<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>
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.
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!
We are looking for a detail-oriented Billing Clerk to join our team in Taunton, Massachusetts. This long-term contract position requires someone with experience in medical billing, particularly in behavioral health and healthcare settings. The ideal candidate will possess strong organizational skills and the ability to work independently while handling claims and insurance-related tasks efficiently.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including researching issues and addressing approvals or denials.<br>• Manage medical billing processes accurately and in compliance with healthcare standards.<br>• Ensure patient insurance and demographic records are updated and maintained correctly.<br>• Process charge entries for assigned programs promptly and with precision.<br>• Build and maintain effective communication with insurance representatives to resolve billing issues.<br>• Provide guidance to program directors and clinicians regarding billing procedures and requirements.<br>• Monitor high balance accounts and report problematic account activities to the Billing Manager.<br>• Review aging reports regularly to ensure claims are submitted within the payer’s timely filing limits.<br>• Conduct independent research to stay informed about payer specifications and healthcare billing requirements.<br>• Utilize clearing house platforms, such as Inovalon, to streamline billing processes.
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 Billing Clerk to join our team in Forest Hills, New York. In this role, you will manage various billing functions, ensuring accuracy and efficiency in processing claims, invoices, and payments. This is a long-term contract position within the non-profit industry, offering an opportunity for growth and stability.<br><br>Responsibilities:<br>• Prepare and process billing statements and invoices with precision.<br>• Handle claims processing for Medicaid and healthcare-related billing.<br>• Investigate and resolve discrepancies in billing records or payments.<br>• Maintain accurate documentation and records for all billing activities.<br>• Collaborate with internal teams to ensure timely submission of claims and invoices.<br>• Monitor and track payments to ensure compliance with deadlines.<br>• Apply appropriate codes to invoices and claims based on regulations and policies.<br>• Support the implementation and maintenance of billing systems.<br>• Communicate with clients and stakeholders to address billing inquiries.<br>• Generate reports to analyze billing performance and identify areas for improvement.
<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 skilled Clinical Policy Coding Administrator to join our team on a contract basis. This position is based in Mountlake Terrace, Washington, and offers an excellent opportunity to contribute to the health insurance industry. The selected candidate will play a key role in analyzing medical policies, ensuring accurate coding, and supporting cross-functional collaboration to enhance policy implementation and claims processing.<br><br>Responsibilities:<br>• Analyze and interpret medical policies to identify and update accurate procedure and diagnosis codes.<br>• Collaborate with cross-functional teams to ensure seamless implementation of medical policies and utilization management guidelines.<br>• Provide coding expertise to support decision-making processes related to claims, reimbursement, and product configuration.<br>• Conduct thorough research and data analysis to evaluate the effectiveness of medical policy implementation.<br>• Facilitate meetings and discussions with stakeholders to address coding edits and mitigate downstream impacts.<br>• Ensure coding updates align with medical necessity and regulatory requirements.<br>• Act as a subject matter expert in coding-related matters for various departments.<br>• Address cross-functional requests with detailed assessments to enhance consistency in claims processing.<br>• Support the development of medical policies by providing accurate coding recommendations.<br>• Maintain compliance with industry standards and company-specific coding practices.
We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota on a contract basis. In this role, you will be responsible for analyzing and resolving denied or underpaid claims, ensuring compliance with regulations, and contributing to process improvements that minimize future denials. This position requires strong analytical skills and a thorough understanding of medical claims and insurance processes.<br><br>Responsibilities:<br>• Investigate and analyze denied or underpaid claims to identify underlying issues and recommend corrective actions.<br>• Prepare and submit appeals with complete and accurate supporting documentation within established deadlines.<br>• Track and document denial patterns, providing data-driven insights to billing and coding teams.<br>• Collaborate with various departments to implement strategies that prevent recurring denials.<br>• Prioritize and manage aging accounts, focusing on high-dollar or high-risk claims for efficient resolution.<br>• Ensure all activities comply with organizational policies and relevant regulations.<br>• Conduct audits on claims data to verify accuracy and identify discrepancies.<br>• Utilize Epic Clinical systems and other tools to manage claims processing workflows.<br>• Maintain detailed and organized records of claims and appeals for reporting purposes.<br>• Support collection efforts by providing necessary documentation and insights.
