We are looking for a dedicated CW Medical Record Retrieval Specialist to join our team in Mountlake Terrace, Washington. In this long-term contract position, you will play a crucial role in supporting healthcare initiatives by retrieving and managing medical records. This opportunity allows you to contribute to impactful projects while working in a collaborative and detail-oriented environment.<br><br>Responsibilities:<br>• Retrieve electronic medical records from various provider systems and copy service platforms.<br>• Generate and send letter requests to healthcare providers to facilitate record collection.<br>• Conduct outbound calls to providers to resolve obstacles and ensure timely receipt of medical records.<br>• Perform data entry tasks and research within multiple electronic medical records (EMR) systems.<br>• Collaborate with the Risk Adjustment and Quality Departments to support related initiatives.<br>• Manage strict deadlines to ensure project milestones are met efficiently.<br>• Support additional tasks such as system research and document handling as needed.<br>• Assist team leads, managers, or directors with project-specific assignments.<br>• Adhere to company protocols and maintain confidentiality when handling sensitive medical information.
We are looking for a detail-oriented Medical Records Technician to join our team in Shelton, Washington. In this role, you will handle essential administrative tasks related to medical records and patient documentation while ensuring compliance with healthcare regulations. This is a long-term contract position offering an opportunity to work in a dynamic environment focused on mental health and addiction support.<br><br>Responsibilities:<br>• Organize, update, and maintain accurate patient medical records, including scanning and uploading documentation.<br>• Review medical charts for completeness, ensuring all necessary signatures and information are included.<br>• Conduct audits and census reporting to ensure compliance with healthcare standards.<br>• Process requests for medical records from hospitals, clinics, and other platforms, uploading data into patient charts.<br>• Collaborate with doctors, nurses, and case managers to clean up notes and integrate them into patient files.<br>• Verify patient insurance eligibility and perform checks without handling payment processing.<br>• Assist with referral documentation, ensuring charts are prepared for pharmacy requests or other medical referrals.<br>• Utilize online reporting tools to upload compliance data into systems like Smartsheet.<br>• Maintain adherence to HIPAA regulations and patient privacy rules.<br>• Work effectively in an environment involving mental health and addiction care.
<p>We are looking for a detail-oriented Unit Clerk to join our team in Shelton, Washington. In this long-term contract position, you will play a critical role in ensuring that patient records are accurate, organized, and compliant with healthcare standards. This opportunity is ideal for someone with strong organizational skills and a solid understanding of medical terminology.</p><p><br></p><p>Responsibilities:</p><p>• Review and organize patient medical records to ensure completeness and compliance with healthcare standards.</p><p>• Scan, upload, and manage essential patient documentation, including medical histories and referral information.</p><p>• Audit charts daily to identify deficiencies and ensure compliance with census requirements.</p><p>• Collaborate with healthcare staff to address missing signatures, incomplete notes, or other discrepancies in patient records.</p><p>• Clean up and maintain charts for referrals, pharmacy documentation, or historical records closure.</p><p>• Utilize medical terminology to accurately interpret and update patient data.</p><p>• Perform data entry and clerical tasks to maintain organized and accessible records.</p><p>• Ensure confidentiality and compliance with HIPAA regulations while handling sensitive patient information.</p><p>• Communicate effectively with staff to gather necessary documentation and updates.</p><p>• Support daily operations by adhering to checklists and auditing protocols</p>
