<p>We are looking for a highly motivated Compliance Paralegal to join our team on a long-term contract basis in Louisville, Kentucky. This role involves supporting compliance and legal operations by managing licensing processes, conducting regulatory research, and ensuring accurate documentation. The ideal candidate is proactive, detail-oriented, and comfortable working in a fast-paced, cross-functional environment.</p><p><br></p><p>Responsibilities:</p><p>• Assist with licensing processes, ensuring all compliance requirements are met.</p><p>• Conduct thorough research on regulatory matters and monitor updates to ensure adherence.</p><p>• Develop and maintain organized tracking systems for compliance and legal activities.</p><p>• Provide support for the creation and implementation of policies and procedures.</p><p>• Participate in audits and investigations, ensuring accurate reporting and resolution.</p><p>• Manage and organize legal and compliance documentation efficiently.</p><p>• Prepare detailed reports on compliance activities and findings.</p><p>• Support compliance training initiatives and maintain clear communication with stakeholders.</p><p>• Collaborate with cross-functional teams, clients, and vendors to address compliance needs.</p><p><br></p><p>The pay range for this position is 33.25 to 38.50. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.</p>
<p>We are seeking a highly organized and detail-oriented Office Manager to join our team within a growing nonprofit healthcare organization. This contract-to-permanent role offers an excellent opportunity for career development while contributing to meaningful community work. The Office Manager will play a key role in ensuring the clinic's operational and administrative success, supporting both patient care and leadership decision-making.</p><p><strong>Key Responsibilities</strong>:</p><ul><li><strong>Clinic Operations</strong>: Oversee daily clinic operations, including patient scheduling and administrative tasks, ensuring efficiency and smooth workflow.</li><li><strong>Billing and Financial Management</strong>: Manage billing processes, maintain accurate financial records, and post payments to support organizational transparency.</li><li><strong>Office Supply Management</strong>: Track and manage office inventory while adhering to established budgetary guidelines.</li><li><strong>Regulatory Compliance</strong>: Ensure compliance with state and national healthcare regulations.</li><li><strong>Reporting</strong>: Prepare data and reports on patient outcomes and other metrics to assist leadership in strategic planning.</li><li><strong>Patient Communications</strong>: Handle proactive follow-up communications with patients regarding care and upcoming appointments.</li><li><strong>Bookkeeping</strong>: Assist in light bookkeeping tasks to support operational efficiency.</li><li><strong>Collaboration with Leadership</strong>: Partner closely with the Director to align office functions with broader organizational goals.</li></ul><p><strong>Must-Have Skills</strong>:</p><ul><li>Proven experience in office management or a similar administrative role within a healthcare or nonprofit setting.</li><li>Strong understanding of clinic operations and patient management workflows.</li><li>Familiarity with financial processes, including billing and payment posting.</li><li>Knowledge of healthcare compliance regulations.</li><li>Proficiency in Microsoft Office Suite and clinic management software.</li><li>Excellent organizational skills and attention to detail.</li><li>Exceptional communication skills for both internal teams and patient interactions.</li></ul>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
We are looking for an experienced Help Desk Analyst II to join our team in Dallas, Texas. In this role, you will provide technical support to users by addressing hardware, software, and network-related issues while maintaining a high standard of customer service. This position is ideal for someone who thrives in a fast-paced environment and has a strong understanding of IT systems, healthcare applications, and compliance protocols.<br><br>Responsibilities:<br>• Diagnose and resolve technical issues related to hardware, software, network connectivity, printers, and specialized medical devices.<br>• Provide assistance and troubleshooting support for Electronic Health Record systems and healthcare applications, escalating complex issues as necessary.<br>• Deploy, configure, and manage computers, mobile devices, and peripherals while adhering to organizational security policies.<br>• Record detailed documentation of support requests, solutions, and follow-up actions in the IT ticketing system.<br>• Collaborate with team members to identify recurring problems and contribute to long-term IT system improvements.<br>• Educate users on security best practices, application usage, and effective self-help troubleshooting techniques.<br>• Participate in after-hours or on-call rotations to ensure continuous support availability.<br>• Utilize remote support tools and endpoint security measures to resolve user issues efficiently.<br>• Assist with compliance-related tasks, ensuring proper handling of protected health information.
