<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 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 an experienced Medical Claims Analyst to join our team in Minneapolis, Minnesota. In this long-term contract role, you will play a critical part in ensuring accurate processing and administration of medical claims and leave of absence requests. This position offers a unique opportunity to contribute to the healthcare industry by delivering high-quality service and support.<br><br>Responsibilities:<br>• Process leave of absence claims efficiently, ensuring compliance with medical certifications and organizational policies.<br>• Review and analyze medical claims to determine eligibility and benefit amounts, coordinating payments between corporate and state entities.<br>• Approve or deny claims based on thorough evaluation of supporting documentation.<br>• Manage a queue of upcoming absences, maintaining timely communication with healthcare providers for necessary certifications.<br>• Utilize systems such as ServiceNow and Workday to track claims and update records accurately.<br>• Collaborate with internal teams and external stakeholders to address claim-related inquiries and resolve discrepancies.<br>• Ensure adherence to legal regulations and corporate guidelines in claims processing.<br>• Provide clear and precise communication to employees regarding their leave and benefits.<br>• Identify and resolve rejected claims by investigating causes and implementing solutions.<br>• Monitor trends in claims to recommend process improvements and enhance efficiency.
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.
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 a skilled Medical Collections Specialist to join our team on a contract basis in East Rutherford, New Jersey. In this role, you will play a crucial part in resolving insurance claim issues and ensuring proper billing processes are followed. This is a fully on-site position that requires strong attention to detail, effective communication skills, and a solid understanding of medical billing procedures.<br><br>Responsibilities:<br>• Analyze rejected or denied insurance claims to identify errors, omissions, or discrepancies.<br>• Correct claim data, coding issues, or missing patient/insurance information to facilitate resubmission.<br>• Resubmit corrected claims promptly through designated billing systems or insurance platforms.<br>• Monitor the status of submitted claims to ensure timely processing and payment resolution.<br>• Collaborate with insurance carriers, patients, and internal teams to address billing discrepancies and prevent recurrence.<br>• Maintain accurate records and documentation of claim corrections and communications.<br>• Utilize medical billing knowledge to handle appeals and denials effectively.<br>• Ensure compliance with healthcare regulations and insurance policies during claim processing.<br>• Provide support and insights to improve overall billing accuracy and efficiency.
We are looking for a detail-oriented Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-Permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with healthcare regulations. This is an excellent opportunity for professionals with expertise in medical billing systems and a commitment to providing high-quality service.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and adherence to guidelines.<br>• Verify patient information and eligibility prior to claim submission.<br>• Monitor accounts receivable and follow up on unpaid or denied claims.<br>• Collaborate with healthcare providers to resolve billing discrepancies and ensure proper coding.<br>• Utilize systems such as MEDENT and Epic EMR to manage billing operations efficiently.<br>• Conduct audits to ensure compliance with billing and coding regulations.<br>• Communicate with patients regarding billing inquiries and payment options.<br>• Maintain up-to-date knowledge of medical billing policies and insurance requirements.<br>• Generate and analyze financial reports related to billing and collections.<br>• Provide support during system updates or transitions to ensure continuity in billing processes.
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>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>
We are looking for a skilled Medical Collections Specialist to join our team in Irvine, California. This is a Contract-to-Permanent position, offering an excellent opportunity to grow your career in a dynamic healthcare environment. The ideal candidate will play a vital role in managing accounts receivable, resolving payment discrepancies, and ensuring compliance with industry regulations.<br><br>Responsibilities:<br>• Manage accounts receivable by following up on outstanding payments, payment errors, and claim denials.<br>• Analyze insurance Explanation of Benefits (EOBs) and initiate appeals when necessary to resolve discrepancies.<br>• Maintain detailed documentation of account issues, resolutions, and follow-up actions for patient records.<br>• Prepare and send required documentation via mail or other channels to support claims processing.<br>• Stay informed about commercial and managed care pricing models, as well as relevant rules and regulations.<br>• Ensure compliance with organizational policies and healthcare laws, safeguarding patient confidentiality at all times.<br>• Participate in compliance training sessions and promptly report any concerns or incidents to management.<br>• Utilize systems such as EHR platforms, Epic Software, and IBM AS/400 to ensure efficient claims and collections processes.<br>• Support the team by performing additional tasks as directed by supervisors or management.<br>• Contribute to the overall success of the department by collaborating with colleagues to meet organizational goals.
