A Robert Half client is looking for a Member Services Representative to join their team near Hoffman Estates, Illinois. In this role, you will serve as a key point of contact for members, fostering positive relationships and assisting with their needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. <br> Key Details: Role: Member Service Associate (similar to CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/claims—NOT a call center position) Schedule: Mon–Fri, 8AM–4PM, 100% on-site Compensation/Benefits: $26–$29/hour, based on experience and education; overtime opportunities available + full benefits package Position Highlights: Serve as the first point of contact for insured members to process claims, answer inquiries, and update information Handle sensitive member data and documents, ensuring privacy, security, and compliance Work closely with beneficiaries throughout claims and changes (address updates, beneficiary designations, etc.) Perform administrative/research tasks and support department projects Maintain accurate records in Salesforce and other internal systems Participate in weekly team meetings and ongoing training as you grow in the role <br> If you are interested in contributing to a friendly and committed team that makes an impact for its members—and your experience aligns with any of the above—please apply!
<p>We are looking for a Medical Claims Supervisor to lead a dynamic team in Winston-Salem, North Carolina. This role requires a skilled leader with a strong background in healthcare claims and a commitment to driving performance while maintaining a supportive team environment. The ideal candidate will bring both industry expertise and leadership experience to help the department achieve its goals. This is an onsite position. </p><p><br></p><p>Responsibilities:</p><p>• Oversee the daily operations of a team handling healthcare claims inquiries and adjudications.</p><p>• Monitor performance metrics, including KPIs, to ensure the department meets its objectives.</p><p>• Provide guidance and support to team members, fostering growth and accountability.</p><p>• Address escalated claims-related issues and ensure timely resolution.</p><p>• Collaborate with team leads to implement strategies that enhance efficiency and service quality.</p><p>• Develop and maintain workflows for processing claims and customer service inquiries.</p><p>• Train and onboard new hires, ensuring they understand company policies and procedures.</p><p>• Maintain a cohesive team environment, balancing empathy with performance-driven management.</p><p>• Evaluate and improve processes related to CRM systems to optimize customer interactions.</p><p>• Coordinate with upper management to align departmental goals with organizational priorities.</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>
<p>We are looking for a skilled Customer Service Representative to join our team on a long-term contract basis in Raleigh, NC. This role focuses on delivering exceptional customer support, addressing inquiries, and resolving concerns in accordance with consumer laws and company policies. The position requires strong communication and organizational abilities, along with a proactive approach to enhancing customer satisfaction.</p><p><br></p><p>Responsibilities:</p><p>• Provide exceptional support to customers by addressing inquiries related to sales, promotions, installations, and communications.</p><p>• Resolve customer complaints and claims efficiently while ensuring compliance with consumer laws and company policies.</p><p>• Develop and implement initiatives to proactively educate and inform customers about services and products.</p><p>• Contribute to improvement plans based on feedback from customer surveys and satisfaction metrics.</p><p>• Follow established procedures and guidelines to ensure seamless decision-making and task execution.</p><p>• Collaborate with internal teams to refine processes and enhance customer service strategies.</p><p>• Maintain and apply a solid understanding of work routines and technical procedures within the discipline.</p><p>• Assist with the administration of claims and coordination with suppliers when necessary.</p><p>• Promote sales initiatives and ensure customers are aware of current promotions.</p><p>• Utilize tools such as Adobe Flex and NIS to optimize customer service workflows.</p>
