We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<p>Job Posting: Claims Adjuster – Remote</p><p>Join our team to support a leading pet insurance organization as a Claims Adjuster. This is a fully remote role offering the opportunity to help pet parents by efficiently managing, adjudicating, and finalizing insurance claims. We are looking for detail-oriented individuals who value accuracy, organization, and clear communication.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Adjudicate insurance claims in a timely and compliant manner, adhering to standard operating procedures.</li><li>Consistently meet or exceed daily claims targets.</li><li>Provide guidance, oversight, and final approval authority to non-licensed claims processors (GenPact, AdStrat, or Healthy Paws).</li><li>Maintain active adjuster licenses as required by state and municipal regulations.</li><li>Identify and recommend process improvements to enhance the claims workflow.</li><li>Ensure all claims are processed according to compliance and quality standards.</li></ul><p><br></p>
<p><br></p><ul><li><strong>Position: Claims Adjuster - Workers' Compensation - Trainee (CONTRACT ROLE)</strong></li><li><strong>Location: </strong>9200 Oakdale Avenue 8th Floor Chatsworth, Chatsworth, California, 91311, United States</li><li><strong>Type: 100% ONSITE</strong></li><li><strong>Hourly Pay Range: $30 per hour </strong></li></ul><p>Job Description:</p><p>MAJOR DUTIES RESPONSIBILITIES:</p><p>Duties may include but are not limited to:</p><p>- Compensability investigations in regards to Workers Compensation claims</p><p>- Handle new losses verifies accuracy of information</p><p>- Deals with insureds clients and other customers</p><p>- Complete claim investigation via phone and email to injured workers medical providers and employers.</p><p>- Handles jurisdictional notices payment of benefits scheduling medical appointments completion and filing of necessary forms</p><p>- Review medical reports and information to determine compensability of claims.</p><p>- Work with Special Investigation Unit when necessary</p><p>- Direct attorney representation to strategize case resolution</p><p>- Handles other administrative duties for the team as assigned</p><p><br></p><p><br></p>
We are looking for a detail-oriented Automotive Claims Representative to join our team in Rockville Centre, New York. In this role, you will handle a variety of accounting tasks and ensure that claims are processed efficiently and accurately. The ideal candidate thrives in a structured environment and has a solid understanding of accounts payable, accounts receivable, and invoice processing.<br><br>Responsibilities:<br>• Process and manage automotive claims with accuracy and attention to detail.<br>• Handle accounts payable and accounts receivable transactions in a timely manner.<br>• Use QuickBooks to maintain and update financial records.<br>• Review and process invoices to ensure proper documentation and compliance.<br>• Enter data efficiently into accounting systems while maintaining accuracy.<br>• Communicate with clients and vendors to address inquiries and resolve discrepancies.<br>• Assist in reconciling accounts to ensure balanced financial records.<br>• Support the team in preparing reports and documentation as required.<br>• Monitor deadlines and prioritize tasks to meet organizational goals.
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
<p>A Medical Center in Los Angeles is looking for a dedicated Surgery Medical Biller/Collections Specialist. This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement. The ideal candidate will bring expertise in medical billing, collections, denial management, and appeals, as well as familiarity with Epic billing workflows. </p><p><br></p><p>Responsibilities:</p><p>• Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing.</p><p>• AR Insurance follow up via phone and online web portals. </p><p>• Submit electronic claims in compliance with specific payer guidelines and requirements.</p><p>• Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues.</p><p>• Handle claim attachments and supporting documentation to meet payer requirements.</p><p>• Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation.</p><p>• Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts.</p><p>• Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy.</p><p>• Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials.</p><p>• Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission.</p><p>• Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution.</p>
We are looking for an Accounts Receivable Specialist to join our team in Clayton, Missouri. This is a contract position offering the opportunity to contribute to key financial processes, including insurance billing and claims resolution. The role begins with on-site training and transitions to remote work, providing flexibility and opportunities for growth.<br><br>Responsibilities:<br>• Process insurance claims efficiently and ensure timely collection of payments.<br>• Prepare and submit accurate billing statements to insurance providers.<br>• Investigate and resolve claim rejections, working closely with insurance companies to address issues.<br>• Monitor accounts receivable records and ensure proper documentation for all claims.<br>• Collaborate with relevant departments to resolve billing discrepancies and ensure compliance.<br>• Maintain up-to-date knowledge of Medicaid and other insurance policies.<br>• Provide regular updates on outstanding claims and collections to management.<br>• Ensure adherence to company policies and procedures for financial transactions.<br>• Support continuous improvement efforts within the accounts receivable process.
