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 an experienced Revenue Cycle Analyst to join our team in Cayce, South Carolina on a contract basis. In this role, you will play a pivotal part in optimizing revenue cycle processes and enhancing the efficiency of billing operations within the healthcare domain. This position requires hands-on expertise in revenue cycle management and the ability to train and guide teams on best practices.<br><br>Responsibilities:<br>• Analyze existing revenue cycle processes to identify inefficiencies and implement improvements.<br>• Provide training and mentorship to the billing department to ensure adherence to industry best practices.<br>• Streamline medical billing operations to enhance accuracy and efficiency.<br>• Manage accounts receivable to ensure timely resolution and cleaning of outstanding balances.<br>• Collaborate with internal teams to establish standardized procedures for billing claims.<br>• Offer guidance on medical claims processing and ensure compliance with healthcare regulations.<br>• Introduce and implement tools or systems to support revenue cycle optimization.<br>• Conduct periodic audits to assess the effectiveness of billing and revenue management processes.<br>• Monitor and report on key performance indicators related to revenue cycle operations.<br>• Support the organization’s goal of expanding billing services to external clients.
<p>A prestigious healthcare non-profit organization is seeking a talented Medical Revenue Cycle Director to join their organization. The revenue cycle director will be responsible for managing a team of 6 that will support billing, collections, and coding operations for their facilities that include outpatient, urgent cares, and ambulatory surgery centers. The revenue cycle director will implement productivity metrics, KPI's, and assist in creating automated processes for their department. The revenue cycle director will implement and maintain policies and procedures for the department.</p><p><br></p><p>Responsibilities</p><ul><li>5+ years of revenue cycle leadership experience from both a professional and facility setting.</li><li>This position is accountable for the development, operations, and optimization their ambulatory surgery center and urgent care processes within Revenue Cycle</li><li>Manage a team of 6 and responsible for implementing change management initiatives and policies and procedures throughout the enterprise system.</li><li>Partners with the system level leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance, and vendor management</li><li>Audit Ambulatory Surgery Center and Factor charges to ensure accuracy and appropriateness. Ensures that any errors identified by coder are corrected and pre-scrubbed in a timely manner to ensure clean claims.</li><li>Bachelor’s degree is a plus and systems experience with EPIC or Athena is preferred.</li></ul><p><br></p>
<p>Lana Funkhouser with Robert Half is looking for a skilled Revenue Cycle Manager to oversee and enhance the financial health of our organization in Emmett, Idaho. This role involves leading all aspects of revenue cycle operations, ensuring compliance with regulatory standards, and implementing strategies to improve efficiency and accuracy in billing and coding. The ideal candidate will bring strong expertise in healthcare revenue management and a proven ability to drive results through collaboration and innovation.</p><p><br></p><p>Responsibilities:</p><p>• Develop and execute strategic plans for the Revenue Cycle team, setting clear goals and objectives.</p><p>• Provide expert oversight on CPT and ICD-10 coding, while preparing for the transition to ICD-11 standards.</p><p>• Manage the Chargemaster, ensuring timely updates and accurate coding for all services to support proper billing.</p><p>• Utilize quality improvement tools to monitor billing accuracy, identify concerns, and implement corrective actions.</p><p>• Deliver training to providers and staff on updates to coding and billing practices, particularly for Critical Access Hospitals.</p><p>• Ensure compliance with privacy standards, the No Surprises Act, Hospital Price Transparency Rule, and other federal and state regulations.</p><p>• Build and maintain strong relationships with insurance companies to address issues affecting cash flow, such as claim denials or policy changes.</p><p>• Drive revenue integrity by optimizing charge capture, reimbursement processes, patient collections, and minimizing bad debt.</p><p>• Regularly evaluate team performance, ensuring goals are met and providing feedback for continuous improvement.</p><p>• Act as the subject matter expert on revenue cycle operations, advising leadership on payer relations and regulatory changes.</p><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p><p><br></p>
