<p>We are looking for a Claims Specialist to join a growing legal and risk team in Chesterfield, Missouri. This Long-term Contract position is well suited for someone who is detail oriented and can oversee complex claim activity, coordinate with internal and external partners, and maintain strong documentation practices in a fast-moving environment. The role offers broad exposure across multiple operating companies and supports workers’ compensation, auto liability, and general liability matters. You will play an important part in helping the organization manage risk, control claim costs, and improve claims workflows as the business continues to expand. </p><p> Responsibilities: • Oversee claims from initial notice through final resolution, ensuring each case is documented thoroughly and advanced in a timely manner. • Manage a varied caseload with significant emphasis on workers’ compensation matters, along with auto liability and general liability exposures. • Work closely with third-party administrators, insurance carriers, and outside counsel to support effective claim handling and informed decision-making. • Gather, review, and organize records such as wage information, incident details, and related supporting materials needed for evaluation and processing. • Submit and track claims in alignment with company standards and applicable regulatory obligations, maintaining accuracy throughout the process. • Partner with teams across operations, human resources, legal, and safety to collect facts, resolve open issues, and move claims toward closure. • Monitor milestones, deadlines, reserves, settlement discussions, and litigation-related developments in collaboration with the Claims Manager. • Maintain secure, well-ordered claim files while protecting confidential information and supporting process improvements in a high-volume, evolving organization. </p><p> The pay range for this position is 30 to 55. 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><p> Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.</p>
We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a complex claims environment, can work independently, and is motivated to resolve payer-related issues with persistence and sound judgment. The role supports specialized insurance and billing operations, requiring close attention to payer guidelines, regional differences, and accurate claim follow-up. This position offers strong training, career growth potential, and a hybrid schedule with onsite work Monday through Wednesday.<br><br>Responsibilities:<br>• Manage medical insurance claims across an assigned group of states, taking ownership of payer follow-up and resolution activities within your region.<br>• Review and address claim issues by interpreting payer requirements, identifying coverage or billing discrepancies, and pursuing appropriate next steps for reimbursement.<br>• Verify patient and insurance eligibility details to support accurate claim submission and reduce avoidable denials.<br>• Post payments and reconcile billing activity while maintaining accuracy in documentation and account updates.<br>• Communicate with insurance carriers to clarify claim status, provide needed education on specialized services, and advocate for proper claim handling.<br>• Partner with billing and collections team members, supervisors, and managers to resolve complex accounts and improve reimbursement outcomes.<br>• Maintain organized records of claim actions, payer responses, and follow-up efforts in accordance with internal standards.<br>• Contribute to a high-accountability team environment by managing daily work consistently, meeting attendance expectations, and taking full ownership of assigned responsibilities.
<p>We are seeking a detail-oriented and customer-focused <strong>Claims Specialist</strong> to join a growing healthcare-related organization. This role is ideal for someone with experience working with medical insurance, healthcare claims, or medical billing who enjoys problem-solving, investigating claim issues, and helping patients receive the coverage they deserve.</p><p>This position offers comprehensive training from a highly experienced team member and provides an excellent opportunity for someone looking to build a long-term career through<strong> Contract-to-Hire</strong> in medical claims and insurance administration that is outside of a hospital or provider environment. </p><p><br></p><p><strong><u>What You'll Do</u></strong></p><p>As a Claims Specialist, you will play a key role in processing insurance claims and ensuring patients receive accurate billing and reimbursement information.</p><p><strong>Responsibilities include:</strong></p><ul><li>Verify insurance coverage, deductibles, and eligibility through payer websites and direct communication with insurance carriers</li><li>Review patient insurance information, prescriptions, and supporting documentation</li><li>Process insurance claims accurately within the claims management system</li><li>Monitor claim status and investigate denied or rejected claims</li><li>Work with insurance companies, physician offices, and patients to obtain missing information and required documentation</li><li>Research authorization requirements, coding issues, and claim discrepancies</li><li>Correct and resubmit claims when necessary</li><li>Review Explanation of Benefits (EOBs) to determine patient balances, refunds, or additional amounts due</li><li>Maintain accurate records and documentation throughout the claim lifecycle</li></ul><p><br></p>