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
<p>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote.</p>
<p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>
<p>This role focuses on resolving denied and non-paid insurance claims to ensure timely and accurate reimbursement. The representative will work insurance A/R accounts, communicate directly with payers, submit technical and clinical appeals, and identify root causes of underpayments, denials, and payment delays. Success in this role requires strong problem-solving skills, critical thinking, and the ability to work within federal, state, and payer-specific regulations.</p><p><br></p><p>Responsibilities:</p><ul><li>Examine denied and non-paid insurance claims to determine discrepancies</li><li>Contact insurance payers to follow up on outstanding claims</li><li>File technical and clinical appeals</li><li>Resolve underpayments, denials, and payment variances</li><li>Identify causes of payment delays and communicate trends to management</li><li>Document all account activity accurately in host and tracking systems</li><li>Maintain compliance with federal, state, and payer-specific regulations</li><li>Meet established productivity and quality standards</li></ul><p><br></p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Boardman, Ohio. This Contract to permanent position requires expertise in managing insurance claims, including Medicaid and CareSource, while ensuring accuracy and efficiency in billing processes. The ideal candidate will bring strong organizational skills, a customer-focused approach, and the ability to work collaboratively in a healthcare environment.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately to insurance providers, including Medicaid and CareSource.<br>• Investigate and resolve unpaid or denied claims by communicating effectively with insurance companies.<br>• Review patient bills for completeness and correctness, obtaining additional information when necessary.<br>• Ensure compliance with healthcare regulations and maintain patient confidentiality at all times.<br>• Collaborate with healthcare professionals and insurance representatives to secure timely reimbursements.<br>• Process payments and adjustments in billing systems with precision.<br>• Address inquiries from patients and insurance providers promptly and professionally.<br>• Maintain organized records of billing activities and follow established protocols.
<p>Our client is looking for a dedicated Billing Specialist to join their team in the Hamilton, New Jersey area. In this role, you will oversee Medicaid reimbursement processes, resolve billing discrepancies, and ensure compliance with all relevant regulations and standards. You will play a key part in maintaining accurate financial records and providing exceptional support to internal staff and external payers.</p><p><br></p><p>Salary is 55,000 - 60,000.</p><p><br></p><p>Benefits include health insurance, 401k, and PTO. </p><p><br></p><p>Responsibilities:</p><p>• Process initial claims from electronic medical record systems by reviewing, calculating, and adjusting submissions as needed.</p><p>• Maintain billing systems to ensure accurate financial records and submit claims both manually and electronically.</p><p>• Investigate and resolve disputed claims by verifying details, providing necessary documentation, and communicating with payers.</p><p>• Monitor deadlines for claim submissions and ensure timely processing for all designated payers.</p><p>• Assist in generating required reports for regulatory agencies under the guidance of the billing supervisor.</p><p>• Review consumer records to gather private and Medicaid billing information.</p><p>• Input codes and verify data to ensure accuracy in computer processing systems.</p><p>• Set up customer accounts and generate invoices using NetSuite.</p><p>• Support inspections, inquiries, or investigations by cooperating with licensing and department staff.</p><p>• Take on additional responsibilities as assigned to meet organizational needs.</p>
<p>A growing dermatology billing group is seeking an experienced <strong>Accounts Receivable & Medical Appeals Specialist</strong> to support multiple dermatology practices across Southwest Florida. This role is ideal for someone who is confident in working insurance denials, submitting appeals, and managing AR follow-up in a fast-paced environment.</p><p>This is <strong>100% onsite</strong> and requires someone reliable, organized, and comfortable working in a structured office setting.</p><p><br></p><p><strong>Position Summary</strong></p><p>The Accounts Receivable Medical Billing Specialist is responsible for resolving outstanding insurance balances, following up on unpaid claims, and preparing appeals to ensure accurate reimbursement. The ideal candidate has strong knowledge of medical billing workflows, understands dermatology coding, and can work both independently and collaboratively.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Perform timely follow-up on unpaid or denied insurance claims</li><li>Research and resolve claim denials, underpayments, and outstanding AR</li><li>Prepare and submit insurance appeals with supporting documentation</li><li>Review EOBs, eligibility responses, and claim status updates</li><li>Communicate with commercial and government insurance payers</li><li>Document all billing activity and follow-up actions accurately</li><li>Assist with patient billing inquiries (minimal in-person interaction)</li><li>Support AR and billing needs for multiple dermatology practices</li><li>Build and maintain positive relationships with providers and internal teams</li><li>Follow established RCM procedures and compliance guidelines</li></ul><p><br></p>
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Fayetteville, North Carolina. In this long-term contract position, you will play a vital role in ensuring accurate billing procedures and supporting the financial operations of a local healthcare facility. This opportunity is ideal for individuals with a strong background in medical billing who are committed to maintaining high standards of professionalism and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing claims accurately and efficiently to ensure timely reimbursement.</p><p>• Review and verify essential patient information and insurance details before submitting claims.</p><p>• Investigate and resolve billing discrepancies to ensure smooth operations.</p><p>• Collaborate with healthcare staff to clarify billing issues and improve processes.</p><p>• Maintain up-to-date knowledge of billing codes, insurance policies, and regulations.</p><p>• Generate detailed billing reports to track revenue and identify trends.</p><p>• Communicate effectively with insurance companies to address denied claims or appeals.</p><p>• Ensure confidentiality and security of patient billing records.</p><p>• Assist in optimizing billing workflows to enhance overall productivity.</p>
