We are looking for an experienced Medical Billing Specialist to join our team in Syracuse, New York. In this Contract-to-Permanent position, you will play a vital role in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a strong background in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills.<br><br>Responsibilities:<br>• Review and verify claims for accuracy and completeness, correcting any missing or incorrect details related to Home Health Care billing.<br>• Prepare and submit claims and invoices to payors or clients in accordance with established billing schedules.<br>• Conduct timely follow-up on outstanding claims and invoices to optimize revenue collection.<br>• Investigate and appeal unpaid claims as needed to ensure maximum reimbursement.<br>• Post payments with a high degree of accuracy and within specified timelines.<br>• Utilize electronic billing systems, including Waystar, to manage claims efficiently and address billing exceptions.<br>• Communicate billing issues, payment discrepancies, and collection challenges to the Billing Manager promptly.<br>• Leverage agency IT systems to streamline work processes and meet job requirements.<br>• Participate in meetings and training sessions to stay updated on industry standards and practices.<br>• Ensure compliance with payor filing requirements to maintain timely and accurate billing.
We are looking for a dedicated Customer Service Representative to join our team on a long-term contract basis in Minneapolis, Minnesota. This role offers the opportunity to make a difference in the healthcare industry by providing exceptional support and service to patients and customers. If you thrive in a fast-paced environment and have a passion for helping others, this position may be the perfect fit for you.<br><br>Responsibilities:<br>• Deliver outstanding customer service by addressing inquiries and resolving issues with professionalism and empathy.<br>• Maintain accurate and timely documentation of interactions with patients and clients using internal systems.<br>• Assist in scheduling appointments, processing authorizations, and managing claims to ensure seamless service delivery.<br>• Adhere to established performance standards, including metrics for accuracy, quality, and attendance.<br>• Provide support to colleagues and supervisors by handling paperwork and resolving patient-related concerns.<br>• Identify potential financial, medical, or legal risks during customer interactions and follow appropriate protocols.<br>• Translate verbal information into clear and concise written documentation according to company guidelines.<br>• Act as a patient advocate by exchanging complex and sensitive information to facilitate care and support.<br>• Utilize Microsoft Office Suite and other tools effectively to manage daily tasks and responsibilities.<br>• Ensure compliance with company policies and procedures while delivering services within established timeframes.
We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent position offers an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the contract assignment, with potential for long-term placement.<br><br>Responsibilities:<br>• Accurately post insurance payments by line item to the patient account system, ensuring all entries are precise and compliant.<br>• Verify payment amounts against contracts and organizational policies to ensure correctness.<br>• Process patient payments efficiently and update records within the designated system.<br>• Record denials, zero payments, and flag accounts for follow-up by the Medical Collections team.<br>• Apply takebacks and recoupments in accordance with established policies.<br>• Identify and communicate trends in payment discrepancies, denials, or short payments to leadership for resolution.<br>• Balance daily payment entries against settlement reports to maintain accurate financial records.<br>• Route payer correspondence to the appropriate team members for timely follow-up.<br>• Utilize knowledge of contracts and policies to ensure proper application during payment posting.