<p><strong>Controller- East Haven CT</strong></p><p><strong>Healthcare</strong></p><p><strong>Contact:</strong> Brittany Rizzo / [email protected]</p><p><strong>Reference ID: </strong>BR0013288187</p><p><br></p><p>Our client, a leading organization in the healthcare sector, is seeking a highly skilled and strategic <strong>Financial Controller</strong> to join their leadership team. This role is critical to maintaining the financial integrity of the organization, driving financial performance, and supporting executive decision-making.</p><p><br></p><p>The ideal candidate will bring deep experience in healthcare finance, strong accounting acumen, and expertise in financial systems and reporting. They must also be an effective communicator, able to collaborate with C-suite executives and department heads across the organization.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead the day-to-day operations of the accounting department, including general ledger, accounts payable/receivable, payroll, and financial reporting.</li><li>Oversee monthly, quarterly, and annual closing processes to ensure timely and accurate financial reporting.</li><li>Develop, implement, and monitor internal controls to ensure compliance with regulatory requirements and best practices.</li><li>Prepare and present financial reports and analysis to senior executives and the board of directors.</li><li>Collaborate closely with operational leaders to provide financial insight that supports strategic decision-making.</li><li>Manage audits, tax filings, and regulatory reporting, working with external auditors and consultants as needed.</li><li>Evaluate and improve financial systems and processes; lead the implementation or optimization of ERP or other financial tools.</li><li>Ensure adherence to GAAP and healthcare-specific financial regulations.</li></ul><p><br></p>
Job Title: Senior Full Stack .NET Developer About the Role: We’re seeking an experienced Full Stack .NET Developer to join a growing technology team. This individual will play a key role in building and enhancing enterprise-level web applications, working across the stack from backend services to modern front-end interfaces. If you enjoy solving complex challenges, collaborating with cross-functional teams, and delivering scalable, high-quality software, this could be a great fit. What You’ll Do: Design, develop, and support full stack web applications leveraging .NET (C#), Angular, and SQL Server. Build clean, responsive, and intuitive user interfaces with HTML, CSS, and JavaScript. Create and integrate RESTful APIs and microservices, handling data formats such as JSON and XML. Work closely with product owners, UX designers, and QA engineers to deliver features that meet business needs. Contribute to architecture discussions, participate in code reviews, and help drive engineering best practices. Debug, troubleshoot, and resolve issues across multiple layers of the stack. Follow established SDLC practices while striving for continuous improvement in code quality and maintainability. Utilize tools such as Visual Studio, VS Code, SQL Management Studio, and Git for daily development. What We’re Looking For: 6+ years of detail oriented experience with .NET (C#) development. 4+ years of front-end development experience using Angular along with HTML, CSS, and JavaScript. Strong background delivering full stack solutions with .NET technologies. Solid understanding of software architecture, design patterns, and clean coding practices. Hands-on experience creating and consuming RESTful APIs and microservices. Familiarity with agile methodologies and SDLC best practices. Proficiency with common development tools (Visual Studio, VS Code, SQL Management Studio). Experience working with Git or other version control systems. Strong problem-solving, debugging, and analytical skills. Excellent communication skills and ability to collaborate effectively with team members. Nice to Have: Background in healthcare technology. Knowledge of healthcare compliance standards (HIPAA, HL7, FHIR).