<ul><li><strong>Position: Loyalty Service/Customer Service Representative - Bilingual-Spanish/English (Contract to Hire)</strong></li><li><strong>Location: 2155 West Pinnacle Peak Road, ## 100, Phoenix, Arizona, 85027, United States</strong></li><li><strong>Type: ONSITE from 7:30am-6:00pm CST- timeframe. Monday-Friday</strong></li><li><strong>Job Schedule: 5 days in office</strong></li><li><strong>Tentative Hourly Pay: $21/per hour</strong></li></ul><p><strong>Responsibilities:</strong></p><p>• Supporting policyholders with insurance product information</p><p>• Answering PFP calls and responding to policyholder inquires with claims, service and intake related issues</p><p>• Provide detailed information about policies statuses</p><p>• Assist with basic technical troubleshooting for self-service related issues</p><p>• Ability to send transfers to the PFP sales team to increase APV revenue</p><p>• Ability to handle claim intake for PFP</p><p>• Consistently meets or exceeds expectations for departmental standards related to quality, average handle time, auxiliary time, after call work and other KPIs.</p><p>• Exhibits and practices the Organizations Common Purposes and Shared Traits. Understands organizational objectives, supports process improvements, and provides feedback to leadership.</p><p>• Willingness to participate in partnership training and mentoring of Junior Representatives.</p><p>• Willingness to perform other duties as assigned.</p><p>• Expected to be able work various shifts within 7:30 a.m. - 6:00 p.m. CDT timeframe.</p><p>• Represents the Combined tenants: Personal Connection, Empathy, Problem-Solving, and Ownership</p><p><br></p>
We are looking for a Customer Service Representative to join our team in Durham, North Carolina. This is a contract position that requires strong organizational skills and a keen eye for accuracy. The role involves both document review and customer interactions, with opportunities to grow into more advanced responsibilities over time.<br><br>Responsibilities:<br>• Review and index documents to ensure proper organization and accuracy.<br>• Conduct initial checks to verify details, ensuring all necessary information is present.<br>• Identify missing information and communicate with customers to obtain required details.<br>• Assist customers in completing claims and ensure the documents are ready for processing.<br>• Collaborate with senior team members to transition completed work for further review.<br>• Handle data entry tasks efficiently and maintain accurate records.<br>• Respond to inbound and outbound calls, providing timely and attentive assistance.<br>• Manage email correspondence to address inquiries and follow up on missing information.<br>• Utilize Microsoft Excel and Word for tracking and documentation purposes.<br>• Schedule appointments and maintain organized records of customer interactions.
We are looking for an experienced Workers’ Compensation Senior Claim Representative to join our team in Los Angeles, California. In this role, you will oversee the management of workers’ compensation lost time claims, ensuring compliance with statutory regulations and delivering exceptional customer service throughout the claims process. This is a Long-term Contract position requiring strong analytical, communication, and organizational skills.<br><br>Responsibilities:<br>• Manage all aspects of workers’ compensation lost time claims from initial setup to resolution, maintaining high standards of customer service.<br>• Conduct thorough investigations to gather facts, obtain statements, and assess compensability of claims.<br>• Administer statutory medical and indemnity benefits promptly and accurately throughout the duration of each claim.<br>• Collaborate with attorneys to oversee hearings and manage litigation processes effectively.<br>• Establish and adjust reserve amounts for medical, indemnity, and related expenses within authority limits.<br>• Coordinate with vendors, nurse case managers, and rehabilitation managers to ensure optimal medical management and return-to-work initiatives.<br>• Prepare detailed reports documenting investigation outcomes, claim settlements, denials, and evaluations.<br>• Ensure compliance with state regulations by accurately filing workers’ compensation forms and electronic data.<br>• Refer claims for subrogation and facilitate recovery opportunities by securing necessary documentation.<br>• Work closely with internal teams, including Technical Assistants and Special Investigators, to exceed customer expectations and deliver superior claims handling.
