<p>We are looking for a detail-oriented Payroll Processor to join our client's team in Westerville, Ohio. In this long-term contract role, you will play a key part in ensuring the accurate processing of payroll data, addressing employee inquiries, and maintaining compliance with tax regulations. This position offers an excellent opportunity to grow your expertise in payroll functions while working in a collaborative environment. Great chance to get a foot in the door at a growing organization. </p><p><br></p><p>Responsibilities:</p><p>• Enter employee time data from timesheets, production records, or time cards into the payroll system.</p><p>• Review and balance payroll runs to ensure accuracy and compliance.</p><p>• Prepare and process federal, state, and local tax payments in a timely manner.</p><p>• Respond to employee questions regarding payroll and troubleshoot issues as needed.</p><p>• Follow established procedures and guidelines to perform job functions efficiently.</p><p>• Collaborate with supervisors and managers to resolve payroll-related discrepancies.</p><p>• Maintain detailed records of payroll activities for reporting and audit purposes.</p><p>• Ensure adherence to company policies and legal requirements in payroll processing.</p><p>• Assist in identifying and implementing improvements to payroll procedures.</p>
<p><strong>Payroll Specialist</strong> </p><p><strong>Employment Type:</strong> Contract</p><p><strong>Compensation:</strong> $34 - $40 hourly</p><p> </p><p><strong>About the Role</strong></p><p>Robert Half is partnering with a dynamic and growing organization to find an experienced <strong>Payroll Processor</strong>. In this role, you will play a crucial part in ensuring employees are compensated accurately and on time while maintaining compliance with payroll regulations. This is a fantastic opportunity to advance your payroll career while working closely with a supportive and collaborative team.</p><p> </p><p><strong>Key Responsibilities</strong></p><ul><li>Process semi-monthly, biweekly, or weekly payroll for employees, ensuring accuracy and timeliness.</li><li>Maintain payroll records, including wage adjustments, benefit deductions, and tax withholding.</li><li>Review and reconcile payroll reports to ensure compliance with labor laws and regulations.</li><li>Respond promptly to employee inquiries about payroll, deductions, or tax issues.</li><li>Assist with annual reporting requirements, including W-2 and 1099 processing.</li><li>Calculate and process bonuses, overtime, and commissions where applicable.</li><li>Collaborate with HR to ensure accurate onboarding of employee information.</li><li>Stay updated on payroll laws and regulations, including applicable state or regional requirements.</li><li>Assist with audits and liaise with external auditors or agencies when necessary.</li></ul>
<p><strong>Compliance & Operations Coordinator (Contract-to-Hire)</strong></p><p>(Onsite with potential for hybrid flexibility | Full-Time, 40 hours/week)</p><p>Our client has an <strong>immediate need</strong> for a Compliance & Operations Coordinator to support their expansion into new states and jurisdictions. This is a highly cross-functional role sitting between Accounting, Legal, and Operations, focused on ensuring smooth, compliant market entry. This position offers long-term potential and the opportunity to help build scalable processes from the ground up.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Conduct research on state-specific requirements for new projects and jurisdictions</li><li>Translate regulatory requirements into clear, actionable steps for internal teams</li><li>Support multi-state compliance efforts including:</li><li>Sales & use tax registrations</li><li>Payroll and withholding setup</li><li>Contractor licensing</li><li>Business registrations and related filings</li><li>Act as a liaison between Accounting, Legal, and Operations to ensure alignment on timelines and deliverables</li><li>Prepare and submit forms, applications, and registrations accurately and on time</li><li>Track and manage compliance activities to ensure deadlines are met</li><li>Develop and maintain structured workflows, checklists, and documentation for entering new markets</li><li>Manage ongoing renewals and ensure continued compliance across jurisdictions</li><li>Identify opportunities to improve processes as the company scales</li></ul>
