<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Cincinnati, Ohio. In this long-term contract role, you will play a vital part in ensuring that patients receive timely and appropriate healthcare services by managing prior authorization requests. This position is ideal for individuals passionate about streamlining healthcare processes and improving patient care.</p><p><br></p><p>Responsibilities:</p><p>• Review and collect necessary documentation, such as medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track prior authorization requests with insurance providers, focusing on prescription medications prescribed by primary care providers.</p><p>• Communicate with healthcare providers, patients, and insurance representatives to address and resolve authorization-related inquiries.</p><p>• Monitor the status of authorization requests and promptly inform healthcare teams of approvals, denials, or pending updates.</p><p>• Stay informed about current insurance policies, procedures, and regulations to ensure compliance and efficiency in authorization processes.</p><p>• Analyze trends in authorization denials and collaborate with teams to manage appeals, escalations, and resubmissions when necessary.</p><p>• Maintain accurate and secure records of all authorization activities and ensure adherence to organizational guidelines.</p>
<p>We are looking for an Associate Patient Care Coordinator to join our healthcare team in Irwin, Pennsylvania. This contract Patient Care Coordinator position plays a crucial role in ensuring a seamless patient experience through efficient management of registration, scheduling, and administrative tasks. The ideal Patient Care Coordinator candidate will excel in customer service and thrive in a fast-paced environment that demands multitasking and attention to detail. Apply today!</p><p><br></p><p>Entry level applies welcome! Must have some healthcare experience! </p><p><br></p><p>Responsibilities:</p><p>• Coordinate patient registration processes, ensuring accurate and timely collection of demographic and insurance information.</p><p>• Schedule appointments using specialized scheduling software and provide clear instructions to patients regarding testing procedures.</p><p>• Address billing inquiries and assist patients with resolving insurance-related issues, including obtaining necessary authorizations and referrals.</p><p>• Maintain and update patient medical records with precision, adhering to departmental policies and compliance standards.</p><p>• Deliver exceptional customer service by assessing patient needs and responding promptly to inquiries and concerns.</p><p>• Collaborate with physicians, staff, and other departments to ensure smooth workflow and a positive experience for all stakeholders.</p><p>• Communicate effectively with management to identify and resolve issues impacting workflow and recommend process improvements.</p><p>• Uphold high standards by treating all patients and staff with dignity and respect during interactions.</p><p>• Adapt to changes in policies, insurance regulations, and system updates to maintain efficiency and compliance.</p><p>• Ensure consistent attendance and punctuality to support the operational needs of the clinic.</p>
<p>We are looking for a dedicated <strong>Associate Patient Care Coordinator</strong> to join our team in Mt. Pleasant, Pennsylvania. The <strong>Associate Patient Care Coordinator</strong> is a contract position within the healthcare sector, focusing on patient registration and coordination. The <strong>Associate Patient Care Coordinator</strong>, you will play a key part in ensuring a seamless patient experience by managing appointments, handling medical records, and addressing billing inquiries with attention to detail. This role has rotating 8-hour shifts covering</p><p><br></p><p>Responsibilities:</p><p>• Coordinate patient appointment scheduling using specialized software to ensure accuracy and efficiency.</p><p>• Manage pre-registration and registration processes, including obtaining required signatures and authorizations.</p><p>• Provide clear instructions for testing procedures to patients to facilitate smooth clinic operations.</p><p>• Respond promptly to patient inquiries regarding billing, insurance, and scheduling, ensuring satisfaction.</p><p>• Monitor and update patient records with accurate demographic and insurance information.</p><p>• Secure necessary referrals and authorizations to comply with insurance and medical guidelines.</p><p>• Communicate effectively with patients, staff, and management to address issues and recommend improvements.</p>