<p>We are looking for a dedicated Patient Service Representative/MA to join our team in Berkeley, California. This contract position offers an opportunity to provide exceptional clinical and administrative support in a Pediatric and Maternal-Fetal Medicine clinic. The role involves facilitating smooth patient experiences and workflows while ensuring high standards of care and professionalism.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate patient rooming and flow, including preparation before visits, assistance during consultations, and follow-up tasks after appointments.</p><p>• Escort patients to examination rooms promptly within five minutes of scheduled appointment or registration time, adhering to established rooming protocols.</p><p>• Assist clinicians during patient visits as needed, contributing to a collaborative and efficient team environment.</p><p>• Utilize lean techniques to optimize patient workflows and enhance clinic operations.</p><p>• Handle patient check-in and check-out processes, ensuring accurate data entry and payment processing in real time.</p><p>• Update patient demographics and manage authorizations required prior to appointments.</p><p>• Resolve billing issues, troubleshoot claims, and address discrepancies to ensure smooth administrative processes.</p><p>• Respond to patient inquiries regarding registration, scheduling, billing concerns, and other general questions.</p><p>• Provide support for My Kids Chart, assisting patients with access and functionality.</p><p>• Maintain professionalism and uphold the clinic’s vision and values, especially in challenging situations.</p><p><br></p><p>If you are interested in this role apply today and call us at (510) 470-7450</p>
<p>Our client seeking a detail-oriented Medical Administrative Assistant with prior experience in handling authorizations and pre-certifications for surgical procedures. The ideal candidate will be proficient in insurance verification, scheduling, and possess strong administrative and organizational skills to support our doctors and patients.</p><p>Key Responsibilities:</p><ul><li>Process and manage prior authorizations and pre-certifications for surgeries.</li><li>Verify patient insurance coverage, benefits, and coordinate with payers to assure approvals for scheduled treatments.</li><li>Schedule patient appointments, surgeries, and follow-ups, ensuring efficient workflow and accurate calendar management.</li><li>Communicate effectively with patients, insurance companies, medical providers, and other clinic staff.</li><li>Maintain detailed and accurate patient records in compliance with HIPAA and clinic policies.</li><li>Prepare and submit documentation required for insurance claims and authorizations.</li><li>Provide general administrative support including phone coverage, patient check-in/check-out, filing, faxing, and office correspondence.</li><li>Assist with billing inquiries and act as a liaison between patients and the billing department to resolve issues promptly.</li><li>Support neurosurgeons and clinical staff with logistics and necessary paperwork for pre- and post-surgical processes.</li></ul><p><br></p><p><br></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.
<p>We are looking for an experienced Workers’ Compensation Senior Claim Representative to join our team in Los Angeles, California. In this role, you will oversee the management of workers’ compensation lost time claims, ensuring compliance with statutory regulations and delivering exceptional customer service throughout the claims process. This is a Long-term Contract position requiring strong analytical, communication, and organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Manage all aspects of workers’ compensation lost time claims from initial setup to resolution, maintaining high standards of customer service.</p><p>• Conduct thorough investigations to gather facts, obtain statements, and assess compensability of claims.</p><p>• Administer statutory medical and indemnity benefits promptly and accurately throughout the duration of each claim.</p><p>• Collaborate with attorneys to oversee hearings and manage litigation processes effectively.</p><p>• Establish and adjust reserve amounts for medical, indemnity, and related expenses within authority limits.</p><p>• Coordinate with vendors, nurse case managers, and rehabilitation managers to ensure optimal medical management and return-to-work initiatives.</p><p>• Prepare detailed reports documenting investigation outcomes, claim settlements, denials, and evaluations.</p><p>• Ensure compliance with state regulations by accurately filing workers’ compensation forms and electronic data.</p><p>• Refer claims for subrogation and facilitate recovery opportunities by securing necessary documentation.</p><p>• Work closely with internal teams, including Technical Assistants and Special Investigators, to exceed customer expectations and deliver superior claims handling.</p>
