<p>A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up.</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Submit accurate and timely medical claims to insurance carriers and government payers</li><li>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies</li><li>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances</li><li>Investigate claim rejections and denials, and take corrective action for resubmission or appeal</li><li>Post payments, adjustments, and denials as needed</li><li>Communicate with payers, patients, and internal staff regarding billing questions and account resolution</li><li>Maintain compliance with billing regulations, payer requirements, and organizational policies</li><li>Support revenue cycle activities including claims review, payment reconciliation, and account research</li><li>Document collection activity and account status updates accurately in the billing system</li></ul><p><br></p>
We are looking for a detail-focused AML/KYC Investigator to join a Long-term Contract opportunity in Cleveland, Ohio. This position supports financial crimes compliance by reviewing alerts, assessing unusual activity, and producing clear investigative documentation. The ideal candidate brings sound judgment, strong analytical ability, and experience working within risk, compliance, or anti-money laundering environments.<br><br>Responsibilities:<br>• Conduct initial reviews of transactional or account activity alerts to identify patterns that may indicate suspicious behavior.<br>• Evaluate findings and decide when matters should be advanced for deeper investigation or additional compliance review.<br>• Support the identification of cases that may warrant suspicious activity reporting based on established regulatory expectations.<br>• Research customer and transaction information from multiple sources to build complete and accurate case assessments.<br>• Record investigative conclusions in a concise, well-organized manner that supports audit and compliance standards.<br>• Apply AML, KYC, and related compliance guidelines while performing day-to-day investigative work.<br>• Analyze available data to detect potential fraud risks, financial crime indicators, and inconsistencies requiring further attention.