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
We are looking for a dedicated Credentialing Specialist to support healthcare operations in Richmond, Virginia. This long-term contract position offers the opportunity to apply your expertise in credentialing processes and compliance within the managed care sector. Join a dynamic team where your skills will ensure smooth workflows and adherence to industry standards.<br><br>Responsibilities:<br>• Oversee credentialing and re-credentialing applications for healthcare providers, ensuring compliance with Medicare, Medicare Advantage, and managed care organization standards.<br>• Manage the end-to-end credentialing process, including verifying provider qualifications, certifications, and licensure.<br>• Maintain accurate and up-to-date records in credentialing databases and systems.<br>• Ensure compliance with regulatory requirements and industry standards throughout credentialing workflows.<br>• Collaborate with healthcare providers and internal teams to address credentialing inquiries and resolve issues promptly.<br>• Conduct thorough audits of credentialing applications and documentation to ensure accuracy and completeness.<br>• Stay informed on changes in healthcare regulations and credentialing requirements to adapt processes as needed.<br>• Provide training and guidance to team members on credentialing procedures and best practices.<br>• Support the implementation of process improvements to enhance efficiency and accuracy in credentialing operations.
<p><strong>Job Title:</strong> Medical Claims Auditor - RN Auditor</p><p><strong>Location:</strong> Massachusetts – 90% Remote</p><p><strong>Job Type:</strong> 1 Year Contract - Potential for Perm Hire</p><p><strong>Hours:</strong> 40 hours per week</p><p><strong>Start Date:</strong> December 1, 2025</p><p><strong>Job Description</strong></p><p>We are seeking a qualified <strong>Auditor</strong> with healthcare experience to support Program Integrity activities for a state healthcare program. This role focuses on conducting both desk and onsite audits of healthcare providers to ensure compliance with contractual standards and regulatory requirements.</p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Conduct audits (onsite and desk-based) of healthcare providers in alignment with state program guidelines</li><li>Travel locally as required to perform onsite audits (1-4 times per month)</li><li>Evaluate claims and provider documentation for compliance and accuracy</li><li>Collaborate with internal audit teams and leadership to maintain audit quality standards</li><li>Document findings and present audit outcomes clearly and effectively</li><li>Use Microsoft Office tools to manage reports, track audits, and communicate outcomes</li><li>Adhere to defined Service Level Agreements (SLAs) for audit completion and reporting</li></ul>
We are looking for a highly skilled Contract Attorney to join our team on a long-term contract basis in Louisville, Kentucky. This role involves managing complex legal agreements, ensuring compliance, and contributing strategically to organizational growth. The ideal candidate will bring expertise in contract law and demonstrate the ability to navigate diverse legal challenges, particularly in the healthcare sector. <br> Responsibilities: • Draft, review, and negotiate a variety of contracts, including vendor, supplier, employment, and licensing agreements. • Conduct audits of existing client contracts to ensure compliance and identify areas for improvement. • Develop and maintain regulatory and compliance documentation, including privacy policies and terms of use. • Collaborate with stakeholders to design and implement contract strategies that align with business objectives. • Provide legal guidance on procurement documents, including requests for proposals (RFPs). • Ensure the accuracy and completeness of contracts by managing discovery processes and briefing motions as needed. • Work closely with internal teams to address contract-related issues and offer strategic solutions. • Facilitate contract renewals and modifications to meet evolving business needs. • Negotiate favorable terms with vendors and partners to optimize organizational outcomes. • Stay updated on legal and regulatory changes, particularly in healthcare law, to ensure compliance. <br> The pay range for this position is 66.50 to 77.00. Benefits available to contract/contract professionals, include medical, vision, dental, and life and disability insurance. Hired contract/contract professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
