<p>We are looking for an experienced attorney with a minimum of five years of medical malpractice litigation expertise to join our mid-sized Plaintiff's law firm team in Phoenix, Arizona. This position offers an opportunity to work with a dynamic plaintiff-focused law firm, handling complex civil cases and advocating for clients in need. The ideal candidate will bring strong litigation skills, a passion for justice, and a proven ability to manage cases from initiation to resolution.</p><p><br></p><p>Responsibilities:</p><p>• Represent clients in medical malpractice cases, ensuring thorough preparation and advocacy in all stages of litigation.</p><p>• Draft legal motions, briefs, and other required documents with precision and attention to detail.</p><p>• Conduct comprehensive discovery processes, including depositions and interrogatories, to build strong cases.</p><p>• Collaborate with a dedicated legal team to strategize and execute effective case plans.</p><p>• Analyze medical records and expert opinions to support claims and develop persuasive arguments.</p><p>• Negotiate settlements where appropriate, while maintaining a focus on the best interests of the client.</p><p>• Prepare for and participate in trials, presenting evidence and arguments in court.</p><p>• Stay current on legal trends and updates in medical malpractice litigation to strengthen case strategies.</p><p>• Communicate effectively with clients, providing clear guidance and updates throughout the legal process.</p>
<p><strong>Customer Service Representative - Contract </strong></p><p><strong>Location: </strong>Remote (Central Time Zone) </p><p><strong>Duration: </strong>78 Weeks </p><p><strong>Pay: </strong>Available on W2 </p><p>We are seeking an experienced, detail-oriented Customer Service Representative to provide high-level support to internal teams and healthcare professionals. This role requires strong communication skills, a proactive mindset, and the ability to work independently in a remote environment. Candidates must be comfortable managing inquiries, resolving issues, and ensuring seamless service across multiple departments.</p><p><br></p><p>The Customer Service Representative will serve as a primary point of contact for sales teams, healthcare professionals, and internal departments. This role involves managing customer inquiries, resolving issues, documenting interactions, and ensuring timely communication to support business operations. The ideal candidate thrives in a fast-paced environment, demonstrates exceptional customer service skills, and can effectively collaborate across teams.</p><p><strong>Key Responsibilities</strong></p><ul><li>Provide responsive, professional customer support in an independent, remote work environment.</li><li>Serve as the customer-facing voice, delivering solutions to inquiries and issues with accuracy and clarity.</li><li>Provide proactive updates on order status to support timely processing and billing.</li><li>Assess incoming requests and determine when escalations are required based on urgency or complexity.</li><li>Manage and document customer complaints in the CRM system.</li><li>Coordinate with internal departments—including Sales, Customer Service, Distribution, and Accounts Receivable—to ensure exceptional service and adherence to quality standards.</li><li>Deliver phone support for inquiries from sales teams and healthcare professionals.</li><li>Respond promptly, courteously, and professionally to support positive business relationships.</li><li>Process all tasks according to established procedures, policies, and standard operating guidelines.</li><li>Share constructive feedback and suggestions for improving internal processes and customer support practices.</li><li>Maintain a positive, cooperative, and solutions-focused attitude.</li><li>Support the Sales Department by researching and responding to questions received via phone, email, or fax.</li><li>Compile and analyze customer data to prepare product or service-related reports.</li><li>Potentially serve as a specialized representative for CSR or POC functions.</li><li>Perform additional duties as assigned.</li></ul><p><br></p>
<p>We are looking for a dedicated Medical Part-Time Receptionist to join our team in Sandy Hook, Connecticut. This role is a Contract to permanent position, offering an excellent opportunity for career growth within a supportive environment. The ideal candidate will play a key role in ensuring the efficient operation of the office while delivering exceptional service to clients.</p><p><br></p><p>Responsibilities:</p><p>• Perform accurate data entry tasks using computer systems to maintain client records and appointment schedules.</p><p>• Handle payment collections, including co-pays, in a detail-oriented and organized manner.</p><p>• Manage client appointments, including scheduling and confirming bookings.</p><p>• Maintain confidentiality and uphold discretion in all interactions with clients and internal matters.</p><p>• Provide administrative support to the Clinical Director, Medical Director, and other clinicians as needed.</p><p>• Respond to inbound calls and inquiries with a detail-oriented approach and excellent customer service.</p><p>• Assist in ensuring the smooth day-to-day operations of the office.</p><p>• Address client needs promptly and with a customer-focused approach.</p>
