<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care.</p><p><br></p><p>Responsibilities:</p><p>• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.</p><p>• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.</p><p>• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.</p><p>• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.</p><p>• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.</p><p>• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.</p><p>• Provide support in identifying process improvements to streamline prior authorization workflows.</p>
We are looking for a skilled Referral Coordinator to join our team on a long-term contract basis at our eye specialty clinic in Sacramento, California. In this role, you will manage and coordinate specialty referrals, ensuring seamless transitions for patients requiring advanced ophthalmological care. This position is ideal for individuals with experience in referral coordination and proficiency in electronic health record systems.<br><br>Responsibilities:<br>• Coordinate incoming and outgoing referrals for specialized ophthalmology services, ensuring timely and accurate processing of all required information.<br>• Utilize electronic health record systems to manage referrals, track patient progress, and communicate effectively with healthcare providers.<br>• Act as the primary liaison between patients, providers, and external facilities to schedule appointments and provide updates on referral statuses.<br>• Collect necessary clinical documentation, verify insurance coverage, and obtain prior authorizations for specialty referrals.<br>• Follow up with patients and healthcare providers to ensure all referral-related tasks are completed efficiently.<br>• Maintain up-to-date knowledge of referral procedures and insurance requirements specific to ophthalmology services.<br>• Support front desk operations during busy periods by assisting with patient access functions.<br>• Monitor referral workflows and identify opportunities to improve efficiency and patient satisfaction.
We are looking for a meticulous and organized Insurance Referral Coordinator to join our team in Seattle, Washington. In this Contract to permanent position, you will play a vital role in managing patient referrals and authorizations to ensure seamless access to specialized care and essential services. This role requires exceptional attention to detail, effective communication skills, and the ability to handle multiple tasks in a fast-paced environment.<br><br>Responsibilities:<br>• Handle referral orders and facilitate pre-authorization processes to ensure timely access to specialized care.<br>• Coordinate appointments and ancillary services, including consultations, imaging, and laboratory tests.<br>• Provide clear and accurate responses to patient inquiries regarding insurance and billing matters.<br>• Organize and manage patient educational activities related to their referrals.<br>• Oversee the purchase or rental of medical equipment and materials needed for patient care.<br>• Collaborate with healthcare providers to ensure all referral documentation is complete and accurate.<br>• Maintain up-to-date records and ensure compliance with insurance requirements.<br>• Support patients by addressing concerns and guiding them through the referral process.
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination.<br><br>Responsibilities:<br>• Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness.<br>• Monitor and follow up on pending and denied authorizations to secure approvals efficiently.<br>• Collaborate with clinical and administrative teams to collect and verify required medical documentation.<br>• Communicate with insurance companies to resolve issues and obtain necessary approvals.<br>• Maintain compliance with hospital policies, as well as state and federal healthcare regulations.<br>• Accurately record and update information within hospital information systems.<br>• Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process.<br>• Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process.<br>• Handle inbound and outbound calls related to authorization inquiries and resolutions.
We are looking for an Insurance Verification Coordinator to join our team in Sacramento, California. This role is a Contract to possible long-term opportunity, initially covering for a team member on leave for at least two months, with the potential for an ongoing position based on performance. The position requires in-office work and adherence to Covid vaccination guidelines.<br><br>Responsibilities:<br>• Review insurance contracts to determine allowable amounts for scheduled procedures.<br>• Calculate patient responsibility based on benefits and scheduled treatments.<br>• Interpret copay, coinsurance, deductible, and out-of-pocket maximums to assess claim adjudication and patient financial obligations.<br>• Analyze and interpret insurance benefits effectively to provide accurate information.<br>• Communicate patient balances and explain insurance coverage clearly and professionally.<br>• Apply a strong understanding of various insurance products, including Medicare Advantage plans.<br>• Maintain efficiency in a fast-paced, high-volume environment while meeting deadlines.<br>• Collaborate effectively within a team to ensure smooth operations.<br>• Handle pressure well, consistently achieving and exceeding performance goals.<br>• Ensure accurate cash posting for patient accounts.