<p>We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the financial services industry, utilizing your skills in a diverse set of roles including processing claims, maintaining customer records, and resolving inquiries.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Manages and maintains assigned book of business. Has a good understanding of relevant compliance regulations and stays up to date on changes and new legislation. Works within the guidelines, ensures compliance.</li><li>Develop and maintain key relationships critical to the sales process and negotiate with carrier contacts to seek competitive options for clients.</li><li>Coordinates with account team to understand client’s strategy, and to define roles and responsibilities including deadlines.</li><li>Prepares requests for proposals (RFP’s) for all submissions to market. Responds to all carrier and client requests.</li><li>Responsible for ensuring timely target renewal delivery. Collaborates with insurance carriers and vendors to obtain preliminary and/or firm renewals.</li><li>Analyze current benefits, evaluating coverage, effectiveness, cost, plan utilization and trends.</li><li>Analyze all marketing and plan option responses, evaluates for accuracy and completeness, and requests clarifications and revisions, as needed. Develops plan options to best meet client’s strategy.</li><li>Presents all final results to account team. Determines content and structure of renewal presentation and identifies what to include (i.e; marketing results, utilization review, contribution strategy, benchmarking, financial reporting, etc.). Prepares renewal presentation.</li><li>Gather, review and validate all information related to assigned clients for renewal analysis and marketing purposes to include cost and contract terms</li><li>Provide analysis of benchmarking, contributions, data analytics, network disruption, as applicable</li><li>Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc.</li><li>Monitor administrative costs of benefit plans and programs. Recommend cost containment strategies, including alternative methods for administration and funding.</li><li>Work with internal team regarding negotiations with carriers</li><li>Manage outsourcing of vendors and ensure reporting and other service needs are met</li><li>Build custom financial/utilization reports as needed and update monthly or as needed. Provide written and oral summary of findings.</li><li>Stays abreast of market competitiveness, carrier products and services, rate trends as well as State and Federal laws and regulations.</li><li>Supports data audits.</li><li>Updates financial summary and benefit highlight comparisons with all final renewal negotiation results</li><li>Complies with agency management system CRM standards. Saves and documents work product.</li><li>Will work primarily with medium to large clients who are fully insured and self-funded. Will also assist with the small group book of business on an as needed basis.</li></ul>
<p><strong>Title Insurance Industry Professionals in the Farmingdale, Long Island Area</strong> </p><p>Are you an experienced professional in the <strong>Title Insurance industry</strong> looking for your next opportunity? <strong>Anna Parson</strong> <strong>at Robert Half</strong> is working with a leading client <strong>in Farmingdale</strong> to find skilled candidates with expertise across various functions in the Title Insurance field.</p><p>We are seeking candidates with experience in areas such as:</p><ul><li><strong>Title underwriting</strong></li><li><strong>Title examination</strong></li><li><strong>Escrow coordination</strong></li><li><strong>Claims and settlement processing</strong></li><li><strong>Compliance and regulatory affairs</strong></li><li><strong>Customer service and account management</strong></li><li><strong>Operational management</strong></li></ul><p>This is a fantastic chance to leverage your experience within a growing and supportive organization. Whether you have hands-on expertise or leadership experience, we want to hear from you!</p><p>Why You Should Apply:</p><ul><li>Work with a respected company in the industry.</li><li>Gain new opportunities to further your professional growth.</li><li>Partner with Robert Half, a trusted global leader in staffing and recruitment.</li></ul><p>Connect with Anna Parson at Robert Half now to take the next step toward your future! <strong>Apply now</strong> or for more details. Let us help you find your ideal role in the Title Insurance industry today. </p>
We are looking for a skilled Claims Examiner specializing in lost time workers' compensation claims to join our team in Jersey City, New Jersey. This is a contract position requiring expertise in managing claims processes from initiation to resolution. The role involves handling complex cases, ensuring compliance with statutory regulations, and delivering exceptional customer service.<br><br>Responsibilities:<br>• Manage the full lifecycle of workers' compensation lost time claims, from initial setup to closure, ensuring a seamless process.<br>• Conduct detailed investigations, including gathering facts, taking statements, and reviewing policy details to assess claim validity.<br>• Evaluate claim compensability based on investigation findings and communicate decisions to claimants, insured parties, and attorneys.<br>• Prepare comprehensive reports on claim statuses, settlements, denials, and evaluations of involved parties.<br>• Administer statutory medical and indemnity benefits promptly throughout the duration of the claim.<br>• Set and adjust reserves for medical, indemnity, and expenses within established authority limits.<br>• Collaborate with attorneys to manage hearings and litigation effectively.<br>• Oversee vendors, rehabilitation managers, and case managers to support medical management and return-to-work initiatives.<br>• Ensure compliance with state regulations by filing necessary workers' compensation forms and electronic data.<br>• Identify subrogation opportunities and secure required information to maximize recovery potential.