<p><em>The salary range for this position is $140,000-$145,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p>Join the wave of young finance professionals who are swapping their mundane 9-5s for fresh opportunities with Chicago’s top companies. </p><p><br></p><p><strong>PRIMARY DUTIES AND ACCOUNTABILITIES</strong></p><ul><li>Supports the preparation of benefit plan financial statements and Form 5500 filings.</li><li>Supports preparation and delivery of corporation's monthly financial statement close process by overseeing the benefits accounting team’s close. This includes the accounting for healthcare benefits, pension, and OPEB.</li><li>Primary owner of all accounting or regulatory reporting over healthcare, pension and OPEB. Ensures financial transactions are recorded accurately and timely, and analyzes and reviews financial statements for given area of responsibility. Responsible for complete and accurate preparation of all required reports on a quarterly and annual basis.</li><li>Prepares, reviews or approves pension and OPEB account reconciliations for corporation's entities and accounts, as required.</li><li>Responds to monthly and quarterly fluctuation inquiries over healthcare, pension and OPEB activity.</li><li>Support external reporting disclosure requirements as it relates to pension and OPEB.</li><li>Supports the implementation of changes in Generally Accepted Accounting Principles (GAAP) that impact the Benefits Accounting team.</li><li>Supports in the accounting, analysis and budgeting of various healthcare, pension and OPEB accounts.</li><li>Consults and liaises with operating unit finance personnel on accounting issues related to benefits.</li><li>Cooperates in special projects and special requests as required for the Controller's Group.</li><li>Interacts with internal and external auditors, Corporate Controller's Department and business units as required to accomplish goals.</li></ul><p> </p><p><strong>JOB SCOPE</strong></p><ul><li>Under minimal supervision, perform assigned financial accounting and/or reporting in compliance with internal reporting processes, and applicable regulatory bodies.</li><li>Proactively notify Supervisor or Director of any accounting/reporting issues or concerns.</li><li>Work closely with other departments and business units regarding accounting activities.</li><li>Supervise and provide review and approval of a variety of accounting assignments</li><li>Position has significant impact to the timely completion and delivery of financial information and reports that in turn has impact on the work of those who compile the overall consolidated corporation financials. Potential financial loss to Corporation and/or its entities may result if work output fails to meet expected deadlines, accuracy, and quality.<strong> </strong></li></ul><p><br></p>
<p>We are looking for an experienced Controller to oversee financial operations and reporting for a dynamic, multi-entity organization in Kingwood, Texas. In this role, you will manage accounting processes, ensure compliance with industry standards, and provide insightful analyses to support strategic decision-making. This position requires a strong background in financial management and the healthcare industry, along with a commitment to excellence and attention to detail.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and review journal entries, account reconciliations, and accruals while maintaining general ledger accuracy across multiple entities.</p><p>• Lead the monthly, quarterly, and annual financial close processes, ensuring timely and precise reporting.</p><p>• Consolidate financial activities from various locations and generate internal financial statements, variance analyses, and benchmark reports for leadership.</p><p>• Monitor cash flow, organize accounts payable, and ensure timely vendor payments.</p><p>• Oversee payroll processes by reviewing data, reconciling payroll liability accounts, and preparing related journal entries.</p><p>• Track provider-level revenue, productivity metrics, and cost allocations while ensuring compliance with compensation models.</p><p>• Collaborate with revenue cycle management to verify the accuracy of charges, payer reimbursements, and write-offs.</p><p>• Develop and maintain fixed asset schedules, manage capital expenditure tracking, and conduct cost accounting analyses.</p><p>• Ensure compliance with healthcare industry regulations and internal controls to safeguard financial data and assets.</p><p>• Assist in budgeting and forecasting processes, providing detailed analyses of budget-to-actual performance and operational trends.</p><p><br></p><p>For immediate consideration, contact Mark, mark.loiacano@roberthalf</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team! In this position, you will play a pivotal role in ensuring the accuracy and efficiency of the billing processes. This role requires strong communication skills and the ability to handle complex insurance claims, appeals, and patient inquiries.</p><p><br></p><p>Responsibilities:</p><p>• Review denied medical claims and file appeals as needed.</p><p>• Address patient inquiries regarding claim issues and insurance coverage with professionalism and clarity.</p><p>• Billing and reimbursement for specific patient accounts</p><p>• Submitting bills to insurance organizations and patients.</p><p><br></p>