<p>We are looking for a detail-oriented Medical Revenue Cycle Associate to join our team our team in Los Angeles, California. The Medical Revenue Cycle Associate will play a critical part in optimizing the medical billing and collections process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to verify accuracy and completeness before forwarding them to the appropriate payer.</p><p>• Medical Insurance collections and denials management.</p><p>• Analyze denial information and correspondence to identify reasons for unpaid claims, taking action to resolve issues and resubmit claims promptly.</p><p>• Investigate patient accounts and payment records to confirm proper billing and rectify discrepancies, adjusting balances as necessary.</p><p>• Prepare and submit corrections or appeals for rejected claims, adhering to payer-specific guidelines and including all required documentation.</p><p>• Process adjustments for charges that cannot be billed, ensuring compliance with established adjustment protocols.</p><p>• Verify that required authorizations, TARs/SARs, are included in claim submissions, and take steps to secure missing authorizations when needed.</p><p>• Maintain productivity and quality standards by consistently meeting deadlines and accuracy requirements.</p><p>• Collaborate with team members and supervisors to address complex billing issues and improve workflows.</p>
<p>We are looking for a dedicated Revenue Billing Cycle Manager to oversee and optimize the revenue cycle processes for our healthcare organization in Hilo, Hawaii. This role requires a strategic thinker who can lead teams effectively, analyze financial data, and ensure compliance with industry regulations. If you have a strong background in revenue management and are passionate about improving operational efficiency, we encourage you to apply by calling us at 808-531-8056. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage all aspects of the revenue cycle, including patient registration, coding, claims submission, payer relations, and collections.</p><p>• Supervise and mentor a team of 30 or more staff members, fostering growth and collaboration.</p><p>• Analyze financial data to identify trends and implement strategies for revenue cycle optimization.</p><p>• Ensure compliance with healthcare regulations and standards throughout all billing and financial processes.</p><p>• Collaborate with internal and external stakeholders to address billing issues and improve operational workflows.</p><p>• Utilize advanced software systems like Sunquest, XiFin, and Epic to streamline revenue management operations.</p><p>• Develop and oversee budgets, ensuring efficient allocation of resources.</p><p>• Monitor accounts receivable and auditing processes to maintain financial accuracy and transparency.</p><p>• Implement solutions to resolve denials and improve claims management.</p><p>• Conduct regular performance reviews and provide actionable feedback to enhance team productivity.</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>Our healthcare client in Carlsbad is searching for a <strong>Billing Specialist</strong> to join their fast-paced and collaborative administrative team. This role is ideal for someone who enjoys problem-solving, has strong attention to detail, and thrives in an environment where accuracy and efficiency directly support patient care. The Billing Specialist will manage insurance claims, patient accounts, and billing inquiries. You’ll play a key part in ensuring that revenue cycles flow smoothly, and that both payors and patients are served with professionalism.</p><p><br></p><p><strong><u>Responsibilities</u></strong></p><ul><li>Process billing claims accurately and in a timely manner, ensuring compliance with insurance regulations.</li><li>Work with a wide range of payor groups, from commercial carriers to government programs.</li><li>Apply knowledge of CPT, ICD-10, and HCPCS coding when preparing claims.</li><li>Review and resolve claim rejections, denials, and outstanding balances.</li><li>Communicate with insurance companies, patients, and providers to clarify and resolve billing issues.</li><li>Maintain accurate patient billing records in the system.</li><li>Support month-end reconciliation and reporting related to billing and collections.</li><li>Collaborate with internal departments to ensure proper documentation is received for claims processing.</li></ul><p><br></p>