<p>We are looking for a detail-oriented <strong>Medical Insurance Claims Specialist</strong> to support healthcare billing and reimbursement activities for a long-standing organization located in Cedar Rapids. This position offers a path to permanent employment and focuses on reviewing insurance information, verifying patient coverage, and helping ensure claims are prepared and processed accurately. The ideal candidate is organized, comfortable working with medical billing documentation, and committed to timely follow-up that supports efficient revenue cycle operations.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Review and process medical insurance claims to help ensure accurate submission and timely reimbursement.</p><p>• Verify patient and insurance eligibility by confirming coverage details before billing activities are completed.</p><p>• Input claim information, coding, and all necessary documentation for submission.</p><p>• Monitor outstanding claims, investigate denials, and take corrective action to support successful resolution.</p><p>• Maintain billing records and claim status updates with a high degree of accuracy and attention to detail.</p><p>• Assist with payment posting research and account follow-up related to insurance claim activity.</p><p>• Support billing workflows by identifying issues that may delay reimbursement and helping improve claim accuracy.</p>
<p>The Eligibility Specialist determines eligibility for housing programs by reviewing applications, verifying income, and ensuring regulatory compliance.</p><p>Responsibilities</p><ul><li>Review applicant documentation</li><li>Verify income, assets, and household composition</li><li>Conduct eligibility interviews</li><li>Maintain accurate records</li><li>Explain program requirements to applicants</li></ul>
<p>We are looking for a detail-oriented individual to support front-end revenue cycle activities as a Financial Clearance Representative Associate focused on prior authorization. This Long-term Contract position plays an important role in helping patients and providers prepare for services by confirming coverage, securing approvals, and clarifying financial responsibility before care is delivered. The person in this role will work remotely during regular business hours, Monday through Friday, and collaborate with specialized teams that support areas such as cardiology, imaging, surgery, and specialty services.</p><p><br></p><p>Responsibilities:</p><p>• Assess scheduled patient services to determine authorization needs, review payer guidelines, and take the necessary steps to obtain approval before the date of service whenever possible.</p><p>• Verify insurance coverage and interpret plan benefits to confirm eligibility, service requirements, and expected patient cost obligations.</p><p>• Secure initial and follow-up authorizations within required timelines, while tracking status updates and addressing payer requests for additional information.</p><p>• Review clinical documentation and coordinate with care teams to gather the records needed to support authorization and financial clearance activities.</p><p>• Communicate denials, pending issues, or missing information promptly so accounts can be resolved before treatment and avoid delays in care.</p><p>• Prepare patient financial responsibility estimates and document benefit details accurately within the appropriate work queues and electronic systems.</p><p>• Maintain productivity and quality standards while managing a high-volume workload across assigned specialty areas in a remote team environment.</p><p>• Provide guidance to team members when needed on payer rules, revenue cycle questions, and policies that affect authorization workflows</p>
We are looking for a Fraud Specialist to support fraud prevention and case resolution efforts for a long-term contract opportunity in Rochester, New York. This position focuses on protecting the organization and its clients by reviewing suspicious activity, researching financial crime concerns, and coordinating timely responses with internal teams and external institutions. The ideal candidate will bring a detail-oriented approach to risk assessment, compliance, and client support while helping reduce financial exposure through thorough investigation and documentation.<br><br>Responsibilities:<br>• Examine flagged clients and transactions to identify elevated risk, confirm patterns of suspicious behavior, and help stop potentially fraudulent activity before losses occur.<br>• Investigate reports involving check-related fraud, including altered or unauthorized items, and partner with business contacts to guide resolution steps and document outcomes.<br>• Support cases involving exposure of sensitive personal information by following regulatory requirements, coordinating appropriate next steps, and communicating available remediation options.<br>• Assess applicants or new clients who do not pass authentication checks by conducting research into legitimacy, financial standing, and potential risk indicators.<br>• Record fraud incidents accurately in centralized tracking tools to support reporting, pattern analysis, and information sharing across fraud prevention efforts.<br>• Work with financial institutions and internal stakeholders to assist with account restriction, fund recovery efforts, and other actions intended to limit losses.<br>• Provide practical guidance to clients and internal partners on fraud prevention measures, response procedures, and sound security practices.<br>• Compile case details and trend data for recurring reporting needs, helping the team monitor fraud activity and identify areas requiring additional controls.