We are looking for an experienced Director of Accounting to lead and refine the financial operations of a dynamic healthcare organization in Omaha, Nebraska. This role will oversee all aspects of accounting, including compliance, financial reporting, and internal controls, while ensuring the accuracy and integrity of financial data. The ideal candidate will bring a hands-on approach to technical accounting excellence and collaborate closely with senior leadership to support organizational growth and financial strategy.<br><br>Responsibilities:<br>• Manage the full accounting cycle, including accounts payable, accounts receivable, payroll accounting, general ledger, fixed assets, and revenue recognition.<br>• Develop and maintain a robust chart of accounts, standardized workflows, and accounting policies to ensure consistency and accuracy.<br>• Implement and monitor internal controls to safeguard financial assets and streamline approval workflows.<br>• Lead and mentor the accounting team, fostering a culture of accountability, precision, and continuous improvement.<br>• Oversee month-end and year-end close processes, including journal entries, reconciliations, accruals, and variance analysis.<br>• Prepare accurate financial statements, management reports, and operational dashboards to support strategic decision-making.<br>• Coordinate annual audits, ensuring all documentation and schedules are prepared according to compliance standards.<br>• Analyze departmental and service-line costs to provide actionable insights for operational leaders.<br>• Manage cash flow forecasting, bank reconciliations, and liquidity planning while maintaining strong relationships with banking partners.<br>• Provide accounting expertise on organizational initiatives, service line expansions, and capital investments to ensure scalability of financial processes.
A Robert Half client is looking for a Member Services Representative to join their team near Hoffman Estates, Illinois. In this role, you will serve as a key point of contact for members, fostering positive relationships and assisting with their needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. <br> Key Details: Role: Member Service Associate (similar to CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/claims—NOT a call center position) Schedule: Mon–Fri, 8AM–4PM, 100% on-site Compensation/Benefits: $26–$29/hour, based on experience and education; overtime opportunities available + full benefits package Position Highlights: Serve as the first point of contact for insured members to process claims, answer inquiries, and update information Handle sensitive member data and documents, ensuring privacy, security, and compliance Work closely with beneficiaries throughout claims and changes (address updates, beneficiary designations, etc.) Perform administrative/research tasks and support department projects Maintain accurate records in Salesforce and other internal systems Participate in weekly team meetings and ongoing training as you grow in the role <br> If you are interested in contributing to a friendly and committed team that makes an impact for its members—and your experience aligns with any of the above—please apply!
We are looking for a detail-oriented Billing Clerk to join a non-profit organization in New York, NY. In this contract position, you will play a critical role in supporting the clinical billing department by managing data entry tasks and ensuring the accuracy of financial and patient information. This is an excellent opportunity for individuals who excel at precision and are passionate about contributing to the operational success of healthcare services.<br><br>Responsibilities:<br>• Enter patient data, diagnosis codes, procedure codes, and other billing-related information accurately into the system.<br>• Verify all entered information against source documents to ensure compliance with billing and coding standards.<br>• Collaborate with coding specialists to confirm the proper classification of diagnosis and procedure codes.<br>• Perform routine checks to identify and correct errors, discrepancies, or incomplete entries in the database.<br>• Maintain up-to-date records and ensure timely updates to patient and financial data.<br>• Generate reports to support billing operations and provide insights into data accuracy.<br>• Assist in resolving issues related to billing discrepancies or missing information.<br>• Follow established protocols and guidelines for data entry and quality assurance.<br>• Support the team in meeting deadlines and achieving departmental goals.