<p><strong>Remote Revenue Cycle Manager – Full-Time</strong></p><p>We’re seeking a skilled <strong>Revenue Cycle Manager</strong> to lead and optimize revenue operations across multiple healthcare facilities. This fully remote role focuses on managing denials, improving cash flow, ensuring compliance, and driving process improvements. You’ll play a key role in analyzing financial data to identify trends and enhance revenue performance.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Oversee daily revenue cycle operations</li><li>Manage denials and private pay processes</li><li>Monitor and report on cash flow and performance metrics</li><li>Ensure compliance with managed care policies</li><li>Identify and implement process improvements</li><li>Analyze financial data to support strategic decisions</li></ul><p><br></p><p><strong>What We’re Looking For:</strong></p><ul><li>Experience in <strong>Skilled Nursing Facilities (SNF)</strong> or <strong>Senior Living</strong> required</li><li>Strong background in <strong>Revenue Cycle Management</strong></li><li>Knowledge of <strong>Managed Care</strong> and <strong>Private Pay</strong> procedures</li><li>Bachelor’s degree in Business, Healthcare Management, Finance, or related field (preferred)</li><li>Excellent analytical, organizational, and problem-solving skills</li><li>Strong written and verbal communication abilities</li><li>Proficiency in Microsoft Word, Excel, and Outlook</li><li>Ability to work independently in a remote environment</li><li>Professional demeanor and collaborative mindset</li></ul><p><br></p>
<p><strong>Position Summary:</strong></p><p>The <strong>Revenue Integrity Analyst </strong>plays a critical role in ensuring accurate and compliant charge capture, billing, and documentation practices across clinical departments. This position is a <strong>contract </strong>role for our amazing client in <strong>Nashville</strong>, TN, and supports revenue optimization by analyzing data, identifying discrepancies, and collaborating with clinical and coding teams to improve processes and ensure regulatory compliance. The facility includes both <strong>inpatient and outpatient services</strong>, requiring a broad understanding of diverse care settings and billing structures.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Review clinical documentation and charge data to ensure completeness, accuracy, and compliance with hospital policies and payer requirements.</li><li>Analyze trends in revenue leakage, denials, and underpayments; prepare detailed reports and present findings to leadership for strategic decision-making.</li><li>Partner with coding, billing, compliance, and clinical teams to resolve discrepancies and implement best practices in documentation and charge capture.</li><li>Stay current with CMS guidelines, payer policies, and industry standards to ensure hospital billing practices remain compliant.</li><li>Identify opportunities for workflow enhancements and automation to improve revenue integrity and reduce errors.</li></ul><p><br></p>
<p>Robert Half is working with a dynamic healthcare organization that is looking for a Revenue Data Analyst. The Revenue Data Analyst plays a key role in translating complex financial data into actionable insights for operational decision-makers and executive leaders. This position focuses on analyzing revenue-related data from senior care operations, identifying trends, ensuring accuracy, and producing comprehensive reports that support informed decision-making. The role demands deep expertise in healthcare payer sources, strong analytical capabilities, and the ability to effectively communicate financial insights with clarity. Collaborating with stakeholders ranging from IT teams to organizational leadership, the analyst is responsible for aligning reporting frameworks and ensuring consistent, reliable data delivery to support strategic goals. If you or someone you know is interested in a Revenue Data Analyst and come with 3+ years experience, please contact Melissa Valenzuela at 816-601-1192 for more details! This position is fully remote. </p><p><br></p><p><strong>Core Responsibilities:</strong></p><ul><li>Develop and maintain detailed revenue reports to monitor financial performance across multiple care settings.</li><li>Validate data integrity and trend consistency to provide accurate financial insights to stakeholders.</li><li>Research and interpret complex payer sources and billing cycles to assess overall revenue health.</li><li>Examine revenue drivers and operational metrics to identify opportunities for optimization and process improvements.</li><li>Collaborate across departments to align enterprise-wide reporting standards and methodologies.</li><li>Prepare clear and intuitive presentations of financial data for executive stakeholders.</li></ul><p><strong>Required Qualifications:</strong></p><ul><li>Bachelor's degree in Finance, Healthcare Management, Business Administration, or a related field.</li><li>Minimum of 3 years of applicable experience in analytics or reporting, with healthcare revenue cycle expertise preferred.