<p>Are you passionate about accuracy and efficiency, especially when it comes to helping a business run like a well-oiled machine? Do you have a knack for quickly processing information while maintaining a high level of detail? We're hiring a <strong>Data Entry Specialist</strong> for a <strong>fast-paced healthcare administration company based in Oceanside, CA</strong>—and this is far more than just a typing job. This role goes beyond simple data entry. You'll be working with <strong>confidential patient records, insurance data, and healthcare compliance documents</strong>, directly impacting billing, operations, and the patient experience. If you’ve worked in medical admin, billing, or back office roles—or if you’re simply an analytical thinker who loves being precise—this is the perfect next step in your career.</p><p><br></p><p><u>🩺 </u><strong><u>Daily Responsibilities:</u></strong></p><ul><li>Enter, update, and verify patient and insurance data into EMR systems</li><li>Review submitted records for accuracy, completeness, and compliance</li><li>Process claims-related data and billing submissions</li><li>Coordinate data retrieval and tracking with other departments (billing, clinical, and admin)</li><li>Maintain confidentiality with all HIPAA-protected information</li><li>Prepare reports and data summaries for internal audits or compliance reviews</li></ul>
<p>We are looking for a<strong> Release of Information Specialist</strong> to join our team that is <strong>based in Arizona or Nevada</strong>. The <strong>Release of Information Specialist</strong> role requires a detail-oriented individual who can effectively manage office operations while supporting healthcare-related functions. The <strong>Release of Information Specialist</strong> will play a pivotal role in ensuring smooth workflows and collaboration across teams.</p><p><br></p><p>Responsibilities:</p><p>Review and validate requests for medical records to ensure proper authorization and compliance with HIPAA regulations.</p><p>Utilize electronic health record (EHR) systems to locate, prepare, and distribute requested records.</p><p>Maintain a detailed log of released records and ensure confidentiality throughout the process.</p><p>Communicate effectively with patients, providers, and third-party requestors to clarify documentation and resolve inquiries.</p><p>Ensure quality and accuracy in every step of the record release process.</p>
<p><strong>This is an on-sitte position.</strong></p><p>We are looking for a detail-oriented and customer-service-focused Medical Records Clerk to to support our Health Information Management (HIM) department in SeaTac, Washington. This Contract-to-Permanent position offers an excellent opportunity for individuals passionate about maintaining the accuracy and confidentiality of health information. This role is primarily responsible for processing and fulfilling requests for medical records and patient information in compliance with HIPAA and organizational policies. The ideal candidate has strong organizational skills, a commitment to confidentiality, and the ability to balance accuracy with efficiency in a fast-paced healthcare environment</p><p><br></p><p>Responsibilities:</p><p>• Process incoming requests for medical records and health information from patients, providers, attorneys, insurers, and other authorized entities.</p><p>• Verify that all authorization forms comply with legal and organizational standards before releasing medical records.</p><p>• Prepare and transmit medical records using electronic systems, fax, mail, or secure portals as required.</p><p>• Address inquiries related to medical record requests, providing updates and clarifying documentation needs.</p><p>• Maintain detailed logs of all requests, releases, and associated paperwork.</p><p>• Safeguard patient confidentiality and ensure the integrity of health records at all times.</p><p>• Work collaboratively with clinical staff, providers, and other departments to gather necessary information.</p><p>• Perform general administrative tasks such as scanning, indexing, and filing records to ensure efficient record management.</p>
We are looking for a detail-oriented Medical Front Desk Specialist to join our team on a contract basis in Golden Valley, Minnesota. In this role, you will be the first point of contact for patients, ensuring smooth scheduling, check-in processes, and overall front office operations. If you thrive in a fast-paced healthcare environment and have excellent organizational skills, we encourage you to apply.<br><br>Responsibilities:<br>• Greet patients warmly and ensure their check-in process is efficient and accurate.<br>• Schedule and coordinate patient appointments using Epic EMR software.<br>• Confirm upcoming appointments and assist patients with rescheduling when necessary.<br>• Answer phone calls and address inquiries related to appointments and general office operations.<br>• Maintain and update patient records with attention to detail and confidentiality.<br>• Ensure front desk operations run smoothly and address any issues promptly.<br>• Communicate effectively with patients regarding their upcoming visits and medical needs.<br>• Collaborate with medical staff to optimize scheduling and ensure timely patient care.<br>• Provide assistance to patients with basic questions about medical terminology and procedures.