<p>Are you looking for a rewarding remote role in healthcare administration? This <strong>Clinical Appeals Representative</strong> position offers the opportunity to make a meaningful impact while working from the comfort of your home. As a <strong>Clinical Appeals Representative</strong>, you will play a key role in managing the intake and processing of grievances and potential quality of care issues on behalf of Health Plan members. This full-time role runs Monday through Friday, 0800–1630, with training held during the same hours. Interviews will be conducted via Microsoft Teams.</p><p><br></p><p>Responsibilities:</p><ul><li>Serve as the primary point of contact for Health Plan member grievances and internally identified potential quality of care issues (PQI).</li><li>Coordinate the receipt and initial processing of grievances, including data entry, medical record requests, and follow-up activities.</li><li>Maintain accurate and timely documentation in relevant databases.</li><li>Communicate and coordinate with provider offices and other stakeholders to ensure required documentation is obtained within specified timelines (ranging from 24 hours to 10 days).</li><li>Monitor and manage turnaround times (TATs) in accordance with Health Plan requirements.</li><li>Ensure quality and compliance standards are met throughout the appeals process.</li></ul>
<p>A reputable healthcare organization in Vista is hiring a <strong>Billing Specialist</strong> to support accurate medical billing, insurance follow-up, and revenue cycle operations. This role is well-suited for someone who enjoys analytical work, problem-solving, and ensuring claims are billed correctly and reimbursed timely. You will play a critical role in the financial health of the organization by managing claims, resolving billing issues, and collaborating with internal clinical and administrative teams. The ideal candidate is detail-focused, patient, and knowledgeable about healthcare billing processes.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare and submit insurance and patient claims accurately and timely</li><li>Review billing data for accuracy, coding alignment, and payer requirements</li><li>Follow up on unpaid or underpaid claims with insurance companies</li><li>Resolve billing discrepancies, denials, and rejections</li><li>Post payments, adjustments, and remittances</li><li>Maintain accurate patient billing records and documentation</li><li>Communicate with patients regarding billing questions and payment options</li><li>Support month-end billing reports and audits</li></ul>
<p>Robert Half has a new direct-hire opportunity for a Medical Accounts Receivable and Billing Specialist. This role will support a growing department. Our client offers great work-life balance and ability to work in a fast-paced environment where your work will make a big impact. This position sits on-site full-time Monday-Friday.</p><p><br></p><ul><li>Responsible for billing and coding</li><li>Collecting on past due balances</li><li>Insurance company follow-up</li><li>Maintain up to date information from insurance companies and customers</li><li>Reduce AR aging</li><li>Special project as assigned</li><li>Provide and obtain necessary documentation as needed</li></ul><p><br></p>
A global biopharmaceutical company with a growing U.S. presence is seeking a Director of Pricing Policy and Analytics to lead pricing policy evaluation and build an advanced analytics function within the U.S. Pricing & Contracting team. This role plays a key part in shaping pricing strategies, assessing the impact of evolving healthcare policy, and supporting executive decision-making through data-driven insights.<br><br>In this role, you will:<br><br>Evaluate the impact of U.S. healthcare policy (e.g., IRA, CMS reforms, international reference pricing) on pricing strategies and market access.<br><br>Design and implement data-driven pricing dashboards and analytical models to support pricing decisions and strategic planning for in-line and pipeline assets.<br><br>Benchmark pricing strategies across therapeutic areas and geographies; track payer/PBM behavior, formulary trends, and contract performance.<br><br>Oversee advanced analytics efforts, including price elasticity analysis, scenario modeling, and value-based pricing strategy development.<br><br>Use claims data and forecasting tools to inform data-backed reimbursement strategies.<br><br>Collaborate cross-functionally with Market Access, Government Affairs, Legal, Regulatory, Finance, and Commercial teams to ensure pricing approaches are consistent, competitive, and compliant.<br><br>Key stakeholders include:<br><br>U.S. Market Access & Patient Services<br><br>Government Affairs<br><br>Finance & Government Pricing<br><br>Legal and Compliance<br><br>What we’re looking for:<br><br>8–12 years of experience in pharmaceutical pricing and contracting, pricing policy, market access, or advanced analytics, particularly within brand/specialty products.<br><br>Master’s degree preferred (e.g., MBA, Finance, Healthcare Management, or related field).<br><br>Strong knowledge of U.S. healthcare reimbursement landscape and pricing frameworks; global exposure a plus.<br><br>Hands-on experience with value-based contracting and policy analysis.<br><br>Proficiency with SAS, R, Python, or Tableau for data modeling and visualization.<br><br>Excellent communication skills and the ability to simplify complex data for senior leadership.<br><br>Ideal candidate traits:<br><br>Analytical mindset with a proactive, hands-on approach.<br><br>Entrepreneurial spirit with the ability to manage multiple initiatives in a fast-moving environment.<br><br>Detail-oriented and highly organized.<br><br>Additional Details:<br><br>Travel: Approximately 10%<br><br>Work model: Hybrid (3 days per week in Princeton, NJ office)<br><br>Benefits include:<br><br>401(k) with match<br><br>Medical, dental, and vision insurance<br><br>Company-paid life and disability coverage<br><br>HSA/FSA options<br><br>Legal and pet insurance<br><br>Paid parental leave<br><br>Mental health resources<br><br>Employee discounts and incentive compensation programs
<p> </p><p>We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p> </p><p>Responsibilities:</p><p>• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.</p><p>• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.</p><p>• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.</p><p>• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.</p><p>• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.</p><p>• Adhere to organizational compliance standards and industry regulations in all billing activities.</p><p>• Achieve or exceed daily production and quality metrics by managing worklists effectively.</p><p>• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.</p>