<p>We are looking for an experienced and meticulous Associate Patient Care Coordinator to join our healthcare team in Irwin, Pennsylvania. This contract Patient Care Coordinator position plays a crucial role in ensuring a seamless patient experience through efficient management of registration, scheduling, and administrative tasks. The ideal Patient Care Coordinator candidate will excel in customer service and thrive in a fast-paced environment that demands multitasking and attention to detail. Apply today!</p><p><br></p><p>Responsibilities:</p><p>• Coordinate patient registration processes, ensuring accurate and timely collection of demographic and insurance information.</p><p>• Schedule appointments using specialized scheduling software and provide clear instructions to patients regarding testing procedures.</p><p>• Address billing inquiries and assist patients with resolving insurance-related issues, including obtaining necessary authorizations and referrals.</p><p>• Maintain and update patient medical records with precision, adhering to departmental policies and compliance standards.</p><p>• Deliver exceptional customer service by assessing patient needs and responding promptly to inquiries and concerns.</p><p>• Collaborate with physicians, staff, and other departments to ensure smooth workflow and a positive experience for all stakeholders.</p><p>• Communicate effectively with management to identify and resolve issues impacting workflow and recommend process improvements.</p><p>• Uphold high standards by treating all patients and staff with dignity and respect during interactions.</p><p>• Adapt to changes in policies, insurance regulations, and system updates to maintain efficiency and compliance.</p><p>• Ensure consistent attendance and punctuality to support the operational needs of the clinic.c</p>
<p>We are looking for a detail-oriented Billing Coordinator to manage and oversee billing operations for a law firm in Baltimore, Maryland. The ideal candidate will bring expertise in legal billing, 3E billing system, ensuring accuracy and efficiency in financial transactions. If you have a strong background in billing function supporting Attorneys at law firms and thrive in a fast-paced environment, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>· Produce firm standard billing proformas for review by billing responsible attorneys each month</p><p>· Edit and finalize invoices based on instructions provided by the billing responsible attorneys and client guidelines</p><p>· Respond to information requests from lawyers, clients and staff related to client billings</p><p>· Monitor invoices submitted through the various e-billing hubs to ensure submission</p><p>· Follow-up with billing responsible attorneys to ensure timely processing of bills</p><p>· Research proformas or billing-related inquiries</p><p>· Produce monthly statements for outstanding invoices and send same to clients</p><p><br></p><p> </p><p>All interested candidates in this Billing Coordinator role and other permanent opportunities please send your resume to Justin Decker via LinkedIn. </p>
<p>We are looking for a detail-oriented Billing Coordinator to join an international law firm and their experienced Billing team. This role involves managing billing processes, ensuring accuracy invoices, and maintaining efficient billing arangements and procedures. The ideal candidate will possess strong organizational skills and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and issue accurate billing statements in a timely manner.</p><p>• Oversee collections processes to ensure payments are received promptly.</p><p>• Maintain and update the computerized billing system to reflect current data.</p><p>• Resolve billing inquiries and discrepancies with professionalism and efficiency.</p><p>• Collaborate with internal teams to streamline billing workflows.</p><p>• Generate and analyze reports to monitor billing performance and identify areas for improvement.</p><p>• Ensure compliance with company policies and applicable regulations in all billing activities.</p><p>• Train and assist team members in utilizing billing systems effectively.</p><p>• Provide recommendations to enhance billing procedures and improve customer satisfaction.</p><p><br></p><p>All interested candidates in this Billing Coordinator role and other fulltime permanent opportunities across the Washington, D.C. area please send your resume to Justin Decker via LinkedIn </p>
<p>Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! </p><p> </p><p>Responsibilities:</p><ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol><p><br></p>
We are looking for an accomplished insurance expert to take on a leadership role within a growing, multi-line independent agency. This position offers the chance to drive strategic initiatives, foster revenue growth, and lead a high-performing team. If you are a results-oriented leader with a strong background in the insurance industry and a commitment to providing exceptional client service, we want to hear from you.<br><br>Responsibilities:<br>• Manage daily operations while ensuring adherence to regulatory standards and operational efficiency.<br>• Create and implement strategic plans aimed at expanding markets, diversifying product offerings, and driving overall growth.<br>• Lead sales initiatives by identifying prospects, preparing quotes, and closing new business opportunities.<br>• Build and maintain strong relationships with clients, referral partners, and carrier representatives.<br>• Monitor financial performance, manage budgets, and oversee commission structures.<br>• Drive client engagement through onboarding, training programs, and retention strategies.<br>• Partner with executive leadership to develop marketing initiatives and strengthen the agency's brand presence.<br>• Undertake regular travel, accounting for approximately 50% of the role's responsibilities.