<p>Join a mission-driven organization that not only excels in the healthcare industry but is deeply committed to giving back to the community. Our client believes in fostering a culture of excellence, collaboration, and service, making a genuine impact both within their industry and the local society.</p><p><br></p><p><strong>Job Summary</strong>: Our client is seeking an experienced <strong>Senior Accountant</strong> with a background in <strong>audit</strong> and a strong understanding of the healthcare sector. In this vital role, you’ll play a key part in overseeing financial operations, ensuring compliance, and supporting organizational goals. Your past audit experience and technical accounting expertise will be critical in maintaining integrity and accuracy across financial reporting and operations.</p><p><br></p><p><strong>Key Responsibilities</strong>:</p><ul><li>Prepare and manage monthly, quarterly, and annual financial statements in compliance with GAAP.</li><li>Oversee the general ledger, reconcile accounts, and ensure accurate month-end and year-end close processes.</li><li>Conduct and support internal and external audits, leveraging prior audit experience to maintain internal control standards.</li><li>Analyze financial data to identify trends, variances, and improvement opportunities to support decision-making.</li><li>Ensure compliance with healthcare regulations and standards in all financial operations.</li><li>Collaborate with cross-departmental teams to provide insightful financial advice and support.</li><li>Assist in the budgeting and forecasting process to align financial strategies with organizational goals.</li></ul><p><br></p>
<p>We are looking for a meticulous Medical Billing Specialist to join our client's team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise. For immediate consideration, please apply first online, then reach out to our finance/accounting talent team at 937-224-0600</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance providers using accurate coding practices.</p><p>• Verify and update patient insurance information within internal systems.</p><p>• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.</p><p>• Review insurance claim denials and initiate corrections or appeals to ensure payment.</p><p>• Coordinate with third-party payers for authorizations and eligibility verification.</p><p>• Accurately post payments to patient accounts, including deductibles and copay amounts.</p><p>• Generate and send patient statements for outstanding balances.</p><p>• Address patient inquiries regarding billing concerns with professionalism and clarity.</p><p>• Ensure compliance with federal, state, and insurance-specific regulations.</p><p>• Create detailed reports on billing activities and accounts receivable trends for management review.</p>
We are looking for a skilled Medical Claims Examiner II to join our team in Roseburg, Oregon. This Contract-to-permanent position involves analyzing and processing healthcare claims to ensure compliance with organizational policies and industry regulations. The role requires excellent attention to detail and the ability to collaborate effectively with healthcare providers, insurance representatives, and other stakeholders.<br><br>Responsibilities:<br>• Review and assess complex medical claims to verify coverage, eligibility, and payment accuracy in accordance with contractual agreements.<br>• Analyze medical records, billing statements, and supporting information to validate claims and ensure compliance with established standards.<br>• Investigate discrepancies in claims, resolve billing issues, and identify fraudulent activities.<br>• Communicate clearly and professionally with healthcare providers, patients, and insurance representatives to address claims-related inquiries.<br>• Collaborate with internal teams, such as billing, collections, and compliance, to resolve escalated claims and investigate claim histories.<br>• Maintain comprehensive electronic records of claims and related documentation for auditing and quality assurance purposes.<br>• Stay informed on healthcare billing practices, insurance policies, and regulatory updates to ensure adherence to current standards.<br>• Propose enhancements to existing processes to improve the efficiency and accuracy of claims handling.
