We are looking for a skilled Medical Claims Examiner II to join our team in Roseburg, Oregon. This Contract-to-permanent position involves analyzing and processing healthcare claims to ensure compliance with organizational policies and industry regulations. The role requires excellent attention to detail and the ability to collaborate effectively with healthcare providers, insurance representatives, and other stakeholders.<br><br>Responsibilities:<br>• Review and assess complex medical claims to verify coverage, eligibility, and payment accuracy in accordance with contractual agreements.<br>• Analyze medical records, billing statements, and supporting information to validate claims and ensure compliance with established standards.<br>• Investigate discrepancies in claims, resolve billing issues, and identify fraudulent activities.<br>• Communicate clearly and professionally with healthcare providers, patients, and insurance representatives to address claims-related inquiries.<br>• Collaborate with internal teams, such as billing, collections, and compliance, to resolve escalated claims and investigate claim histories.<br>• Maintain comprehensive electronic records of claims and related documentation for auditing and quality assurance purposes.<br>• Stay informed on healthcare billing practices, insurance policies, and regulatory updates to ensure adherence to current standards.<br>• Propose enhancements to existing processes to improve the efficiency and accuracy of claims handling.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
We are looking for a dedicated Medical Claims Analyst to join our healthcare team in Minneapolis, Minnesota. In this long-term contract position, you will play a vital role in processing leave of absence claims, ensuring compliance with medical certifications, and calculating benefit allocations. This is an excellent opportunity to contribute to a fast-paced industry while leveraging your expertise in medical claims and benefits administration.<br><br>Responsibilities:<br>• Process and manage leave of absence claims by coordinating medical certifications and ensuring timely submissions.<br>• Calculate benefit amounts, including allocations from corporate and state sources, to ensure accurate disbursements.<br>• Review, approve, or deny claims based on established guidelines and medical documentation.<br>• Utilize systems such as ServiceNow and Workday to track, manage, and process claims efficiently.<br>• Maintain detailed records of claims and benefits to ensure compliance and accuracy.<br>• Communicate with healthcare providers to confirm certifications and resolve discrepancies.<br>• Address rejected claims by investigating issues and providing resolutions.<br>• Collaborate with team members to streamline leave administration processes.<br>• Provide guidance to employees regarding medical leave policies and benefits.<br>• Stay updated on state and federal regulations related to leave and benefits administration.
We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a collaborative team player who is dependable, punctual, and committed to delivering high-quality results.<br><br>Responsibilities:<br>• Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date.<br>• Resubmit denied or rejected claims, following proper protocols to secure approvals.<br>• Post payments accurately into multiple systems, maintaining consistency and precision.<br>• Utilize payer portals to manage claims and track progress effectively.<br>• Perform clerical tasks such as data entry and filing with a focus on accuracy and attention to detail.<br>• Collaborate with a team of professionals to ensure smooth workflows and timely completion of tasks.<br>• Monitor claim statuses to identify and resolve discrepancies proactively.<br>• Maintain compliance with relevant policies and regulations in the healthcare industry.<br>• Provide support in behavioral health payment posting processes.<br>• Communicate effectively with team members and external parties regarding claim-related issues.
<p>Nationally recognized hospital system is seeking a dedicated and experienced <strong>Medical Insurance Collections Specialist</strong> to join our dynamic team. In this critical role, you will be responsible for handling insurance collections, ensuring accurate claims processing, and collaborating with internal departments to resolve outstanding accounts. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient accounts to identify unpaid claims and follow up with insurance providers for resolution.</li><li>Resolve denials and claim discrepancies by researching and resubmitting claims where necessary.</li><li>Communicate with patients and insurance companies regarding outstanding balances and payment plans.</li><li>Maintain accurate and up-to-date records of all collections activities in compliance with company policies and healthcare regulations.</li><li>Collaborate with the billing, coding, and accounts receivable teams to address any billing issues and expedite payments.</li><li>Analyze insurance claims to identify trends, minimize denials, and maximize collections efficiency.</li><li>Ensure compliance with HIPAA and all applicable regulations in handling sensitive healthcare and financial information.</li></ul><p><br></p>