<p>We are seeking a <strong>Patient Account Representative</strong> to join a fast-paced and collaborative Patient Financial Services (PFS) team. The <strong>Patient Account Representative</strong> is responsible for accurate and timely billing, collections, payment processing, and account resolution for patient accounts. The <strong>Patient Account Representative </strong>will work under close supervision to perform routine and repetitive duties, but must be detail-oriented and proactive in handling account discrepancies and payer communications.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Follow up on unpaid accounts through payer websites or phone communication.</li><li>Investigate and resolve underpayments; file appeals when necessary.</li><li>Review and resolve claim denials and rejections.</li><li>Process bad debt transfers, adjustments, and contractual write-offs.</li><li>Review worklists in EPIC and resolve claim edits.</li><li>Rebill claims based on denial follow-ups.</li><li>Post payments and adjustments; manage undistributed payment worklists.</li><li>Process refunds and payment transfers between billing systems.</li><li>Enter charges and resolve charge issues; perform charge corrections.</li><li>Maintain professional communication with internal teams, payers, physicians, and patients.</li><li>Meet weekly productivity goals set by team leadership.</li><li>Support charity application processing and patient advocacy functions.</li><li>Handle incoming mail and assist with backlog organization.</li><li>Perform account lookups and EPIC navigation.</li><li>Review correspondence and determine appropriate next steps.</li></ul>
We are looking for an experienced Medical Accounts Receivable Team Lead to join our team in Mt. Holly, New Jersey. This long-term contract position is ideal for someone with a strong background in medical billing, claims management, and collections. If you have a passion for ensuring financial accuracy and operational efficiency in healthcare, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee the daily operations of medical accounts receivable, ensuring timely and accurate processing of claims and collections.<br>• Manage and resolve billing discrepancies, appeals, and authorizations to maintain compliance and optimize revenue.<br>• Utilize accounting software systems, including Allscripts and Cerner Technologies, to streamline billing functions.<br>• Lead efforts in handling dynamic data exchange (DDE) processes for efficient communication and data sharing.<br>• Monitor accounts receivable to identify and address outstanding balances or payment issues.<br>• Collaborate with healthcare providers and insurance companies to ensure proper benefit functions are applied.<br>• Train and mentor team members on EHR systems and best practices in medical billing and claims.<br>• Develop and implement strategies to improve billing accuracy and reduce claim denials.<br>• Prepare reports and analyze data to track performance metrics and identify areas for improvement.
<p>Our healthcare client is seeking a dynamic Project Manager – Strategic Initiatives to support the CEO and executive leadership team in advancing critical organizational priorities. This role is ideal for someone who thrives in a fast-paced, highly visible environment, working directly with executive leadership while driving meaningful operational improvements across multiple departments. </p><p><br></p><p>Role Overview: Reporting directly to the CEO (with a dotted-line to systemwide leadership), the Project Manager will provide structure, oversight, and execution support for strategic initiatives that strengthen compliance, streamline operations, and enhance member and provider experiences. Unlike traditional departmental management, this role focuses on special projects and cross-functional coordination, requiring a hands-on approach to both planning and execution. </p><p> </p><p>Key Responsibilities: Partner closely with the CEO to scope, plan, and execute high-impact initiatives. Assess current state processes and develop actionable project plans to ensure forward progress. Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with the executive leadership team and external oversight bodies. Stand up and coordinate new steering committees for emerging initiatives. Develop project tracking and reporting tools, leveraging systems such as Jira, Qlik, and data visualization platforms. Translate business and regulatory requirements into structured reporting, dashboards, and metrics to monitor progress. Ensure consistent project documentation, progress tracking, and alignment with organizational priorities. Focus Areas Regulatory Compliance: Map and standardize workflows, strengthen internal audit tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while partnering with IT to implement automation and payment integrity solutions. Utilization Management: Standardize UM processes, improve turnaround times, and support Medical Directors in consistent clinical decision-making.</p>