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p>We are looking for an organized and friendly Medical Front Office Specialist to join our team in Noblesville, Indiana. In this role, you will play a vital part in ensuring smooth communication between patients and the clinical staff while managing administrative tasks efficiently. This position offers an excellent opportunity to contribute to the healthcare industry by supporting patient care and maintaining accurate records.</p><p><br></p><p>Hours:</p><p>Monday 7:45a - 5pm</p><p>Tuesday 8am – 5:30</p><p>Wednesday 9am – 4pm</p><p>Thursday 9am– 5pm</p><p>Friday 7:45am- 4:00pm</p><p><br></p><p>Responsibilities for the position include the following:</p><p>• Coordinate with clinical staff to ensure seamless patient flow and keep waiting patients informed of any updates.</p><p>• Accurately copy, scan, and verify patients' insurance information, ensuring all records are up-to-date and signed appropriately.</p><p>• Prepare and distribute daily patient lists, including morning updates and end-of-day reports.</p><p>• Organize new patient charts and ensure completed charts are filed correctly for upcoming visits.</p><p>• Schedule appointments, medical tests, X-ray studies, and office procedures, providing patients with clear instructions.</p><p>• Collect co-payments, process patient encounter forms, and assist patients with scheduling follow-up visits.</p><p>• Update and verify patient demographic information in the system, ensuring all changes are accurately recorded.</p><p>• Address patient calls regarding delays and notify clinical staff promptly.</p><p>• Rotate late-day shifts with front office staff to assist physicians and patients as needed.</p><p>• Provide backup support for various roles and cover other office locations when required.</p>
<p>Are you detail-oriented with a knack for staying organized in a fast-paced environment? A healthcare organization is seeking a Medical Coder to join its growing team. This role is ideal for someone who thrives in a collaborative and data-driven environment and is ready to contribute to meaningful results in medical billing and coding.</p><p> </p><p>Key Responsibilities:</p><p> </p><ul><li>Analyze medical documentation to accurately assign codes for diagnostics, procedures, and services using recognized systems and standards.</li><li>Ensure coding compliance with regulatory, organizational, and payer requirements.</li><li>Review insurance claims and address coding-related inquiries or discrepancies.</li><li>Collaborate with medical billers, collection specialists, and administrative staff as needed.</li><li>Maintain up-to-date knowledge of coding procedures, certifications, and industry changes</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity for someone with expertise in medical billing and coding to contribute to a dynamic healthcare environment. The ideal candidate will play a vital role in ensuring patient eligibility, securing authorizations, and maintaining accurate billing processes.<br><br>Responsibilities:<br>• Verify patient health plan eligibility and benefits for scheduled radiology procedures, ensuring timely and accurate assessments.<br>• Initiate, track, and secure prior authorizations or pre-certifications for radiology services, including reviewing codes for alignment with medical necessity.<br>• Address patient inquiries regarding billing, assist with payments, and resolve claims discrepancies by escalating complex issues when necessary.<br>• Process appeals for denied claims and prepare zero-balance bills upon patient request.<br>• Collaborate effectively with patients, physician offices, insurance companies, and internal staff to ensure smooth communication and resolution of billing-related matters.<br>• Document all interactions and updates in electronic health records and billing systems with precision.<br>• Stay informed on changes in insurance policies, payer guidelines, and coding practices related to radiology services.<br>• Ensure compliance with organizational standards and regulations throughout all billing and authorization processes.
We are looking for an experienced Medical Billing Specialist to join our team in Rochester, New York. This Contract-to-Permanent position offers an exciting opportunity to contribute to a dynamic healthcare environment by managing billing operations and ensuring accurate claim processing. The ideal candidate will bring expertise in accounting software systems and a strong understanding of medical billing procedures.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers efficiently and accurately.<br>• Manage accounts receivable and oversee collection procedures to ensure timely payments.<br>• Utilize accounting software systems and tools, including IBM AS/400, Medisoft, and Epic, to handle billing operations.<br>• Review and resolve claim appeals, ensuring compliance with healthcare regulations.<br>• Maintain and update patient billing records within electronic health record (EHR) systems.<br>• Collaborate with internal teams to address billing discrepancies and improve workflows.<br>• Monitor and analyze billing trends to identify areas for process optimization.<br>• Handle billing inquiries and provide exceptional customer service to patients and insurance representatives.<br>• Generate and present financial reports related to billing and collections.<br>• Stay informed about industry changes and updates to medical billing and coding practices.