<p>The AV Account Manager will also be responsible for opportunity management, reporting to the SVP of Sales. He/she is expected to independently and actively seek new clients. While referrals are common, Account Managers are responsible for "filling the sales funnel" on their own and are held accountable for their own prospecting and sales efforts.</p><p>Notwithstanding the independence for prospecting and sales, Account Managers work collaboratively with each other as well as with Marketing, Operations, Finance and other teams to facilitate being able to deliver comprehensive solution proposals to the potential client.</p><p>Primary functions of the AV Account Manager include but are not limited to:</p><p>• Pursue audio visual integration business opportunities for AVX within enterprise corporate space, as well as other potential growth markets. This is accomplished through cold or referred sales calls and meetings, active networking and inquiry, etc.</p><p>• Identify client needs, select appropriate products and solutions to meet or exceed those needs, and propose solutions for client. Deliver and perform follow up activities as needed.</p><p>• Cultivate client relationships by being both responsive and proactive with the client’s key stakeholders.</p><p>• Input customer information into the organization’s client management platform to ensure accurate records and efficient communication between sales staff and company departments.</p><p>• Update sales funnel records (sales stages such as lead follow up, quoting, order processing, etc.) in organization’s client management platform to ensure and report on up-to-date sales forecasts/projections.</p><p>• Document orders accurately to best enable logistics and follow up to ensure timely and effective processing. Collaborate with team for alternative plans if necessary.</p><p>• Working collaboratively others, identify alternative solutions for the client should original ideas/products/solutions not be available.</p><p>• Working collaboratively with service teams, help identify new products/solutions for previous clients who may be facing obstacles due to products obsolescing.</p><p>Account Managers are often required to meet with potential or current clients out of the office, so they are expected to have reliable and business appropriate transportation, proof of valid driver's license and insurance, and a clean driving record.</p><p>Requires pre-employment drug testing, criminal background screening and reference checking; successful candidates will have satisfactory results in all three of those areas.</p><p>If you want to be a part of this dynamic industry and build your career with a company worthy of your talent, the Senior VP of Sales would love to meet you!</p><p><br></p><p><br></p>
<p>We are seeking a motivated, detail-oriented, and highly organized Property Site Manager to oversee the daily operations of our property and create a welcoming and efficient living environment for our residents. This dynamic role requires a hands-on leader who is capable of managing a wide array of responsibilities to ensure the property operates at peak performance. The Property Site Manager will be tasked with driving occupancy rates to achieve the goal of 95%, while fostering positive relationships with residents and delivering exceptional service.</p><p>Key areas of focus include marketing available units to prospective renters through various platforms, screening and onboarding new residents, and maintaining an active waiting list to ensure the property remains highly occupied. The role also involves financial oversight, such as managing budgets, collecting rent, reconciling accounts, and ensuring compliance with all applicable laws, including fair housing regulations.</p><p><strong>Key Responsibilities</strong>:</p><p><strong>Marketing & Leasing</strong>:</p><ul><li>Develop marketing tools and maintain advertising platforms such as Craigslist, Rent.com, and property websites.</li><li>Respond to inquiries promptly, maintain a waiting list, and refer applicants to other properties when appropriate.</li><li>Show units positively and screen applicants per property's selection criteria and fair housing laws.</li><li>Execute lease agreements, review Resident Handbook, and perform move-in inspections.</li></ul><p><strong>Rent Collection & Financials</strong>:</p><ul><li>Collect rent, reconcile discrepancies, and prepare deposits.</li><li>Handle late notices, generate balance due letters, and oversee eviction processes.</li><li>Assist with site budgets, capital expenditure plans, and variance reports to maintain financial stability.</li></ul><p><strong>Vendor Relations & Maintenance</strong>:</p><ul><li>Manage vendor contracts, insurance, and invoices, ensuring spending aligns with budgetary guidelines.</li><li>Collaborate with maintenance and caretaking teams to ensure prompt work order completion and unit turnover within 5 business days.</li><li>Conduct daily property inspections and address housekeeping/unit concerns promptly.</li></ul><p><strong>Resident Relations & Compliance</strong>:</p><ul><li>Address resident communications within 24 hours, handle conflicts professionally, and send notices as needed.</li><li>Ensure compliance with site-specific tenant selection plans, marketing plans, and program regulations.</li><li>Process income certifications and provide reports on tenant demographics as mandated.</li></ul><p><strong>Move-Outs</strong>:</p><ul><li>Process move-out paperwork, calculate charges, and monitor revenue recapture files per statutes and company guidelines.</li></ul><p><strong>Miscellaneous</strong>:</p><ul><li>Maintain an organized site office, complete administrative duties, and oversee inspection schedules.</li></ul><p><br></p>