We are looking for a skilled Business Systems Analyst to join our team in Westlake, Ohio. This role is ideal for someone who thrives on analyzing complex data, translating business needs into actionable solutions, and collaborating across teams to enhance system functionality. The successful candidate will bring expertise in business analysis and a proactive approach to ensuring seamless project execution and client satisfaction.<br><br>Responsibilities:<br>• Analyze and interpret data files to translate between proprietary and standard formats, ensuring efficient resolution of business challenges.<br>• Document and implement functional requirements, technical specifications, and templates tailored to client needs while leveraging deep product knowledge.<br>• Review complex data sets, create mapping documents, and provide guidance on best practices to meet client requirements.<br>• Utilize internal databases to identify coding issues and recommend necessary adjustments.<br>• Act as a liaison between teams, managing system enhancements, defect resolution, and validation processes in collaboration with QA teams.<br>• Build and maintain strong relationships with clients, including executive-level stakeholders, and effectively communicate technical and non-technical concepts.<br>• Collaborate with IT teams to develop or improve client products, ensuring business requirements are met, conducting validations, and delivering end-user documentation and training.<br>• Identify opportunities for system improvements and escalate issues to ensure timely resolutions.<br>• Lead discussions with clients to understand their needs and provide strategic guidance, demonstrating professionalism and technical expertise.<br>• Participate in Agile-focused daily stand-up meetings and contribute to project success through disciplined adherence to the Software Development Lifecycle.
<p>We are looking for a skilled Accounts Receivable Clerk to join a remote team. As part of this contract position, you will play a key role in ensuring accurate claim management, resolving payment discrepancies, and maintaining compliance standards. This role offers the opportunity to contribute to a dynamic and inclusive work environment while supporting healthcare operations.</p><p><br></p><p>Responsibilities:</p><p>• Analyze denied and pending claims to identify and address issues in third-party accounts receivable.</p><p>• Initiate outbound calls to insurance providers to appeal claims and verify their status.</p><p>• Coordinate resolutions with insurance carriers to reconcile discrepancies and streamline claim processing.</p><p>• Process refunds and adjustments for insurance and patient accounts as needed.</p><p>• Ensure compliance with organizational standards and industry regulations at all times.</p><p>• Monitor worklists and meet daily production and quality metrics.</p><p>• Familiarize yourself with explanations of benefits to effectively address claim inquiries.</p><p>• Collaborate with team members to adapt to evolving business needs and responsibilities.</p><p>• Conduct research using internet tools to support claim-related problem-solving efforts.</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.
<p>We are looking for a dedicated and empathetic Customer Service Representative with expertise in healthcare call center operations. In this role, you will handle inquiries related to medical eligibility, benefits, claims, and provider information while maintaining a high level of professionalism and accuracy. This is a Contract to permanent position that offers the opportunity to grow within the organization for the right candidate. While the position is primarily remote, occasional in-office attendance may be required depending on location.</p><p><br></p><p>Responsibilities:</p><p>• Respond to a high volume of customer inquiries via phone and email regarding medical benefits, claims, and provider information.</p><p>• Provide accurate and detailed information about healthcare plans, pre-authorizations, and claim statuses.</p><p>• Utilize tracking systems to document all interactions and ensure proper follow-up.</p><p>• Stay updated on changes to healthcare policies, procedures, and benefits to provide accurate guidance.</p><p>• Resolve customer complaints and troubleshoot issues with professionalism and efficiency.</p><p>• Advise members on outstanding payments and explain billing details when necessary.</p><p>• Assist callers in navigating network provider options and understanding plan coverage.</p><p>• Escalate complex issues to supervisors or managers when required.</p><p>• Collaborate with team members to ensure seamless customer support.</p><p>• Adhere to HIPAA policies and maintain confidentiality in all interactions.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis PART TIME in Des Plaines, Illinois. In this role, you will handle essential billing operations, ensuring accurate claims submissions and resolving unpaid claims with insurance providers. This position requires a proactive individual with expertise in medical billing and coding, capable of working independently without direct training.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately to insurance companies for reimbursement.</p><p>• Identify and resolve unpaid claims by analyzing discrepancies and communicating with insurance providers.</p><p>• Prepare and send billing statements to insurance companies and patients as needed.</p><p>• Utilize billing software and systems efficiently to ensure timely payment processing.</p><p>• Conduct follow-ups on pending claims to ensure resolution and payment.</p><p>• Maintain organized records of claims and payments for auditing and reporting purposes.</p><p>• Collaborate with other team members to address billing issues and enhance efficiency.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Monitor accounts receivable to ensure timely collection of payments.</p><p>• Provide insights and recommendations to improve billing processes where applicable.</p>
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 billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
<p>Robert Half is partnering with a Healthcare Organization searching for their next appeals specialist. This is an excellent opportunity for a motivated professional who thrives in a fast-paced environment. </p><p><br></p><p>They are looking for someone to join ASAP! </p><p><br></p><p><strong>Location</strong>: Remote </p><p><br></p><p><strong>Pay Rate:</strong> $21-23 per hour</p><p><br></p><p><strong>Duration</strong>: 3+ months potential for extension</p><p><br></p><p><strong>Schedule:</strong> M-F, 8am-5pm</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Research, coordinate, and resolve issues related to claims processing, eligibility, contracts, call history, benefits quotes, appeal decisions and decisions to reduce, modify, or deny services to members. May determine proper solutions to issues raised by legal entities, members, and state and federal regulatory agencies.</li><li>Document inquiries and formulate solutions to problems and issues.</li><li>Review databases and files used to maintain accuracy, inputting corrections, as necessary. Recognize and identify trends and presents findings to management. </li></ul><p><br></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.<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.