<p>We are looking for a dedicated Member Services Representative to join our team in Minneapolis, Minnesota. In this role, you will provide exceptional support to members by addressing their inquiries and ensuring their needs are met efficiently. </p><p><br></p><p>Responsibilities:</p><p>• Respond to member inquiries and provide accurate information regarding benefits and services.</p><p>• Assist members with booking transportation and resolving issues related to their healthcare needs.</p><p>• Handle calls related to billing, prescriptions, and other healthcare matters, ensuring timely and effective resolutions.</p><p>• Triage incoming calls to determine priority and direct them to the appropriate department or resource.</p><p>• Maintain accurate records of member interactions and update relevant systems as needed.</p><p>• Deliver excellent customer service by addressing concerns professionally and empathetically.</p><p>• Collaborate with internal teams to ensure seamless communication and service delivery.</p><p>• Follow established protocols and procedures to ensure compliance with healthcare regulations.</p><p>• Identify opportunities for process improvements to enhance member satisfaction.</p><p>• Stay informed about healthcare services and benefits to provide up-to-date information to members.</p>
<p>We are looking for an <strong><u>experienced Regulatory Legal Specialist</u></strong> to join our team on a contract basis in New York, New York. This role involves supporting regulatory compliance efforts, drafting legal documentation, and collaborating with subject matter experts to ensure adherence to healthcare regulations. <strong><u>The ideal candidate will bring expertise in healthcare law, regulatory affairs, or PBM/TPA operations</u></strong> to help streamline processes and maintain legal accuracy.</p><p><br></p><p>Responsibilities:</p><p>• Track, monitor, and assess the implications of changes to federal and state laws and regulations relevant to the organization.</p><p>• Maintain a centralized repository of regulatory updates and oversee the progress of their implementation.</p><p>• Partner with subject matter experts (SMEs) to confirm implementation plans and timelines.</p><p>• Create regulatory summaries, impact analyses, and internal guidance materials tailored to business needs.</p><p>• Draft and update policies and procedures aligned with regulatory requirements.</p><p>• Participate in cross-functional meetings to foster collaboration, ensure alignment, and uphold accountability across teams.</p>
We are looking for a skilled Medical Collections Specialist to join our team in Irvine, California. This is a Contract-to-Permanent position, offering an excellent opportunity to grow your career in a dynamic healthcare environment. The ideal candidate will play a vital role in managing accounts receivable, resolving payment discrepancies, and ensuring compliance with industry regulations.<br><br>Responsibilities:<br>• Manage accounts receivable by following up on outstanding payments, payment errors, and claim denials.<br>• Analyze insurance Explanation of Benefits (EOBs) and initiate appeals when necessary to resolve discrepancies.<br>• Maintain detailed documentation of account issues, resolutions, and follow-up actions for patient records.<br>• Prepare and send required documentation via mail or other channels to support claims processing.<br>• Stay informed about commercial and managed care pricing models, as well as relevant rules and regulations.<br>• Ensure compliance with organizational policies and healthcare laws, safeguarding patient confidentiality at all times.<br>• Participate in compliance training sessions and promptly report any concerns or incidents to management.<br>• Utilize systems such as EHR platforms, Epic Software, and IBM AS/400 to ensure efficient claims and collections processes.<br>• Support the team by performing additional tasks as directed by supervisors or management.<br>• Contribute to the overall success of the department by collaborating with colleagues to meet organizational goals.
<p>We are looking for a dedicated Patient Access Specialist to join our team in Bethel Park, Pennsylvania. In this Contract-to-permanent role, you will play a vital part in ensuring seamless patient admissions and interactions, while upholding organizational standards and regulatory compliance. This position offers an opportunity to impact patient care through exceptional service and attention to detail.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation.</p><p>• Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders.</p><p>• Meet assigned point-of-service goals through efficient and precise handling of patient accounts.</p><p>• Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed.</p><p>• Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances.</p><p>• Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians.</p><p>• Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections.</p><p>• Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable.</p><p><br></p><p>Shifts are 10-6:30pm M-F, with rotating Saturdays</p>
We are looking for an experienced Senior Commercial Counsel to join our team in Santa Clara, California. In this role, you will provide expert legal guidance for a variety of commercial operations, particularly those involving healthcare specialists and medical devices. This position is ideal for an attorney with a deep understanding of regulatory compliance and contract negotiation in a fast-paced business environment.<br><br>Responsibilities:<br>• Draft, negotiate, and review a diverse range of agreements, including sales, licensing, marketing, procurement, and research collaborations.<br>• Ensure marketing materials and promotional programs align with truth-in-advertising standards, company policies, and applicable legal requirements.<br>• Provide timely and practical legal advice to internal teams on matters related to commercial operations and healthcare-related interactions.<br>• Resolve legal disputes using negotiation and legal expertise, including pre-litigation settlements.<br>• Develop and maintain contract templates, playbooks, and training materials to streamline business processes.<br>• Build a strong understanding of the company’s products, services, and client needs to offer tailored legal counsel.<br>• Monitor and interpret relevant laws impacting sales, marketing, and reimbursement, such as fraud and abuse statutes, FDA regulations, privacy laws, and anti-corruption policies.<br>• Represent the company in external dealings with suppliers and customers to ensure alignment with legal and business objectives.<br>• Manage relationships with outside counsel, including defining project parameters and monitoring budgets.
