<p>Our client in the local government and healthcare sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team!</p><p><br></p><p>Responsibilities:</p><ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul><p><br></p>
We are looking for an Insurance Verification Coordinator to join our team in Sacramento, California. This role is a Contract to possible long-term opportunity, initially covering for a team member on leave for at least two months, with the potential for an ongoing position based on performance. The position requires in-office work and adherence to Covid vaccination guidelines.<br><br>Responsibilities:<br>• Review insurance contracts to determine allowable amounts for scheduled procedures.<br>• Calculate patient responsibility based on benefits and scheduled treatments.<br>• Interpret copay, coinsurance, deductible, and out-of-pocket maximums to assess claim adjudication and patient financial obligations.<br>• Analyze and interpret insurance benefits effectively to provide accurate information.<br>• Communicate patient balances and explain insurance coverage clearly and professionally.<br>• Apply a strong understanding of various insurance products, including Medicare Advantage plans.<br>• Maintain efficiency in a fast-paced, high-volume environment while meeting deadlines.<br>• Collaborate effectively within a team to ensure smooth operations.<br>• Handle pressure well, consistently achieving and exceeding performance goals.<br>• Ensure accurate cash posting for patient accounts.
<p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
We are looking for a skilled Insurance Coverage Attorney to join our team in New York, New York. This position is ideal for mid-level attorneys who want to enhance their expertise in insurance coverage and litigation while working on a variety of challenging legal matters. You will play a critical role in providing legal analysis and representation to clients, ensuring their interests are effectively protected.<br><br>Responsibilities:<br>• Analyze insurance policies and prepare detailed coverage opinions.<br>• Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes.<br>• Draft legal documents such as pleadings, motions, and memoranda.<br>• Participate in depositions, mediations, and court proceedings as needed.<br>• Conduct in-depth legal research on insurance law and coverage-related issues.<br>• Maintain clear and effective communication with clients regarding case strategies and updates.
We are looking for an experienced Insurance Coverage Counsel to join our dynamic legal team in New York, New York. In this role, you will provide strategic legal expertise to insurance carriers and self-insured entities, focusing on complex insurance coverage matters and litigation. This is an excellent opportunity for an experienced attorney to work on high-profile cases and collaborate with a team of skilled professionals.<br><br>Responsibilities:<br>• Analyze and interpret insurance policies to deliver comprehensive coverage opinions.<br>• Manage complex insurance coverage litigation from initiation through resolution.<br>• Draft pleadings, motions, and detailed coverage position letters to support legal strategies.<br>• Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy.<br>• Offer strategic counsel to insurers on high-stakes claims and exposure issues.<br>• Work closely with litigation teams to address overlapping defense and coverage matters.<br>• Conduct thorough legal research to support case strategies and recommendations.<br>• Ensure compliance with relevant laws and regulations while advising clients.<br>• Collaborate with clients to develop tailored solutions for intricate coverage disputes.
<p>We are looking for a Patient Accounts Insurance Specialist to join our team on a contract basis. In this role, you will play a vital part in ensuring the accurate billing and processing of insurance claims while adhering to established guidelines and procedures. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices. This role is part time, approximately 10 hours a week.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit insurance claims using appropriate codes and ensure compliance with billing guidelines.</p><p>• Review new patient admissions to accurately bill based on facility, state, funding plan, and contract requirements.</p><p>• Maintain detailed knowledge of coding systems such as ICD-10 and claim field requirements for both facility and detail-oriented services.</p><p>• Utilize electronic claim submission systems and clearinghouses efficiently.</p><p>• Interpret and adhere to billing policies and procedures specific to the organization's facilities and states.</p><p>• Communicate effectively with patients, guarantors, and insurance companies to clarify billing processes and resolve concerns.</p><p>• Coordinate conference calls to address complex insurance issues involving patients and insurance representatives.</p><p>• Perform regular account reviews and follow up on outstanding claims in accordance with established procedures.</p><p>• Ensure claims are processed accurately by researching insurance payments and performing detailed reviews.</p><p>• Work collaboratively with managed care staff for precertification needs and appeals processes.</p>
<p>A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.</p><p>Responsibilities:</p><ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul><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>
We are looking for a detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Bethel Park, Pennsylvania. This Contract to Permanent position is ideal for someone with a strong background in medical billing, collections, and insurance claims processing, particularly in a hospital or healthcare setting. The role offers an excellent opportunity to contribute to a dynamic team while advancing your career in the healthcare industry.<br><br>Responsibilities:<br>• Process and manage medical billing and claims submissions accurately and efficiently.<br>• Handle medical collections, including following up on unpaid claims and resolving discrepancies.<br>• Collaborate with insurance companies to address denied claims and appeals.<br>• Ensure compliance with healthcare regulations and billing practices.<br>• Verify patient insurance coverage and calculate co-pays and deductibles.<br>• Maintain accurate records of billing activities and payment statuses.<br>• Communicate effectively with patients to address billing inquiries and resolve payment issues.<br>• Work closely with hospital staff to ensure proper documentation and billing procedures.<br>• Stay updated on changes to insurance policies and billing codes.<br>• Support the team in achieving billing and collection goals.