<p>A Surgery Center in Encino is in the need of a Medical Billing Specialist. The Medical Billing Specialist must have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. </p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing functions for Surgical detail-oriented fees.</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.</p><p> -Performs all data entry and charge posting functions for services as needed</p><p>-Performs all third-party follow-up functions for all products and procedures.</p><p> -Reviews EOBS . Make corrections as required and resubmit the claim for payments.</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10 code to identify the provider's narrative diagnosis </p><p>-Provides the correct HCPCS code to identify medications and supplies.</p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10 codes for services performed by staff surgeons</p>
<p>A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, <strong>remote work opportunities may be available</strong>.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.</li><li>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.</li><li>Manage <strong>denials and appeals</strong>, researching root causes, documenting issues, and resubmitting claims as needed.</li><li>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.</li><li>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.</li><li>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.</li><li>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.</li></ul><p><br></p>
<p>We are looking for a skilled Benefits Specialist to join our team in Scottsdale, Arizona. In this long-term contract role, you will manage and administer various employee benefit programs, ensuring accurate processing and clear communication to staff. This position offers an opportunity to work closely with employees, vendors, and third-party providers to optimize the benefits experience.</p><p><br></p><p>Responsibilities:</p><p>• Provide employees with comprehensive guidance on benefit plans, acting as a liaison between the organization and third-party providers.</p><p>• Conduct orientation sessions and enrollment meetings to explain eligibility, costs, coverage options, and assist with claims and enrollment processes.</p><p>• Perform regular audits of benefit enrollments to ensure accuracy and resolve any discrepancies.</p><p>• Assist employees with questions related to claims, plan changes, and leave management, while maintaining up-to-date records in payroll and leave tracking systems.</p><p>• Monitor employee absences for trends and report findings to HR Operations and leadership.</p><p>• Compile reports, interpret regulations, and provide data to employees, employers, healthcare personnel, attorneys, and insurance companies as needed.</p><p>• File and administer workers’ compensation claims and manage claims related to student accidents.</p><p>• Stay informed on federal and state laws related to benefits and ensure compliance in all processes.</p>
We are looking for a dedicated Claims Coordinator to join our team in Oklahoma City, Oklahoma. This Contract-to-Permanent position offers an exciting opportunity to showcase your skills in claims management and collections while working in a collaborative and fast-paced environment. In this role, you will handle diverse tasks related to billing, account resolution, and customer communication, ensuring efficient claims processing.<br><br>Responsibilities:<br>• Manage the full lifecycle of claims, including billing, collections, account adjustments, and resolution.<br>• Conduct thorough research and tracking of collection activities to ensure accuracy.<br>• Communicate effectively with customers, insurance carriers, and internal teams to address claims and resolve issues.<br>• Adhere to established procedures for account reviews and customer follow-ups.<br>• Collaborate with internal departments to address sensitive or complex account matters.<br>• Maintain detailed documentation of all claims and collection activities.<br>• Perform additional duties and responsibilities as assigned to support the team.
<p><strong><u>Job Summary:</u></strong> </p><p>We are seeking an <strong>experienced Dental Billing Specialist</strong> to join a fast-paced, customer-facing practice. This role focuses on managing complex dental billing processes, claims attachments, pre-determinations for treatment coverage, and all other administrative steps unique to dental billing. The ideal candidate is detail-oriented with strong communication skills, has direct dental billing experience, and is accustomed to working in an open and collaborative work environment.</p><p> </p><p><strong><u>Key Responsibilities:</u></strong> </p><ul><li><strong><u>Dental Billing Expertise:</u></strong> Process dental-specific claims accurately, ensuring all required documents, coding, and attachments are completed and submitted within specified deadlines. </li><li><strong><u>Pre-Determinations:</u></strong> Manage pre-determination requests for dental treatments, including navigating insurance requirements for advanced or specialized dental procedures. </li><li><strong><u>Claims Attachments</u></strong>: Compile, prepare, and submit claims attachments and required paperwork for insurance companies, ensuring compliance with dental-specific documentation protocols. </li><li><strong><u>Customer Interaction:</u></strong> Work closely with patients, insurance companies, and