</li><li>Strong Excel proficiency (complex formulas, pivot tables, VLOOKUPs). Experience with software tools like Tableau, Power BI, or similar platforms is a bonus.</li><li>Familiarity with database queries or SQL considered an advantage.</li><li>Comprehensive understanding of healthcare billing operations and payer types such as Medicare, Medicaid, Managed Care, and Private Pay.</li><li>Knowledge of compliance standards related to billing and collections processes.</li><li>Excellent written and verbal communication skills, with the ability to deliver insights to a variety of audiences.</li><li>Strong organizational and prioritization skills within dynamic environments.</li></ul><p><strong>Key Attributes:</strong></p><ul><li>Analytical thinker with a talent for transforming data into practical strategies.</li><li>Detail-oriented approach to problem-solving and a commitment to data integrity.</li><li>Proactive team player capable of collaborating across disciplines.</li><li>Professional and polished demeanor, even in high-pressure situations.</li></ul><p><br></p>
We are looking for an experienced Controller to join a well-established healthcare non-profit organization in Augusta, Maine. This role is ideal for a motivated and detail-oriented individual with a strong background in accounting and financial management, particularly in non-profit or healthcare settings. You will oversee critical financial operations, ensuring the organization’s fiscal health and compliance.<br><br>Responsibilities:<br>• Manage full-cycle general ledger accounting processes, including month-end and year-end close procedures.<br>• Develop and maintain annual budgets, ensuring alignment with organizational goals.<br>• Lead audits, preparing necessary documentation and collaborating with external auditors.<br>• Prepare and analyze financial statements to provide insights into organizational performance.<br>• Oversee the healthcare revenue cycle, ensuring accurate financial reporting and compliance.<br>• Implement and maintain effective internal controls to safeguard assets and manage risks.<br>• Collaborate with leadership to provide financial guidance and support strategic decision-making.<br>• Ensure compliance with non-profit accounting standards and regulatory requirements.<br>• Utilize Microsoft Excel to create detailed financial models and reports.<br>• Drive process improvements to enhance efficiency and accuracy in financial operations.
<p>Chris Preble from Robert Half is working with a Syracuse area client of his that has a remote Senior Financial Analyst hiring need. This healthcare consulting company has been rapidly growing and this is a newly created position for them. </p><p><br></p><p>It is strongly preferred that you have a foundation in public accounting and you must have current analysis/fp& a type of experience. Strong preference will be given to candidates that have healthcare industry experience. Either having healthcare industry clients or if you're currently working for a healthcare industry employer.</p><p><br></p><p>Role:</p><p>As part of our continued expansion, we’re seeking a dynamic and detail-oriented Senior Financial Analyst to join our high-performing team. This role offers significant opportunities for professional growth, leadership development, and client exposure in a collaborative, mission-driven environment.</p><p><br></p><p><strong>Position Overview:</strong></p><p>The Senior Financial Analyst will support client engagements and internal financial strategy by providing insightful analysis, financial modeling, and recommendations that drive healthcare performance improvement. This role is ideal for a strategic thinker who thrives in a fast-paced, consulting-focused setting.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Serve as a financial expert on client projects, supporting strategy, operations, and transformation initiatives.</li><li>Build and maintain complex financial models related to healthcare cost structures, reimbursement models, margin improvement, and ROI analyses.</li><li>Conduct market research, benchmarking, and scenario planning to inform strategic decisions for clients.</li><li>Collaborate with consultants and clients to develop and present financial insights and solutions.</li><li>Support internal strategic planning, pricing analysis, and business development efforts.</li><li>Present findings and recommendations to client executives and internal leadership.</li><li>Participate in performance improvement engagements, cost optimization reviews, and M& A financial due diligence.</li><li>Travel to client sites as needed (approximately 10%).</li></ul>
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.