<p>We are looking for a detail-oriented Credentialing Specialist to support provider enrollment and privileging activities for a healthcare organization in New Orleans, Louisiana. This is a contract position with the potential to lead to longer-term opportunities, focused on ensuring providers meet payer and regulatory requirements for participation with commercial plans, Medicaid, and Medicare. The ideal candidate brings strong follow-through, accuracy, and the ability to manage documentation and deadlines in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage the collection, review, and tracking of credentialing materials for both newly onboarding and existing providers.</p><p>• Communicate with providers, insurance plans, and internal stakeholders to obtain missing information and resolve documentation issues promptly.</p><p>• Oversee submission workflows for credentialing and privileging applications, ensuring records are processed accurately and on schedule.</p><p>• Maintain organized provider files and support the distribution and storage of credentialing documents in accordance with established procedures.</p><p>• Monitor enrollment and re-credentialing timelines for Medicare, Medicaid, and other payer networks to help avoid lapses in participation.</p><p>• Build and update credentialing databases, reports, and alert systems to improve visibility into application status and expiration dates.</p><p>• Ensure credentialing activities align with applicable regulations, payer standards, and organizational policies.</p><p>• Handle day-to-day administrative tasks related to provider credentialing and troubleshoot issues that may delay approval or enrollment.</p>
<ul><li>Process employee benefit enrollments, life event changes, and terminations</li><li>Answer employee questions regarding medical, dental, vision, life insurance, disability, HSA, and retirement benefits</li><li>Assist with open enrollment and employee communications</li><li>Maintain accurate employee records and ensure compliance</li><li>Coordinate with insurance carriers, brokers, and internal departments</li><li>Cross-train on 401(k) administration with an experienced team member</li><li>Utilize UKG and other HR systems (training provided as needed)</li></ul><p><strong>We're Looking For</strong></p><ul><li>Entry-level candidates interested in Human Resources or Benefits are encouraged to apply</li><li>Some exposure to HR, benefits, payroll, office administration, or customer service is helpful</li><li>Strong Microsoft Office skills</li><li>Excellent attention to detail and organizational skills</li><li>Friendly, professional communication skills</li><li>Ability to learn new systems quickly</li><li>Experience with UKG Pro or PlanSource is a plus but not required</li></ul><p><br></p>
We are looking for a Benefits Specialist to support benefits and leave administration for a Seattle, Washington team in a Long-term Contract position. This role is ideal for someone who can combine strong technical knowledge of health, welfare, retirement, and leave programs with responsive employee support and precise operational execution. The position will play a key part in maintaining compliant processes, improving documentation, and working closely with payroll, compliance, vendors, and internal partners to deliver a smooth employee benefits experience.<br><br>Responsibilities:<br>• Act as a primary resource for employees and internal stakeholders on medical, welfare, retirement, and leave programs, providing guidance on eligibility, coverage details, and plan rules.<br>• Manage daily benefits operations by coordinating with payroll and external providers to ensure enrollments, deductions, and related transactions are processed accurately.<br>• Monitor and respond to employee questions related to enrollment for new employees, qualifying life events, annual enrollment, and ongoing benefits support through shared service channels.<br>• Help drive annual enrollment activities by preparing updates, validating system configurations, testing vendor platforms, and supporting clear communication to employees.<br>• Maintain benefits systems, summary materials, and formal plan documentation so records remain current, accurate, and accessible.<br>• Support regulatory adherence by reviewing benefits data, assisting with required testing and audits, and partnering with compliance teams on federal and state obligations.<br>• Oversee benefits payroll files, arrears tracking, and direct billing coordination in partnership with leave administration to promote timely and accurate collections.<br>• Work closely with leave specialists on policy administration and employee support for protected leave programs, paid parental leave, military leave, and state-required leave offerings.<br>• Improve operational efficiency by identifying process enhancements, updating standard operating procedures, and assisting with payroll recovery and benefits reconciliation when needed.
