We are looking for a Claims Admin Support Specialist to join our team in Maitland, Florida. This role involves performing a variety of administrative and clerical tasks, ensuring office operations run smoothly under direct supervision. As this is a long-term contract position, it offers stability and an opportunity to contribute to a dynamic work environment.<br><br>Responsibilities:<br>• Maintain and manage the inventory of office supplies to ensure availability for daily operations.<br>• Operate and oversee office equipment such as fax machines, printers, and copiers, ensuring proper functionality.<br>• Coordinate document shredding services with external vendors to uphold confidentiality standards.<br>• Handle document management tasks, including retrieving files, making copies, and delivering documents as needed.<br>• Draft routine correspondence and respond to visitor inquiries with professionalism and efficiency.<br>• Open, sort, and distribute incoming mail and packages, including deliveries from FedEx and other couriers.<br>• Assist in organizing meetings, coordinating record retention, and performing additional clerical support as requested.<br>• Conduct research and compile reports based on leadership requests to support decision-making processes.<br>• Occasionally travel to fulfill job-related duties and meet organizational needs.
<p>Reputable personal injury firm is seeking an experienced and compassionate Case Manager to join their team. This position is ideal for someone with a strong background in personal injury law who thrives in a fast-paced environment and is committed to delivering exceptional client service. As a key member of our legal team, you will play a vital role in managing cases, communicating with clients, and supporting attorneys to ensure successful outcomes.</p><p><br></p><p>Responsibilities:</p><p>• Conduct initial interviews with prospective clients to gather relevant case information.</p><p>• Request, review, and organize medical records related to client cases.</p><p>• Maintain consistent communication with insurance companies, medical providers, and clients to provide updates and address inquiries.</p><p>• Draft and send correspondence letters to clients, insurance companies, and healthcare providers.</p><p>• Collaborate closely with attorneys to review case status and develop strategies.</p><p>• Perform investigative tasks related to claims and pre-litigation case work.</p><p>• Manage administrative duties such as faxing, filing, and copying to support case management.</p><p>• Oversee and prioritize a substantial caseload while ensuring accuracy and timeliness.</p><p>• Assist staff and team members with various tasks, ensuring seamless workflow and collaboration.</p><p>• Utilize software tools, including Microsoft Word and Excel, to maintain organized records and documentation.</p>
<p>A prominent Michigan-based organization in the insurance sector is looking for a dynamic <strong>Claims Director</strong>. This position is ideal for an experienced leader with expertise in claims management, litigation oversight, and operational strategy.</p><p><br></p><p><strong><u>*This is a remote position; however, candidates must currently reside in Michigan to be considered.*</u></strong></p><p><br></p><p><strong>Responsibilities: </strong></p><p>Responsible for overseeing all operations of the Assigned Claims Program and related organizational tasks. Serves as a member of the senior leadership team, providing strategic and day-to-day oversight of claims functions, litigation, servicing insurers, third-party administrators (TPAs), vendors, and staff. Manages multi-million-dollar budgets, ensures compliance with regulations, and supports the executive team with personnel, technology, and policy initiatives. This role involves managing litigation processes, supervising claims activities, and ensuring compliance with industry regulations and organizational standards. The ideal candidate will possess strong leadership skills, a deep understanding of insurance claims, and expertise in litigation management.</p><p><br></p><ul><li>Direct daily operations of the assigned claims unit, including staff management, workflow, and quality control.</li><li>Develop and manage program budgets, expenses, and financial reporting.</li><li>Oversee litigation strategy, appeal processes, and counsel/vendor partnerships.</li><li>Monitor servicing insurers and TPAs to ensure compliance, performance, and effective claims handling.</li><li>Lead committees, task forces, and organizational initiatives, including No-Fault Reform strategy.</li><li>Provide training, coaching, performance management, and employee engagement initiatives for staff.</li><li>Oversee technology and IT projects supporting claims operations.</li><li>Represent the organization in litigation, industry groups, and external committees as needed.</li><li>Ensure policies, procedures, and statutory requirements are up to date and enforced.</li><li>Review vendor contracts, legal billing, and claims documents to ensure accuracy and compliance.</li><li>Support the executive director and collaborate with leadership on organizational strategy and initiatives.</li></ul>