seeking a highly organized and proactive Project Development Manager to oversee our organization's portfolio of new build and renovation projects. This role is responsible for managing the entire development lifecycle, from the signing of a Letter of Intent (LOI) through to the grand opening of the facility. The ideal candidate is not a supervisor of people, but a masterful manager of processes, ensuring seamless coordination between architects, engineers, general contractors, internal stakeholders, and regulatory bodies. You will be the central point of contact, guaranteeing that each project aligns with our strategic goals, operational needs, and stringent healthcare compliance requirements. <br>Roles and Responsibilities<br>1. Pre-Construction & Due Diligence<br>• Serve as the primary liaison after an LOI is executed, initiating the project development process.<br>• Coordinate and oversee all due diligence activities, including site feasibility studies, environmental assessments, zoning reviews, and utility availability.<br>• Manage the selection process for architects, engineers, and general contractors through the use of RFPs and interviews.<br>• Develop and maintain comprehensive project budgets, from initial estimates to final cost tracking, ensuring financial accountability.<br>• Collaborate with legal and real estate teams to review and finalize contracts, purchase agreements, and leases.<br>2. Design, Permitting, & Entitlements <br>• Oversee the architectural and engineering design process, ensuring plans meet clinical and operational requirements, patient experience goals, and brand standards.<br>• Champion compliance by ensuring designs adhere to all relevant codes, including ADA, HIPAA, life safety, and state/local health department regulations.<br>• Manage the submission and tracking of all required permits and approvals from municipal, county, and state agencies, proactively addressing any potential delays.<br>• Facilitate regular design review meetings with internal stakeholders (e.g., clinical operations, IT, marketing, facilities) to gather input and secure approvals.<br>3. Construction & Project Oversight <br>• Act as the owner's representative on-site and in all project meetings, monitoring construction progress against the established schedule and budget.<br>• Review and process contractor pay applications, change order requests, and requests for information (RFIs).<br>• Maintain a master project schedule and provide regular, clear status reports to executive leadership on key milestones, risks, and budget performance.<br>• Conduct quality control inspections to ensure workmanship meets our high standards and specifications.<br>4. Project Closeout & Grand Opening (Completion to Day One Operations)<br>• Manage the project closeout process, including punch list creation and completion, final inspections, and securing the Certificate of Occupancy.<br>• Coordinate the seamless turnover of the completed facility to the internal operations and facilities management teams.<br>• Oversee the procurement and installation of furniture, fixtures, and equipment (FF& E), and medical equipment, ensuring everything is in place for opening day.<br>• Compile and deliver all closeout documentation, including as-built drawings, warranties, and operations manuals.<br>Qualifications & Skills
<p>A growing <strong>multi-specialty healthcare organization</strong> in <strong>Vista</strong> is seeking an experienced <strong>Medical Billing Supervisor</strong> to oversee the billing department and ensure timely, accurate claims submission and reimbursement. The ideal candidate is a hands-on leader with deep understanding of medical billing practices, compliance requirements, and payer regulations.</p><p>This position offers a great opportunity to work in a collaborative environment where accuracy, compliance, and mentorship are valued.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Supervise daily operations of the billing department, including claim submission, payment posting, and denial management.</li><li>Train, mentor, and evaluate billing staff to ensure consistent performance and adherence to policy.</li><li>Monitor aging reports and identify trends in claim rejections or delays.</li><li>Review complex claims for accuracy, completeness, and compliance prior to submission.</li><li>Collaborate with the Revenue Cycle Manager to implement process improvements and reduce A/R days.</li><li>Ensure timely follow-up on outstanding claims and coordinate corrections or appeals.</li><li>Maintain compliance with HIPAA, Medicare, Medi-Cal, and all other payer requirements.</li><li>Prepare and present monthly billing performance reports to management.</li><li>Coordinate with clinical and administrative departments to resolve coding and documentation discrepancies.</li><li>Travel locally as needed to attend meetings or gather financial data for reporting purposes.</li></ul>
