Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
<p>A healthcare organization in the Harrisburg area is seeking a dedicated and organized <strong>Medical Office Assistant</strong> to provide administrative and operational support in a medical office setting. The ideal candidate will be detail-oriented, professional, and able to handle a combination of administrative tasks and patient interaction in a fast-paced environment.</p><p><br></p><p><strong>Key Responsibilities</strong>:</p><ul><li>Greet patients and visitors with a professional and courteous demeanor.</li><li>Assist patients with scheduling appointments, check-in, and check-out procedures.</li><li>Answer and route phone calls; provide basic information to inquiries and field messages promptly.</li><li>Maintain and update patient medical records and office files accurately.</li><li>Handle data entry, prepare correspondence, and assist in maintaining electronic health records (EHR).</li><li>Process insurance verifications, co-pays, and billing inquiries.</li><li>Monitor and manage the office inventory, including ordering medical supplies as needed.</li><li>Ensure the office remains clean, organized, and welcoming for both staff and patients.</li><li>Collaborate with medical staff and other office personnel to ensure a seamless patient experience.</li></ul><p><br></p>
<p><strong>Contract Medical Billing/Claims/Collections Specialist</strong></p><p><br></p><p><em>Location: Remote, Northeast Ohio (Canton, OH-Based)</em></p><p><br></p><p>We are seeking a detail-oriented and experienced Medical Billing/Claims/Collections Specialist to join our talented team on a contract basis. This role is critical for ensuring accurate coding processes, maintaining compliance with revenue integrity standards, and optimizing charge capture workflows. Although this position is fully remote, candidates must reside within the Northeast Ohio area to foster seamless collaboration with local teams and stakeholders. A coding certification is preferred to demonstrate expertise in industry standards and best practices.</p><p><strong>Responsibilities:</strong></p><ul><li>Accurately assign diagnostic and procedural codes for outpatient and inpatient billing to guarantee precise charge capture.</li><li>Conduct coding audits to identify missing documentation or discrepancies impacting revenue generation.</li><li>Ensure consistent compliance with coding and reimbursement guidelines while adhering to relevant industry standards.</li><li>Educate healthcare providers on coding specificity and quality indicators to enhance documentation accuracy and streamline workflows.</li><li>Track and report open encounters and zero charges proactively to relevant personnel.</li><li>Collaborate with department leaders, healthcare providers, and organizational leadership to address coding concerns or identify optimization opportunities.</li><li>Meet or exceed established productivity and quality benchmarks for coding tasks.</li><li>Support revenue cycle and clinical teams in performing additional administrative functions as required.</li><li>Stay current with coding policies, guidelines, and healthcare industry trends to uphold best practices.</li><li>Utilize hospital software applications and Microsoft Office tools effectively to accomplish daily responsibilities with efficiency.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>A coding certification (e.g., CPC, CCS, or equivalent) is strongly preferred.</li><li>Proven experience in medical billing, claims, and collections.</li><li>Expertise in diagnostic and procedural coding, coupled with familiarity with audit processes and revenue cycle optimization.</li><li>Knowledge of relevant coding guidelines and reimbursement policies.</li><li>Strong communication skills and an ability to work collaboratively with healthcare professionals and cross-functional teams.</li><li>Proficient in healthcare software applications and Microsoft Office Suite.</li></ul><p><strong>Why Join Us?</strong></p><p>This opportunity allows you to contribute to the smooth operation of a respected healthcare organization while working in a flexible remote environment. Be a part of a dynamic environment with a mission to make healthcare administration seamless and efficient.</p><p>Apply now to make an impact in the healthcare industry while showcasing your skills and expertise.</p><p><br></p><p>Want to build your career in healthcare? </p>