<p>We are looking for a Patient Service Representative (Medical Receptionist) to join our team in San Francisco, California. In this contract position, you will play a vital role in ensuring patients receive timely and compassionate support as they navigate mobility equipment services. This role requires excellent customer service skills, attention to detail, and the ability to handle sensitive situations with care.</p><p><br></p><p>This is a contract to hire opportunity!</p><p>8AM-4:30PM Monday-Friday</p><p><br></p><p>Responsibilities:</p><ul><li>this is a heavy phone calling role</li></ul><p>• Coordinate the intake process by collecting patient information, medical documentation, and insurance details.</p><p>• Verify insurance eligibility and benefits for mobility equipment, ensuring all required information is accurate.</p><p>• Submit pre-authorization requests to insurance providers and track approvals to keep patients informed.</p><p>• Collaborate with internal teams to match patient needs with the appropriate equipment and schedule evaluations or fittings.</p><p>• Arrange delivery or pickup of mobility equipment, ensuring timely and accurate service.</p><p>• Maintain detailed patient records while adhering to compliance standards.</p><p>• Provide billing support by ensuring that all documentation is complete for claims processing.</p><p>• Communicate empathetically with patients and caregivers, especially those in vulnerable situations.</p><p>• Work closely with healthcare providers and physician offices to obtain missing documentation.</p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Georgia Cienkus at georgia.cienkus - at - roberthalf - .com with your word resume and reference job ID#00416-0013308449**</p>
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
We are looking for a detail-oriented Senior Accountant to manage and oversee financial operations for a hospital and its subsidiary in Indianapolis, Indiana. This role involves maintaining accurate financial records, ensuring compliance with regulations, and supporting key accounting processes such as month-end close and budget preparation. The ideal candidate will bring expertise in accounting practices and a strong ability to collaborate across teams.<br><br>Responsibilities:<br>• Manage the general ledger and ensure financial records are accurate and up-to-date for the hospital and its subsidiary.<br>• Execute monthly close processes, including preparing journal entries, reconciling accounts, and maintaining fixed asset schedules.<br>• Prepare and coordinate annual budgets, working closely with leadership to compile monthly variance reports.<br>• Support external audits, Medicare Cost Report preparation, and compliance with financial regulations.<br>• Provide training and guidance to accounting staff, ensuring policies and procedures are understood and followed.<br>• Maintain the hospital's cost accounting system to support accurate financial reporting.<br>• Participate in cyclical financial tasks, including property tax returns, K-1 distributions, and audit reviews.<br>• Collaborate with teams to ensure timely completion of financial requirements, such as property taxes and distribution schedules.<br>• Analyze financial data to identify trends, discrepancies, and opportunities for improvement.<br>• Ensure adherence to governmental regulations and practices impacting hospital finance and accounting procedures.
<p>A growing, healthcare organization is searching for a strategic and hands-on Finance Director to help lead its financial operations with precision, insight, and impact. Reporting to the Vice President of Finance, this individual will play a key role in shaping the financial strategy and operational success of a dynamic physician group dedicated to exceptional patient care.</p><p>This opportunity is ideal for a finance professional with a strong Controller background who thrives in both high-level strategy and detailed execution. The role spans the full spectrum of financial management—accounting, payroll, forecasting, revenue cycle oversight, and internal controls—while partnering closely with clinical and operational leaders to drive performance and growth.</p><p>As the organization continues to expand its footprint and services, the Finance Director will:</p><ul><li>Develop and implement long-term financial strategies aligned with clinical and business goals.</li><li>Oversee accounting operations, ensuring accurate reporting, compliance, and audit readiness.</li><li>Lead budgeting, forecasting, and capital planning across multiple sites.</li><li>Collaborate with revenue cycle and operations teams to optimize financial performance and streamline processes.</li><li>Serve as a trusted advisor on new initiatives, from service line expansion to new provider onboarding.</li></ul><p>Beyond technical expertise, this role calls for a leader who inspires trust and excellence—someone who can mentor a skilled finance team, champion process improvements, and foster a culture of accountability and collaboration.</p><p><br></p>
We are looking for a dedicated Customer Service Representative to join our team on a contract basis in Huntington Beach, California. In this role, you will play a key part in supporting the enrollment process for new members, ensuring accuracy and timeliness in data collection and verification. This position is ideal for someone who excels in customer service and has experience working in healthcare or insurance environments.<br><br>Responsibilities:<br>• Respond to inquiries from both internal and external customers, addressing questions and resolving concerns regarding enrollment.<br>• Handle enrollment applications by entering them into the company’s database and verifying their accuracy.<br>• Process member enrollment and disenrollment requests, ensuring compliance with relevant guidelines.<br>• Collaborate with colleagues to resolve system rejections and maintain accurate records within the enrollment database.<br>• Conduct regular reconciliations of enrollment files to ensure data integrity and address discrepancies.<br>• Manage eligibility change data and update member records as needed.<br>• Research and resolve issues related to enrollment system errors or exceptions.<br>• Ensure documentation is maintained and updated in accordance with organizational standards.<br>• Utilize multiple computer systems efficiently to input and retrieve data.<br>• Perform other related duties as assigned to support enrollment activities.
