We are looking for a dedicated Referral Coordinator to join our team in Los Angeles, California. In this long-term contract position, you will play a key role in supporting patients by coordinating referrals, assisting with access to medical services, and ensuring seamless communication between providers and patients. This position requires a strong understanding of medical terminology and a commitment to providing exceptional patient care.<br><br>Responsibilities:<br>• Coordinate all referrals for subspecialty, diagnostic, and mammogram services, ensuring effective communication with external agencies and health plans.<br>• Notify patients of appointment details, educate them on the importance of their visits, and provide reminders to encourage follow-through.<br>• Maintain accurate and up-to-date referral logs, tracking the status of appointments, consult notes, and patient compliance.<br>• Prepare and submit detailed monthly activity reports as requested by management.<br>• Research and continuously update information on external referral resources available to patients.<br>• Act as a liaison between patients and medical staff, facilitating communication for both internal and external healthcare services.<br>• Educate patients on available benefits such as Medi-Cal or Managed Care plans, and connect them with Eligibility Specialists for assistance.<br>• Assist in the preparation of necessary medical forms and ensure completeness before submission.<br>• Support outreach strategies for screening events, including mammograms and Pap smears, to promote preventive care.<br>• Provide breast health education and guide patients through the healthcare system with empathy and professionalism.
<p>We are looking for a dedicated Intake Coordinator to join our team in Rochester, New York. In this long-term contract position, you will play a vital role in ensuring patients receive seamless care by managing referrals, authorizations, and scheduling. If you thrive in a healthcare environment and are passionate about delivering exceptional service, this role is for you.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate insurance referrals and verify patient eligibility for services.</p><p>• Manage authorization requests to ensure timely approvals for procedures and treatments.</p><p>• Schedule appointments and follow up with patients to confirm their availability.</p><p>• Maintain accurate and updated patient medical records in compliance with healthcare regulations.</p><p>• Assist patients with inquiries related to referrals, insurance coverage, and scheduling.</p><p>• Collaborate with healthcare providers to streamline referral and authorization processes.</p><p>• Verify insurance information to ensure coverage for requested services.</p><p>• Monitor and track pending authorizations and referrals to avoid delays in patient care.</p><p>• Provide exceptional customer service to patients and their families, addressing concerns promptly.</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>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><strong> </strong>Manages, coordinates and monitors the case load of each case worker assigned to work the Central Texas Flood Recovery/Relief program; supervises case workers and will be responsible for the overall success of recovery goals. Assigns each case accordingly and monitors each case load for accuracy and completion. Responsible for reporting, compliance, monitoring and evaluating all activities under his/her direct control; which includes volunteer administration. All managers will be expected to participate in disaster-related community efforts related to long term recovery. </p>
<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>
Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
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>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>We are looking for a dedicated Case Manager to join our team in Downtown Los Angeles, California, working within a nonprofit environment. This is a Contract position, offering an opportunity to make a meaningful impact by assisting individuals and ensuring smooth administrative operations.</p><p><br></p><p>Responsibilities:</p><p>• Provide case management services, including assessing client needs and coordinating appropriate resources.</p><p>• Handle incoming calls professionally, offering assistance and responding to inquiries in a timely manner.</p><p>• Perform data entry tasks with accuracy, ensuring client and organizational records are up to date.</p><p>• Manage receptionist duties, including greeting visitors and maintaining a welcoming environment.</p><p>• Support administrative office functions, such as scheduling appointments and organizing documents.</p><p>• Collaborate with team members to streamline processes and enhance service delivery.</p><p>• Maintain confidentiality and adhere to nonprofit policies and procedures.</p><p>• Monitor client progress and ensure follow-up on services provided.</p><p>• Prepare reports and summaries related to case management activities.