<p>We are seeking a <strong>Patient Administrative Specialist</strong> to join our front office team in an outpatient clinic environment. As a <strong>Patient Administrative Specialist</strong>, you will play a vital role in ensuring smooth daily operations through coordination of new patients, surgery scheduling, and administrative support. This <strong>Patient Administrative Specialist</strong> position is ideal for someone who excels in communication, multitasking, and thrives in a patient-centered setting.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Serve as the first point of contact at the front desk for patient check-in and check-out.</li><li>Welcome and assist patients with appointment-related inquiries, payments, and schedules.</li><li>Answer and manage multi-line phone system; direct calls, take messages, and route appropriately.</li><li>Confirm that insurance verifications and authorizations are completed before appointments.</li><li>Coordinate with providers to manage scheduling preferences and urgent patient requests.</li><li>Support provider-patient interactions using internal reference materials.</li><li>Perform administrative tasks such as updating databases, maintaining directories, and processing forms.</li><li>Operate electronic medical records and phone systems efficiently.</li><li>Uphold high standards of service and meet departmental expectations.</li><li>Respond to non-clinical CRMs and escalate when necessary.</li><li>Handle incoming faxes, mail distribution, and filing of clinic documentation.</li></ul>
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
We are looking for a dedicated Medical Front Desk Specialist to join a dynamic healthcare team in Chattanooga, Tennessee. In this long-term contract position, you will play a crucial role in ensuring smooth office operations while delivering exceptional service to patients. If you excel in a fast-paced environment and enjoy creating a welcoming atmosphere, this opportunity is perfect for you.<br><br>Responsibilities:<br>• Greet patients with warmth and professionalism, ensuring a positive experience from the moment they enter the office.<br>• Answer incoming calls, schedule appointments, and confirm patient visits with accuracy and attention to detail.<br>• Coordinate and update patient records using electronic medical record systems, maintaining confidentiality at all times.<br>• Address patient inquiries regarding office policies, procedures, and general information in a helpful and empathetic manner.<br>• Perform check-in and check-out duties, including verifying insurance information and collecting payments as necessary.<br>• Collaborate with the medical team to ensure seamless daily operations and timely patient flow.<br>• Handle various administrative tasks such as filing, faxing, and managing correspondence to support a well-organized office environment.<br>• Assist in resolving scheduling conflicts and managing last-minute changes efficiently.<br>• Maintain a clean and welcoming front desk area to create a positive environment for patients and staff.
<p>We are seeking a detail-oriented and experienced <strong>Medical AR Specialist</strong> to join our team in a fast-paced private practice. The ideal candidate will be responsible for managing the accounts receivable process, ensuring timely and accurate billing, claim submission, and follow-up on outstanding balances.</p><p><br></p><p>Flexible hours offered!</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm OR You will have the option to work 4 days, 10-hour shifts if preferred! </p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Review and process insurance claims using appropriate coding and billing guidelines.</li><li>Monitor and follow up on unpaid claims and patient balances.</li><li>Resolve denials and discrepancies by working with payers and patients.</li><li>Post payments and adjustments accurately to patient accounts.</li><li>Communicate with insurance companies to verify coverage and resolve billing issues.</li><li>Maintain compliance with HIPAA and other regulatory requirements.</li><li>Collaborate with front office and clinical staff to ensure accurate patient information and billing documentation.</li></ul>
<p>We are currently seeking a detail-oriented and empathetic <strong>Hospital Admissions Specialist</strong> to join our team. This role is vital in ensuring patients feel supported from their very first interaction with us, setting the stage for exceptional care.</p><p><strong>Responsibilities:</strong></p><p>As a <strong>Hospital Admissions Specialist</strong>, you will:</p><ul><li>Welcome patients and their families with professionalism and care, serving as the first point of contact upon arrival.</li><li>Gather, verify, and record patient information, including demographics, insurance details, and medical history.</li><li>Ensure data entry accuracy within the hospital's electronic medical record (EMR) system.</li><li>Obtain signatures for consent forms, assignments of benefits, and other necessary documentation.</li><li>Verify insurance eligibility and explain financial responsibilities, including co-pays or prepayments.</li><li>Coordinate with clinical and administrative teams to ensure a seamless admissions process.</li><li>Answer incoming inquiries and provide clear communication regarding hospital policies, procedures, and patient instructions.</li><li>Maintain compliance with HIPAA and patient confidentiality regulations.</li><li>Assist with appointment scheduling and follow-up communication as needed.</li></ul><p><br></p>