<p>We are seeking a skilled and detail-oriented <strong>Patient Account Supervisor</strong> to join our dynamic team. As a <strong>Patient Account Supervisor</strong>, you will be a key leader in ensuring exceptional customer service and optimizing revenue for our clients. You'll lead by example, guiding your team to resolve complex billing and insurance inquiries through both phone and written communication.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 5pm EST</p><p><br></p><p>Responsibilities for the position include the following: </p><ul><li> Leads as a role model in conduct and performance by ensuring customer payments adhere to set guidelines for both agency and client that maximize revenue for our clients and customers, while consistently meeting and exceeding the highest standards for delivering excellent service over the phone and in writing to resolve all billing and insurance questions.</li><li> Prepares daily tasks and oversight of Patient Care Representatives with management support. Performs quality checks, develops and reviews production reports, and identifies areas to improve and implements measures to improve performance with leadership approval.</li><li> Leads employee development and conducts quality checks with all direct reports to outline areas of opportunity or success.</li><li> Handles complex requests such as escalated calls, customer disputes, and achieve the highest standard for documenting all interactions effectively and consistently. Plan and lead team meetings and training programs to improve team and department performance.</li><li> Represents the department as a subject matter expert on products and systems. Develops and implements projects, leads change to ensure departmental objectives are met.</li></ul><p><br></p>
<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>
<p><strong>Senior Project Manager II</strong></p><p><strong>Contract: </strong>15 weeks, Contract to Hire</p><p><strong>Work Arrangement:</strong> Remote</p><p><strong>Work Hours:</strong> Monday through Friday, 8:00 AM – 5:00 PM </p><p><strong>Job Overview:</strong></p><p>We are seeking an experienced <strong>Senior Project Manager II</strong> to lead the implementation of a new contact center team and associated technology across multiple physician practices. In this role, you will work closely with contact center leadership to develop and execute project plans encompassing process mapping, testing, rollout planning, business requirements, and communication strategies. The Senior Project Manager II will coordinate activities across business units, physician practices, and technical teams, ensuring projects are delivered on time, within budget, and to defined specifications.</p><p>This high-visibility role requires strong communication, organizational, and leadership skills, as well as a demonstrated ability to drive transformation and manage stakeholder relationships effectively.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Act as the primary point of accountability for assigned projects.</li><li>Coordinate and manage relationships across multiple stakeholders, including business owners, team members, and service centers.</li><li>Develop strategic documents (e.g., project charters, education and communication plans, detailed project plans) and provide updates/presentations to stakeholders.</li><li>Identify and mitigate project risks, issues, and cross-project dependencies.</li><li>Ensure deliverables are completed throughout the project lifecycle.</li><li>Facilitate decision-making, problem-solving, and the creation of implementation toolkits or migration schedules.</li><li>Mentor and manage project team members as appropriate.</li></ul><p><br></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 Senior Epic Business Analyst to join our friendly healthcare team, with 5+ years of experience in Epic.across our healthcare organization. </p><p><br></p><ul><li><strong>5 years’ Epic data analysis experience</strong></li><li><strong>Access Data Model Certification</strong></li><li><strong>Epic Clarity & Revenue Data Model Certification</strong></li><li><strong>Cogito and Cogito Fundamentals Certification</strong></li><li><strong>Optimize patient access and revenue cycle performance </strong></li><li><strong>SQL</strong></li></ul><p>Salary: $98,000 - $121,000</p><p>Mostly remote, Approximately once or twice per month in office in Portland, OR Metro area.</p><p>Excellent benefits, really friendly team!</p><p>Must live in Oregon or Washington. (Small relocation allowance offered)</p><p><br></p><p>Benefits:</p><p>Medical, Vision, Dental, Life & Disability Insurance</p><p>Retirement Plans</p><p>Paid Vacation: PTO accruals from 120 to 264 hours annually based on years of service and employment type (WA/OR exempt/non-exempt)</p><p>Paid Holidays: Standard holidays</p><p>Sick Leave: Covered under Personal Time bank; 2 hours per pay period.</p>
We are looking for an experienced Controller to join our team on a contract basis in Hudson, New York. This role is ideal for someone who thrives in both strategic and hands-on environments, overseeing financial reporting and guiding team development. The position will require occasional onsite presence during close weeks, with hybrid flexibility at other times.<br><br>Responsibilities:<br>• Lead high-level financial reporting and preparation of financial statements to ensure accuracy and compliance.<br>• Provide oversight for treasury functions and manage cash flow strategies.<br>• Collaborate closely with two Accounting Managers to support financial analytics and reporting.<br>• Offer training and mentorship to team members, including stepping in to assist with transactional tasks during lighter periods.<br>• Supervise and guide the Accounting Manager, including oversight of payroll operations as needed.<br>• Ensure smooth month-end close processes and maintain comprehensive financial controls.<br>• Utilize Workday software for financial management tasks and reporting.<br>• Maintain flexibility to adapt to both strategic planning and operational needs within the department.<br>• Uphold compliance with healthcare industry regulations and standards.<br>• Assist with healthcare-related financial processes, leveraging revenue cycle knowledge where applicable.