<p>We are looking for a Onsite Benefits Specialist to support leave of absence and accommodation programs for a healthcare organization in Boston, Massachusetts. This Long-term Contract position focuses on guiding employees and managers through leave processes, maintaining compliant documentation, and helping ensure timely return-to-work coordination. The role also contributes to reporting, policy administration, and accurate tracking of benefit-related activity across multiple leave programs.</p><p><br></p><p>Responsibilities:</p><p>• Manage employee leave cases across federal, state, and employer-specific programs, including union-related leave provisions, from initial request through resolution.</p><p>• Review required paperwork, obtain medical certifications, issue determinations, and ensure all leave documentation is complete and processed within established timelines.</p><p>• Partner with employees, supervisors, and internal stakeholders to coordinate return-to-work plans and secure any required fitness-for-duty clearances.</p><p>• Oversee medical accommodation requests by facilitating communication, preparing follow-up correspondence, and monitoring the status of approved arrangements.</p><p>• Maintain detailed records for leave usage, balances, approvals, denials, and accommodation activity to support compliance and operational accuracy.</p><p>• Prepare recurring and ad hoc reports that identify patterns, usage trends, and areas requiring attention within leave and accommodation programs.</p><p>• Collect benefit premium payments for employees who are away from work on approved leave or workers’ compensation status.</p><p>• Administer paid parental leave, sick leave policies, and related programs by recording accruals, tracking usage, and supporting corrective action processes when needed.</p><p>• Review complex or potentially improper leave activity, work with supervisors on follow-up, and help resolve issues involving suspected misuse.</p><p>• Manage confidential medical and personnel files in accordance with organizational standards and communicate approved catastrophic illness leave time to payroll.</p>
<p>Position Overview</p><p>The Benefits Specialist will support the HR team with a high-volume onboarding initiative, helping ensure a smooth and efficient process for new hires.</p><p><br></p><p>Key Responsibilities</p><p>Verify employee identification documents</p><p>Assist with and streamline the onboarding process</p><p>Complete onboarding paperwork</p><p>Support employees throughout onboarding sessions</p><p>Process onboarding appointments lasting approximately 45 minutes per employee</p><p>Ensure I-9 forms are completed accurately and compliantly</p><p>Use ADP and other systems to manage onboarding-related tasks</p><p>Top Requirements</p><p>Strong working knowledge of I-9s required</p><p>Experience with ADP</p><p>Tech savvy</p><p>Bilingual Spanish preferred</p>
We are looking for a Benefits Specialist to join our team in Hampton, Virginia in a contract-to-permanent capacity. This role supports a broad range of benefits and human resources activities, with a strong focus on employee support, compliance, and accurate recordkeeping. The ideal candidate brings hands-on experience in benefits administration, leave coordination, reporting, and HR systems while working effectively across day-to-day HR operations.<br><br>Responsibilities:<br>• Manage day-to-day benefits activities, including employee enrollments, status updates, terminations, beneficiary changes, and claim-related transactions involving disability, accident, death, loans, distributions, and hardship requests.<br>• Support leave administration by coordinating documentation, maintaining claim records, and assisting with employee leave requests in accordance with company policies and applicable regulations.<br>• Partner with HR staff to help administer Family and Medical Leave cases, including eligibility review, case tracking, employee communication, and reporting requirements.<br>• Assist with workers’ compensation processes by helping track claims, preparing related documentation, and participating in safety meetings as an HR representative.<br>• Help coordinate employee-focused programs such as discount offerings, incentive plans, wellness initiatives, and other engagement efforts across the organization.<br>• Lead onboarding support through orientation sessions for new employees and provide employees with clear information regarding benefits and HR policies.<br>• Prepare and submit HR-related invoices, maintain personnel documentation, and ensure records are organized and current within the HRIS and employee files.<br>• Generate HR reports, review data for accuracy, and analyze information to help maintain compliance across benefits and other human resources functions.<br>• Contribute to broader HR operations by assisting with exit interviews, training and development activities, staff meetings, and company-wide employee initiatives as needed.