We are looking for a detail-oriented Billing Clerk to join our team in Lynwood, California. In this contract position, you will play a crucial role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with organizational standards. This is a fully onsite role, providing an excellent opportunity to contribute directly to the success of a non-profit organization.<br><br>Responsibilities:<br>• Process billing claims accurately and efficiently, adhering to organizational policies and procedures.<br>• Utilize CareLogic software to manage billing operations and ensure data integrity.<br>• Handle accounts payable and accounts receivable tasks, verifying and reconciling transactions.<br>• Maintain electronic health records (EHR) systems to support medical billing processes.<br>• Respond to inbound calls professionally to address billing inquiries and resolve issues.<br>• Collaborate with the financial team to ensure timely and accurate submission of claims.<br>• Troubleshoot discrepancies in billing and resolve them promptly.<br>• Assist with computerized billing tasks using various accounting software systems.<br>• Ensure compliance with relevant regulations and standards in all billing activities.<br>• Provide support in the use of Epic and other medical billing software tools.
<p>We are looking for a dedicated Revenue Cycle Management Director to lead and manage all aspects of our client's revenue cycle operations. This position plays a critical role in optimizing billing, coding, claims processing, insurance verification, and collections to ensure compliance and maximize reimbursement. The ideal candidate will bring strategic leadership and collaboration skills to support equitable healthcare access and operational efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the revenue cycle processes for Medicaid, Medicare, managed care, commercial payers, and sliding fee programs.</p><p>• Establish and enforce billing policies that align with regulatory requirements and organizational guidelines.</p><p>• Manage provider and facility credentialing processes to ensure timely enrollment with insurance payers.</p><p>• Monitor and analyze key performance indicators, accounts receivable data, and reimbursement trends to identify and implement performance improvements.</p><p>• Handle payer contracts, denial management, and appeals to ensure accurate and timely resolutions.</p><p>• Collaborate with departments such as operations, finance, and quality to enhance workflows and support population health goals.</p><p>• Ensure accurate medical, dental, behavioral health, and vision coding and claims submissions.</p><p>• Provide strategic direction, foster staff development, and oversee performance management within the revenue cycle team.</p><p>• Lead initiatives to improve compliance and efficiency across the revenue cycle.</p><p>• Drive continuous improvement in revenue cycle operations by leveraging data insights and industry best practices.</p>
<p>We are looking for a dedicated and detail-oriented PART TIME Claims Assistant to join our team in Lakewood, New Jersey. This position is 100% on-site and offers a Contract to permanent opportunity in the healthcare industry. The ideal candidate will excel at managing claims-related tasks, maintaining accurate records, and taking initiative in a fast-paced environment. If you are motivated, organized, and eager to contribute, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Review and compile medical records using computer systems while ensuring accuracy and completeness.</p><p>• Log claims and appeals requests as directed by the Claims Department Manager, following established procedures.</p><p>• Organize and provide medical records from Net Health and SharePoint to the appropriate reviewer.</p><p>• Maintain detailed tracking of requests, submissions, denials, and appeals according to departmental standards.</p><p>• Respond promptly to facility requests, ensuring timely communication and resolution.</p><p>• Submit records online or via physical mail, adhering to required formats and guidelines.</p><p>• Generate and pull necessary reports as requested by management.</p><p>• Maintain clean and accurate spreadsheets to track claims-related data.</p><p>• Organize medical records based on provided checklists and department protocols.</p>
We are looking for a dedicated Claims specialist to join our team in Los Angeles, California. This contract-to-permanent position offers an exciting opportunity to contribute to effective claims management processes within the service industry. The ideal candidate will bring expertise in workers' compensation and a proactive approach to managing medical records, claims data, and communication with stakeholders.<br><br>Responsibilities:<br>• Oversee the management of medical records related to workplace injuries, ensuring timely submission to insurance adjusters.<br>• Input medical details from records into the system and provide updates on diagnoses and work status to supervisors.<br>• Support injured employees and managers in implementing early return-to-work programs.<br>• Schedule and monitor follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of visits.<br>• Communicate appointment outcomes to adjusters and supervisors promptly, maintaining a 24-hour response time.<br>• Track and update lost time and modified work statuses in the system regularly.<br>• Maintain consistent communication with insurance adjusters every 60 days until claims are resolved.<br>• Conduct audits of claim data and other relevant records to ensure accuracy and compliance.<br>• Monitor and review organizational claim-related data on a monthly basis.