We are looking for a dedicated Referral Coordinator to join our team in Los Angeles, California. In this long-term contract position, you will play a key role in supporting patients by coordinating referrals, assisting with access to medical services, and ensuring seamless communication between providers and patients. This position requires a strong understanding of medical terminology and a commitment to providing exceptional patient care.<br><br>Responsibilities:<br>• Coordinate all referrals for subspecialty, diagnostic, and mammogram services, ensuring effective communication with external agencies and health plans.<br>• Notify patients of appointment details, educate them on the importance of their visits, and provide reminders to encourage follow-through.<br>• Maintain accurate and up-to-date referral logs, tracking the status of appointments, consult notes, and patient compliance.<br>• Prepare and submit detailed monthly activity reports as requested by management.<br>• Research and continuously update information on external referral resources available to patients.<br>• Act as a liaison between patients and medical staff, facilitating communication for both internal and external healthcare services.<br>• Educate patients on available benefits such as Medi-Cal or Managed Care plans, and connect them with Eligibility Specialists for assistance.<br>• Assist in the preparation of necessary medical forms and ensure completeness before submission.<br>• Support outreach strategies for screening events, including mammograms and Pap smears, to promote preventive care.<br>• Provide breast health education and guide patients through the healthcare system with empathy and professionalism.
<p>We are seeking a detail-oriented <strong>Insurance Verification Specialist</strong> with <strong>Medi-Cal experience</strong> to join our team. This role is critical to ensuring that patient insurance information is accurately verified and updated to maintain a seamless billing process and exceptional patient care. The ideal candidate has hands-on experience with Medi-Cal programs, strong communication skills, and a commitment to excellence in administering insurance verifications.</p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage for Medi-Cal and other insurance providers.</li><li>Obtain and validate pre-authorization and referral requirements for medical services.</li><li>Accurately input patient insurance information into the system and update records as needed.</li><li>Communicate with patients, insurance companies, and healthcare providers to clarify coverage details.</li><li>Resolve insurance-related issues and discrepancies efficiently and proactively.</li><li>Ensure compliance with Medi-Cal guidelines, policies, and procedures.</li><li>Collaborate with billing teams to ensure timely claims submission and support revenue cycle processes.</li></ul><p><br></p>
<p><strong>This is an on-site position</strong></p><p>We are looking for a detail-oriented Medical Records Technician to join our team in SeaTac, Washington. In this Contract-to-Permanent position, you will play a vital role in ensuring the accuracy and accessibility of patient records by scanning, indexing, and managing medical documentation. This role requires a commitment to accuracy, confidentiality, adherence to healthcare regulations, and a strong focus on providing excellent customer service.</p><p>Responsibilities:</p><p>• Prepare and organize medical documents for scanning, including sorting, removing staples, and verifying legibility.</p><p>• Digitize paper medical records and other documentation using designated electronic systems.</p><p>• Index and assign scanned documents accurately to the corresponding patient charts using Solarity and Epic systems.</p><p>• Review scanned images for quality, clarity, and proper categorization, ensuring compliance with organizational standards.</p><p>• Address and resolve errors, duplicates, or misfiled documents in coordination with relevant staff.</p><p>• Ensure strict confidentiality and adherence to state, federal, and organizational healthcare regulations.</p><p>• Assist with general medical record duties, such as filing, retrieving, and releasing records in accordance with policies.</p><p>• Collaborate with team members to support departmental activities and initiatives aimed at process improvements.</p><p>• Provide exceptional customer service to patients and other stakeholders, following established procedures.</p>