<p>We are seeking a few highly skilled and detail-oriented Revenue Integrity Analyst(s)/Senior Analysts to join our consulting team with a possible permanent position at our client. This role is essential in ensuring the integrity of revenue processes by focusing on charge capture, clinical documentation management, compliance, denial prevention, and reducing revenue leakage. The ideal candidate will play a critical role in safeguarding operational efficiency, improving reimbursement, and supporting organizational goals through their expertise in claims analysis, coding audits, and charge master processes.</p><p><br></p><p>Key Metrics of Success:</p><p><br></p><p>Reduction in denial rates through improved claims management and appeal processes.</p><p>Minimization of revenue leakage through accurate charge capture and coding audits.</p><p>Enhanced clinical documentation that aligns with coding and billing requirements.</p><p>Proactive</p><p><br></p><p>Qualifications:</p><p><br></p><p>Strong knowledge of healthcare revenue cycle, coding standards (e.g., ICD-10, CPT, and HCPCS), and billing regulations. Exposure/experience Epic, Cerner, etc.</p><p>Experience with charge description master management, claims denial analytics, and workflows associated with clinical charge capture.</p><p>Familiarity with payer guidelines and regulatory compliance in revenue cycles.</p><p><br></p><p><br></p><p>Revenue integrity ensures a healthcare organization receives accurate and compliant reimbursement for all services provided by maintaining high standards in clinical documentation, coding, billing, and payer relations. It involves continuous</p><p>monitoring, auditing, and training to prevent revenue leakage, reduce errors and denials, and ensure operational efficiency, ultimately supporting financial stability while adhering to regulatory standards.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>Revenue Integrity Oversight: Perform daily activities to uphold and enhance the organization's revenue integrity processes, ensuring accurate charge capture and clinical documentation management.</p><p>Charge Capture Analysis: Monitor and optimize charge capture workflows to ensure all procedures and services are accurately billed, minimizing missed opportunities and revenue leakage.</p><p>Clinical Documentation Management: Partner with clinical teams to ensure accurate and complete clinical documentation that supports appropriate coding practices and maximizes reimbursement.</p><p>Claims Review and Denial Prevention: Regularly analyze claims data to identify trends in denials and missed reimbursements; implement proactive solutions to reduce denial rates and appeal claims as necessary.</p><p>Coding Audit Integrity: Conduct thorough audits of coding practices and records to ensure compliance with all regulatory standards and accuracy in reimbursement. Provide feedback and recommendations for corrective action where discrepancies are identified.</p><p>Revenue Leakage Prevention</p><p>Charge Description Master (CDM) Management: Collaborate with CDM management teams to ensure accurate and up-to-date maintenance of the charge description master. Partner with clinical and billing departments to resolve discrepancies or errors.</p><p>Claim and Reporting Analysis</p>
We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.<br>• Manage medical billing operations, ensuring timely and accurate processing.<br>• Handle medical claims by reviewing, validating, and resolving discrepancies.<br>• Collaborate with team members to streamline billing functions and improve workflows.<br>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.<br>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.<br>• Support the transition of revenue processes back in-house, ensuring seamless integration.<br>• Provide detailed reporting on billing and claims metrics to stakeholders.<br>• Assist in supply chain-related tasks when applicable to revenue cycle management.<br>• Maintain up-to-date knowledge of industry practices and regulatory changes.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