<p>A growing health technology organization is seeking a <strong>Project Assistant</strong> to support service implementation and ongoing client operations. This role will work closely with internal teams, vendor partners, and external clients to ensure smooth launches, updates, and management of healthcare-related services. The ideal candidate will be detail-oriented, organized, and passionate about improving healthcare access and delivery through technology.</p><p><br></p><p>Monday-Friday Eastern Standard Time (the rest of the team is on the east coast)</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Support the implementation of new services and manage ongoing operations for existing employer and health plan clients.</li><li>Assist in launching additional services, conducting annual client maintenance, and processing change requests.</li><li>Maintain project documentation, including plans, deliverables, activities, and timelines.</li><li>Attend or facilitate implementation meetings and follow-up touchpoints with clients, health plans, and vendors.</li><li>Collect, document, and communicate client-specific implementation details to key stakeholders.</li><li>Coordinate data collection and integration efforts with client and vendor partners.</li><li>Partner with Client Success and other internal teams to manage implementations and ensure client satisfaction.</li><li>Identify, manage, and escalate risks or issues as needed.</li><li>Contribute to a positive client experience and maintain strong professional relationships.</li><li>Manage Timelines, Construction Projects, Master Scheduling, Scanning, Project Management</li></ul><p><br></p>
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
<p>A growing health technology organization is seeking a <strong>Project Assistant</strong> to support service implementation and ongoing client operations. This role will work closely with internal teams, vendor partners, and external clients to ensure smooth launches, updates, and management of healthcare-related services. The ideal candidate will be detail-oriented, organized, and passionate about improving healthcare access and delivery through technology.</p><p><br></p><p>Monday-Friday Eastern Standard Time (the rest of the team is on the east coast)</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Support the implementation of new services and manage ongoing operations for existing employer and health plan clients.</li><li>Assist in launching additional services, conducting annual client maintenance, and processing change requests.</li><li>Maintain project documentation, including plans, deliverables, activities, and timelines.</li><li>Attend or facilitate implementation meetings and follow-up touchpoints with clients, health plans, and vendors.</li><li>Collect, document, and communicate client-specific implementation details to key stakeholders.</li><li>Coordinate data collection and integration efforts with client and vendor partners.</li><li>Partner with Client Success and other internal teams to manage implementations and ensure client satisfaction.</li><li>Identify, manage, and escalate risks or issues as needed.</li><li>Contribute to a positive client experience and maintain strong professional relationships.</li><li>Manage Timelines, Construction Projects, Master Scheduling, Scanning, Project Management</li></ul><p><br></p>
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
<p>We are looking for a dedicated Customer Service Representative to join our team in Idaho. In this role, you will provide support to both internal and external customers by delivering exceptional service and addressing their needs with professionalism. This is a long-term contract position, offering an opportunity to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Provide outstanding customer service by addressing inquiries and resolving issues in a timely and accurate manner.</p><p>• Maintain detailed and precise documentation of interactions and transactions to ensure compliance with company policies.</p><p>• Support patients by scheduling appointments, verifying authorizations, and assisting with claims or benefit-related questions.</p><p>• Identify and escalate sensitive or complex issues, such as financial, medical, or legal risks, following established protocols.</p><p>• Translate verbal communications into clear and concise written documentation as required.</p><p>• Collaborate with internal teams to ensure smooth operations and a positive customer experience.</p><p>• Assist in training new team members and supporting colleagues with administrative tasks when necessary.</p><p>• Monitor and meet performance metrics related to accuracy, quality, and attendance.</p><p>• Utilize various systems and tools, including Microsoft Office Suite, to efficiently manage tasks and resolve customer needs.</p><p>• Uphold the organization’s commitment to diversity, inclusion, and superior customer care.</p>
<p>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><strong>Job Description</strong>: Medical Billing Specialist </p><p><br></p><p><strong>Overview:</strong> We are seeking a highly motivated and detail-oriented Medical Billing Specialist for an organization located in Mars, PA. The ideal candidate will have expertise in medical billing and payment posting, ensuring accurate and timely processing of accounts receivable transactions and claims processing.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>1. Billing:</strong></p><ul><li>Generate and issue invoices for a wide range of care services, including senior living, skilled nursing, home care, and outpatient services.</li><li>Ensure compliance with service agreements, insurance policies, and applicable healthcare regulations.</li><li>Address billing discrepancies by coordinating with internal departments, including admissions and patient services.</li><li>Prepare and submit claims to insurance companies, Medicare, and Medicaid as applicable.</li></ul><p><strong>2. Payment Posting:</strong></p><ul><li>Accurately enter payments received (cash, checks, and electronic transfers) into the accounts receivable system.</li><li>Reconcile posted payments with bank statements and patient billing systems.</li><li>Manage and resolve unapplied payments or discrepancies to maintain accurate account balances.</li></ul><p><strong>3. Revenue Cycle Management:</strong></p><ul><li>Work collaboratively with other departments to monitor and manage the overall revenue cycle.</li><li>Track and follow up on outstanding payments or insurance claims to reduce accounts receivable aging.