<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>
<p>We are looking for a skilled individual to join our healthcare team in Henrico, Virginia, as a Medical Billing Specialist. In this long-term contract role, you will play a vital part in ensuring the accuracy and efficiency of billing processes, claims management, and collections. This position offers an excellent opportunity to contribute to the healthcare industry's revenue cycle management while utilizing your expertise in medical billing systems.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and on time to ensure timely reimbursement.</p><p>• Review and resolve billing discrepancies, denials, and appeals effectively.</p><p>• Manage collections activities by following up on outstanding balances and communicating with patients and insurance providers.</p><p>• Utilize eClinicalWorks (eCW) to maintain and update billing records and claims information.</p><p>• Identify and address issues related to hospital billing processes to improve efficiency.</p><p>• Collaborate with the revenue cycle management team to optimize billing workflows.</p><p>• Analyze financial data and prepare reports related to claims and collections.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Provide excellent customer service while addressing patient inquiries regarding billing and payments.</p><p>• Stay updated on industry best practices and changes in medical billing policies.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Glen Burnie, Maryland. In this Contract-to-permanent role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.</p><p>• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.</p><p>• Review denied or unpaid claims and work on appeals to secure payment.</p><p>• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.</p><p>• Utilize medical coding knowledge, including ICD-10, to process claims accurately.</p><p>• Maintain confidentiality of patient information in compliance with healthcare regulations.</p><p>• Handle insurance verifications and follow up on outstanding claims.</p><p>• Collaborate with team members to streamline billing processes and improve efficiency.</p><p>• Utilize electronic medical record (EMR) systems to manage data entry and documentation.</p><p>• Stay updated on changes in medical billing procedures and insurance policies.</p>
<ul><li><strong>Position: CLAIMS SUPPORT (Contract Role)</strong></li><li><strong>Location: 11575 Great Oaks Way, Alpharetta, Georgia, 30022, United States</strong></li><li><strong>Type: 100% ONSITE</strong></li><li><strong>Tentative Hourly Pay Range: $18-$20/per hour</strong></li><li><strong>Job Hours: It is 40 hours per week onsite in office. The hours of operation are 8AM-5PM.</strong></li></ul><p> </p><p>Job Responsibilities</p><p>Duties may include but are not limited to:</p><p> </p><p>- Receive new losses and verifies accuracy of information via coverage</p><p>- Perform all file updates on system as directed by claim reps</p><p>- Register loss payments on system - We use Claim Vision to manage our claims.</p><p>- Provide customer service to agents insureds clients and other customers</p><p>- Process authorized payments</p><p>- Input data entry correspondence into system diaries information for claims reps and/or team leader and prepares form letters</p><p>- Typing photocopying indexing and filing</p><p>- Ability to accurately calculate wages etc. and create professional letters and correspondence</p><p>- Make call to insureds requesting missing information on the claim files</p><p>- Direct care when appropriate</p><p>- Basic SE jurisdiction knowledge regarding work comp is a plus</p>
<p>This NEW role is perfect for one that is looking to hone their skills within a large data set company! Come grow with a well established team and support developers as the move to newer tools! We are looking a Data Analyst who likes to work in ACCESS to maintain, research, and find solutions! In this role, you will support the organization's adjudication systems by handling data intake, transformation, and reporting to ensure smooth operations. The ideal candidate must be analytical, forward thinking, and be a detail-oriented mindset to deliver accurate insights and support ongoing data needs. To learn more, APPLY NOW, call 319-362-8606, or email your resume direct to: Shawn M Troy - Technology Practice Director with Robert Half (additional contact information is on LinkedIn).</p><p><br></p><p>Must have experience with: MS Access, ETL (Extract, Transfer, Load), VBA, and SQL. </p>