<p>Our company is seeking an organized and detail-oriented Operations Coordinator for a contract-to-permanent opportunity. The ideal candidate will be responsible for overseeing key operational functions and ensuring the efficient and effective execution of daily business processes.</p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Production Scheduling:</strong> Develop and maintain production schedules to ensure timely order fulfillment and optimize production efficiency.</li><li><strong>Purchasing:</strong> Manage the procurement of materials, supplies, and services required for operations. Cultivate and maintain positive vendor relationships and negotiate pricing to support cost-effective purchasing.</li><li><strong>Inventory Management:</strong> Monitor and track inventory levels, perform cycle counts, reconcile discrepancies, and implement inventory control best practices to minimize shrinkage and optimize stock levels.</li><li><strong>Customer Service Operations:</strong> Oversee a team or provide direct support in addressing client inquiries, processing orders, and resolving customer issues, with a strong focus on maintaining high standards of customer satisfaction.</li><li><strong>Freight and Logistics Coordination:</strong> Coordinate inbound and outbound shipments, liaise with freight carriers, arrange transportation, and resolve shipping and logistics challenges to ensure timely and accurate delivery.</li></ul><p><br></p>
We are looking for an Operations Processor to join our team on a contract basis in Oklahoma City, Oklahoma. In this role, you will be responsible for resolving overdue rental contracts, documenting vehicle data, and coordinating with various departments to ensure timely and accurate resolutions. This position requires strong organizational skills, excellent communication, and the ability to work independently in a fast-paced environment.<br><br>Responsibilities:<br>• Analyze and resolve overdue rental files by following established guidelines and procedures.<br>• Accurately document contract and vehicle details in relevant systems, including vehicle locations, customer interactions, and research findings.<br>• Prepare files for theft processing by conducting thorough research and completing required checklists.<br>• Collaborate with locations and corporate security teams to address and resolve rental contract issues.<br>• Assign vehicles to vendors as needed and ensure proper documentation.<br>• Handle additional responsibilities and special projects as assigned.<br>• Maintain clear and effective communication with internal teams and external stakeholders.<br>• Monitor and manage workflows to ensure timely completion of assigned tasks.
<p>We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage claims related to payments, ensuring accuracy and adherence to established policies.</p><p>• Conduct thorough investigations of disputes and chargebacks to resolve issues promptly.</p><p>• Monitor and enforce compliance with regulatory requirements related to claim administration.</p><p>• Prepare detailed reports and metrics to track progress and performance.</p><p>• Collaborate with clients to address concerns and maintain strong relationships.</p><p>• Perform quality checks on claims to ensure accuracy and compliance with procedures.</p><p>• Review ledgers, debits, and credits to identify and address discrepancies.</p><p>• Support fraud investigations by analyzing claims and payment processes.</p><p>• Maintain organized records and documentation for auditing and reporting purposes.</p>
We are looking for experienced professionals to assist with medical billing, claims, and collections in a high-volume environment. This contract position involves working on various aspects of accounts receivable and claims management, including patient collections, invoicing, and reviewing aged accounts. Based in Austin, Texas, this role offers an opportunity to contribute to an ongoing project while leveraging your expertise in claims adjudication and insurance follow-up.<br><br>Responsibilities:<br>• Conduct follow-ups on aged accounts receivable to ensure timely resolution and recovery.<br>• Review and analyze claims to determine appropriate actions, including resubmissions, appeals, write-offs, or patient collections.<br>• Manage patient collections by initiating contact, negotiating payment plans, and addressing financial concerns with sensitivity.<br>• Handle invoicing tasks, ensuring accuracy and compliance with organizational protocols.<br>• Evaluate insurance denials and claims statuses to identify resubmission opportunities and payer-specific requirements.<br>• Process appeals and resubmissions, adhering to industry standards and documentation guidelines.<br>• Interpret explanation of benefits (EOBs) and electronic remittance advices (ERAs) to determine financial responsibility between payers and patients.<br>• Collaborate with team members to ensure efficient handling of accounts and claims.<br>• Maintain detailed records of all actions taken for claims and collections.<br>• Utilize knowledge of commercial and government insurance processes, including Medicare and Medicaid, to guide decision-making.