<p><strong><u>💼 HR Manager Needed for Healthcare Group in Carlsbad 🌟</u></strong></p><p><strong>Looking for an impactful leadership role in HR?</strong> Our client, a leading <strong>healthcare group</strong> in <strong>Carlsbad</strong>, CA, is seeking a highly motivated <strong>HR Manager</strong> to join their team and help support their mission of providing quality care. This position will give you the chance to lead HR operations, develop employee relations strategies, and play a key role in shaping the workforce that supports patients and healthcare professionals alike.</p><p><br></p><p><strong><u>💡 What You'll Be Doing:</u></strong></p><ul><li><strong>Strategic HR Leadership:</strong> Lead HR functions, including talent management, employee relations, compliance, and training, ensuring alignment with the company’s goals and values.</li><li><strong>Staffing & Recruitment:</strong> Oversee recruiting efforts and help build a <strong>high-performing team</strong> by identifying top talent in the healthcare industry. Drive the hiring process, from sourcing candidates to managing interviews and selection.</li><li><strong>Employee Relations & Performance:</strong> Serve as a go-to resource for employees, addressing concerns and providing advice on performance management, conflict resolution, and engagement strategies.</li><li><strong>Compensation & Benefits:</strong> Design and manage compensation programs, including annual reviews, incentive plans, and benefits administration, ensuring competitiveness and compliance with healthcare-specific regulations.</li><li><strong>Compliance & Policy Development:</strong> Maintain up-to-date knowledge of healthcare laws, including HIPAA, and develop policies that promote a healthy, compliant work environment.</li><li><strong>Employee Engagement & Development:</strong> Develop training programs and workshops aimed at improving employee skills and morale, while supporting leadership in building a culture of continuous improvement.</li></ul>
<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>
<p>Our client is hiring experienced <strong>Customer Service Representatives</strong> in a contract to hire capacity to support our <strong>Texas-based Call Center</strong> operations. This role focuses on assisting members enrolled in <strong>Texas Medicaid programs</strong>, including <strong>STAR, CHIP</strong>, and <strong>Home Health Care Services (HHCS)</strong>. If you have <strong>1+ years of healthcare call center experience</strong> and are passionate about helping families navigate their healthcare benefits and <strong>are a Texas resident</strong>, we want to hear from you!</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Handle inbound calls from members, providers, and caregivers regarding <strong>Texas Medicaid</strong> benefits, claims, authorizations, and provider details.</li><li>Provide accurate information on <strong>STAR, CHIP</strong>, and <strong>HHCS</strong> services.</li><li>Assist with pre-authorizations and explain coverage details.</li><li>Document all interactions in the system with accuracy and professionalism.</li><li>Resolve member concerns with empathy and efficiency.</li><li>Stay current on Texas Medicaid updates and Dell Children’s policies.</li><li>Maintain HIPAA compliance and patient confidentiality.</li></ul><p><br></p><p><strong>Qualifications:</strong></p><p>✅ <strong>Required:</strong></p><ul><li><strong>Minimum 1 year of healthcare call center experience</strong>, preferably with <strong>Texas Medicaid</strong>.</li><li>Must be a <strong>Texas resident</strong>.</li><li>Familiarity with <strong>Texas Medicaid</strong>, STAR, CHIP, and HHCS.</li><li>Strong understanding of medical terminology, CPT/HCPCS codes, and diagnosis codes.</li><li>Excellent verbal and written communication skills.</li><li>Ability to manage high call volumes and navigate stressful situations calmly.</li><li>Proficient in computer systems and call tracking tools.</li></ul><p>✅ <strong>Preferred:</strong></p><ul><li>Associate’s Degree or equivalent healthcare-related education.</li><li>Experience working with Dell Children’s or similar pediatric healthcare systems.</li><li>Bilingual (English/Spanish) is a plus.</li></ul><p><br></p><p><strong>Work Environment:</strong></p><ul><li><strong>Remote-first</strong> role with occasional in-office meetings or training sessions.</li><li>Standard business hours: <strong>8 AM–5 PM CST</strong>, Monday through Friday.</li></ul><p><br></p><p><strong>Apply today</strong> to join a compassionate team making a difference in the lives of Texas families!</p><p><br></p><p><br></p>
<p>We are seeking an experienced Healthcare Recruiter with a bachelor’s degree and at least 3 years of proven success in full-cycle recruiting within the healthcare industry. The ideal candidate will be responsible for sourcing, screening, and placing qualified clinical and non-clinical professionals, building strong talent pipelines, and maintaining relationships with both candidates and hiring managers. This role requires excellent communication skills, knowledge of healthcare regulations and credentialing, and the ability to thrive in a fast-paced environment while meeting hiring goals.</p>