<p>An outstanding company that we are partnering with in the healthcare industry in Encinitas, CA is looking for a Billing Coordinator who can bring accuracy, empathy, and efficiency to their patient billing operations. This role is perfect for someone who understands the importance of clear communication and timely billing in a healthcare setting.</p><p><br></p><p><strong><u>What You’ll Be Doing:</u></strong></p><ul><li>Prepare and submit patient billing statements and insurance claims.</li><li>Verify insurance coverage and ensure proper coding of services.</li><li>Follow up on unpaid claims and patient balances.</li><li>Maintain billing records and assist with reporting and audits.</li><li>Communicate with patients and insurance providers to resolve billing inquiries.</li></ul>
<p>We are looking for an experienced and meticulous Claims Adjuster to assist with our client with handling New York based Workers Compensation Claims. </p><p>This is a fully remote, temporary-to-permanent opportunity. </p><p>To be considered, candidates must possess a valid NY Adjusters License and have experience working workers compensation specific claims.</p><p>Responsibilities include:</p><ul><li>Conduct in-depth investigations and evaluations of complex workers' compensation claims, applying strong analytical skills to drive informed decision-making and achieve timely resolution.</li><li>Collaborate closely with clients to develop innovative strategies and continuously improve the claims management process.</li><li>Utilize critical thinking and problem-solving abilities to effectively plan, prioritize, and manage tasks that support both client and claimant needs.</li><li>Leverage claims management expertise to assess exposure, determine appropriate action plans, and drive timely and effective claim resolutions.</li><li>Maintain thorough and timely documentation of all claim activities, ensuring transparency and supporting claim outcomes.</li><li>New York Adjusters License is required.</li></ul><p><br></p><p><br></p>
We are looking for a compassionate and detail-oriented Patient Care Coordinator to join our team in Richmond, Virginia. In this role, you will be the first point of contact for patients, ensuring a seamless and positive experience throughout their care journey. Your ability to coordinate schedules, manage financial information, and advocate for patients will be critical to the success of our practice.<br><br>Responsibilities:<br>• Greet patients with warmth and professionalism, creating a welcoming environment from the moment they arrive.<br>• Schedule and confirm appointments, adjusting plans as needed to accommodate patient needs and office priorities.<br>• Provide clear explanations to patients about treatments, procedures, and recommendations to promote understanding and trust.<br>• Collaborate with dental professionals to organize treatment plans and ensure follow-up appointments are properly arranged.<br>• Address patient questions or concerns, escalating issues when necessary to maintain satisfaction.<br>• Present detailed financial information to patients, including insurance coverage, out-of-pocket costs, and payment options.<br>• Submit and follow up on insurance claims to ensure timely processing and payments.<br>• Handle payment collections and maintain accurate financial records for all patient accounts.<br>• Keep patient records updated and secure, adhering to all confidentiality regulations and compliance standards.<br>• Act as a patient advocate, building strong relationships through empathy and attentive care.
We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ensuring accurate billing processes, resolving insurance claims, and maintaining patient documentation. As a Contract-to-permanent position, it offers flexible afternoon and evening hours in a collaborative healthcare environment.<br><br>Responsibilities:<br>• Manage patient billing and insurance claims efficiently using Lytec and TriZetto platforms.<br>• Handle insurance payments, address denial issues, and perform follow-ups on aged accounts to secure timely reimbursements.<br>• Maintain detailed and accurate records in paper charts while assisting with filing and organizational tasks.<br>• Draft and send correspondence, including insurance and medicolegal reports, adhering to company standards.<br>• Collaborate with physicians and staff to prepare annual wellness reports and other patient documentation.<br>• Leverage Microsoft Office tools for scheduling, reporting, and administrative tasks.<br>• Coordinate with medical records personnel and the nursing team to ensure compliance with documentation and reporting requirements.