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>We are looking for a dedicated Case Manager to join our team in San Francisco, California. In this contract role, you will provide critical support to formerly homeless individuals, helping them access resources, maintain housing stability, and improve their overall quality of life. This position requires a proactive approach to case management and collaboration with tenants, hotel staff, and external service providers.</p><p><br></p><p>Responsibilities:</p><p>• Manage a caseload of 60-90 tenants, including individuals with mental health, substance abuse, and medical challenges, ensuring their housing stability.</p><p>• Conduct outreach visits upon tenant entry to housing, as well as follow-up assessments to address ongoing needs.</p><p>• Provide comprehensive case management services focused on tenant-driven goals such as housing retention and life improvement.</p><p>• Assist tenants in securing benefits, making rent payments, and addressing unit habitability concerns.</p><p>• Facilitate tenant referrals to employment programs, social services, and other community resources based on individual needs.</p><p>• Organize community-building activities, including tenant groups, events, and social initiatives to foster a supportive living environment.</p><p>• Respond to tenant crises through de-escalation techniques and appropriate interventions.</p><p>• Partner with property management staff and external providers to ensure tenants receive necessary support.</p><p>• Maintain accurate and organized case files, ensuring confidentiality and compliance with documentation standards.</p><p>• Report suspected abuse or neglect to appropriate authorities and adhere to legal reporting requirements.</p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Kaylen Dalmacio at Kaylen.dalmacio - at - roberthalf - .com with your word resume and reference job ID#*00410-0013293596*</p>
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
<p>Reputable personal injury firm is seeking an experienced and compassionate Case Manager to join their team. This position is ideal for someone with a strong background in personal injury law who thrives in a fast-paced environment and is committed to delivering exceptional client service. As a key member of our legal team, you will play a vital role in managing cases, communicating with clients, and supporting attorneys to ensure successful outcomes.</p><p><br></p><p>Responsibilities:</p><p>• Conduct initial interviews with prospective clients to gather relevant case information.</p><p>• Request, review, and organize medical records related to client cases.</p><p>• Maintain consistent communication with insurance companies, medical providers, and clients to provide updates and address inquiries.</p><p>• Draft and send correspondence letters to clients, insurance companies, and healthcare providers.</p><p>• Collaborate closely with attorneys to review case status and develop strategies.</p><p>• Perform investigative tasks related to claims and pre-litigation case work.</p><p>• Manage administrative duties such as faxing, filing, and copying to support case management.</p><p>• Oversee and prioritize a substantial caseload while ensuring accuracy and timeliness.</p><p>• Assist staff and team members with various tasks, ensuring seamless workflow and collaboration.</p><p>• Utilize software tools, including Microsoft Word and Excel, to maintain organized records and documentation.</p>
Position Overview: Robert Half is seeking a highly skilled and experienced Wealth Management Tax Director to join our client’s organization. As a Tax Director specializing in wealth management, you will lead the development and execution of advanced tax strategies for high-net-worth individuals, families, and entities, ensuring compliance with relevant tax regulations while enhancing financial outcomes. You will function as a subject matter expert, providing leadership, mentorship, and strategic insights while collaborating with clients and internal teams to offer exceptional tax and wealth management services. Key Responsibilities: Tax Strategy Development and Implementation: Develop and execute comprehensive tax strategies for high-net-worth individuals and families, addressing complex financial, estate, and trust planning needs. Tax Compliance Oversight: Ensure accurate and timely preparation and filing of federal, state, and local tax returns while adhering to regulatory requirements. Client Relationship Management: Serve as a trusted advisor to clients, understanding their financial goals and proactively offering tailored tax solutions to enhance wealth preservation and transfer. Risk Management: Identify and mitigate tax-related risks, ensuring compliance with evolving tax codes and regulations while providing guidance on audits and disputes. Team Leadership: Manage and mentor a team of tax professionals, fostering knowledge sharing, skill development, and collaboration. Collaborative Planning: Partner with wealth advisors, financial planners, and legal professionals to deliver integrated and holistic financial strategies to clients. Market Insights: Stay up to date on industry trends, regulatory updates, and economic changes, translating insights into actionable recommendations for clients. Business Development: Cultivate relationships with prospects and referral partners to expand the firm’s client base and enhance brand visibility in wealth management.