<p>We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for an Ear, Nose & Throat (ENT) healthcare practice. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p>
<p>We are looking for a dedicated Medical Eligibility and Payment Posting Specialist to join our client in Pleasanton, California. In this long-term contract position, you will play a vital role in ensuring accurate medical eligibility verification, and payment posting processes. This is an excellent opportunity for someone with expertise in medical billing to make a meaningful impact in healthcare operations. This role is a Part-time onsite role ranging from 28-32 hours per week. </p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records to ensure proper billing and compliance.</p><p>• Perform thorough eligibility verification for patients, including Medicaid and insurance eligibility.</p><p>• Post medical payments and reconcile accounts to maintain accurate financial records.</p><p>• Generate and manage patient statements to ensure timely communication regarding billing.</p><p>• Collaborate with insurance providers to resolve discrepancies and ensure seamless claim processing.</p><p>• Review and update patient eligibility data to support billing accuracy.</p><p>• Address and rectify issues related to denied claims or payment discrepancies.</p><p>• Maintain compliance with all relevant healthcare regulations and coding standards.</p><p>• Support the overall revenue cycle management process with attention to detail and efficiency.</p><p>• Provide excellent customer service by addressing patient inquiries related to billing and eligibility.</p><p><br></p><p>If you are interested in this role please apply now and contact us at (510) 470-7450 for more details. </p>
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care.</p><p><br></p><p>Responsibilities:</p><p>• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.</p><p>• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.</p><p>• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.</p><p>• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.</p><p>• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.</p><p>• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.</p><p>• Provide support in identifying process improvements to streamline prior authorization workflows.</p>
<p><strong>Position Summary</strong></p><p>We are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>Coordination of Benefits (COB) Processing</strong></p><ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul><p><strong>Orthodontic Claims Processing</strong></p><ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul><p><strong>Suspended / Pended Claims Handling</strong></p><ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul><p><br></p>
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination.<br><br>Responsibilities:<br>• Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness.<br>• Monitor and follow up on pending and denied authorizations to secure approvals efficiently.<br>• Collaborate with clinical and administrative teams to collect and verify required medical documentation.<br>• Communicate with insurance companies to resolve issues and obtain necessary approvals.<br>• Maintain compliance with hospital policies, as well as state and federal healthcare regulations.<br>• Accurately record and update information within hospital information systems.<br>• Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process.<br>• Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process.<br>• Handle inbound and outbound calls related to authorization inquiries and resolutions.
We are looking for an experienced Insurance Premium Specialist to join our team in Virginia Beach, Virginia. In this long-term contract position, you will play a crucial role in managing insurance billing processes, ensuring accurate account reconciliation, and providing outstanding customer service. This opportunity is ideal for professionals with a strong accounting background and excellent communication skills.<br><br>Responsibilities:<br>• Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards.<br>• Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively.<br>• Perform detailed account reconciliations to maintain accurate financial records.<br>• Collaborate with internal teams to address discrepancies and improve billing processes.<br>• Ensure timely and accurate completion of all billing functions.<br>• Monitor and report on account activities and discrepancies to relevant stakeholders.<br>• Assist in maintaining accounting records and documentation for audits and compliance purposes.<br>• Provide exceptional customer service by addressing client concerns and ensuring satisfaction.<br>• Review and analyze financial data related to insurance premiums.<br>• Identify opportunities for process improvements within the accounting and billing functions.
<p>Robert Half is recruiting an <strong>Underwriter I</strong> for a respected organization in Urbandale, Iowa, offering a contract-to-permanent opportunity for a licensed underwriting professional. This role is ideal for someone who enjoys evaluating risk, producing accurate quotes, and supporting account teams in a fast-paced environment.</p><p><br></p><p>Responsibilities</p><p><br></p><ul><li>Support underwriting functions by reviewing and processing new business submissions and renewal applications.</li><li>Assess exposure, risk selection, and pricing using established underwriting guidelines, rating rules, and internal procedures.</li><li>Develop and deliver accurate quotes and documentation, ensuring completeness and attention to detail.</li><li>Assist with ongoing account servicing and management across multiple programs and/or products.</li><li>Maintain strong quality control by ensuring adherence to regulatory requirements, internal standards, and documentation expectations.</li></ul><p>Please go to our Robert Half website to apply today! You can also contact 515.706.4974.</p>