<p>We are looking for a highly organized and proactive Provider Enrollment Coordinator to join our team in Orlando, Florida. This is a fully remote position, and we are only seeking candidates located in the Central Florida area to align with our team’s needs. In this role, you will support independent medical practices by handling administrative tasks related to insurance enrollment, ensuring they can focus on delivering exceptional patient care. This is a permanent placement opportunity with the potential for long-term growth in a company dedicated to improving healthcare services.</p><p><br></p><p>Responsibilities:</p><p>• Coordinating with the practice on providing onboarding and enrollment with governmental and commercial insurances.</p><p>• Complete and submit insurance enrollment applications on behalf of healthcare providers.</p><p>• Collaborate with medical practices to determine the most suitable insurance options for their needs.</p><p>• Communicate regularly with clients to ensure smooth enrollment processes and address any questions or concerns.</p><p>• Maintain accurate records and documentation for all enrollment activities.</p><p>• Monitor application statuses and follow up with insurance companies as needed to ensure timely approvals.</p><p>• Provide exceptional customer service by responding promptly to inquiries and resolving issues efficiently.</p><p>• Coordinate with internal teams to ensure seamless integration of services and compliance with industry standards.</p><p>• Proactively identify and resolve potential problems to ensure smooth operations.</p><p>• Keep up-to-date with changes in healthcare regulations and insurance requirements.</p><p>• Assist with scheduling and logistics to streamline provider enrollment processes.</p>
<p>We are looking for an experienced Part Time Leave of Absence Administrator to join our team on a long-term contract basis in Cleveland, Ohio. In this role, you will be responsible for administering employee leave programs and ensuring compliance with relevant federal, state, and local regulations. This position offers the opportunity to support a meaningful mission by fostering a fair and compliant leave management process for faculty and staff.</p><p><br></p><p>Responsibilities:</p><p>• Administer employee leave programs, including Family and Medical Leave Act (FMLA), Americans with Disabilities Act (ADA), Paid Parental Leave, and other applicable policies.</p><p>• Ensure compliance with federal, state, and local regulations related to employee benefits and leave of absence.</p><p>• Provide support and guidance to employees and supervisors throughout the leave process.</p><p>• Collaborate with internal teams to address gaps in benefits and leave administration.</p><p>• Maintain accurate records and documentation for leave requests and benefit programs.</p><p>• Develop and deliver presentations to communicate leave policies and procedures effectively.</p><p>• Utilize software systems, such as PeopleSoft and Microsoft Office, to manage benefits and leave processes efficiently.</p><p>• Stay informed on changes to laws and regulations affecting employee benefits and absence programs.</p><p>• Support the organization’s mission by fostering a supportive and equitable environment for faculty and staff.</p><p>• Perform additional duties related to benefits and leave administration as assigned.Leave Of Absence Administrator </p>
We are looking for a dedicated Benefits Coordinator to join our team in Hartselle, Alabama. This contract position focuses on ensuring compliance, managing employee benefits, and supporting onboarding processes. Working in a structured environment, this role requires strong organizational skills and a commitment to maintaining accuracy and efficiency.<br><br>Responsibilities:<br>• Coordinate the onboarding process for new employees, including virtual meetings and system integration.<br>• Manage compliance requirements, ensuring certifications and documentation for all employees are up-to-date.<br>• Oversee candidate screening processes and schedule physicals as necessary.<br>• Administer employee benefits, including enrollment, processing life events, and reviewing benefit changes.<br>• Maintain accurate driver qualification files and employee records.<br>• Handle job applications and ensure all onboarding steps are properly completed.<br>• Enter payroll-related data into QuickBooks and ensure accuracy.<br>• Collaborate with leadership to maintain compliance standards and meet organizational goals.<br>• Support employees with HR-related inquiries, focusing on benefits and compliance requirements.<br>• Monitor and report on compliance status within the organization, addressing any issues promptly.