</li><li>Prepare reports on accounts receivable status, payment trends, and delinquent accounts for management review.</li></ul><p><strong>4. Customer and Client Communication:</strong></p><ul><li>Respond to patient or payer inquiries regarding invoices, payments, or account details with professionalism and clarity.</li><li>Serve as a point of contact for resolving disputes or escalations concerning billing errors or payment issues.</li></ul><p><strong>5. Compliance:</strong></p><ul><li>Ensure billing and payment posting processes comply with industry standards, healthcare regulations (including HIPAA), and organizational policies.</li><li>Document procedures and maintain accurate, auditable records for all accounts receivable transactions.</li></ul><p><strong>Location:</strong> This position is ONSITE and located in the Mars, PA area.</p><p><br></p><p><strong>Schedule:</strong> The hours are Monday through Friday from 8:30am-5pm.</p><p><br></p><p><strong>Why is this role available?</strong> This organization recently had a tenured team member retire.</p><p><br></p><p><strong>How to Apply: </strong>Submit your updated resume on the Robert Half website or apply using the Robert Half App.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
<p>We are looking for a dedicated Customer Service Representative to join our team in Idaho. In this role, you will provide support to both internal and external customers by delivering exceptional service and addressing their needs with professionalism. This is a long-term contract position, offering an opportunity to make a meaningful impact in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Provide outstanding customer service by addressing inquiries and resolving issues in a timely and accurate manner.</p><p>• Maintain detailed and precise documentation of interactions and transactions to ensure compliance with company policies.</p><p>• Support patients by scheduling appointments, verifying authorizations, and assisting with claims or benefit-related questions.</p><p>• Identify and escalate sensitive or complex issues, such as financial, medical, or legal risks, following established protocols.</p><p>• Translate verbal communications into clear and concise written documentation as required.</p><p>• Collaborate with internal teams to ensure smooth operations and a positive customer experience.</p><p>• Assist in training new team members and supporting colleagues with administrative tasks when necessary.</p><p>• Monitor and meet performance metrics related to accuracy, quality, and attendance.</p><p>• Utilize various systems and tools, including Microsoft Office Suite, to efficiently manage tasks and resolve customer needs.</p><p>• Uphold the organization’s commitment to diversity, inclusion, and superior customer care.</p>
<p>We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide critical support in managing claims-related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims. This is a long-term contract position ideal for professionals with strong organizational skills and a background in medical office operations.</p><p><br></p><p>Responsibilities:</p><p>• Match checks with remittance advice, prepare and insert them into envelopes for mailing.</p><p>• Reconcile processed batches within the audit database to ensure accuracy.</p><p>• Create and mail denial trailers and letters to providers.</p><p>• Print and send out claim requirement letters for Covered California members.</p><p>• Forward claims to the appropriate health plan when necessary.</p><p>• Process and mail claims deemed unable to process, including generating the necessary correspondence.</p><p>• Batch trailers created by various departments and ensure proper documentation.</p><p>• Audit the batch log key to confirm claims have been assigned and logged correctly.</p><p>• Verify member information to determine line of business and coordination of benefits in the system.</p><p>• Collaborate on process adjustments and work independently or as part of a team.</p>
<p>We are looking for a dedicated Claims Intake Coordinator to join our team in Ontario, California. This long-term contract position involves supporting the claims processing team by ensuring accurate intake, sorting, and preparation of medical claims for further handling. The role is vital in maintaining efficient workflows and providing support to healthcare providers across various regions.</p><p><br></p><p>Responsibilities:</p><ul><li>Open, sort, prioritize, batch, log, and track all incoming claims mail.</li><li>Distribute claims according to market, priority, appeal status, scanning need, and health plan risk.</li><li>Ensure all claims received are complete and ready for processing.</li><li>Route unclean claims back to providers for correction.</li><li>Forward out-of-state claims to the appropriate health plan for handling.</li><li>Run the Claims Fallout process and distribute Fallout Worksheets via email to relevant departments.</li><li>Assist with the distribution of checks (match checks with Explanation of Benefits, fold, and insert into correct envelopes).</li><li>Match remittance advices with checks and prepare mailing.</li><li>Reconcile processed batches within the audit database.</li><li>Create denial trailers and mail denial letters accordingly.</li></ul>