<p><strong>Job Responsibilities:</strong></p><ul><li>Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes leading to the assignment of the correct Medicare Severity-Diagnosis Related Group MS-DRG or All Patient Refined Diagnosis Related Group APR-DRG. The Inpatient Coding Specialist I is responsible for verification of the patient’s discharge disposition assigning the correct sources of admission for state regulation reporting purposes and ensuring the appropriate present on admission POA indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided.</li><li>Correctly abstracts required data per facility specifications.</li><li>Responsible for monitoring Discharged Not Billed accounts and as a team ensures timely compliant processing of inpatient accounts through the revenue cycle.</li><li>Collaborates with Clinical Documentation Specialists CDSs and members of the medical staff to ensure completeness of documentation in the medical records so that appropriate codes and ultimately the correct Diagnosis Related Group DRG may be assigned.</li><li>Responsible for ensuring accuracy and maintaining established quality and productivity standards.</li><li>Demonstrates a high degree of independence in performance of responsibilities working effectively without direct supervision. Exhibits strong time management problem solving and communication skills.</li><li>Possesses critical thinking good judgment and decision making skills</li><li>Demonstrates excellent written and oral communication skills</li><li>Remains abreast of current Centers for Medicare and Medicaid Services CMS requirements as well as Correct Coding Initiative CCI edits Hospital Acquired Conditions HACs Patient Safety Indicators PSIs and when applicable National Coverage Determinations NCDs and Local Coverage Determinations LCDs including the addition of appropriate modifiers to ensure a clean claim the first time through.</li><li>Maintains competency and accuracy while utilizing tools of the trade such as the 3M encoder 3M Audit Expert process 3M AES 3M Clinical Documentation Improvement System 3M CDIS and abstracting systems as well as all reference materials.</li><li>Attends required system hospital and departmental meetings and educational sessions as established by leadership as well as completion of required annual learning programs to ensure continued education and growth.</li><li>Employees must abide by all Joint Commission requirements including but not limited to sensitivity to cultural diversity patient care patients rights and ethical treatment safety and security of physical environments emergency management teamwork respect for others participation in ongoing education and training communication and adherence to safety and quality programs sustaining compliance with National Patient Safety Goals and licensure and health screenings.</li></ul><p><br></p>
<p>A growing medical group in San Marcos is hiring an <strong>Accounts Receivable Specialist</strong> with strong analytical ability, healthcare billing knowledge, and excellent follow-up skills. This role is ideal for someone who enjoys detailed reconciliation work, payer communication, and supporting patients with a high level of professionalism and clarity. You will be working closely with insurers, patients, and internal billing teams to ensure timely reimbursement and accurate financial records.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Post payments, adjustments, and electronic remittances</li><li>Investigate and resolve insurance denials and underpayments</li><li>Maintain accurate aging reports and escalate overdue claims</li><li>Communicate with payers, patients, and physician offices</li><li>Support audits and revenue cycle reporting</li><li>Reconcile patient account balances and assist with month-end AR tasks</li></ul>
<p>We are looking for a dedicated Accounts Receivable Clerk to join our team on a short-term contract basis. In this role, you will focus on managing outstanding hospital insurance balances by collaborating with insurance companies and using payer portals. This position is remote, offering a great opportunity to contribute to a dynamic and supportive team environment while working from the comfort of your home.</p><p><br></p><p>Responsibilities:</p><p>• Contact insurance companies to follow up on outstanding claims and obtain payment status updates.</p><p>• Utilize payer portals to gather information on unpaid or underpaid insurance balances.</p><p>• Prepare and submit appeals for denied or underpaid claims to ensure accurate reimbursement.</p><p>• Maintain accurate records of claim statuses and actions taken during the collection process.</p><p>• Communicate effectively with team members and insurance providers to resolve claim issues promptly.</p><p>• Review account details to identify discrepancies and take corrective actions as needed.</p><p>• Collaborate with offshore teams to ensure seamless collection processes and information sharing.</p><p>• Stay informed about insurance policies, procedures, and updates to improve claim resolution.</p><p>• Provide exceptional customer service while addressing inquiries related to claims and balances.</p><p>• Ensure compliance with healthcare regulations and organizational guidelines in all collection activities</p>