<p>We are partnering with a longstanding & respected non-profit healthcare organization in the SW Metro that is looking to hire a Healthcare Counsel/Privacy Officer to lead healthcare contracting, privacy compliance, and regulatory guidance. This is a hybrid position (3 days in-office/2 days WFH).</p><p><br></p><p><em>The ideal candidate will have 4-7+ years of experience in healthcare law, with a strong background in healthcare contracts, regulatory compliance, and transactional work.</em></p><p><br></p><p>This is a fantastic opportunity to join a mission-driven organization. This person will play a key role in shaping the organization's legal and regulatory landscape while ensuring compliance and best practices in healthcare law.</p><p><br></p><p><u>Key Responsibilities:</u></p><ul><li>Contract Negotiation & Review: Draft, negotiate, and review healthcare contracts, such as provider agreements, service contracts, and medical director agreements.</li><li>Privacy Officer Duties: Oversee HIPAA compliance, conduct training, update policies and procedures, and investigate potential breaches.</li><li>Regulatory Compliance: Counsel the operations team on healthcare regulations and support the development of strategic solutions to ensure ongoing compliance.</li><li>Cross-functional collaboration: Work closely with the VP of Litigation, Risk Management, and Compliance to develop and implement policies; Advise senior management on the legal and business aspects of contracts and operations.</li><li>Litigation & Risk Management: Manage pre-litigation work, collaborate with outside counsel as needed, and advise on legal risks.</li><li>Training & Education: Provide ongoing training for the healthcare team on legal matters, including healthcare regulations and compliance updates.</li></ul><p><br></p>
We are looking for a dedicated Medical Admin to join our team in Syracuse, New York. This Contract-to-permanent position offers the opportunity to play a key role in supporting healthcare operations by managing referrals, authorizations, and patient service coordination. The ideal candidate will thrive in a dynamic environment, collaborating with clinical staff to ensure optimal care delivery.<br><br>Responsibilities:<br>• Accurately review and input authorization data into a computerized database while managing expiring authorization reports.<br>• Schedule and coordinate patient services in collaboration with case management and clinical teams.<br>• Participate in regular team meetings to provide recommendations for process improvements.<br>• Handle clerical tasks such as filing, typing, copying, faxing, and taking messages as directed by the supervisor.<br>• Monitor and manage various organizational reports to support operational needs.<br>• Actively engage in performance and quality improvement initiatives.<br>• Coordinate authorized services with external agencies to ensure patient needs are met.<br>• Communicate with patients regularly to address concerns and provide updates on services.<br>• Perform other duties as assigned to support the healthcare team.
We are looking for a skilled Healthcare Project Manager to lead critical initiatives within the payment integrity domain. This role requires a strategic thinker with a strong background in healthcare operations and project management, capable of driving cross-functional collaboration and ensuring compliance with industry regulations. The ideal candidate will excel in managing complex projects while delivering impactful solutions that align with organizational objectives.<br><br>Responsibilities:<br>• Manage and oversee healthcare projects, including validation processes, cost analysis, and readmission reviews, ensuring they meet organizational goals and compliance standards.<br>• Coordinate the implementation of technology solutions that enhance payment integrity functions, collaborating closely with IT and business teams.<br>• Facilitate communication and collaboration across departments such as IT, clinical operations, and finance to ensure seamless project execution.<br>• Develop comprehensive project plans, including scope definition, timeline creation, resource allocation, and progress monitoring for successful delivery.<br>• Identify and address project risks, creating mitigation strategies and escalating issues as needed to maintain project continuity.<br>• Provide stakeholders and sponsors with regular updates, maintaining clear documentation and enabling informed decision-making.<br>• Ensure adherence to healthcare regulations and compliance standards, including HIPAA and HITRUST, throughout all project activities.<br>• Translate technical requirements into actionable business strategies, ensuring alignment between technical solutions and organizational needs.