</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>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>Job Title: </strong>Medical Biller</p><p><strong>Location:</strong> Hatboro, PA (100% Onsite)</p><p><strong>Schedule</strong>: Monday – Friday, 8:00 AM – 5:00 PM</p><p><strong>Employment Type: </strong>Permanent, Full-Time</p><p><br></p><p><strong>Overview:</strong></p><p>A healthcare facility near Hatboro, PA is seeking an experienced and detail-oriented Medical Biller to join their team. This role is fully onsite and offers the opportunity to play a key part in the billing and revenue cycle process. The ideal candidate will have strong knowledge of medical billing practices, claims management, and coding standards, with a proven ability to ensure accuracy and timely collections.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Code charges and process billing for medical procedures</li><li>Prepare, review, and complete billing cycles for accuracy and timeliness</li><li>Research and resolve billing discrepancies; identify and process refunds, credits, and write-offs</li><li>Collect and process patient payments, including credit card transactions; set up payment plans for past due balances</li><li>Generate and mail weekly patient statements</li><li>Post patient and payer Explanation of Benefits (EOB) payments into the system</li><li>Monitor and follow up on unpaid claims and denials; prepare reconciliations and appeals as necessary</li><li>Submit claims to insurance carriers electronically or by mail</li><li>Communicate with staff, physicians, and their offices to obtain billing details and updated patient demographic information</li><li>Collaborate with internal staff and physician offices to gather required documentation and ensure billing accuracy</li><li>Handle incoming patient inquiries, providing thorough and timely follow-up to resolve account issues</li></ul>
<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><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>
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><strong>Now Hiring: Medical Billing & Front Desk Lead – Quad Cities</strong></p><p><br></p><p>Join a respected healthcare organization as the <strong>Medical Billing & Front Desk Lead</strong>! In this role, you’ll handle medical billing accuracy, insurance verification, and front desk oversight while coaching the team for success.</p><p><br></p><p><strong><u>What You’ll Do:</u></strong></p><ul><li>Manage medical billing: claims, payments, and follow-ups</li><li>Ensure accurate scheduling & insurance verification</li><li>Lead and support front desk staff</li><li>Improve workflows for billing and front desk processes</li></ul><p>Hours: Monday–Friday, 8 AM–5 PM (occasional 7 AM shift)</p><p><br></p><p><strong>Ready to make an impact? Apply today or call Lydia, Christin, or Erin at 563-359-3995!</strong></p>
<p>We are looking for a dedicated Case Manager to join a stable team in Sherman Oaks looking to add a new member of the team. This firm specializes in personal injury cases, and this role is crucial to ensuring clients receive the support and advocacy they need throughout the claims process. The ideal candidate will thrive in a collaborative and focused environment while demonstrating exceptional organizational and communication skills.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims processing with various insurance carriers, including health insurance providers, Medicare, and MediCal.</p><p>• Resolve property damage and loss of use claims efficiently and effectively.</p><p>• Coordinate with healthcare providers to schedule medical appointments for injury treatment.</p><p>• Advocate for clients by monitoring medical treatments and organizing care based on provider recommendations.</p><p>• Review, analyze, and interpret medical records, surgical reports, and medical bills.</p><p>• Prepare comprehensive case files for submission to the demands department.</p><p>• Maintain clear and precise communication with clients, healthcare providers, and internal staff.</p><p>• Collaborate with team members to ensure seamless case management and support.</p><p>• Utilize case management software and tools to maintain accurate and organized documentation.</p>
<p>We are looking for a dedicated Case Manager Admin to join our team in San Francisco, California, on a contract basis. In this role, you will provide comprehensive case management services to a diverse population of formerly homeless adults, many of whom face challenges related to mental health, substance use, or medical issues. This position requires strong organizational skills, compassion, and the ability to collaborate with tenants and various stakeholders to promote housing stability and community engagement.</p><p><br></p><p>Responsibilities:</p><p>• Conduct initial and ongoing needs assessments, outreach visits, and follow-ups to ensure tenants receive appropriate services.</p><p>• Build rapport with tenants and intervene effectively to address housing and life challenges.