<p>We are looking for a skilled and detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Daytona Beach, Florida. This role focuses on managing accounts receivable and collections for commercial insurance and Medicare/Medicaid accounts while ensuring compliance and accuracy in claims processing. As a long-term contract position, it offers the opportunity to contribute to vital healthcare operations within a dynamic environment. This position is fully onsite in Port Orange, FL. </p><p><br></p><p>Responsibilities:</p><p>• Handle accounts receivable clean-up activities, prioritizing outstanding commercial and Medicare/Medicaid balances.</p><p>• Oversee collection efforts by following up on aged accounts and resolving discrepancies to ensure timely payments.</p><p>• Review and process claims with a focus on accuracy, compliance, and timely reimbursement.</p><p>• Utilize Epic system work queues to verify that claims are complete, clean, and ready for submission.</p><p>• Collaborate with internal teams to support efficient billing operations and resolve AR-related challenges.</p><p>• Identify recurring issues in claims or AR processes and recommend improvements.</p><p>• Maintain accurate and up-to-date documentation across systems to ensure seamless operations.</p><p>• Provide expertise in navigating both legacy and updated systems for efficient claims and collections handling.</p><p>• Communicate effectively with payers to address disputes and secure resolutions for outstanding balances.</p>
<p>We are looking for an experienced individual with attention to detail in medical billing, claims, and collections to join our team in Bakersfield, California. This position within the healthcare industry, offering an opportunity to contribute to efficient patient billing processes and insurance management. The ideal candidate will have a strong background in medical billing and collections, along with proficiency in Spanish.</p><p><br></p><p>Responsibilities:</p><p>• Process insurance claims and ensure timely billing to maximize revenue collection.</p><p>• Verify patient insurance information accurately and update records as needed.</p><p>• Follow up with insurance companies regarding pending or denied claims to secure payments.</p><p>• Collect copayments from patients and ensure proper documentation of transactions.</p><p>• Investigate and resolve medical denials, initiating appeals when necessary.</p><p>• Handle hospital billing processes with a focus on accuracy and compliance.</p><p>• Perform data entry of patient information, ensuring all records are complete and up-to-date.</p><p>• Maintain clear communication with patients regarding their billing inquiries.</p><p>• Collaborate with the team to improve billing workflows and efficiency.</p>
We are looking for a detail-oriented Medical Claims Representative to join our team on a contract basis in Rancho Cordova, California. In this role, you will evaluate and process medical claims based on established policies, ensuring accuracy and compliance with various standards. This position requires a strong ability to work independently while handling confidential information and meeting strict deadlines.<br><br>Responsibilities:<br>• Review and process medical claims in accordance with documented policies and procedures.<br>• Assess eligibility, benefits, authorizations, and coding to determine claim disposition.<br>• Apply correct contract terms to claims, adapting to annual changes as necessary.<br>• Ensure proper denial documentation for claims that do not meet payment criteria, ensuring system accuracy.<br>• Meet internal, external, and governmental timeliness standards consistently.<br>• Utilize policy guidelines to approve or deny medical services while maintaining confidentiality.<br>• Refer claims and documentation to the appropriate department when policy guidelines are not met.<br>• Operate computer systems and standard office equipment to complete tasks efficiently.<br>• Work independently on assigned activities while adhering to established procedures.<br>• Process sensitive information with discretion and accuracy.