<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>Summer is here! Want to be with a company that will ensure you get to enjoy this beautiful weather? You don't have to be a 'people person' to want to work for a company that prioritize cultivating a healthy work environment for their employees while emphasizing the importance of a work-life balance. </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><strong>Firm seeks Coverage Opinion Writing Attorney (No Litigation)</strong></p><p><br></p><p>This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul><p><br></p><p>Billable hour target: 1850/year</p><p><br></p><p>Can work 100% remote in US (PST work hours)</p><p><br></p><p><u>Perks of Firm</u>:</p><ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol><p><br></p>
<p><em>The salary range for this position is up to $190,000 plus bonus, 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>You know what’s awesome? PTO. You know what else is awesome? A high-paying job that respects your work-life balance so you can enjoy your PTO. This role has perks that are unmatched by its competitors. Plus, this position doubles as a fast-track career advancement opportunity as they prefer to promote from within. </p><p><br></p><p><strong><u>Position Responsibilities</u></strong></p><ul><li>Work with Senior Leadership Team and Financial Leadership Team to understand the company’s vision and strategy and develop integrated EPM vision and strategies that are aligned with the company's overall strategic initiatives and financial objectives</li><li>Facilitate the establishment of daily, weekly and monthly reporting requirements</li><li>Give significant input to the development of company enterprise structure required to achieve reporting requirements and coordinate with finance and IT resources towards implementation of a transaction systems all the way through EPM reporting systems</li><li>Participate in the selection and configuration of EPM reporting tools consisting of 1) Actual Consolidation, 2) Planning and Forecasting, 3) Workforce Planning, 4) Long Range Planning (3 to 5 years), 5) Integrated Management Reporting and 6) External / SEC Reporting among others [tools currently being implemented are Tagetik and SAP’s SAC]</li><li> Create the vision and strategies for actual, plan / forecast and long range planning reporting</li><li>Establish financial standard reports to assure “one version of the truth”</li><li>Create and govern required reporting Master Data Management (MDM) Change Control processes (for entities, profit centers, cost centers, chart of accounts, standard reporting formats among others) as part of the Enterprise Master Data Governance program.</li><li>Establish links between various transformation initiatives and business strategies using methods/approaches such as capability assessment, business/financial analysis, process management and re-design, organizational assessment and stakeholder management</li><li>Contribute with financial specific expertise in establishing governance program conducted by the Master Core Data Team.</li><li>Support acquisition integration efforts by developing/enhancing playbook activities and repeatable processes for efficient and timely integration of financial data</li><li>Provide direct oversight for the management and prioritization of key projects and milestones. Responsible for overall project/program quality assurance</li><li>Provide thought leadership to ensure program objectives are achieved and stakeholders are aligned</li><li>Work directly with key stakeholders and business partners to drive improvements in core financial processes such as close/consolidations; planning, budgeting and forecasting; and management reporting</li><li>Foster continuous improvement mindset to drive change, improve access to critical information and enhance decision support capabilities across finance</li></ul>
<p>We are seeking a professional and detail-oriented Medical Front Desk Coordinator to join our healthcare team. The ideal candidate is bilingual in Spanish or Tagalog and experienced with NexTag, a medical point-of-care (POC) system. This role is essential in providing a smooth and welcoming experience for patients while supporting the administrative functions of the clinic.</p><ul><li>Greet and check in patients in a friendly and professional manner.</li><li>Schedule and confirm patient appointments using <strong>NextTag</strong>.</li><li>Verify patient insurance coverage, eligibility, and copay amounts prior to appointments.</li><li>Collect payments and process transactions accurately through <strong>NextTag</strong>.</li><li>Maintain and update patient demographic, billing, and medical records.</li><li>Answer multi-line phones, respond to patient inquiries, and route calls appropriately.</li><li>Coordinate with medical staff to ensure smooth patient flow and scheduling.</li><li>Assist with prior authorizations, referrals, and medical record requests.</li><li>Maintain patient confidentiality and adhere to <strong>HIPAA</strong> regulations.</li></ul>
Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p>We are looking for a detail-oriented Personal Injury Plaintiff Case Manager to join our team in Los Angeles, California. In this role, you will oversee personal injury cases, ensuring efficient claim processing, effective communication, and timely management of client needs. The ideal candidate will have a strong background in case management and a commitment to delivering exceptional client service.</p><p><br></p><p>Responsibilities:</p><p>• Process and open health insurance claims with accuracy and attention to detail.</p><p>• Upload and organize critical documents into the company’s case management software.</p><p>• Schedule and coordinate medical appointments while maintaining an up-to-date calendar.</p><p>• Serve as the primary point of contact for clients, addressing their concerns promptly and professionally.</p><p>• Ensure proper documentation and tracking of case details to support smooth claim administration.</p><p>• Collaborate with internal teams to streamline workflows and maintain case progress.</p><p>• Utilize CRM tools to manage client interactions and maintain detailed records.</p><p>• Monitor case timelines and ensure all deadlines are met.</p><p>• Stay informed about personal injury law and regulations to provide informed support.</p><p>• Maintain confidentiality and adhere to legal compliance standards.</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 meticulous Billing Clerk to join our team in North Andover, Massachusetts. In this role, you will handle medical billing processes, ensuring accuracy and compliance with industry standards while working closely with healthcare providers, insurance companies, and patients. This position is ideal for professionals with medical billing experience who enjoy a dynamic, collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance providers with precision and attention to detail.</p><p>• Investigate and resolve denied or rejected claims to secure timely reimbursements.</p><p>• Verify patients' insurance coverage and eligibility prior to submitting claims.</p><p>• Oversee accounts receivable, recording payments and applying necessary billing adjustments.</p><p>• Collaborate with healthcare staff to address and correct coding discrepancies.</p><p>• Generate comprehensive financial reports to monitor billing performance and metrics.</p><p>• Ensure compliance with Medicare, Medicaid, and private insurance regulations.</p><p>• Utilize medical billing software and electronic health record systems effectively.</p><p>• Provide responsive customer service by addressing patient and insurance inquiries regarding billing.</p><p>• Conduct follow-ups on unpaid claims to facilitate proper payment collection.</p><p><br></p><p><br></p><p>If interested, please reach out to jeremy.tranfaglia@roberthalf</p>
We are looking for a dedicated and detail-oriented Case Manager to join a dynamic plaintiff litigation law firm in Santa Barbara, California. This permanent position offers the opportunity to grow into a leadership role, blending case management expertise with office oversight responsibilities. If you are motivated, organized, and eager to become a key part of a thriving legal team, this role is designed for you.<br><br>Responsibilities:<br>• Assist with legal administrative tasks and learn case processes from intake to settlement.<br>• Support case managers by gaining hands-on experience with file management and workflow.<br>• Take on a manageable caseload as a Senior Case Manager, providing strategic guidance and ensuring timely case progression.<br>• Oversee staff workflows and productivity, stepping into an Office Manager role over time.<br>• Conduct twice-daily team check-ins to monitor task completion and file movement.<br>• Lead hiring, onboarding, and training initiatives for new case managers.<br>• Manage HR-related duties, including tracking time-off requests, conducting employee reviews, and maintaining payroll records.<br>• Organize and improve internal systems to enhance team efficiency and accountability.<br>• Serve as the point of contact for case strategy discussions and file reviews.
<p>We are looking for a detail-oriented Medical Billing and Payment Posting Specialist to join our team located in the Greater Philadelphia Region. In this fast-paced and rapidly growing environment, you will play a key role in supporting the fee-for-service finance department. This Medical Billing and Payment Posting Specialist role is a contract position that requires strong organizational skills and proficiency with multiple software applications.</p><p><br></p><p>What you get to do every single day:</p><p>• Review and upload claims accurately to ensure proper processing and timely reimbursement.</p><p>• Track claims manually and maintain detailed records for auditing and reporting purposes.</p><p>• Develop and refine standard operating procedures (SOPs) with guidance from leadership.</p><p>• Utilize software tools such as QuickBooks for invoicing and payment management.</p><p>• Handle customer service inquiries related to billing and payments.</p><p>• Navigate and work efficiently across various medical portals and applications, including ModMed, Ability, and Pear.</p><p>• Conduct audits to identify discrepancies and ensure compliance with billing standards.</p><p>• Address medical insurance denials and resolve issues effectively.</p><p>• Process transactions using platforms like Square and maintain accurate financial records.</p><p>• Collaborate with team members to improve processes and support departmental goals.</p>