</p><p>• Assist tenants with securing and maintaining benefits and meeting rent payment obligations.</p><p>• Address unit habitability concerns and collaborate with hotel staff during inspections and pest control visits.</p><p>• Organize community-building events, tenant groups, and social activities to foster a supportive environment.</p><p>• Refer tenants to suitable job placement programs and other resources based on individual needs.</p><p>• Respond to tenant crises, offering de-escalation support and working with relevant departments and providers.</p><p>• Maintain accurate and organized tenant case files, ensuring confidentiality and compliance with regulations.</p><p>• Participate in agency-wide initiatives, such as energy program and income recertification efforts.</p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Allison Jacques at Allison.jacques - at - roberthalf - .com with your word resume and reference job ID#*00410-0013301322*</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>
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 dedicated Pre-Authorization Specialist to join our team in Miramar, Florida. In this contract-to-hire position, you will play a key role in coordinating insurance authorizations and ensuring accurate patient documentation for medical equipment delivery. This role requires exceptional organizational skills and a strong understanding of insurance policies and billing processes.</p><p><br></p><p>Responsibilities:</p><p>• Review clinical denials, including cases related to referrals, pre-authorizations, medical necessity, and non-covered services.</p><p>• Prepare and submit medical necessity determinations to health plans or medical directors by analyzing clinical documentation in adherence to Medicare, Medicaid, and third-party payer guidelines.</p><p>• Maintain and update referral information while tracking changes in patient status.</p><p>• Verify patient eligibility and ensure insurance benefits are appropriately identified.</p><p>• Coordinate callbacks to patients regarding inquiries and provide clear guidance.</p><p>• Ensure all required documentation, such as prescriptions and physician notes, is obtained prior to medical equipment delivery.</p><p>• Determine delivery methods for medical equipment, including direct delivery to homes, physician offices, hospitals, or the company office.</p><p>• Track inventory of medical equipment and oversee shipping processes.</p><p>• Collaborate closely with nursing coordinators and instructors to support patient needs.</p><p>• Assist with general office operations to ensure smooth workflows.</p>
<p>Our client is seeking a highly motivated and detail-oriented <strong>Eligibility Specialist</strong> for a remote, contract-to-hire position. The Eligibility Specialist will play a crucial role in ensuring the financial clearance of patient accounts, focusing on eligibility verification, resolving claim discrepancies, and guaranteeing the timely submission of clean claims to insurance companies. This is a fast-paced role that demands precision, analytical skills, and exceptional communication abilities.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><ul><li>Conduct detailed reviews of patient insurance coverage and benefits for laboratory services.</li><li>Collaborate with teammates, clinics, patients, and insurance companies to verify coverage details and address any discrepancies.</li><li>Maintain accurate and comprehensive documentation of eligibility information in the revenue cycle management (RCM) system.</li></ul><p><strong>2. Claim Error Processing</strong></p><ul><li>Analyze and promptly resolve claim errors identified in the RCM system, including billing and coding discrepancies.</li><li>Work closely with team members to ensure compliance with policies, procedures, and medical necessity requirements.</li><li>Address and reconcile discrepancies to prepare clean claims for timely submission.</li></ul><p><strong>3. Additional Duties</strong></p><ul><li>Assist in other related tasks as assigned by leadership.</li></ul>
<p>We are seeking an <strong>Entry-Level Medical Biller</strong> to join our client’s dynamic team. In this role, you’ll play a vital part in the billing cycle, ensuring accurate and timely billing for medical services while contributing to a positive patient experience.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient charts and medical records to ensure accuracy in billing documentation and coding.</li><li>Prepare and submit insurance claims for reimbursement in compliance with payer requirements.</li><li>Follow up with insurance providers to track claim statuses and resolve discrepancies or denials.</li><li>Respond to patient inquiries regarding billing statements and insurance coverage.</li><li>Post payments and adjustments in the billing system and maintain accurate account records.</li><li>Stay up to date with billing regulations, coding guidelines, and HIPAA compliance standards.</li><li>Collaborate with healthcare providers, administrative staff, and insurance companies to streamline processes.</li></ul><p><br></p>