<p>Our client is seeking a detail-oriented <strong>Jr. Accountant</strong> to join their growing accounting team. This position plays a critical role in ensuring the accuracy and integrity of cash reporting, bank reconciliations, and balance sheet activity across multiple accounts and entities. The ideal candidate will have strong reconciliation experience, excellent analytical skills, and the ability to thrive in a high-volume environment.</p><p>Key Responsibilities</p><p>Bank Reconciliations & Cash Accounting</p><ul><li>Prepare and complete accurate, timely bank reconciliations for multiple accounts and entities.</li><li>Investigate and resolve reconciling items, including outstanding checks, deposits in transit, unapplied cash, and other variances.</li><li>Analyze discrepancies and identify root causes while ensuring appropriate documentation and resolution.</li><li>Monitor daily banking activity, including ACH transactions, wire transfers, checks, and lockbox activity.</li><li>Ensure accurate posting of cash transactions to the general ledger.</li><li>Maintain reconciliation schedules and supporting documentation for audit and compliance purposes.</li><li>Partner with internal departments to research and resolve cash-related issues.</li><li>Support month-end close activities related to cash and balance sheet accounts.</li><li>Assist in improving processes and strengthening internal controls surrounding cash management and reconciliations.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Reconciliation Specialist to support financial accuracy and control activities for billing and collections operations in Bridgewater, New Jersey. This position is ideal for someone who enjoys resolving account differences, organizing supporting documentation, and working across teams to keep reconciliation processes timely and reliable. The role will focus on day-to-day reconciliation execution, variance analysis, and operational coordination within an insurance environment.</p><p><br></p><p>Responsibilities:</p><p>• Complete recurring daily and monthly reconciliations for operational and financial accounts, ensuring balances are accurate and issues are identified promptly.</p><p>• Investigate outstanding differences, analyze open items, and record findings with clear supporting detail.</p><p>• Create reconciliation reports, schedules, and backup documentation to support review and month-end activities.</p><p>• Assist with balancing transactions and accounts related to admitted, non-admitted, and deductible business lines.</p><p>• Partner with internal teams and offshore support resources to gather information and close standard reconciliation items efficiently.</p><p>• Track unresolved exceptions, follow up on pending items, and escalate more complex discrepancies when additional review is needed.</p><p>• Maintain current reconciliation procedures and contribute to accurate process documentation.</p><p>• Provide support for control reviews, audit requests, and operational reporting needs.</p><p>• Identify opportunities to improve reconciliation workflows and help strengthen day-to-day financial control practices.</p>
We are looking for a detail-oriented Reconciliation Specialist to support financial accuracy and account integrity for a long-term contract opportunity based in Baton Rouge, Louisiana. This position focuses on reviewing daily financial activity, resolving discrepancies across bank and card accounts, and helping maintain reliable records for reporting and operational use. The ideal candidate brings strong reconciliation experience, sound analytical judgment, and the ability to manage high-volume transactional data with consistency and precision.<br><br>Responsibilities:<br>• Perform daily reviews of bank and financial transactions to verify that recorded activity aligns with account balances and supporting documentation.<br>• Investigate mismatched entries, identify the source of variances, and take appropriate steps to resolve outstanding reconciliation issues in a timely manner.<br>• Reconcile bank accounts on a recurring basis, ensuring deposits, withdrawals, fees, and adjustments are accurately reflected in internal records.<br>• Compare credit card activity against statements and expense records to confirm completeness, accuracy, and proper classification.<br>• Maintain organized reconciliation schedules, exception logs, and supporting files to strengthen audit readiness and financial transparency.<br>• Partner with internal teams to obtain missing details, clarify unusual transactions, and support the correction of posting errors when needed.<br>• Track unresolved items through completion and provide status updates on aged discrepancies or recurring account issues.<br>• Contribute to process consistency by following established reconciliation controls and recommending improvements that enhance accuracy and efficiency.