<p>Quick moving contract to perm opening with hybrid in-office plus remote type schedule. Expectations would be in our client's Tampa office 2 to 3 days per week in mentoring Jr Data Engineer </p><p><br></p><p>If applying, please make sure you have at least 5 years experience in Power BI, ETL Development, Snowflake and Azure. If you have Sigma reporting that will be a huge plus as our client is going that direction with their reporting initiatives. Healthcare background also a strong preference to understand our client technical work flows. </p><p><br></p><p>We are seeking an experienced Senior Data Engineer with 5+ years of hands-on experience to join our dynamic Data Engineering team. In this role, you will design, build, and optimize scalable data pipelines and analytics solutions in a fast-paced healthcare environment. You will play a pivotal role in enabling real-time insights for healthcare stakeholders, ensuring data integrity, compliance with HIPAA and other regulations, and seamless integration across multi-cloud ecosystems.</p><p><br></p><p>Key Responsibilities</p><p><br></p><p>Architect and implement end-to-end ETL/ELT pipelines using Azure Data Factory, Snowflake, and other tools to ingest, transform, and load healthcare data (e.g., EHR, claims, patient demographics) from diverse sources.</p><p>Design and maintain scalable data warehouses in Snowflake, optimizing for performance, cost, and healthcare-specific querying needs.</p><p>Develop interactive dashboards and reports in Power BI to visualize key healthcare metrics, such as patient outcomes, readmission rates, and resource utilization.</p><p>Collaborate with cross-functional teams (data scientists, analysts, clinicians) to translate business requirements into robust data solutions compliant with HIPAA, GDPR, and HITRUST standards.</p><p>Lead data modeling efforts, including dimensional modeling for healthcare datasets, ensuring data quality, governance, and lineage.</p><p>Integrate Azure services (e.g., Synapse Analytics, Databricks, Blob Storage) to build secure, high-availability data platforms.</p><p>Mentor junior engineers, conduct code reviews, and drive best practices in CI/CD pipelines for data engineering workflows.</p><p>Troubleshoot and optimize data pipelines for performance in high-volume healthcare environments (e.g., processing millions of claims daily).</p><p>Stay ahead of industry trends in healthcare data analytics and contribute to strategic initiatives like AI/ML integration for predictive care models.</p><p><br></p><p><br></p><p><br></p>
<p>We are looking for a detail-oriented Accounts Payable Lead to join our team in Jacksonville, Florida. In this role, you will play a vital part in ensuring timely research and accurate processing of vendor payments and invoices within a healthcare environment. This is a Contract-to-permanent position that offers an excellent opportunity to grow your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Process and prepare vendor invoices and employee check requests for timely payment.</p><p>• Coordinate weekly check runs, ensuring all checks are accurately processed, mailed, or distributed.</p><p>• Upload vendor invoice files to Great Plains for accurate expense tracking at the patient level.</p><p>• Verify that billing from contracting facilities, hospitals, doctors, and pharmacies complies with Medicare regulations and agreements.</p><p>• Maintain and update vendor files, process checks, void payments, and manage data entry tasks.</p><p>• Accrue payments accurately within the appropriate accounting period and ensure proper coding to general ledger accounts.</p><p>• Collaborate with Patient Care Administrators to verify vendor payments align with contractual pricing and hospice care requirements.</p><p>• Investigate and resolve payment discrepancies and vendor issues in a timely manner.</p><p>• Collect and manage W-9 forms from vendors to ensure compliance.</p><p>• Monitor and process recurring payment obligations as needed.</p>
<p>A Healthcare Company in Pasadena is in the need of a Medical Biller with at least 1 year of medical billing experience. In this role, the Medical Biller will be responsible for accurately processing insurance claims for services rendered, conducting insurance verifications, and reviewing Explanation of Benefits (EOBs) to ensure proper reimbursement.</p><p><strong>Job Responsibilities:</strong></p><ul><li>Process and submit medical claims to insurance companies and third-party payers.</li><li>Follow up on unpaid claims and resolve billing issues.</li><li>Verify insurance eligibility and calculate patient payment responsibilities.</li><li>Ensure the accuracy of patient and insurance information in billing systems.</li><li>Comply with HIPAA regulations and maintain confidentiality.</li><li>Communicate with patients, healthcare providers, and insurance representatives to resolve discrepancies.</li></ul><p><br></p>