<p>Are you passionate about delivering top-tier service in a virtual healthcare setting? We are currently seeking a <strong>Remote Patient Service Representative</strong> for a dynamic 4-month temp-to-hire opportunity. This <strong>Remote Patient Service Representative</strong> role offers a competitive pay rate of $19.50 per hour and the flexibility of working remotely.</p><p><br></p><p><strong>Position Highlights:</strong></p><ul><li><strong>Remote work – </strong>California, Texas, and Illinois residents not eligible</li><li><strong>Pay: </strong>$19.50 per hour</li><li><strong>Hours: </strong>This role does not follow a set schedule or specific shifts at this time. The team operates 24/7, so flexibility is important as coverage needs may vary.</li><li><strong>Duration: </strong>4 months with potential for temp-to-hire, dependent on performance</li></ul><p><strong>Responsibilities:</strong></p><ul><li>Deliver exceptional service to patients and internal teams in a remote call center environment</li><li>Handle a high volume of back-to-back calls (80+ daily) efficiently and professionally</li><li>Meet performance goals related to satisfaction, quality, and attendance</li><li>Use dual monitors to manage data entry, live calls, and various resources</li><li>Assist with documentation, claims processing, and insurance benefits</li><li>Maintain confidentiality while handling sensitive patient data</li><li>Provide support for Telehealth and other administrative functions</li></ul>
<p>Are you passionate about delivering top-tier service in a virtual healthcare setting? We are currently seeking a <strong>Remote Patient Service Representative</strong> for a dynamic 4-month temp-to-hire opportunity. This <strong>Remote Patient Service Representative</strong> role offers a competitive pay rate of $19.50 per hour and the flexibility of working remotely.</p><p><br></p><p><strong>Position Highlights:</strong></p><ul><li><strong>Remote work – </strong>California, Texas, and Illinois residents not eligible</li><li><strong>Pay: </strong>$19.50 per hour</li><li><strong>Hours: </strong>This role does not follow a set schedule or specific shifts at this time. The team operates 24/7, so flexibility is important as coverage needs may vary.</li><li><strong>Duration: </strong>4 months with potential for temp-to-hire, dependent on performance</li></ul><p><strong>Responsibilities:</strong></p><ul><li>Deliver exceptional service to patients and internal teams in a remote call center environment</li><li>Handle a high volume of back-to-back calls (80+ daily) efficiently and professionally</li><li>Meet performance goals related to satisfaction, quality, and attendance</li><li>Use dual monitors to manage data entry, live calls, and various resources</li><li>Assist with documentation, claims processing, and insurance benefits</li><li>Maintain confidentiality while handling sensitive patient data</li><li>Provide support for Telehealth and other administrative functions</li></ul>
<p>Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! </p><p> </p><p>Responsibilities:</p><ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol><p><br></p>
We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.<br>• Manage medical billing operations, ensuring timely and accurate processing.<br>• Handle medical claims by reviewing, validating, and resolving discrepancies.<br>• Collaborate with team members to streamline billing functions and improve workflows.<br>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.<br>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.<br>• Support the transition of revenue processes back in-house, ensuring seamless integration.<br>• Provide detailed reporting on billing and claims metrics to stakeholders.<br>• Assist in supply chain-related tasks when applicable to revenue cycle management.<br>• Maintain up-to-date knowledge of industry practices and regulatory changes.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical claims, collections, and coding. Based in New Orleans, Louisiana, this position offers an opportunity to contribute your expertise to a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Process medical claims with accuracy and efficiency, adhering to industry standards and regulations.<br>• Conduct medical coding to ensure proper classification and compliance with billing requirements.<br>• Manage collections by following up on outstanding balances and resolving discrepancies.<br>• Utilize Epaces and other systems to monitor claims and maintain data integrity.<br>• Communicate effectively with healthcare providers and insurance companies to address billing issues.<br>• Verify patient information and insurance details to facilitate accurate billing.<br>• Identify and resolve errors in claims submissions to minimize delays and denials.<br>• Maintain up-to-date knowledge of billing policies, procedures, and regulatory changes.<br>• Generate reports to track billing performance and identify areas for improvement.<br>• Collaborate with team members to streamline billing processes and enhance operational efficiency.
<p>We are looking for a highly detail-oriented Medical Claims Data Entry Clerk to join our team in Grand Rapids NT, Michigan. This Contract-to-permanent position is ideal for someone who thrives in a structured and repetitive work environment, with a focus on maintaining accuracy and efficiency. The role involves processing medical, dental, and vision claims, requiring precision to ensure claims are entered correctly and paid accurately.</p><p><br></p><p>Responsibilities:</p><p>• Accurately input medical, dental, and vision claims into the QuickLink claims processing system.</p><p>• Maintain a high level of accuracy, achieving 99% audit compliance during training and beyond.</p><p>• Follow strict confidentiality protocols while handling sensitive claim information.</p><p>• Collaborate with the team and trainer to review errors and improve data entry techniques.</p><p>• Meet daily productivity goals, including processing up to 60 claims per day after completing training.</p><p>• Complete an extensive training program lasting approximately 60 days to master the system and workflow.</p><p>• Handle both simple and complex claims, some requiring additional attachments and knowledge.</p><p>• Rely on experienced team members for guidance and support during the learning process.</p><p>• Take on additional responsibilities as workload expands over time.</p><p>• Ensure the consistent transposition of information from paper claims into digital systems.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