<ul><li>Manage employee job applications via UKG and carry out comprehensive onboarding steps.</li><li>Coordinate drug screens and Commercial Driver’s License (CDL) verification through the Clearinghouse system.</li><li>Ensure all necessary medical cards (non-DOT CDL and others) are maintained and up to date; schedule physicals as required.</li><li>Send onboarding materials and conduct virtual onboarding meetings (no in-person onboarding required).</li><li>Accurately enter and maintain employee records in HRIS and QuickBooks, including pay data (note: payroll processing is conducted by a separate team).</li><li>Maintain and organize all employee files, particularly driver qualification and compliance documents.</li><li>Administer benefits enrollment, process qualifying life events, and review/approve changes to employee benefits.</li><li>Oversee DOT, CDL, and government-mandated compliance requirements for all drivers and keep documentation current.</li><li>Support department growth initiatives and participate in creating a positive, long-term learning culture.</li></ul>
<p><strong>What You’ll Do </strong></p><p><strong>Benefits Administration</strong> </p><p>● Administer day-to-day operations of health and welfare, retirement, and ancillary benefit programs (medical, dental, vision, life, disability, 401(k), FSA/HSA) </p><p>● Support new hire enrollments, qualifying life events, terminations, and annual open enrollment processes </p><p>● Ensure accurate and timely processing of benefit changes in HRIS, carrier systems, and payroll </p><p> </p><p><strong>Employee Support & Experience</strong> </p><p>● Serve as a point of contact for employee benefits inquiries, providing high-quality, timely support </p><p>● Develop and maintain clear employee-facing communications, guides, and FAQ resources </p><p> </p><p><strong>Systems Coordination</strong> </p><p>● Monitor file feeds and integrations between HRIS, payroll, and benefits vendors; partner with internal People Tech team to identify and escalate issues </p><p>● Maintain employee and enrollment data accuracy between HRIS, payroll, and benefits vendors </p><p><strong> </strong></p><p><strong>Compliance & Reporting</strong> </p><p>● Assist with annual filings, nondiscrimination testing, and distribution of required notices </p><p>● Conduct monthly audits and reconciliations of benefits data and invoices to ensure compliance and accuracy </p>
<p>We are looking for an experienced Benefits Coordinator to join our team. In this position, you will play a pivotal role in managing employee benefit programs, ensuring compliance, and supporting administrative processes. Your expertise will contribute to creating a seamless experience for employees navigating benefits and claims.</p><p><br></p><p>Responsibilities:</p><p>• Administer and oversee employee benefit programs, including health, dental, vision, and retirement plans.</p><p>• Manage COBRA administration, ensuring compliance with regulations and timely communication.</p><p>• Coordinate leave of absence processes, including documentation and communication with employees.</p><p>• Act as a claims administrator for medical claims, ensuring accuracy and prompt resolution.</p><p>• Collaborate with HR and payroll teams to ensure proper compensation and benefits alignment.</p><p>• Provide clear guidance and support to employees regarding their benefits options and eligibility.</p><p>• Monitor and address employee inquiries related to benefit policies and procedures.</p><p>• Ensure compliance with federal, state, and local regulations regarding employee benefits.</p><p>• Assist in the preparation of reports and documentation related to benefits administration.</p><p>• Stay updated on industry trends and regulations to continuously improve benefits processes.</p>
We are looking for an experienced Insurance Coverage Counsel to join our dynamic legal team in New York, New York. In this role, you will provide strategic legal expertise to insurance carriers and self-insured entities, focusing on complex insurance coverage matters and litigation. This is an excellent opportunity for an experienced attorney to work on high-profile cases and collaborate with a team of skilled professionals.<br><br>Responsibilities:<br>• Analyze and interpret insurance policies to deliver comprehensive coverage opinions.<br>• Manage complex insurance coverage litigation from initiation through resolution.<br>• Draft pleadings, motions, and detailed coverage position letters to support legal strategies.<br>• Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy.<br>• Offer strategic counsel to insurers on high-stakes claims and exposure issues.<br>• Work closely with litigation teams to address overlapping defense and coverage matters.<br>• Conduct thorough legal research to support case strategies and recommendations.<br>• Ensure compliance with relevant laws and regulations while advising clients.<br>• Collaborate with clients to develop tailored solutions for intricate coverage disputes.
We are looking for a dedicated Patient Care Coordinator to join our team in San Luis Obispo, California. This long-term contract position is an excellent opportunity for individuals passionate about healthcare and patient advocacy. In this role, you will play a vital part in ensuring patients receive accurate and efficient registration services while maintaining a high standard of professionalism.<br><br>Responsibilities:<br>• Accurately identify patients and collect comprehensive demographic information to ensure proper records.<br>• Verify insurance details, including eligibility and benefits, to confirm coverage for services rendered.<br>• Assess and collect financial liabilities from patients while explaining payment policies and options.<br>• Provide information on hospital policies and patient rights to families in a clear and supportive manner.<br>• Refer patients to the Patient Registration Specialist for financial counseling or clearance as needed.<br>• Maintain compliance with healthcare policies and procedures to ensure accurate reimbursements.<br>• Collaborate with team members to support a seamless registration process and address patient concerns.<br>• Utilize healthcare systems to document and update patient information effectively.<br>• Monitor and address any discrepancies in patient registration data to ensure accuracy.<br>• Assist in ad hoc financial tasks related to patient billing and insurance claims.