<p>We are seeking a skilled and detail-oriented <strong>Medical Billing Specialist</strong> with experience in the behavioral health field to join our team in Massillon, Ohio. This dynamic role focuses on managing crucial billing operations while ensuring accuracy, compliance, and efficiency across various responsibilities. As part of a collaborative and supportive environment, this position is contract-to-permanent, offering an excellent opportunity for professional growth.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Handle <strong>full-cycle medical billing</strong> processes, including coding, claims submission, and resolving denied claims.</li><li>Perform follow-ups and rebilling to secure timely resolutions for outstanding claims.</li><li>Assist the Human Resources team with <strong>annual and monthly compliance recertifications</strong>.</li><li>Support general accounting functions, including crossover billing duties.</li><li>Utilize specialized software such as <strong>Ritten</strong> for behavioral health billing and <strong>QuickBooks</strong> for general financial processes.</li><li>Manage and maintain organized, <strong>accurate records within electronic medical systems (EMR)</strong>.</li><li>Collaborate with internal team members to ensure efficient workflows and solve problems effectively.</li><li>Demonstrate <strong>reliability, adaptability</strong>, and an eagerness to learn new systems and procedures.</li><li>Adhere to established policies and procedures to maintain compliance and ensure billing accuracy.</li></ul>
<p>We’re seeking an experienced Medicare Billing Specialist to join our team on a contract-to-permanent basis. The ideal candidate will have a strong understanding of Medicare billing regulations, claims processing, and reimbursement procedures. This role offers the opportunity to transition into a permanent position with a growing organization that values accuracy, efficiency, and teamwork.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team located in the Greater Philadelphia Region. This Medical Billing Specialist position provides an excellent opportunity to contribute your expertise in medical billing and coding within the healthcare industry. As a Contract to permanent role, it offers the potential for long-term career growth while working in a collaborative and detail-oriented environment.</p><p><br></p><p>What you get to do every single day:</p><p>• Accurately assign procedure codes and ensure timely submission of insurance claims, both electronically and on paper.</p><p>• Prepare and distribute patient statements on a weekly basis.</p><p>• Post payments and manage secondary claims for patients, schools, and teams.</p><p>• Follow up on accounts receivable by communicating with insurance companies, schools, and teams to resolve outstanding balances.</p><p>• Handle insurance correspondence and address claim denials through appeals.</p><p>• Resubmit corrected claims as necessary and reconcile daily payment transactions in accordance with established procedures.</p><p>• Safeguard patient rights by maintaining confidentiality of personal and financial information.</p><p>• Participate in internal financial reporting activities as scheduled.</p><p>• Adhere to organizational policies and procedures to ensure smooth operations.</p><p>• Collaborate with team members to achieve shared goals and complete additional tasks as assigned.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-permanent position, you will play a critical role in managing billing operations and ensuring accurate processing of medical claims. This opportunity is ideal for professionals with a strong background in healthcare billing and proficiency in industry-standard software.<br><br>Responsibilities:<br>• Manage and process medical claims efficiently using a variety of billing systems and software.<br>• Ensure accurate coding and compliance with healthcare regulations during claim submissions.<br>• Handle accounts receivable tasks, including follow-ups on unpaid claims and resolving payment discrepancies.<br>• Monitor and execute appeals for denied claims to maximize revenue recovery.<br>• Utilize accounting software systems, including Medisoft and IBM AS/400, to maintain up-to-date billing records.<br>• Collaborate with collection teams to streamline payment processes and resolve outstanding balances.<br>• Perform detailed analysis of billing reports to identify trends and areas for improvement.<br>• Support claim administration tasks, ensuring timely submissions and adherence to payer guidelines.<br>• Work with Epic software to manage patient billing data and related documentation.