We are looking for a dedicated Staff Accountant to join our team in Elk Grove, California. In this Contract-to-permanent role, you will play a pivotal part in managing financial operations for a non-profit organization, ensuring accuracy and compliance with industry standards. This position offers an excellent opportunity for professionals seeking to contribute their expertise in accounting within a meaningful and impactful setting.<br><br>Responsibilities:<br>• Develop a comprehensive hospital fees charge master by collaborating with the California Department of Health Care Access and Information (HCAI).<br>• Review and validate hospital proformas, including schedules, grids, and salary tables.<br>• Analyze and assess employee benefits costs to ensure budgetary alignment.<br>• Create simulation modules to evaluate cash flow scenarios and "what if" analyses.<br>• Build an integrated chart of accounts tailored to support billing, accounting, reconciliation, and other financial functions.<br>• Establish and document policies and procedures for internal controls across accounts receivable/payable, cash handling, purchasing, property management, and inventory.<br>• Collaborate with development teams to monitor and adjust project budgets as required.<br>• Perform additional duties as assigned to support organizational financial objectives.
We are looking for a dedicated Financial Counselor to join our team on a contract basis in Santa Rosa, California. This role is integral to ensuring smooth patient admissions, financial counseling, and the management of self-pay accounts. The Financial Counselor will collaborate with various departments and team members, including the Revenue Cycle Team, Patient Access, case managers, insurance representatives, and healthcare providers.<br><br>Responsibilities:<br>• Facilitate patient admissions by conducting interviews, verifying insurance coverage, and processing necessary paperwork.<br>• Provide financial counseling to patients and their families, offering guidance on payment options and resolving admission-related inquiries.<br>• Manage patient valuables securely during hospital stays and handle monetary transactions such as co-payments and payment arrangements.<br>• Assess private pay accounts, verify insurance details, and coordinate credit and collection procedures to ensure timely account resolution.<br>• Collaborate with case managers, physicians, and other staff to decrease claim denials and increase reimbursement efficiency.<br>• Maintain thorough knowledge of third-party payer processes, Medi-Cal billing requirements, and charity care criteria.<br>• Generate price estimates, analyze financial reports, and ensure timely reporting of accounts.<br>• Handle incoming calls with a detail-oriented approach, providing excellent customer service and timely responses.<br>• Demonstrate strong organizational skills by independently managing workflows and multi-registration processes.<br>• Maintain a detail-oriented demeanor and ensure service excellence in all interactions with patients, peers, and hospital staff.
We are looking for an experienced and meticulous Associate Patient Care Coordinator to join our healthcare team in Irwin, Pennsylvania. This Contract position plays a crucial role in ensuring a seamless patient experience through efficient management of registration, scheduling, and administrative tasks. The ideal candidate will excel in customer service and thrive in a fast-paced environment that demands multitasking and attention to detail.<br><br>Responsibilities:<br>• Coordinate patient registration processes, ensuring accurate and timely collection of demographic and insurance information.<br>• Schedule appointments using specialized scheduling software and provide clear instructions to patients regarding testing procedures.<br>• Address billing inquiries and assist patients with resolving insurance-related issues, including obtaining necessary authorizations and referrals.<br>• Maintain and update patient medical records with precision, adhering to departmental policies and compliance standards.<br>• Deliver exceptional customer service by assessing patient needs and responding promptly to inquiries and concerns.<br>• Collaborate with physicians, staff, and other departments to ensure smooth workflow and a positive experience for all stakeholders.<br>• Communicate effectively with management to identify and resolve issues impacting workflow and recommend process improvements.<br>• Uphold high standards by treating all patients and staff with dignity and respect during interactions.<br>• Adapt to changes in policies, insurance regulations, and system updates to maintain efficiency and compliance.<br>• Ensure consistent attendance and punctuality to support the operational needs of the clinic.