resolve billing inquiries promptly and professionally. Maintain a courteous and patient-first approach in customer-facing scenarios. </li><li><strong><u>Compliance: </u></strong>Stay updated on dental billing codes, insurance regulations, and healthcare compliance standards to ensure accuracy and precision in work execution. </li><li><strong><u>Team Collaboration: </u></strong>Work in a highly collaborative, open-office environment alongside front-facing staff and other departments to ensure seamless operational functioning. </li><li><strong><u>Multi-Step Processes:</u></strong> Navigate the more intricate and multi-step requirements of dental billing compared to other healthcare settings accurately and efficiently. </li></ul><p>Please complete an application and call (423) 244-0726 for more information and IMMEDIATE CONSIDERATION!</p>
<p>Are you an experienced Medicare Billing Specialist with expertise in home health billing? Robert Half is assisting a valued client in Fort Wayne, Indiana, in finding a skilled professional to join their team. This is a <strong>temp-to-perm opportunity</strong>, providing the potential for long-term career growth with a rewarding organization.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurate processing and submission of Medicare claims for home health services.</li><li>Verifying insurance coverage and eligibility for Medicare beneficiaries.</li><li>Reviewing and resolving billing discrepancies and payment issues.</li><li>Staying updated on Medicare regulations, billing codes, and compliance requirements.</li><li>Communicating professionally with patients, healthcare providers, and payers to address billing inquiries.</li><li>Preparing billing reports and maintaining thorough documentation of claims in compliance with regulatory guidelines.</li></ul><p><br></p>
<p><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
We are looking for a Medical Billing Specialist to join our team on a Contract-to-Permanent basis in Greenville, South Carolina. In this role, you will play a vital part in ensuring accurate billing and collections processes, while maintaining compliance with healthcare regulations. This position offers an opportunity to contribute to the financial operations of a dynamic healthcare organization.<br><br>Responsibilities:<br>• Manage payment arrangements and monitor accounts to ensure timely collections.<br>• Pursue delinquent accounts by establishing follow-up procedures and collaborating with collection agencies when necessary.<br>• Handle Medicare bad-debt cost reports by tracking billings, monitoring collections, and compiling relevant data.<br>• Initiate and manage claims related to estates, including coordinating with legal departments and probate offices.<br>• Facilitate payroll deductions and secure authorization for automatic transfers to address outstanding balances.<br>• Conduct interviews with obstetrical patients pre-delivery to establish payment plans and send monthly statements.<br>• Ensure compliance with policies and procedures to maintain smooth work operations.<br>• Safeguard sensitive information by adhering to confidentiality standards.<br>• Participate in development opportunities to stay updated on industry practices.<br>• Enhance the reputation of the billing department by taking ownership of tasks and seeking new ways to add value.
<p>We are looking for a detail-oriented Medical Front Desk / Billing Clerk to join a thriving healthcare team in Portland, Maine. This role offers a unique opportunity to grow professionally in a supportive environment, with potential advancement into an Office Manager position. Enjoy a four-day work week with Fridays off, alongside generous benefits that include health insurance, paid vacation, and more.</p><p><br></p><p>Responsibilities:</p><p>• Manage front desk operations, including greeting patients and handling inquiries with professionalism and care.</p><p>• Process medical billing tasks accurately and efficiently, ensuring compliance with industry standards.</p><p>• Maintain and update patient records, ensuring confidentiality and attention to detail.</p><p>• Coordinate patient scheduling to optimize office workflows and enhance service delivery.</p><p>• Handle insurance claims and related documentation, resolving discrepancies as needed.</p><p>• Provide exceptional customer service, addressing patient concerns and fostering positive relationships.</p><p>• Utilize computer systems and software for administrative tasks, demonstrating strong technical skills.</p><p>• Collaborate with healthcare staff to ensure seamless communication and efficient operations.</p><p>• Uphold a high level of organization and attention to detail in all administrative duties.</p><p>• Contribute to the overall success of the office by supporting team goals and adapting to evolving needs.</p>