We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
<p>35,000 - 41,000</p><p><br></p><p>The benefits include Healthcare (Health, Vision, Dental), HSA dollar for dollar match, Paid Holidays Off, 2 weeks PTO, Short/Long Term Disability 100% Company Paid, Life Insurance 100% Company Paid, 401K, and Employee Discounts. </p><p><br></p><p>We are looking for a dedicated Customer Service Representative to join our team in the Metuchen, New Jersey. In this role, you will serve as the primary point of contact for customers, ensuring their inquiries are resolved efficiently and with attention to detail. If you thrive in a fast-paced environment and enjoy building relationships while solving problems, this position is perfect for you.</p><p><br></p><p>Responsibilities:</p><p>• Resolve customer inquiries by troubleshooting product issues and processing warranty claims and return authorizations.</p><p>• Identify opportunities to boost revenue through up-selling and promoting marketing campaigns.</p><p>• Utilize various software platforms, including Navision and ZenDesk, for order entry and customer documentation.</p><p>• Maintain accurate records and documentation in compliance with company procedures.</p><p>• Coordinate with shipping and production teams to ensure timely delivery of products.</p><p>• Assist the Customer Service Manager by preparing written documentation and knowledge-based materials.</p><p>• Maintain a focused and attentive demeanor during interactions with customers and team members.</p><p>• Provide constructive suggestions to improve department processes and efficiency.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baltimore, Maryland. This is a contract-to-permanent position within the medical devices industry, offering an opportunity to contribute to healthcare operations through accurate billing and coding practices. The ideal candidate will have hands-on experience in medical billing and a solid understanding of insurance processes, including Medicare, Medicaid, and third-party payers.</p><p><br></p><p>Responsibilities:</p><p>• Handle medical billing and coding tasks with precision and attention to detail.</p><p>• Reach out to insurance companies to resolve billing issues and ensure claims are processed effectively.</p><p>• Manage reimbursements and claims for Medicare, Medicaid, and third-party insurance providers.</p><p>• Collaborate with healthcare providers to verify patient insurance benefits and coverage.</p><p>• Maintain accurate records of billing and insurance communications.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Assist in identifying discrepancies in claims and resolving them promptly.</p><p>• Provide support in medical collections processes, ensuring timely payments.</p><p>• Communicate with patients regarding billing inquiries and insurance coverage.</p>
<p>We are looking for a dedicated Release of Information Specialist to join our healthcare team in Cooperstown, New York. In this long-term contract position, you will support the efficient management of patient health information while ensuring compliance with privacy regulations. This role offers an opportunity to work collaboratively within a team environment and contribute to the smooth operation of healthcare services.</p><p><br></p><p>Responsibilities:</p><p>• Process requests for patient health records in accordance with privacy and confidentiality regulations.</p><p>• Collaborate with a team of specialists to ensure timely completion of release of information requests.</p><p>• Utilize electronic document management systems to organize, retrieve, and distribute patient records.</p><p>• Provide exceptional customer service to patients, families, and authorized requestors.</p><p>• Verify and validate information to ensure accuracy and compliance with healthcare standards.</p><p>• Handle copying, scanning, and printing of documents as required for health information management.</p><p>• Respond to voicemail messages and inquiries related to release of information processes.</p><p>• Manage document queues and prioritize tasks to meet deadlines efficiently.</p><p>• Work with disability claims and TRICARE-related documentation as needed.</p><p>• Maintain professionalism and adhere to the business casual dress code in all interactions.</p>