<p>We are seeking an experienced and detail-oriented <strong>Accounts Receivable Manager</strong> to join our client’s team and oversee the billing and collections process in a fast-paced healthcare environment. In this role, you will be responsible for maintaining accurate and organized <strong>resident admission files</strong> on a weekly basis, processing <strong>monthly billings</strong> for each payor class and related co-insurances, and preparing <strong>resident statements</strong> as required. You will handle <strong>Medicaid and Medicare claims</strong>, correcting and re-billing any denied claims in a timely manner to ensure prompt payment to the facility. Additionally, you will review and track all billable ancillary supplies, as well as check and prepare vendor bills to ensure proper payment. This position requires a strong commitment to accuracy, timeliness, and compliance with all applicable regulations. <strong>Other duties may apply</strong> as needed to support the financial health of the organization.</p><p>If you thrive in a detail-driven role, enjoy problem-solving, and have a passion for ensuring smooth revenue cycle operations, we’d love to hear from you.</p><p><br></p><p>For immediate consideration please call Allison Brown at 508.205.2121</p>
We are looking for a detail-oriented Medical Billing Insurance Clerk to join our team on a contract basis in Barton, Vermont. In this role, you will play a critical part in ensuring accurate billing and claim administration while maintaining confidentiality and compliance with regulations. This position is ideal for someone with a strong understanding of medical billing processes and experience working with insurance claims.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and compliance with established guidelines.<br>• Utilize billing software to manage data entry and track claim statuses.<br>• Verify insurance coverage details and resolve claim discrepancies efficiently.<br>• Handle collections and follow up on outstanding payments from insurance providers.<br>• Maintain confidentiality of patient information and billing records.<br>• Collaborate with team members to ensure seamless operations and timely claim submissions.<br>• Generate and analyze reports related to billing and insurance claims.<br>• Manage Medicaid and commercial insurance billing processes, adhering to specific regulations.<br>• Update and maintain spreadsheets for tracking billing activities and payment records.<br>• Communicate effectively with insurance companies and healthcare providers to address billing concerns.
We’re hiring Active Licensed Liability Claims Adjusters to support a high-impact project focused on auditing and resolving a backlog of complex claims. This fully remote, contract-to-hire role is ideal for a experienced professional with deep expertise in liability and multi-state licensing. Compensation is competitive and based on experience. <br> Responsibilities Include: Review and audit existing and incoming general liability claims for quality, accuracy, and compliance. Identify issues in claim files and recommend corrective actions. Handle complex claims involving construction liability, bodily injury, property damage, and litigation. Draft coverage letters, interpret policy language, and negotiate settlements. Collaborate with legal counsel and vendors to resolve high-exposure claims. Ensure adherence to state regulations and internal standards.
<p>We are looking for a detail-oriented Billing Clerk to join our team in Forest Hills, New York. This is a long-term contract position within the healthcare sector, offering an opportunity to contribute to essential billing operations. The ideal candidate will possess strong organizational skills and a solid understanding of electronic medical records (EMR).</p><p><br></p><p>Responsibilities:</p><p>• Process billing statements and invoices with accuracy and efficiency.</p><p>• Ensure compliance with healthcare industry regulations and organizational guidelines.</p><p>• Maintain and update patient billing information in the electronic medical records (EMR) system.</p><p>• Collaborate with other departments to resolve billing discrepancies and ensure timely payments.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Generate reports related to billing activities for internal review.</p><p>• Provide support in auditing and reconciling billing records.</p><p>• Respond to inquiries from patients and insurance providers regarding billing issues.</p>
<p>We are seeking a highly organized and detail-oriented <strong>Insurance Authorization Specialist</strong> with proven <strong>Microsoft Excel expertise</strong> to join our team. In this critical role, you will be responsible for securing insurance authorizations and ensuring compliance with pre-approval requirements for medical services and procedures. If you thrive in fast-paced environments and are motivated by efficiency and accuracy, we want to hear from you!</p><p><strong>Key Responsibilities</strong></p><ul><li>Obtain and manage authorizations from insurance providers for medical services and procedures.</li><li>Track and document authorization statuses in systems, spreadsheets, and other databases.</li><li>Maintain organized records in <strong>Microsoft Excel</strong> for tracking deadlines, approvals, and patient-specific insurance requirements.</li><li>Collaborate with medical staff and billing departments to ensure insurance approvals align with patient care plans.</li><li>Communicate with patients and insurance companies to address issues, verify coverage requirements, or request additional documentation.</li><li>Proactively follow up on pending authorizations to avoid delays in medical services.</li><li>Ensure compliance with HIPAA regulations and insurance provider-specific policies.</li></ul><p><br></p>
<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><br></p>