We are seeking a detail-oriented, resourceful detail oriented to join our team in an insurance and benefit verification support (collections) role. The ideal candidate will be experienced in phone-based work, insurance research, and claims investigation, with strong time management, punctuality, and independent problem-solving skills. <br> Key Responsibilities: Spend several hours each day on the phone contacting insurers, employers, and other payers. Conduct comprehensive benefit verifications for patients and accounts. Investigate and identify root causes for unpaid or denied insurance claims; research contractual, state, and employer-specific reasons. Proactively resolve claim payment issues by working directly with payers and internal teams. Read, interpret, and apply contract language and regulatory guidelines as needed. Attend virtual meetings promptly and with cameras on, engaging professionally at all times. Track, manage, and follow up on assigned 3–5 accounts per day, ensuring thorough documentation and resolution. Use Windows 365, Microsoft Office Suite, and internal collections or insurance software for research and reporting. Handle insurance authorizations and utilize internal drives per process requirements. Respond to supervisor and leadership communications within ten minutes during business hours. Maintain strict data security protocols, including using the designated VPN (Global Protect Connect) and not downloading work applications (such as Teams) onto personal devices. Demonstrate excellent phone etiquette and customer service skills with patients, payers, and colleagues. Work may require assembling information from multiple sources to “put together the puzzle” of insurance and payment resolution. Comply with company policies on confidentiality and non-competition; candidates may not hold another job while employed with DaVita.
<p>Healthcare billing is a highly detail-oriented space — where communication, accuracy, and persistence all play a critical role. A medical group in San Diego is hiring a <strong>Collections Specialist</strong> to support patient account resolution and insurance follow-up. This role is ideal for someone who is organized, comfortable on the phone, and experienced in navigating billing processes. This position focuses on managing outstanding balances, communicating with patients and insurance providers, and ensuring timely resolution of accounts. The right candidate will be professional, patient, and confident handling sensitive financial conversations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Follow up on outstanding patient balances and insurance claims</li><li>Communicate with patients regarding billing questions and payment plans</li><li>Work with insurance companies to resolve claim discrepancies</li><li>Maintain accurate records of account activity and updates</li><li>Assist with payment processing and account reconciliation</li><li>Identify and escalate unresolved issues as needed</li><li>Support overall billing and collections workflows</li><li>Ensure compliance with healthcare billing regulations</li></ul>
<p>We are looking for an experienced Medical Claims Auditor to join our team in Emeryville, California. In this long-term contract position, you will play a pivotal role in ensuring the accuracy and compliance of medical claims while also serving as a trainer to enhance team knowledge and performance. If you have a strong background in medical coding, auditing, and training, this opportunity is ideal for you.</p><p><br></p><p>Responsibilities:</p><p>• Conduct detailed audits of paid, pending, and denied medical claims to ensure proper coding, adherence to benefit rules, and compliance with state and federal regulations, including the California Knox-Keene Act and Medi-Cal.</p><p>• Design and deliver comprehensive training programs for Claims Examiners, focusing on workflows, updated policies, and emerging technologies.</p><p>• Investigate complex claim issues, including provider disputes and appeals, and identify trends to propose effective corrective actions.</p><p>• Compile and maintain detailed statistical and quality reports, presenting audit findings and staff performance metrics to management.</p><p>• Stay informed about federal and state billing laws, including Medicare guidelines, to ensure compliance during health plan audits.</p><p>• Collaborate with team members to resolve discrepancies and implement efficient claims processing practices.</p><p>• Assist in the development of new audit procedures and quality control measures to continuously improve operations.</p><p>• Provide subject matter expertise in medical coding standards, including ICD-10 and CPT codes, to support organizational goals.</p><p>• Contribute to special projects and initiatives as needed to enhance claims auditing and training functions.</p><p><br></p><p>If you are interested in this role please apply Now for immediate consideration. </p>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for Idaho Residents)</p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
<p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
We are looking for a skilled Medical Reimbursement Specialist to join our team on a long-term contract basis in South Weymouth, Massachusetts. In this role, you will play a vital part in supporting hospital financial operations by analyzing reimbursement processes, maintaining accurate records, and ensuring compliance with regulatory standards. This position requires a strong background in hospital billing, revenue analysis, and financial reporting.<br><br>Responsibilities:<br>• Analyze monthly revenue performance against budget and investigate variances related to reimbursement, volume, and charges.<br>• Prepare and post journal entries for contractual allowances in Accounts Receivable, ensuring accurate reconciliations.<br>• Collaborate with finance and departmental teams to develop and support the annual hospital budget.<br>• Assist in the creation of presentations for hospital leadership, providing insights into financial performance.<br>• Direct the preparation and filing of third-party cost reports and regulatory documentation.<br>• Support annual audits by preparing necessary financial data and ensuring compliance with audit standards.<br>• Extract and analyze data from systems such as Experian and Strata to assist in budgeting, forecasting, and productivity modeling.<br>• Identify opportunities to streamline processes and implement improvements to enhance operational efficiency.<br>• Maintain detailed records and reserves for contractual allowances to ensure financial accuracy.