<p>A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.</p><p>• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.</p><p>• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.</p><p>• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.</p><p>• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.</p><p>• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.</p><p>• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.</p><p>• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.</p><p>• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.</p>
<p>We are seeking a detail-oriented and patient-focused Authorizations Specialist to join our hospital team. In this role, you will be responsible for obtaining and managing insurance authorizations for outpatient and inpatient services while ensuring compliance with payer requirements. The ideal candidate has strong knowledge of medical insurance, excellent communication skills, and the ability to thrive in a fast-paced healthcare environment.</p><p><br></p><p>Essential Responsibilities:</p><p><br></p><p>* Obtain prior authorizations and pre-certifications from commercial, Medicare, Medicaid, and managed care insurance plans.</p><p>* Verify patient insurance eligibility, benefits, and coverage requirements.</p><p>* Review physician orders and clinical documentation to ensure authorization requests meet payer guidelines.</p><p>* Submit authorization requests accurately and follow up to secure timely approvals.</p><p>* Communicate authorization status to physicians, clinical staff, scheduling teams, and patients.</p><p>* Monitor pending authorizations and resolve issues that may delay patient care.</p><p>* Document all authorization activity in the electronic medical record (EMR) and other applicable systems.</p><p>* Coordinate with insurance companies to appeal denied or delayed authorization requests when appropriate.</p><p>* Maintain current knowledge of payer policies, authorization requirements, and regulatory guidelines.</p><p>* Provide exceptional customer service while maintaining patient confidentiality in accordance with HIPAA regulations.</p><p>* Perform other duties as assigned.</p><p><br></p>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p>We are looking for an Enrollment Specialist to support client access to healthcare-related community services in Santa Barbara, California. This Long-term Contract position focuses on enrollment coordination, eligibility monitoring, documentation accuracy, and service quality oversight for individuals receiving homeless services. The person in this role will help maintain compliance with program standards while partnering with staff to improve workflows and support timely reimbursement activities.</p><p><br></p><p>Responsibilities:</p><p>• Guide eligible clients through enrollment into programs, completing and processing required forms accurately and on time.</p><p>• Partner with homeless services teams to monitor ongoing client eligibility, update records, and help prevent interruptions in approved coverage or support.</p><p>• Examine case management documentation to confirm services are properly recorded, clinically appropriate, and aligned with reimbursement standards.</p><p>• Coordinate with program and case management staff to track authorization timelines and support timely submission of renewal requests before expiration.</p><p>• Review claims-related records and supporting documentation in the Health Management Information System to promote accurate billing and complete file maintenance.</p><p>• Participate in meetings with internal teams and external partners to address service quality, operational needs, and continuous improvement efforts.</p><p>• Provide additional administrative and program support as needed to assist with successful day-to-day execution of CalAIM initiatives.</p>
We are looking for an Insurance Follow-Up Specialist to join a healthcare revenue cycle team in Kentucky. This contract opportunity with potential for a permanent role is ideal for someone who can manage insurance billing activity with accuracy, persistence, and strong attention to detail. The person in this role will help drive timely reimbursement by reviewing claims, resolving payer issues, and working outstanding balances through consistent follow-up.<br><br>Responsibilities:<br>• Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule.<br>• Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations.<br>• Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays.<br>• Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement.<br>• Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts.<br>• Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed.<br>• Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors.<br>• Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.