<p>Adam Wood with Robert Half Finance & Accounting is assisting a publicly traded health organization (a leader in population health management) with their search for a Director of Accounting.</p><p><br></p><p>The Director of Accounting will be primarily responsible for overseeing the accounting operations of the organization, including general accounting, payroll, accounts payable, and revenue cycle functions. The Director will collaborate with cross-functional teams to drive efficiency and accuracy in financial processes.</p><p><br></p><p>Duties and Responsibilities include, but are not limited to:</p><p>• Lead and develop corporate accounting capabilities, including general accounting, accounts payable, payroll and revenue cycle.</p><p>• Perform and manage the monthly, quarterly and year-end close processes, ensuring timely and accurate financial reporting.</p><p>• Build relationships and communications with external auditors and service providers throughout cycle and during audits.</p><p>• Maintain the general ledger and ensure accuracy and integrity of all financial statements in accordance with GAAP.</p><p>• Establish and maintain formal accounting policies, practices, and procedures to ensure US and local GAAP compliance.</p><p>• Ensure all accounting activities comply with SOX internal control requirements and documentation standards.</p><p>• Ensure compliance with local, state, and federal government reporting requirements and tax filings.</p><p>• Implement continuous improvement opportunities in all areas of responsibility including shortening the close timeline.</p><p><br></p><p>Required Qualifications and Experience:</p><p>• Bachelor's degree in accounting required</p><p>• CPA certification required</p><p>• Minimum 7-10+ years’ experience in accounting/finance</p><p>• Experienced senior accounting leader with a background that includes working in a publicly traded company</p><p>• Demonstrated experience in building and / or significantly enhancing the accounting function within a publicly traded company</p><p>• Experience in complex high-performing companies of size and scope, with the ability to draw upon best-in-class processes and procedures</p><p>• Healthplan company experience preferred in a multi-site enterprise.</p><p>• Hands-on experience with NetSuite or like enterprise systems is a plus.</p><p>• Assertive, action orientated hands‐on, “roll up your sleeves” ‐type approach (player/coach).</p>
We are looking for an experienced Chief Financial Officer (CFO) to take charge of financial operations and strategy for a community-focused healthcare organization in Mountain Mesa, California. This leadership role is ideal for someone who excels in financial management, enjoys collaborating across departments, and seeks to make a meaningful impact in the healthcare industry. The CFO will play a critical role in shaping the organization’s financial policies and ensuring its long-term sustainability.<br><br>Responsibilities:<br>• Develop and present comprehensive financial reports, performance analyses, and trend evaluations to assist executive decision-making.<br>• Lead the formulation of budgets, forecasts, and long-term financial plans to maintain fiscal stability.<br>• Oversee cost accounting, purchasing, capital asset management, auditing, and regulatory compliance efforts.<br>• Manage relationships with external entities, including lenders, insurers, auditors, and regulatory agencies.<br>• Implement and maintain robust internal controls and financial processes across all organizational departments.<br>• Collaborate with executive leadership to provide strategic financial guidance and shape organizational priorities.<br>• Supervise and mentor finance teams, fostering detail-oriented growth and cross-functional collaboration.<br>• Ensure optimal healthcare reimbursement processes and compliance with industry standards.<br>• Drive initiatives that enhance operational efficiency and support the organization’s mission-driven goals.<br>• Monitor and manage financial risks while identifying opportunities for organizational growth.