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>Our client, a <strong>well-established medical practice in Carlsbad</strong>, is seeking a <strong>Medical Administrative Assistant</strong> to join their team. This role is the perfect opportunity for someone who thrives in a fast-paced healthcare setting and enjoys supporting both patients and medical providers. The ideal candidate is warm, approachable, detail-oriented, and thrives on keeping schedules, paperwork, and patient records organized and accurate. This role requires someone who can seamlessly balance <strong>patient-facing interactions</strong> with <strong>behind-the-scenes administrative tasks</strong>, ensuring the office runs smoothly and patients feel valued from the moment they walk in.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Greet and check in patients, providing a friendly and professional first impression.</li><li>Schedule and confirm appointments, ensuring providers’ calendars are efficiently managed.</li><li>Verify patient insurance, process authorizations, and update medical records.</li><li>Handle incoming calls, emails, and inquiries with professionalism and empathy.</li><li>Assist with billing support, coding, and claims documentation.</li><li>Prepare patient files, forms, and other necessary paperwork for appointments.</li><li>Ensure HIPAA compliance in handling sensitive medical information.</li><li>Support medical staff with various administrative needs.</li><li>Maintain a clean, organized, and welcoming front office environment.</li></ul>
<p>We are looking for a Healthcare Administrative Assistant to join our team on a part-time, contract basis in San Ramon, CA. In this role, you will provide vital administrative support to ensure the smooth operation of departmental functions and meetings. This opportunity requires strong organizational skills and attention to detail.</p><p><br></p><p>Administrative Assistant Responsibilities:</p><p>• Manage and coordinate schedules, send out invitations, and prepare meeting materials for departmental events.</p><p>• Record and distribute meeting minutes to ensure accurate documentation of discussions and decisions.</p><p>• Organize and maintain departmental files, including reports, compliance records, and quality assurance documentation.</p><p>• Prepare and share materials for quality committees, patient safety huddles, and other related meetings.</p><p>• Support the department by handling email correspondence and maintaining effective communication with stakeholders.</p><p>• Perform data entry tasks to maintain accurate records and databases.</p><p>• Utilize tools like Microsoft Word, Excel, and Outlook to streamline administrative processes and reporting.</p><p>• Ensure compliance with organizational standards through meticulous documentation and record-keeping.</p><p>• Assist with coordinating meetings and facilitating smooth communication across teams.</p><p><br></p><p>If you are interested in this administrative assistant position, please apply today!</p>
<p>We are looking for a detail-oriented Certified Medical Coding Auditor to join our team in Alabama. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation.</p><p><br></p><p>Responsibilities:</p><p>• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.</p><p>• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.</p><p>• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.</p><p>• Abstract required data in accordance with facility-specific guidelines.</p><p>• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.</p><p>• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.</p><p>• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.</p><p>• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.</p><p>• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.</p>
<p>Robert Half is partnering with a reputable healthcare organization in Lewes, DE, and the surrounding areas to offer <strong>entry-level opportunities</strong> for motivated and career-driven individuals. If you are looking to get a foot in the door in the medical field and gain hands-on professional experience, this is the perfect opportunity for you! These contract-to-hire roles will provide hours and the potential for long-term growth in a dynamic healthcare environment. Schedules include first and mid shifts, with some requiring availability for one or two Saturdays a month.</p><p> </p><p><strong>What’s in it for you?</strong></p><ul><li><strong>Bonus Incentives</strong></li><li><strong>Paid Certifications</strong> to enhance your skills and value in the field</li><li><strong>Tuition Reimbursement</strong> to support your continued education</li><li><strong>Comprehensive Benefits Package</strong>, including healthcare, retirement options, and more</li><li><strong>Career Advancement Opportunities</strong> in a company committed to your professional development</li></ul><p><strong>What We’re Looking For</strong>:</p><p>Candidates with proven success in a customer service capacity are encouraged to apply, even without direct healthcare experience. Transferable skills such as effective communication, strong organizational abilities, and a passion for helping others will position you for success in this role.</p><p>We are offering a contract-to-hire employment opportunity in the healthcare industry for a Customer Service Representative. The role is located in Lewes, Delaware, United States. As a Patient Service Representative, you will be tasked with managing patient data, handling insurance details, and providing excellent customer service.</p><p><br></p><p>Responsibilities:</p><p>• Maintain precise records of customer credit information.</p><p>• Take necessary action by monitoring customer accounts.</p><p>• Handle both inbound and outbound calls to gather patient's demographic, insurance, and other relevant details.</p>
We are looking for a detail-oriented Medical Coding Auditor to join our team in Cincinnati, Ohio. In this Contract-to-Permanent position, you will play a critical role in ensuring the accuracy and compliance of outpatient medical coding processes. This role is ideal for professionals with a strong background in medical coding and auditing who are eager to contribute to high-quality healthcare documentation.<br><br>Responsibilities:<br>• Review medical records and assign accurate ICD-9-CM, ICD-10, and CPT codes using 3M software tools across various outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.<br>• Ensure assigned codes align with documented medical necessity and the reason for the visit as stated by the healthcare provider.<br>• Apply appropriate charges for services such as Evaluation & Management (E& M) levels, injections, infusions, and other requirements for observation cases using third-party software systems.<br>• Abstract required data in accordance with facility-specific guidelines.<br>• Conduct medical necessity checks for Medicare and other payers based on established payment regulations.<br>• Maintain compliance with coding standards and regulatory requirements to support accurate billing and reimbursement.<br>• Collaborate with healthcare providers and other team members to resolve coding discrepancies and ensure proper documentation.<br>• Participate in audits and quality assurance activities to identify areas for improvement in coding accuracy.<br>• Stay updated on industry changes, coding guidelines, and software tools to enhance efficiency and effectiveness in coding practices.