<p>We are looking for a dedicated Claims Representative to join our team in Napoleon, Ohio. This position involves adjusting and settling claims across various lines of business. As a Contract to permanent role, it offers the opportunity to transition to a long-term position based on performance and company needs. The ideal candidate will have strong communication skills, a commitment to customer service, and the ability to work effectively within company systems.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims in accordance with company policies and the Unfair Claims Practices Act.</p><p>• Verify coverage for assigned claims to ensure proper handling.</p><p>• Conduct investigations and evaluations to determine appropriate settlements.</p><p>• Coordinate with independent adjusters and appraisers when necessary.</p><p>• Handle subrogation, salvage, and third-party liability contributions.</p><p>• Notify supervisors about claims exceeding settlement authority limits.</p><p>• Set accurate reserves for claims and monitor their status.</p><p>• Report potential fraud, complaints, or questionable submissions to the Claims Supervisor.</p><p>• Participate in training seminars and relevant associations to enhance skills.</p><p>• Complete additional tasks assigned by the Claims Supervisor or Manager.</p>
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 administrative and clerical tasks to ensure smooth office operations. This position requires excellent organizational skills, the ability to manage multiple responsibilities, and a commitment to providing exceptional support.<br><br>Responsibilities:<br>• Maintain and replenish office supplies to ensure seamless daily operations.<br>• Operate and perform routine maintenance on office equipment, including printers, fax machines, and copiers.<br>• Coordinate document shredding services with external vendors to ensure secure disposal.<br>• Manage document handling tasks such as creating, retrieving, copying, and delivering files.<br>• Draft standard correspondence and respond to routine inquiries as needed.<br>• Welcome and direct visitors, providing assistance with general inquiries.<br>• Sort, open, and distribute incoming mail and deliveries from FedEx and other carriers.<br>• Organize and schedule meetings, as well as manage record retention activities.<br>• Conduct research and create reports as requested by leadership.<br>• Occasionally travel to fulfill job-related duties or attend meetings.
<p><strong>Job Description: Billing Clerk</strong></p><p>The Billing Clerk is responsible for managing and processing invoices, ensuring accuracy in billing, and assisting with financial transactions related to accounts receivable. This role requires strong attention to detail, organizational skills, and the ability to work in a fast-paced environment. The Billing Clerk works closely with the accounting and finance team to support the company’s billing operations and ensure efficient cash flow management.</p><p><strong>Key Responsibilities:</strong></p><ol><li><strong>Invoice Preparation and Processing</strong>: Generate and issue invoices to customers in an accurate and timely manner.</li><li><strong>Payment Processing</strong>: Record payments received, update customer accounts, and ensure proper application of payments.</li><li><strong>Follow Up</strong>: Assist in tracking overdue accounts and sending reminders or follow-ups to customers for outstanding payments.</li><li><strong>Reconciliation</strong>: Reconcile billing discrepancies and resolve disputes with customers to ensure accurate records.</li><li><strong>Maintain Billing Records</strong>: Track and document invoice details, payment status, and account updates in the company’s billing system.</li><li><strong>Customer Service</strong>: Respond professionally to billing inquiries, providing accurate and timely information to customers.</li><li><strong>Assist with Audits</strong>: Support the accounting team by providing billing records and documentation for audits.</li><li><strong>Process Improvement</strong>: Identify opportunities to streamline billing procedures and improve the accuracy and efficiency of the billing function.</li><li><strong>Collaboration</strong>: Work closely with other departments, such as accounts receivable and customer service, to resolve billing issues promptly.</li><li><strong>Reporting</strong>: Assist in preparing billing and revenue reports as needed for management review.</li></ol><p><br></p>
We are looking for a dedicated Customer Service Representative to join our team in Phoenix, Arizona. In this long-term position, you will play a key role in providing exceptional service to customers while working collaboratively with team members and business partners. This opportunity includes comprehensive on-site training for 7-8 weeks, followed by ongoing work with potential for a transition to permanent placement.<br><br>Responsibilities:<br>• Handle customer inquiries promptly, accurately, and professionally, ensuring their requests are addressed effectively.<br>• Build strong rapport with customers by providing compassionate and respectful responses that consistently meet their expectations.<br>• Navigate and utilize multiple systems and applications to research and resolve customer inquiries efficiently.<br>• Maintain high performance standards and ensure quality in every interaction.<br>• Develop an understanding of personal lines insurance principles and the products offered by the company.<br>• Collaborate with colleagues and business partners to deliver a positive experience for every customer.<br>• Adhere to a scheduled 40-hour work week, with flexibility to work overtime and weekends as needed.<br>• Assist with special projects and tasks as assigned to support team goals.<br>• Complete additional duties and responsibilities as required by the role.