<p>We are seeking an experienced and detail-oriented <strong>Accounts Receivable Manager</strong> to join our client’s team and oversee the billing and collections process in a fast-paced healthcare environment. In this role, you will be responsible for maintaining accurate and organized <strong>resident admission files</strong> on a weekly basis, processing <strong>monthly billings</strong> for each payor class and related co-insurances, and preparing <strong>resident statements</strong> as required. You will handle <strong>Medicaid and Medicare claims</strong>, correcting and re-billing any denied claims in a timely manner to ensure prompt payment to the facility. Additionally, you will review and track all billable ancillary supplies, as well as check and prepare vendor bills to ensure proper payment. This position requires a strong commitment to accuracy, timeliness, and compliance with all applicable regulations. <strong>Other duties may apply</strong> as needed to support the financial health of the organization.</p><p>If you thrive in a detail-driven role, enjoy problem-solving, and have a passion for ensuring smooth revenue cycle operations, we’d love to hear from you.</p><p><br></p><p>For immediate consideration please call Allison Brown at 508.205.2121</p>
<p> Follow Shad Lira on LinkedIn at #chalkboardtalk for videos on his open roles. Shad and his team at Robert Half is working with a Holding company that is looking to hire a CFO over Surgical Hospitals and Clinics. This role located in Westchase will work closely with senior leadership and steward the financial growth of the company. Candidate needs to have a strong accounting foundation and a mastery of budgeting and forecasting. Requirements for this role are Bachelor’s Degree in Accounting or Finance, 10 plus year experience, prior leadership, must have experience working with a Hospital system and advanced Excel. Candidate must have supported a company of 150 Million and above. Company's compensation make up is base salary, bonus potential and benefits. For confidential consideration for this opportunity please e-mail Shad at [email protected] with your Microsoft Word Resume with CFO in the subject line.</p>
<p>Robert Half is seeking a strategic and hands-on Talent Acquisition Manager to lead recruitment efforts for a prominent healthcare organization serving both graduate medical education and community health populations. In this critical role, you will own the end-to-end talent acquisition process, partnering closely with stakeholders to ensure a robust workforce pipeline and a seamless candidate experience.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Design and deliver comprehensive, scalable talent acquisition strategies that support Diversity, Equity, and Inclusion (DEI) goals across sourcing, interviewing, selection, and onboarding programs.</li><li>Lead full-cycle recruitment for all roles, with emphasis on clinical hiring (physicians, PAs, NPs, therapists, etc.), ensuring effective talent identification and engagement.</li><li>Develop and nurture relationships with colleges, universities, and community partners to proactively source and build candidate pipelines.</li><li>Oversee provider employment agreements and facilitate the visa process for clinical hires, working cross-functionally with legal teams.</li><li>Collaborate with marketing and communications to shape compelling employer branding and recruitment campaigns.</li><li>Guide, mentor, and manage a Talent HR Specialist.</li><li>Analyze and report on recruitment data and metrics, providing actionable insights and recommending process improvements.</li><li>Conduct exit interviews and contribute to retention efforts by identifying trends and supporting staff transition initiatives.</li><li>Attend operational meetings and recruitment events; some overnight travel to represent the organization may be required.</li><li>Ensure compliance with all relevant employment laws, regulations, and ADA requirements in partnership with hiring managers and leadership.</li><li>Foster an outstanding candidate experience and streamline recruitment processes using best-in-class technology and practices.</li></ul>