<p><br></p><p>A leading healthcare provider in San Diego is seeking a professional and compassionate Receptionist to be the welcoming face of their clinic. This high-level role is perfect for someone who thrives in a fast-paced medical environment and values patient care and confidentiality. As the first point of contact for patients and visitors, you’ll play a critical role in ensuring smooth operations and a positive experience for everyone entering the facility.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Greet and assist patients, visitors, and staff with professionalism and empathy.</li><li>Answer and direct phone calls, schedule appointments, and manage front desk operations.</li><li>Verify insurance, collect co-pays, and maintain patient records.</li><li>Coordinate with medical staff to ensure timely patient flow.</li><li>Maintain a clean and organized reception area.</li><li>Handle sensitive information with discretion and accuracy.</li></ul>
<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>A leading healthcare organization in Honolulu, Hawaii, is seeking a professional and welcoming <strong>Receptionist</strong> to be the face of its dynamic team. This position plays a key role as the first point of contact for patients, visitors, and staff and is critical to maintaining a positive and seamless experience for all. The ideal candidate will demonstrate excellent organizational and customer service skills while ensuring compliance with healthcare regulations and office protocols. This position is <strong>fully on-site</strong> at the healthcare office in Honolulu to ensure hands-on interaction with patients and staff. Candidates must be based in <strong>Hawaii</strong> and available to attend <strong>in-person interviews. To apply, please call us at 808-531-0800. </strong></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li><strong>Front Desk Duties:</strong> Greet patients and visitors with professionalism and warmth, answer incoming calls promptly, and route them to the appropriate department.</li><li><strong>Appointment Scheduling:</strong> Assist visitors and patients with scheduling, confirming, and rescheduling appointments, ensuring accuracy in the scheduling system.</li><li><strong>Patient Check-In and Check-Out:</strong> Handle patient intake, verify insurance details, collect co-pays, and ensure patient data is up to date.</li><li><strong>Administrative Support:</strong> Assist with filing, scanning, and organizing patient information and medical records, ensuring privacy and HIPAA compliance.</li><li><strong>Communication Management:</strong> Receive and distribute mail, faxes, and messages efficiently.</li><li><strong>Office Coordination:</strong> Monitor and replenish office supplies, manage vendor deliveries, and maintain the cleanliness and organization of the front office area.</li><li><strong>Customer Service:</strong> Provide accurate information about the practice’s policies, services, and procedures to patients and ensure patient concerns are addressed promptly or escalated appropriately.</li></ul><p><br></p>
<p>A reputable healthcare company in Solana Beach is seeking an Accounting Clerk to support its finance department. This organization provides specialized medical services and is known for its commitment to patient care and operational excellence. The Accounting Clerk will assist with day-to-day financial transactions, ensuring accuracy and compliance with internal policies. This is a great opportunity for someone looking to grow in the healthcare finance field.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Process accounts payable and receivable transactions.</li><li>Reconcile bank statements and assist with month-end close.</li><li>Maintain financial records and filing systems.</li><li>Assist with payroll and expense reporting.</li><li>Support audits and financial reviews.</li><li>Communicate with vendors and internal departments regarding billing issues.</li></ul>
<p>A well-established healthcare provider in Solana Beach is seeking a Patient Services Representative to join their front office team. This role is ideal for someone with strong administrative skills and a background in medical office operations. The organization is known for its patient-centered care and supportive work environment. As the first point of contact for patients, you’ll be responsible for ensuring a smooth and welcoming experience while managing essential administrative tasks.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Greet and check in patients with professionalism and empathy.</li><li>Schedule appointments and manage provider calendars.</li><li>Verify insurance and collect co-pays.</li><li>Maintain accurate patient records and update EMR systems.</li><li>Answer phones and respond to patient inquiries.</li><li>Coordinate with clinical staff to ensure timely patient flow.</li></ul><p><br></p>