We are looking for a skilled Workers Compensation / Auto Claims Manager to join our team in Arlington Heights, Illinois, on a contract basis. In this role, you will oversee the management of Workers’ Compensation and Automobile claims, serving as a key liaison between injured employees, legal counsel, medical providers, and insurance adjusters. This position offers the opportunity to work collaboratively with internal and external stakeholders to ensure compliance with policies and procedures while maintaining accurate records and reporting. <br> Responsibilities: • Investigate and manage new Workers’ Compensation and Automobile claims efficiently and accurately. • Maintain open communication with injured employees, supervisors, legal counsel, medical providers, and insurance adjusters. • Monitor and track medical care for injured workers, ensuring proper documentation and follow-up. • Assist in establishing reserves in collaboration with insurance providers. • Organize, store, and retrieve medical and legal documents securely using electronic database systems. • Collaborate with claims adjusters to resolve contested cases effectively. • Work with supervisors to identify and implement modified or restricted duty roles for employees during recovery. • Coordinate with Divisional Health, Safety & Environment (HS& E) Directors and Human Resources managers on claims-related policies and procedures. • Prepare detailed reports on individual and aggregated claims for internal use. • Review and interpret contractual language to ensure compliance with applicable legal requirements. <br> The pay range for this position is $30 to $40. Benefits available to contract/contract professionals, include medical, vision, dental, and life and disability insurance. Hired contract/contract professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
<p>Are you a detail-oriented and organized professional with a talent for ensuring efficient medical billing processes? Robert Half’s Healthcare Practice is seeking an experienced <strong>Medical Payment Poster</strong> for a contract-to-hire opportunity in <strong>Sacramento, CA</strong>. Our client, a respected healthcare organization, is seeking a self-motivated individual to join their team and contribute to their revenue cycle management processes.</p><p><br></p><p>As a <strong>Medical Payment Poster</strong>, you will play a critical role in ensuring flawless application and management of payments received for medical claims. Your responsibilities will involve verifying payments, handling patient billing inquiries, maintaining accurate financial records, and working collaboratively with the billing and accounts receivable teams.</p><p>This contract-to-hire opportunity provides you with a chance to demonstrate your skills and transition to a permanent position while contributing to the overall success of a growing healthcare organization.</p><p>Responsibilities:</p><ul><li>Accurately post insurance payments, adjustments, and denials to patient accounts.</li><li>Reconcile daily deposits and payments to accounts receivable ledger entries.</li><li>Review and resolve discrepancies in Explanation of Benefits (EOBs).</li><li>Monitor claims reimbursement and follow-up on unpaid or partially paid claims.</li><li>Collaborate with the billing team to ensure appropriate payment and resolution of accounts.</li><li>Maintain and update patient account information as needed.</li><li>Process refunds or patient credits in accordance with internal policies.</li><li>Provide excellent customer service when addressing patient and insurance inquiries.</li></ul>
We are looking for a detail-oriented Billing Clerk to join our team in Somersworth, New Hampshire. This role involves handling a wide range of billing tasks related to medical, dental, and mental health services, ensuring accuracy and efficiency in processing payments and claims. The ideal candidate will possess strong communication skills and the ability to work collaboratively with patients and team members.<br><br>Responsibilities:<br>• Process charges and input data into the practice management system accurately.<br>• Generate and submit primary and secondary insurance claims in a timely manner.<br>• Record payments, adjustments, and denials from insurance correspondence.<br>• Review and address aged trial balances, resolving outstanding issues promptly.<br>• Collaborate with front office staff to enhance patient account handling and activity.<br>• Manage patient payment plans, including setup and follow-up on overdue payments.<br>• Address patient inquiries professionally, providing sensitive financial discussions when necessary.<br>• Transfer unpaid self-pay balances exceeding $25 to collections after 120 days without payment.<br>• Assist with external reporting needs such as audits, cost reports, and budgets.<br>• Perform additional tasks as assigned to support billing operations.