<p>Are you an experienced medical billing professional with a background in surgery billing, ASC (Ambulatory Surgery Center) operations, and expertise in EPIC software? Do you thrive in a fast-paced environment and have a proven track record in medical insurance collections? If so, we want to hear from you! Robert Half is partnering with a leading healthcare provider to find a detail-oriented <strong>Surgery Medical Billing Specialist</strong> to join their team.</p><p><strong>Key Responsibilities</strong></p><ul><li>Process, review, and submit medical billing claims specific to surgical procedures using EPIC software.</li><li>Accurately code surgeries and other medical services in compliance with healthcare regulations.</li><li>Collaborate with ASC teams to ensure seamless coordination of patient billing and documentation.</li><li>Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies.</li><li>Manage and monitor accounts receivable, following up on unpaid claims to improve collections.</li><li>Research and resolve denials and appeals to maximize reimbursement.</li><li>Maintain strict adherence to HIPAA regulations and patient confidentiality protocols.</li><li>Provide regular reporting on billing activities, payment trends, and collections performance</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Records Clerk in Waconia, Minnesota. In this long-term contract role, you will play a critical part in managing and safeguarding patient medical records while ensuring compliance with all administrative and legal standards. This position offers an excellent opportunity to contribute to a dynamic healthcare environment and support patient care through effective record management.</p><p><br></p><p>Responsibilities:</p><p>• Organize, process, and maintain hospital and clinic patient records in compliance with medical, administrative, and regulatory standards.</p><p>• Utilize electronic health record (EHR) systems to access, update, and manage patient information efficiently.</p><p>• Review medical records to ensure they are complete, accurate, and adhere to established guidelines.</p><p>• Retrieve patient records promptly for healthcare professionals, including physicians, nurses, and technicians.</p><p>• Protect the confidentiality and privacy of medical records, adhering to strict security protocols.</p><p>• Respond to information requests from patients, physicians, and other authorized parties while maintaining confidentiality.</p><p>• Provide clerical support such as typing, filing, correspondence management, and scheduling appointments.</p><p>• Assist and train other staff members in effective record-keeping practices.</p><p>• Prepare detailed reports and statistical summaries as required.</p><p>• Follow all health and safety regulations to maintain a secure and compliant work environment.</p>
<p>Are you a skilled Medical Billing Specialist with expertise in denials management and insurance collections? A Hospital in Van Nuys is seeking a detail-oriented and driven professional to join a dynamic healthcare team. If you have the experience, passion, and commitment it takes to ensure accurate and efficient medical billing processes, we want to hear from you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Research, appeal, and resolve insurance claim denials to maximize reimbursement.</li><li>Review patient accounts to identify and address billing discrepancies.</li><li>Communicate with insurance companies to expedite claims resolution and payment collections.</li><li>Ensure compliance with relevant laws, regulations, and company standards in all billing activities.</li><li>Prepare and submit accurate claims to insurance carriers.</li><li>Monitor and analyze accounts receivable and follow up on unpaid claims.</li><li>Provide exceptional customer service to patients and providers regarding account questions.</li></ul><p><br></p>
<p>We are looking for a dedicated and healthcare bilingual Customer Service Representative to join our team on a long-term contract basis. In this role, you will assist with customer calls, including a significant portion of Spanish-speaking inquiries, ensuring high-quality service and satisfaction. This is a remote position, offering flexibility to work from home in Central, Mountain, or Pacific Time Zones.</p><p><br></p><p>Responsibilities:</p><p>• Provide exceptional customer service by handling inquiries and resolving issues with professionalism and care.</p><p>• Manage and document customer interactions using established procedures and systems.</p><p>• Schedule appointments and coordinate with internal teams to meet client needs.</p><p>• Ensure accuracy and quality in data entry and paperwork, adhering to company policies.</p><p>• Maintain a strong understanding of medical coverage, benefit functions, and claim administration processes.</p><p>• Communicate effectively in both English and Spanish to assist a diverse customer base.</p><p>• Meet department performance goals related to satisfaction, accuracy, and attendance.</p><p>• Participate in training programs to stay updated on company procedures and policies.</p><p>• Handle sensitive and complex customer information with discretion and confidentiality.</p><p>• Provide support during occasional overtime or holiday shifts as required by business needs.</p>