<p>A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office.</p><p><br></p><ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role.</li></ul><p><br></p><p><br></p>
<p>We are seeking a detail-oriented and motivated professional to join our team as a Medical Biller. In this role, you will contribute to the smooth and efficient handling of billing processes. The ideal candidate will possess strong organizational skills and thrive in a fast-paced setting.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately process medical billing and claims submissions.</li><li>Monitor and follow up on outstanding payments or claims.</li><li>Assist in resolving billing discrepancies and issues.</li><li>Maintain well-organized records and documentation.</li><li>Work collaboratively with internal teams to ensure adherence to procedures and compliance standards.</li></ul><p><br></p>
<p>A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office.</p><p><br></p><ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role. </li></ul><p><br></p><p><br></p><p><br></p>
<p><strong>Position: Claims Examiner – Workers’ Compensation (Licensed) – Contract Role</strong></p><p><strong>Location:</strong> Alpharetta, GA 30022</p><p><strong>Type:</strong> 100% Onsite (No WFH Supported)</p><p><strong>Schedule:</strong> Monday–Friday, 8:00am–5:00pm</p><p><strong>Tentative Pay Range: $30 - $31 per hour</strong></p><p><strong>License Requirements:</strong> Georgia Adjuster License required; Florida strongly preferred; SC & NC also beneficial</p><p><strong>Interview Process:</strong> Typically multiple rounds</p><p> </p><p><strong>Position Overview</strong></p><p>This Workers’ Compensation Claims Examiner role requires an analytical, detail‑oriented professional with strong decision‑making, communication, and case‑management skills. The ideal candidate must be licensed to handle Workers’ Compensation claims in <strong>Georgia</strong> and have a minimum of <strong>3 years of Lost Time Workers’ Compensation claim handling experience</strong>.</p><p>This role is best suited for individuals who can manage claims independently, maintain accurate documentation, provide timely communication, and deliver superior customer service while operating within a fast‑paced, compliance‑driven environment.</p><p><strong>Key Responsibilities</strong></p><p><strong>Claims Management & Investigation</strong></p><ul><li>Provide accurate and timely assessments of Workers’ Compensation Lost Time claims.</li><li>Conduct thorough investigations, evaluate coverage, assess loss exposure, and manage cases according to established guidelines.</li><li>Identify and appropriately address potential fraud, subrogation opportunities, and coverage concerns.</li><li>Establish and execute effective case strategies to ensure timely and appropriate claim resolution.</li></ul><p><strong>Customer & Stakeholder Communication</strong></p><ul><li>Deliver superior customer service to insureds, claimants, agents, underwriters, and internal partners.</li><li>Communicate timely updates regarding claim activity, trends, and issue escalation.</li><li>Maintain professional and effective interactions with all stakeholders.</li></ul><p><strong>Documentation & Compliance</strong></p><ul><li>Ensure all claim files are up‑to‑date using a consistent diary system to monitor developments, follow‑ups, and required actions.</li><li>Maintain accurate documentation aligned with regulatory requirements and internal quality standards.</li><li>Achieve consistent compliance in investigation, coverage evaluation, loss assessment, and case management practices.</li></ul><p><strong>Team Collaboration & Leadership Support</strong></p><ul><li>Contribute to a collaborative team environment by demonstrating high motivation, teamwork, and alignment with departmental goals.</li><li>Provide guidance and direction to team members as needed to support effective claim handling across the team.</li></ul><p><br></p>