We are looking for an Associate Patient Care Coordinator to join our team in Latrobe, Pennsylvania. This contract to permanent position involves providing outstanding administrative and customer support in a healthcare setting, ensuring a seamless experience for patients and staff. The role requires managing patient scheduling, registration, and medical records while maintaining compliance with healthcare policies and regulations. <br> Responsibilities: • Greet and check in patients while ensuring accurate and timely registration processes. • Schedule patient appointments using designated software and provide clear instructions for medical testing. • Address billing inquiries and assist patients with insurance-related questions and documentation. • Secure necessary authorizations and referrals to ensure smooth progression through the revenue cycle. • Collect and update patient demographic and insurance information in compliance with organizational standards. • Communicate effectively with patients, staff, and physicians to resolve issues and ensure satisfaction. • Monitor and adhere to department policies and procedures, ensuring compliance with healthcare regulations. • Identify opportunities for process improvements and share recommendations with management. • Maintain professionalism and respect in all interactions, fostering a positive environment. • Perform multiple tasks simultaneously in a fast-paced setting while managing frequent interruptions.
We are looking for a dedicated Patient Care Coordinator to join our healthcare team in Santa Maria, California. In this role, you will serve as the first point of contact for patients, ensuring a seamless and detail-oriented experience. This is a long-term contract position that offers an excellent opportunity to contribute to patient care and administrative efficiency within a dynamic healthcare environment.<br><br>Responsibilities:<br>• Greet and assist patients in a detail-oriented and courteous manner, addressing their inquiries and guiding them through the registration process.<br>• Manage appointment scheduling to ensure optimal efficiency and minimize patient wait times.<br>• Coordinate with insurance providers, including TRICARE and HealthCare.gov, to verify patient coverage and resolve any issues.<br>• Oversee hiring processes for front desk and administrative support roles to maintain a high-performing team.<br>• Utilize video conferencing tools to facilitate remote patient communication and team meetings.<br>• Collaborate with offshore teams to streamline administrative tasks and enhance workflow processes.<br>• Maintain accurate patient records, ensuring compliance with healthcare regulations and privacy standards.<br>• Provide support in analyzing healthcare data using tools like R Code to improve operational decision-making.<br>• Stay up-to-date with industry best practices and contribute to process improvement initiatives.
We are looking for a skilled Insurance Coverage Attorney to join our team in New York, New York. This position is ideal for mid-level attorneys who want to enhance their expertise in insurance coverage and litigation while working on a variety of challenging legal matters. You will play a critical role in providing legal analysis and representation to clients, ensuring their interests are effectively protected.<br><br>Responsibilities:<br>• Analyze insurance policies and prepare detailed coverage opinions.<br>• Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes.<br>• Draft legal documents such as pleadings, motions, and memoranda.<br>• Participate in depositions, mediations, and court proceedings as needed.<br>• Conduct in-depth legal research on insurance law and coverage-related issues.<br>• Maintain clear and effective communication with clients regarding case strategies and updates.
We are looking for a Reimbursement Consultant to join our team in Dallas, Texas. In this role, you will provide expertise in Medicare and Medicaid healthcare reimbursement, supporting clients with compliance and cost reporting. This position offers the opportunity to work on diverse consulting projects within the healthcare industry while collaborating with clients to ensure accuracy and efficiency.<br><br>Responsibilities:<br>• Acquire and apply specialized knowledge in Medicare and Medicaid healthcare reimbursement consulting and compliance.<br>• Prepare, review, and analyze cost reports for a portfolio of hospitals, ensuring compliance with regulatory requirements.<br>• Develop detailed workpapers that document the process of compiling client-provided information into prescribed Medicare and Medicaid formats.<br>• Perform thorough data collection and analysis using cost reporting data and other financial information provided by clients.<br>• Participate in various reimbursement consulting projects, including Medicare Disproportionate Share, Medicare Bad Debts, Medicaid Disproportionate Share, Worksheet S-10, Medicare Wage Index reviews, and Occupational Mix surveys.<br>• Communicate effectively with clients to gather necessary information and address project-related inquiries.<br>• Ensure accuracy and adherence to healthcare reimbursement guidelines in all deliverables.<br>• Collaborate with team members to meet project deadlines and maintain high-quality standards.
