experence is a plus. The ideal candidate will bring over five years of experience and a commitment to accuracy and efficiency in financial operations. Not for profit organization experience is preferred.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage billing claims, ensuring accuracy and compliance with industry regulations.</p><p>• Handle accounts receivable functions, maintaining up-to-date records.</p><p>• Generate and distribute billing statements to clients and patients promptly.</p><p>• Utilize computerized billing systems to track and resolve discrepancies.</p><p>• Collaborate with team members to ensure timely collection of outstanding balances.</p><p>• Monitor and reconcile billing accounts to maintain accurate financial data.</p><p>• Investigate and resolve claims-related issues, providing excellent customer service.</p><p>• Maintain confidentiality and adhere to all applicable healthcare billing regulations.</p><p>• Assist in improving billing processes to enhance overall efficiency.</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><br></p><p>Our company is seeking a detail-oriented Claims and Payments Specialist to join our administrative or healthcare support team. This position is responsible for processing claims, working on denials, posting payments, and managing bill payments for our clients. The ideal candidate is proactive, organized, and committed to ensuring accurate handling of financial and billing requests.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Accurately process client claims and documentation.</li><li>Review, research, and resolve claim denials in a timely manner.</li><li>Post payments received to the proper accounts, maintaining clear and accurate records.</li><li>Pay bills for clients, ensuring deadlines and processes are followed.</li><li>Communicate with internal teams and clients regarding billing status, issues, and resolutions.</li><li>Maintain compliance with company and industry billing standards.</li><li>Support additional administrative or billing tasks as needed.</li></ul><p>Qualifications:</p><ul><li>Prior experience in claims processing, payment posting, billing, or related administrative duties is preferred.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent verbal and written communication abilities.</li><li>Proficiency in basic office software and billing systems.</li><li>Willingness to pay bills on behalf of clients as required by the role.</li></ul><p><br></p>
<p><strong>Medical Billing Specialist – Join Our Dynamic Team in Hershey!</strong></p><p><br></p><p>Are you passionate about details, driven by accuracy, and ready to make a difference in healthcare? Mid-sized company in Hershey is seeking a <strong>Medical Billing Specialist</strong> who brings both know-how and enthusiasm to the table. If you’re ready to advance your career in a supportive, growth-focused workplace—with a dash of FUN—we want to hear from you!</p><p><br></p><p><strong>What You’ll Do:</strong></p><ul><li>Prepare, review, and submit medical claims for reimbursement</li><li>Collaborate with healthcare providers and insurers to resolve billing questions</li><li>Manage patient accounts, including invoice generation and payment posting</li><li>Investigate and resolve claim denials and discrepancies</li><li>Maintain up-to-date records and ensure compliance with billing regulations</li><li>Deliver exceptional customer service to both patients and partners</li></ul><p><strong>What Makes Us Stand Out:</strong></p><ul><li><strong>Team Spirit:</strong> We believe a happy team delivers the best results. Enjoy a collaborative culture that celebrates wins and supports your growth!</li><li><strong>Career Growth:</strong> We invest in your future with ongoing training, advancement opportunities, and recognition for a job well done.</li><li><strong>Perks and Fun:</strong> From office theme days to group outings and wellness initiatives, we know that a little fun goes a long way!</li><li><strong>Make an Impact:</strong> Your attention to detail ensures patients receive care and providers are supported—your work truly matters.</li></ul><p><br></p>
The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. <br>Essential Duties:<br>• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.<br>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.<br>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.<br>• Reverses balance to credit or debit if charges were improperly billed.<br>• Contacts insurance carriers as necessary to determine correct payment application.<br>• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.<br>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.<br>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.<br>• Communicates issues related to payment posting and refunds from payers to management.<br>• Updates correct payer and resubmits claims to the payers.<br>• Consistently meets/exceeds productivity and quality standards.<br>• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.<br>• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.<br>• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.<br>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.<br>• Special billing and collections for LOAs.<br>• Special billing and collections for Case Rates.<br>• Special billing and collections for Embassy Services.<br>• Performs other related duties as assigned by management team.
<p>We are looking for a detail-oriented Billing and Admin Clerk to join our team on a long-term contract basis in Waltham, Massachusetts. This role involves managing billing processes, maintaining office operations, and ensuring smooth interactions with vendors and clients. The ideal candidate will have excellent organizational skills and a proactive approach to handling administrative tasks.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and issue monthly invoices using specialized billing software and follow up on outstanding payments.</p><p>• Monitor accounts receivable and send reminders for overdue balances as necessary.</p><p>• Process expense reports and ensure accurate tracking of monthly expenses.</p><p>• Manage vendor bills, corporate credit card transactions, and obtain necessary approvals.</p><p>• Maintain office inventory, anticipate supply needs, and place orders while adhering to budget guidelines.</p><p>• Perform routine maintenance and troubleshooting for office equipment and technology.</p><p>• Build and sustain positive relationships with building management to ensure smooth operations.</p><p>• Welcome clients and visitors, providing excellent customer service and addressing inquiries.</p><p>• Support administrative functions, including inventory reconciliation and report preparation.</p><p>• Ensure all billing and payment processes are handled efficiently and accurately.</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>
<p>We are looking for an experienced Medical Billing Specialist to join a team in Wilmington, Delaware. This position plays a vital role in ensuring accurate billing, claims processing, and accounts receivable management within a healthcare setting. As a Contract to permanent opportunity, this role offers the chance to demonstrate your expertise and grow within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims using UB04 forms while ensuring compliance with healthcare regulations and payer requirements.</p><p>• Perform detailed medical coding using current standards to accurately reflect resident care and services.</p><p>• Manage accounts receivable for Medicaid and Medicare billing, resolving discrepancies and handling claim denials effectively.</p><p>• Update and reconcile resident census data to ensure accurate billing for insurance providers.</p><p>• Coordinate billing for resident accounts, verify insurance eligibility, and maintain precise records of claim statuses.</p><p>• Utilize PointClickCare and other healthcare software to manage billing and documentation processes.</p><p>• Monitor claim statuses, investigate rejections or denials, and prepare corrected claims when necessary.</p><p>• Collaborate with clinical and administrative teams to ensure accurate census reporting and smooth billing operations.</p><p>• Uphold compliance with healthcare policies and regulations, safeguarding patient information and confidentiality.</p>