<p>We are looking for a skilled Claims Adjuster to join our team in Spokane, Washington. This is a long-term contract position that requires expertise in medical claims, billing, and insurance processes. The ideal candidate will play a key role in ensuring the accurate and efficient handling of claims while adhering to industry standards and regulations.</p><p><br></p><p>Responsibilities:</p><p><br></p><p> Review, analyze, and adjudicate medical and vision claims in accordance with plan</p><p>documents, policies, and industry standards.</p><p> Interpret complex benefit language and apply judgment in determining appropriate claim</p><p>outcomes.</p><p> Enter and verify claim information in the system with a high degree of accuracy.</p><p> Respond to telephone and written inquiries from providers, members, and internal</p><p>departments in a timely and professional manner.</p><p>Identify discrepancies, research data issues, and make necessary adjustments or referrals</p><p>for resolution.</p><p> Process electronic and paper claims and maintain data integrity across systems.</p><p> Generate and review provider correspondence, including system-generated letters and</p><p>explanation of benefits (EOBs).</p><p> Collaborate with internal teams to support compliance, audit readiness, and customer</p><p>satisfaction goals.</p><p> Support continuous improvement by identifying process inefficiencies and contributing</p><p>to best practice discussions.</p><p><br></p>
<p>Are you a detailed and proactive professional with experience in medical billing and revenue cycle management? Our client in downtown Houston is seeking a <strong>Medical Billing Specialist</strong> for a <strong>contract-to-hire, remote</strong> position. Join their Billing Triage team and play a vital role in ensuring accurate and timely revenue processes.</p><p><strong>About the Role</strong></p><p>As a member of the Billing Triage team, you'll be responsible for addressing and resolving missing information in physician and site orders. This includes gathering patient demographics, diagnosis codes, and other critical data necessary for finalizing claims. You’ll work collaboratively with clients, access payor portals, and support leadership with ongoing reporting to ensure that orders can be efficiently completed for billing.</p><p><strong>Key Responsibilities</strong></p><ul><li>Identify and resolve missing information in physician/site orders, including diagnosis codes, patient demographics, and hospital/clinical codes.</li><li>Connect with clients via phone or fax to request and retrieve essential billing details.</li><li>Access payor web portals to gather additional missing information for billing purposes.</li><li>Maintain proper follow-up procedures and finalize all billing processes accurately.</li><li>Prepare and share routine reports with Revenue Cycle Management leadership.</li><li>Troubleshoot and correct errors related to orders, such as tests not accessioned due to front-end errors or unlocked TNPs.</li><li>Adhere to the company's Code of Conduct as outlined in the Compliance Program.</li><li>Perform other job-related duties as assigned.</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul>
<p>We are looking for a dedicated and detail-oriented Patient Registration specialist to join our client's practice near Blue Ash, Ohio. In this role, you will serve as the first point of contact for patients, ensuring a seamless and welcoming experience. This is a Contract-to-Permanent position in the healthcare industry, offering an opportunity to contribute to high-quality patient care.</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients and visitors warmly while providing accurate information and assistance.</p><p>• Maintain and update patient files and records with precision and confidentiality.</p><p>• Handle payment processing and insurance claims efficiently.</p><p>• Manage inventory by ordering supplies and ensuring stock levels are adequate.</p><p>• Perform various administrative tasks as needed to support the smooth operation of the facility.</p><p>• Answer inbound calls promptly, addressing inquiries and concerns professionally.</p><p>• Oversee insurance authorizations and benefit-related functions.</p><p>• Collaborate on billing processes to ensure accuracy and compliance.</p><p>• Support clinical trial operations as required.</p>
<p>We are seeking a detail-oriented <strong>Insurance Verification Specialist</strong> with <strong>Medi-Cal experience</strong> to join our team. This role is critical to ensuring that patient insurance information is accurately verified and updated to maintain a seamless billing process and exceptional patient care. The ideal candidate has hands-on experience with Medi-Cal programs, strong communication skills, and a commitment to excellence in administering insurance verifications.</p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage for Medi-Cal and other insurance providers.</li><li>Obtain and validate pre-authorization and referral requirements for medical services.</li><li>Accurately input patient insurance information into the system and update records as needed.</li><li>Communicate with patients, insurance companies, and healthcare providers to clarify coverage details.</li><li>Resolve insurance-related issues and discrepancies efficiently and proactively.</li><li>Ensure compliance with Medi-Cal guidelines, policies, and procedures.</li><li>Collaborate with billing teams to ensure timely claims submission and support revenue cycle processes.</li></ul><p><br></p>