We are looking for a skilled Claims Examiner specializing in Workers Compensation to join our team on a contract basis in Alpharetta, Georgia. This position requires someone who is detail oriented and can deliver exceptional customer service while managing claims with accuracy and efficiency. The ideal candidate will possess strong analytical abilities, excellent communication skills, and a commitment to ensuring timely resolutions of claims.<br><br>Responsibilities:<br>• Manage and investigate Workers Compensation claims, ensuring compliance with established procedures and regulations.<br>• Deliver outstanding customer service to insureds, claimants, agents, and other stakeholders through clear and effective communication.<br>• Accurately assess expenses and losses related to Lost Time claims, providing timely and detailed reports.<br>• Identify and address coverage issues, potential fraud, and subrogation opportunities while adhering to company guidelines.<br>• Develop and execute effective claim strategies to achieve early resolutions and positive outcomes.<br>• Maintain organized and up-to-date files using a diary system to monitor progress and follow up on new developments.<br>• Communicate trends, issues, and claim activities to internal and external customers in a timely manner.<br>• Collaborate with team members to ensure claims are managed and resolved effectively.<br>• Provide guidance and direction to colleagues to facilitate efficient claim processing and resolution.
<p>Robert Half is partnering with a company in Bellevue, WA on a Medical Cashing Posting Specialist contract role. This is a contract role with the potential to go permanent. The company is looking for someone with medical industry experience in AR and cash posting specifically. This is a fully in office position.</p><p><br></p><ul><li>Enter and allocate insurance payments (checks, electronic funds transfers, credit card transactions) to patient records using the billing software, ensuring accuracy and timeliness.</li><li>Verify remittance data for completeness, correcting inconsistencies or questionable items along the way.</li><li>Investigate and solve issues involving unmatched or unassigned cash deposits.</li><li>Match payments to relevant claims, resolving any discrepancies for both digital and physical explanation of benefits (EOB) documents.</li><li>Reconcile and balance all payment postings at the close of each batch.</li><li>Monitor for trends in payment variances and escalate recurring issues or exceptions to the appropriate team members.</li><li>Track down deposit details and address errors in the posting process.</li><li>Provide support during the monthly closing cycle.</li><li>Achieve defined accuracy and performance metrics, independently or as part of team objectives, as outlined by the Billing Manager.</li><li>Consistently comply with Medicare, Medicaid, and HIPAA standards for patient privacy and billing protocols.</li><li>Attend ongoing learning sessions and participate in regular team meetings.</li><li>Always protect patient and company information in accordance with strict confidentiality and HIPAA requirements.</li></ul>
<p>We are looking for an experienced Medical Billing Support Services to join a Hospital in Los Angeles, California. The Medical Billing Support Services play a critical part in ensuring the efficiency and accuracy of cash receipt processing, billing, and collections within the healthcare industry. This position offers an opportunity to work collaboratively across departments to optimize revenue cycle operations while maintaining compliance and quality standards. The Medical Billing Support Services will be a hybrid remote role. </p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts, both automated and manual, ensuring accuracy and adherence to billing systems and procedures.</p><p>• Investigate and resolve issues related to unapplied cash receipts, escalating complex cases when necessary.</p><p>• Review and analyze patient eligibility and pending recoupment statuses to take appropriate actions.</p><p>• Evaluate credit balances and issue timely refunds to payers with accuracy.</p><p>• Collaborate with Finance and other Revenue Cycle teams to improve cash posting, reconciliation, and balancing processes.</p><p>• Communicate payment posting and refund-related issues to management for prompt resolution.</p><p>• Verify payer information, resubmit claims, and ensure proper application of payments.</p><p>• Perform cross-trained tasks such as charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Handle customer service interactions, addressing patient payment concerns and resolving self-pay credit balances.</p><p>• Participate in special projects, including audits, compliance reviews, and unique billing and collections scenarios.</p>