<p>We are seeking a detail-oriented Utility Billing Clerk experienced with Tyler ERP software to join our administrative/finance team. The ideal candidate will manage all aspects of utility customer billing, payment processing, and account maintenance, ensuring accurate and timely invoicing for water, sewer, and other municipal services.</p><p>Key Responsibilities:</p><ul><li>Generate and distribute utility bills using Tyler ERP software based on meter readings and service data</li><li>Process payments, post transactions, and reconcile daily receipts within the ERP system</li><li>Maintain customer account information, including setting up new accounts, updating contact details, and processing service changes</li><li>Respond to customer inquiries regarding bills, payments, and account activity in a prompt and courteous manner</li><li>Research and resolve billing discrepancies and assist with collections while maintaining confidentiality</li><li>Prepare routine and ad hoc reports from Tyler ERP for management or external auditors</li><li>Coordinate with field staff to verify meter readings and service changes</li><li>Ensure all billing procedures comply with organizational policies and regulatory standards</li><li>Assist in month-end closings and other accounting support tasks as needed</li></ul><p><br></p><p><br></p><p><br></p><p><br></p><p> </p>
<p>Are you a detail-oriented and organized professional with a talent for ensuring efficient medical billing processes? Robert Half’s Healthcare Practice is seeking an experienced <strong>Medical Payment Poster</strong> for a contract-to-hire opportunity in <strong>Sacramento, CA</strong>. Our client, a respected healthcare organization, is seeking a self-motivated individual to join their team and contribute to their revenue cycle management processes.</p><p><br></p><p>As a <strong>Medical Payment Poster</strong>, you will play a critical role in ensuring flawless application and management of payments received for medical claims. Your responsibilities will involve verifying payments, handling patient billing inquiries, maintaining accurate financial records, and working collaboratively with the billing and accounts receivable teams.</p><p>This contract-to-hire opportunity provides you with a chance to demonstrate your skills and transition to a permanent position while contributing to the overall success of a growing healthcare organization.</p><p>Responsibilities:</p><ul><li>Accurately post insurance payments, adjustments, and denials to patient accounts.</li><li>Reconcile daily deposits and payments to accounts receivable ledger entries.</li><li>Review and resolve discrepancies in Explanation of Benefits (EOBs).</li><li>Monitor claims reimbursement and follow-up on unpaid or partially paid claims.</li><li>Collaborate with the billing team to ensure appropriate payment and resolution of accounts.</li><li>Maintain and update patient account information as needed.</li><li>Process refunds or patient credits in accordance with internal policies.</li><li>Provide excellent customer service when addressing patient and insurance inquiries.</li></ul>
<p>We are looking for a dedicated Customer Service Representative for our client in New Holland, Pennsylvania. In this long-term contract role, you will play a vital part in addressing customer inquiries, ensuring satisfaction, and maintaining records of interactions. This position offers the opportunity to work both independently and collaboratively to provide exceptional service and support.</p><p><br></p><p>Responsibilities:</p><p>• Respond to incoming customer inquiries and provide accurate information to resolve issues efficiently.</p><p>• Identify service concerns and determine whether they can be addressed by the customer service team or need escalation.</p><p>• Resolve customer issues within your authority, including areas such as underwriting, claims, accounting, and marketing.</p><p>• Redirect unresolved matters to the appropriate department for further assistance.</p><p>• Maintain detailed records of customer interactions and service inquiries.</p><p>• Analyze trends in customer concerns and communicate findings to support root cause analysis.</p><p>• Greet visitors professionally and manage their access to the building if working at the front desk.</p><p>• Assist with administrative tasks such as preparing and assembling renewal mailings when needed.</p><p>• Perform additional duties as assigned by your supervisor to support the team.</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>Our Concord client is seeking a highly detailed billing, receivables and customer service specialist with Tyler Munis software experience. Additionally, having</p><p>gone trough a system conversion or upgrade is highly desirables. Ability to post and reconcile receivables, place follow up calls on past due, and manage a busy</p><p>desk during a time of transition.</p><p><br></p><ul><li>Generate and distribute utility bills using Tyler ERP software based on meter readings and service data</li><li>Process payments, post transactions, and reconcile daily receipts within the ERP system</li><li>Maintain customer account information, including setting up new accounts, updating contact details, and processing service changes</li><li>Respond to customer inquiries regarding bills, payments, and account activity in a prompt and courteous manner</li><li>Research and resolve billing discrepancies and assist with collections while maintaining confidentiality</li><li>Prepare routine and ad hoc reports from Tyler ERP for management or external auditors</li><li>Coordinate with field staff to verify meter readings and service changes</li><li>Ensure all billing procedures comply with organizational policies and regulatory standards</li><li>Assist in month-end closings and other accounting support tasks as needed</li></ul><p> </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.