<p>Our healthcare client is seeking a dynamic Project Manager – Strategic Initiatives to support the CEO and executive leadership team in advancing critical organizational priorities. This role is ideal for someone who thrives in a fast-paced, highly visible environment, working directly with executive leadership while driving meaningful operational improvements across multiple departments. </p><p><br></p><p>Role Overview: Reporting directly to the CEO (with a dotted-line to systemwide leadership), the Project Manager will provide structure, oversight, and execution support for strategic initiatives that strengthen compliance, streamline operations, and enhance member and provider experiences. Unlike traditional departmental management, this role focuses on special projects and cross-functional coordination, requiring a hands-on approach to both planning and execution. </p><p> </p><p>Key Responsibilities: Partner closely with the CEO to scope, plan, and execute high-impact initiatives. Assess current state processes and develop actionable project plans to ensure forward progress. Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with the executive leadership team and external oversight bodies. Stand up and coordinate new steering committees for emerging initiatives. Develop project tracking and reporting tools, leveraging systems such as Jira, Qlik, and data visualization platforms. Translate business and regulatory requirements into structured reporting, dashboards, and metrics to monitor progress. Ensure consistent project documentation, progress tracking, and alignment with organizational priorities. Focus Areas Regulatory Compliance: Map and standardize workflows, strengthen internal audit tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while partnering with IT to implement automation and payment integrity solutions. Utilization Management: Standardize UM processes, improve turnaround times, and support Medical Directors in consistent clinical decision-making.</p>
<p>We are looking for a dedicated Medical Secretary to join a dynamic team in Harrisburg, Pennsylvania. In this role, you will play an integral part in ensuring smooth administrative operations and enhancing patient experiences. This position offers an opportunity to work closely with healthcare professionals in a dynamic and supportive environment.</p><p><br></p><p>Responsibilities:</p><ul><li>Manage and optimize patient scheduling, turning complex calendars into seamless experiences.</li><li>Make a lasting impression during check-in by ensuring patients feel welcomed, informed, and properly prepared.</li><li>Support healthcare staff with impeccable attention to detail, helping steer forward communication and recordkeeping.</li><li>Serve as the heartbeat between patients and medical teams, ensuring clarity and compassion are never compromised.</li><li>Uphold confidentiality while keeping files, records, and documentation sharp, accurate, and ready at a moment’s notice.</li><li>Handle phone calls with professionalism while offering timely and relevant help to inquiries.</li><li>Navigate billing processes and verify information smoothly to keep operations running effortlessly.</li><li>Maintain a well-equipped and efficient workspace that fosters productivity and positivity.</li></ul><p><br></p>
We are looking for a detail-oriented Medical Coder to join our team on a contract basis in Sacramento, California. In this role, you will be responsible for accurately translating medical records and patient information into standardized codes, ensuring proper billing and compliance with industry standards. This position offers an opportunity to work closely with healthcare professionals and contribute to the efficient processing of medical claims.<br><br>Responsibilities:<br>• Convert medical diagnoses, procedures, and treatments into standardized numeric or alphanumeric codes.<br>• Review and analyze medical records to ensure accurate and compliant coding.<br>• Prepare and submit insurance claims while addressing any discrepancies or denials.<br>• Perform regular audits to maintain the accuracy and integrity of coding practices.<br>• Collaborate with physicians and healthcare staff to clarify medical information and coding needs.<br>• Stay informed about updates to coding guidelines, regulations, and industry best practices.<br>• Train and provide guidance to coders with less experience, as needed.<br>• Ensure confidentiality and compliance with ethical and legal standards in all coding processes.<br>• Utilize coding software and tools such as 3M, Cerner Technologies, and AHLTA to optimize workflows.
<p>We are looking for a dedicated and detail-oriented Customer Service Representative to join our remote team in Troy, Michigan. In this role, you will provide exceptional service to customers by addressing inquiries, resolving issues, and ensuring a seamless experience with healthcare-related matters. This is a Contract-to-Permanent position where you will have the opportunity to grow within the organization based on your performance. If you live in Michigan there is a 1 day per month obligation for in-office. </p><p><br></p><p>Responsibilities:</p><p>• Respond to customer inquiries regarding medical benefits, claim statuses, and pre-authorizations in a prompt and courteous manner.</p><p>• Utilize internal systems to track and document customer interactions and resolutions.</p><p>• Stay informed about updates to healthcare plans and communicate changes effectively to customers.</p><p>• Provide accurate information to customers about healthcare provider networks and outstanding payments.</p><p>• Troubleshoot and resolve issues efficiently while maintaining a detail-oriented demeanor.</p><p>• Follow up on unresolved customer concerns to ensure complete satisfaction.</p><p>• Escalate complex issues to management when necessary for further resolution.</p><p>• Adhere to company policies, including HIPAA regulations, to maintain confidentiality and compliance.</p><p>• Occasionally work on-site as required while primarily operating in a remote capacity.</p><p>• Collaborate with team members to meet service targets and improve processes.</p>