<p>Robert Half is searching for customer service professionals able to step in and support a contract Customer Service opportunity! If you are looking for a new role within the client services space, and excited to put your customer service skills to use right away, this contract role might be the perfect fit. This is a fully onsite role, with a fully in-office schedule.</p><p><br></p><p><strong>Duties and Responsibilities</strong></p><ul><li>Deliver exceptional service to business customers by resolving inquiries and providing tailored solutions.</li><li>Profile customers to identify needs and facilitate Service-to-Sales conversations, recommending appropriate products and services.</li><li>Cross-sell products while adhering to all regulatory and compliance requirements.</li><li>Anticipate customer needs and strive for first contact resolution using available tools and resources.</li><li>Maintain up-to-date knowledge of products, services, procedures, and technology platforms.</li><li>Provide overflow support to other Customer Service specialty teams and Lines of Business during high-volume periods or strategic initiatives.</li><li>Perform other duties as assigned to support Customer Service strategic initiatives and enterprise-wide collaboration.</li></ul><p><br></p>
<p>Robert Half is partnering with a service-focused organization to identify a Client Services Coordinator to support inbound customer inquiries and appointment scheduling. This opportunity is ideal for someone who brings a confident phone presence and is comfortable guiding conversations, managing scheduling changes, and working through time-sensitive customer needs.</p><p><br></p><p><strong><u>What You’ll Do</u></strong></p><ul><li>Handle a high volume of inbound customer calls and place selective outbound calls as needed</li><li>Qualify customer needs and guide conversations toward appropriate next steps</li><li>Accurately document call details while speaking with customers</li><li>Schedule appointments and collaborate with internal service teams to keep calendars running smoothly</li><li>Communicate with customers and internal staff to address scheduling changes, availability challenges, and time-sensitive needs</li><li>Assist with light reception and front desk coverage during designated times</li></ul><p><strong><u>Additional Highlights: </u></strong></p><ul><li>Competitive hourly pay with opportunity for performance-based incentives</li><li>Structured training and onboarding program</li><li>Long-term opportunity within a stable, close-knit team environment</li></ul><p>If you enjoy helping customers feel heard, keeping systems organized, and finding workable solutions—this role offers a strong foundation for growth!</p>
<p><strong> Robert Half is searching for </strong>Customer Service professionals looking to step in and grow their career by providing advanced support for customers calling with inquiries. This role is pivotal in educating customers on digital products and enhancements, driving adoption of our technology offerings, and delivering a seamless digital experience. </p><p><strong>Duties & Responsibilities:</strong></p><ul><li>Provide high-level customer service support for digital products and services, including troubleshooting issues related to login, navigation, alerts, and general concerns.</li><li>Deliver <strong>first-contact resolution</strong> by anticipating customer needs and applying deep product knowledge and problem-solving skills.</li><li>Collaborate with internal partners and back-office teams to resolve escalated issues and ensure a positive well-rounded customer experience.</li><li>Support Client Service initiatives and contribute to team goals through active participation in coaching, feedback sessions, and performance improvement efforts.</li></ul><p><br></p><p><br></p>
<p><strong>Job Description:</strong></p><p><br></p><p>The <strong>Helpline Care Coordinator</strong> provides follow-up and care coordination for clients who may benefit from additional support and advocacy in accessing services. This role supports individuals through system navigation, including intake, screening, assessment, referral, and linkage via phone and email.</p><p>The position also involves providing crisis counseling and suicide intervention when needed, as well as conducting safety and risk screenings and person-centered assessments.</p><p><br></p><ul><li>Coordinating referrals and facilitating warm transfers</li><li>Advocating for clients to ensure access to appropriate services</li><li>Maintaining accurate case documentation and reporting</li><li>Supporting updates to the of Data Resource team</li><li>Participating in supervision, training, and team meetings</li><li>Representing the Contact Center at outreach events and community boards, as needed</li></ul><p><br></p>
<p><em>The salary range for this position is $60,000-$65,000 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><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
<p>Our client in the local government and healthcare sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team!</p><p><br></p><p>Responsibilities:</p><ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul><p><br></p>
<p>We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialistwill focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.</p><p>• Investigate and resolve written-off accounts to maximize revenue recovery.</p><p>• Process approximately 50-60 claims per day with attention to detail and accuracy.</p><p>• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.</p><p>• Handle medical denials and appeals, ensuring timely and effective resolution.</p><p>• Review and manage accounts associated with various insurance carriers.</p><p>• Analyze and document collection efforts for reporting and compliance purposes.</p><p>• Maintain up-to-date knowledge of relevant medical billing and insurance policies.</p><p>• Communicate effectively with internal teams to coordinate account resolution strategies.</p>