<p><strong>Medical Billing Specialist (Temp-to-Hire)</strong></p><p> <strong>Location:</strong> North Oklahoma City (100% Onsite)</p><p> <strong>Schedule:</strong> Monday–Friday, 8:00 AM – 5:00 PM</p><p> <strong>Pay Rate:</strong> $16–$18 per hour</p><p> <strong>Assignment Length:</strong> Temp-to-Hire (90 days)</p><p><br></p><p><strong>Job Summary:</strong></p><p> We are seeking a detail-oriented Medical Billing Specialist for a temp-to-hire opportunity with a growing healthcare organization in North OKC. This role is responsible for accurate billing, claims processing, and payment follow-up to ensure timely reimbursement. The ideal candidate has prior medical billing experience, strong attention to detail, and the ability to work efficiently in a fast-paced, onsite environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit medical claims to insurance companies accurately and timely</li><li>Verify patient insurance coverage and benefits</li><li>Post payments, adjustments, and denials to patient accounts</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Review Explanation of Benefits (EOBs) and remittance advice</li><li>Maintain accurate billing records and documentation</li><li>Communicate professionally with insurance carriers, providers, and internal teams</li><li>Ensure compliance with HIPAA and billing regulations</li></ul><p><br></p>
<p>Are you an experienced back office healthcare professional with a solid understanding of revenue cycle processes? If so, Robert Half may have the perfect opportunity for you. We are currently partnering with a Plymouth, MN based organization in the behavioral health space that will be hiring a Revenue Cycle Specialist to cover for an upcoming medical leave starting in late April. The ideal candidate will have 3+ years of prior experience with medical claims and medical billing, as well as an understanding of denials. Must be able to assist in an interim capacity for a minimum of 3+ months. </p><p> </p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Process patient and insurance claims accurately and efficiently using Procentive software.</li><li>Review and interpret explanation of benefits (EOBs), ensuring proper processing and payment allocation for behavioral health services.</li><li>Verify insurance eligibility, benefits coverage, and prior authorizations as required for behavioral health procedures.</li><li>Follow up on unpaid and denied claims, resolving discrepancies to facilitate timely reimbursement.</li><li>Communicate with insurance companies and patients to address billing-related inquiries.</li><li>Maintain up-to-date knowledge of medical billing codes, regulations, and policies specific to behavioral health services, including HIPAA compliance.</li><li>Generate and send out invoices to appropriate payers (patients or insurance companies).</li><li>Assist with maintaining accurate financial records, including daily, weekly, and monthly reporting.</li><li>Collaborate with therapists and administrative staff to ensure a seamless billing experience for our patients.</li></ul>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>
<p>We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.</p><p>• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.</p><p>• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.</p><p>• Document all claim activity, correspondence, and status updates thoroughly in the billing system.</p><p>• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.</p><p>• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.</p><p>• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.</p><p>• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.</p><p>• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.</p><p>• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.</p>
<p>We are looking for 20 dedicated Call Center Specialists to join our clients 100% remote Customer Support Team. This Contract to permanent position requires individuals who can excel in a fast-paced, high-volume call center environment. The ideal candidate will possess strong communication skills, attention to detail, and a customer-focused mindset to ensure seamless interactions and high-quality service. </p><p><br></p><p>Responsibilities:</p><p>• Respond promptly to inbound calls from members, medical providers, and other parties, addressing inquiries and resolving issues.</p><p>• Process and adjust claims accurately while adhering to established guidelines.</p><p>• Provide clear and empathetic communication to address customer concerns and questions.</p><p>• Offer detailed information on fee schedules, network participation, and procedural requirements.</p><p>• Maintain accurate and up-to-date customer records and collaborate effectively with internal teams.</p><p>• Redirect misdirected calls, troubleshoot non-routine issues, and provide suitable solutions.</p><p>• Investigate and resolve inquiries using decision-support tools and training resources.</p><p>• Educate callers on processes and validate their understanding to ensure clarity.</p><p>• Support organizational projects and assist other departments as assigned by management.</p><p>• Adapt communication styles to align with the caller’s level of understanding.</p>
<p>We are looking for 20 dedicated Call Center Specialists to join our clients 100% remote Customer Support Team. This Contract to permanent position requires individuals who can excel in a fast-paced, high-volume call center environment. The ideal candidate will possess strong communication skills, attention to detail, and a customer-focused mindset to ensure seamless interactions and high-quality service.</p><p><br></p><p>Responsibilities:</p><p>• Respond promptly to inbound calls from members, medical providers, and other parties, addressing inquiries and resolving issues.</p><p>• Process and adjust claims accurately while adhering to established guidelines.</p><p>• Provide clear and empathetic communication to address customer concerns and questions.</p><p>• Offer detailed information on fee schedules, network participation, and procedural requirements.</p><p>• Maintain accurate and up-to-date customer records and collaborate effectively with internal teams.</p><p>• Redirect misdirected calls, troubleshoot non-routine issues, and provide suitable solutions.</p><p>• Investigate and resolve inquiries using decision-support tools and training resources.</p><p>• Educate callers on processes and validate their understanding to ensure clarity.</p><p>• Support organizational projects and assist other departments as assigned by management.</p><p>• Adapt communication styles to align with the caller’s level of understanding.</p>