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in King of Prussia, Pennsylvania. In this long-term contract position, you will play a vital role in ensuring accurate billing, timely claims management, and efficient collections processes. Your efforts will directly support our mission of providing personalized autism services by working closely with families and stakeholders to facilitate smooth billing operations.</p><p><br></p><p>Responsibilities:</p><p>• Manage denial responses and accounts receivable follow-ups using Waystar and insurance portals.</p><p>• Submit primary and secondary claims for both commercial and Medicaid payors.</p><p>• Handle claims across all aging buckets, from initial billing to final resolution, including identifying and correcting errors, rejections, and denials.</p><p>• Investigate and appeal claim denials to ensure optimal resolution.</p><p>• Review and input billing data with a focus on precision and compliance.</p><p>• Collaborate with the Billing Manager and clinic teams to ensure accurate billing processes.</p><p>• Monitor and verify Medicaid status for clients to ensure eligibility.</p><p>• Develop and maintain strong relationships with Pennsylvania Medicaid payors to streamline claims processing and payments.</p><p>• Assist the intake team with completing Medicaid documentation for new clients or reassessments.</p><p>• Perform additional tasks as assigned by the Billing Manager or Director.</p>
<p>We're looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Doylestown, Pennsylvania. In this long-term contract position, you will play a vital role in managing Medicare billing, insurance claims, and patient accounts to ensure the financial stability of the organization. This opportunity is ideal for professionals with expertise in medical billing processes and a commitment to resolving accounts efficiently and accurately.</p><p><br></p><p>Responsibilities:</p><p>• Manage Medicare billing operations, ensuring all patient accounts are handled with accuracy and compliance.</p><p>• Submit electronic and paper insurance claims following payer guidelines and regulatory requirements.</p><p>• Process patient claims promptly and oversee account management to maintain compliance standards.</p><p>• Conduct timely follow-ups on payments to resolve outstanding balances, collaborating with stakeholders as necessary.</p><p>• Regularly review work lists to prioritize accounts requiring immediate attention and action.</p><p>• Work assigned accounts diligently until they are fully resolved, maintaining detailed documentation throughout the process.</p><p>• Analyze remittances to confirm that charges processed or paid align with insurance contracts and fee schedules.</p><p>• Utilize and interpret billing forms such as UB04 and 1500 to ensure proper claim submission and resolution.</p><p>• Leverage electronic medical record systems and billing software to streamline account management and reporting.</p>
We are looking for a dedicated EHR Support Analyst to manage and enhance our Salesforce-based Electronic Health Records system. In this role, you will act as the key liaison among business stakeholders, end users, and technical teams to ensure the system remains optimized, secure, and scalable. This is a long-term contract position based in Stockbridge, Massachusetts.<br><br>Responsibilities:<br>• Serve as the primary point of accountability for the Salesforce Electronic Health Records system, ensuring its governance and stability.<br>• Oversee system maintenance tasks, including health checks, performance tuning, and user administration.<br>• Address system issues, defects, and break-fixes promptly to uphold operational efficiency.<br>• Facilitate user onboarding, training, and adoption while maintaining comprehensive documentation and guides.<br>• Gather and prioritize business requirements to implement new features and enhancements.<br>• Conduct regular evaluations of Salesforce releases and AppExchange solutions to align with business needs.<br>• Provide consistent updates to leadership on system performance, enhancements, and strategic roadmaps.<br>• Collaborate with stakeholders to host requirement workshops, demonstrations, and planning cycles.<br>• Define and maintain a multi-year roadmap for the EHR system to support organizational growth.<br>• Ensure compliance with internal IT standards, security protocols, and data privacy regulations.
We are looking for a Medical Biller/Collections Specialist to join our team in Kirkland, Washington. This Contract-to-permanent position offers an opportunity to work on critical processes such as payment posting, credit reconciliation, and refunds management. The ideal candidate will bring expertise in medical billing, collections, and insurance processes while demonstrating proficiency with tools like Excel and specialized billing systems.<br><br>Responsibilities:<br>• Post payments accurately by working off spreadsheets and reconciling credits within the system.<br>• Investigate and resolve credit balances, determining whether adjustments or refunds are required.<br>• Manage refund processes, ensuring compliance with payer-specific procedures and requirements.<br>• Research and reconcile overpayments, verifying amounts and issuing refunds to appropriate parties.<br>• Utilize proprietary billing systems to perform detailed analysis and tracking of credits and payments.<br>• Conduct audits to ensure accurate payment posting and adherence to payer guidelines.<br>• Collaborate with team members to streamline processes related to billing, collections, and refunds.<br>• Generate accurate reports and documentation to support financial transactions and reconciliations.<br>• Stay updated on insurance policies and regulations to ensure compliance in all billing activities.<br>• Provide support for special projects related to patient accounts and refunds.