<p>A large company in Camp Hill seeks a Refund Processing Specialist.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Utilize strong Excel skills on a daily basis, including PivotTables, VLOOKUPs, and other data analysis functions, as Excel supports the majority of this role's workload.</li><li>Process high volumes of refunds, invoices, and payment transactions while ensuring accuracy, timeliness, and proper general ledger coding.</li><li>Review invoices and payment requests for completeness, accuracy, required documentation, and appropriate approvals in accordance with company policies.</li><li>Accurately enter payable and refund information into accounting systems and perform audits to verify data integrity.</li><li>Assist with vendor maintenance activities, including vendor setup documentation, W-9 collection, and updates to vendor records.</li><li>Manage multiple priorities and deadlines while maintaining a high level of attention to detail and accuracy.</li><li>Collaborate with internal and external stakeholders to provide exceptional customer service and resolve payment-related inquiries.</li><li>Support data uploads, special projects, process improvement initiatives, and other accounting operations as assigned.</li><li>Serve as a reliable team resource by assisting colleagues, providing backup support, and partnering with leadership on departmental activities.</li><li>Work independently with minimal supervision while consistently adhering to established policies, procedures, and performance expectations.</li></ul><p><br></p><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare-focused team in Worcester, Massachusetts. This Contract position is ideal for someone who can manage billing activity accurately, communicate effectively with insurance carriers, and help keep reimbursement workflows moving efficiently. The person in this role will contribute to day-to-day revenue cycle operations while assisting with additional billing-related projects as needed.<br><br>Responsibilities:<br>• Prepare and submit medical invoices and claims with close attention to accuracy, timeliness, and payer guidelines.<br>• Communicate with insurance providers to verify claim status, resolve billing questions, and support timely payment processing.<br>• Review billing documentation and coding details to help ensure claims are complete and aligned with established requirements.<br>• Follow up on unpaid or underpaid accounts and assist with collection efforts to improve reimbursement outcomes.<br>• Use electronic billing tools, including EPACES, to enter, track, and update claim information.<br>• Investigate claim discrepancies, identify issues affecting payment, and take appropriate steps toward resolution.<br>• Maintain organized billing records and support reporting or other special projects related to revenue cycle activities.
We are looking for an experienced Medical Billing Specialist to join a busy healthcare team in New Jersey. This fully onsite role is a contract opportunity with permanent potential for someone who can manage billing activities with accuracy, urgency, and professionalism in a high-volume setting. The ideal candidate brings hands-on knowledge of medical claims, payment workflows, and insurance follow-up, with previous exposure to a surgical practice strongly preferred.<br><br>Responsibilities:<br>• Prepare, review, and submit medical billing transactions accurately to support timely reimbursement.<br>• Examine claims for completeness and correct errors before transmission to insurance carriers or payers.<br>• Investigate rejected, denied, or unpaid claims and take appropriate action to resolve outstanding issues.<br>• Support insurance verification, post payments, and reconcile accounts to maintain accurate financial records.<br>• Keep patient billing information and account documentation current within the billing system.<br>• Respond to billing-related questions by working closely with internal staff and coordinating issue resolution.<br>• Use billing platforms, including proprietary systems and EPACES, to complete daily processing tasks efficiently.<br>• Assist with collections activities and other administrative support duties related to the revenue cycle as needed.
<p>We are seeking a detail-oriented <strong>Medical Billing Specialist</strong> to join our clients healthcare operations team. This role is responsible for preparing, submitting, and following up on medical claims, verifying billing accuracy, and helping ensure timely reimbursement. The ideal candidate has experience with insurance billing, strong knowledge of revenue cycle processes, and excellent attention to detail. Based on general knowledge.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare and submit accurate medical claims to insurance carriers and payers. Based on general knowledge.</li><li>Review patient accounts, billing documentation, and coding information for completeness. Based on general knowledge.</li><li>Follow up on unpaid, denied, or rejected claims and resolve billing issues promptly. Based on general knowledge.</li><li>Post payments, adjustments, and denials accurately in the billing system. Based on general knowledge.</li><li>Verify insurance information and confirm patient eligibility as needed. Based on general knowledge.</li><li>Communicate with insurance companies, patients, and internal staff regarding billing questions. Based on general knowledge.</li><li>Maintain accurate billing records and documentation in accordance with policies and regulations. Based on general knowledge.</li><li>Assist with account reconciliations, aging reports, and collections follow-up. Based on general knowledge.</li><li>Support revenue cycle activities and help improve billing workflows. Based on general knowledge.</li><li>Ensure compliance with HIPAA and other applicable healthcare billing standards. Based on general knowledge.</li></ul><p><br></p>