<p>We are looking for a skilled Billing Coordinator to join our team in Johnstown, Ohio. This is a Contract to permanent position within the construction industry, offering the opportunity to contribute to critical financial operations on-site. The role requires a mix of client-facing interactions and internal collaboration, ensuring accurate billing and financial tracking for ongoing projects.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit precise invoices to clients based on project milestones, contract terms, or completion percentages.</p><p>• Utilize Excel to generate detailed reports, leveraging Pivot Tables and VLookups for data analysis.</p><p>• Review contracts, change orders, and supporting documents to verify correct billing for each project.</p><p>• Monitor accounts receivable and coordinate with clients and project managers to address outstanding payments.</p><p>• Reconcile billing records to resolve discrepancies between invoices, project budgets, and completed work.</p><p>• Maintain comprehensive and accurate financial records, including subcontractor payments and client communications.</p><p>• Collaborate effectively with project teams and corporate accounting to ensure financial data is up-to-date and accurate.</p><p>• Communicate professionally with clients and internal teams to address billing inquiries and updates.</p>
<p>Our client, a well-established <strong>construction and field services company</strong>, is searching for a <strong>Billing Specialist</strong> who loves variety, complexity, and project-driven workflows. In this role, you’ll manage everything from progress billing to job costing to compliance documentation. This position requires someone who thrives in an environment where no two invoices look the same and where accuracy is everything. You’ll be working closely with project coordinators, field supervisors, and clients to ensure billing aligns with schedule-of-values, labor hours, materials, equipment usage, and approved change orders.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Prepare accurate progress billings, T& M invoices, and final invoices based on project phase completion</li><li>Review certified payroll reports, equipment logs, and project notes for billing accuracy</li><li>Coordinate and submit required paperwork including lien releases, W-9s, insurance documents, and compliance forms</li><li>Maintain job cost breakdowns and verify that costs are billed to correct phases or cost codes</li><li>Track subcontractor billing, retention amounts, and related supporting documents</li><li>Communicate with project managers to confirm labor hours, materials, and change orders</li><li>Support month-end close processes including revenue accruals and reconciliations</li><li>Assist with contract setup and ensure billing aligns with contract terms</li></ul>
<p>We are seeking an experienced <strong>Billing Coordinator</strong> to join a dynamic law firm’s billing team. This role is ideal for a detail-oriented professional with strong organizational skills and a background in legal billing. The position offers a hybrid schedule and the opportunity to work closely with attorneys, partners, and legal staff.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage billing for assigned partners and coordinate new matter intake.</li><li>Generate and distribute prebills; finalize and send invoices to clients.</li><li>Submit e-bills and manage electronic billing platforms.</li><li>Handle appeals and billing rejections; monitor and follow up on open balances.</li><li>Collaborate with attorneys and legal support staff on billing-related tasks.</li></ul><p><br></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis PART TIME in Des Plaines, Illinois. In this role, you will handle essential billing operations, ensuring accurate claims submissions and resolving unpaid claims with insurance providers. This position requires a proactive individual with expertise in medical billing and coding, capable of working independently without direct training.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately to insurance companies for reimbursement.</p><p>• Identify and resolve unpaid claims by analyzing discrepancies and communicating with insurance providers.</p><p>• Prepare and send billing statements to insurance companies and patients as needed.</p><p>• Utilize billing software and systems efficiently to ensure timely payment processing.</p><p>• Conduct follow-ups on pending claims to ensure resolution and payment.</p><p>• Maintain organized records of claims and payments for auditing and reporting purposes.</p><p>• Collaborate with other team members to address billing issues and enhance efficiency.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Monitor accounts receivable to ensure timely collection of payments.</p><p>• Provide insights and recommendations to improve billing processes where applicable.</p>
<p>We are looking for a dedicated Claims Representative to join our team in Napoleon, Ohio. This position involves adjusting and settling claims across various lines of business. As a Contract to permanent role, it offers the opportunity to transition to a long-term position based on performance and company needs. The ideal candidate will have strong communication skills, a commitment to customer service, and the ability to work effectively within company systems.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims in accordance with company policies and the Unfair Claims Practices Act.</p><p>• Verify coverage for assigned claims to ensure proper handling.</p><p>• Conduct investigations and evaluations to determine appropriate settlements.</p><p>• Coordinate with independent adjusters and appraisers when necessary.</p><p>• Handle subrogation, salvage, and third-party liability contributions.</p><p>• Notify supervisors about claims exceeding settlement authority limits.</p><p>• Set accurate reserves for claims and monitor their status.</p><p>• Report potential fraud, complaints, or questionable submissions to the Claims Supervisor.</p><p>• Participate in training seminars and relevant associations to enhance skills.</p><p>• Complete additional tasks assigned by the Claims Supervisor or Manager.</p>
<p>We are looking for a detail-oriented Medical Payment Poster Specialist to join our team on a Contract to permanent basis in Sacramento, California. In this role, you will handle the accurate posting of payments, adjustments, and refunds, ensuring compliance with healthcare billing procedures. Ideal candidates will bring prior experience in medical payment posting or medical billing, along with the ability to effectively prioritize tasks and maintain organized workflows.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post patient payments received through mail.</p><p>• Process insurance payments utilizing various systems and formats, including spreadsheets and paper documentation.</p><p>• Review and resolve unapplied credits and encounter credit reports.</p><p>• Execute adjustments, payment transfers, and refunds.</p><p>• Record and organize correspondence related to payments and billing.</p><p>• Collaborate on assigned projects and tasks to support the payment posting function.</p>
Are you an experienced medical billing professional seeking your next opportunity? Our client in Holyoke, MA is looking for a contract Medical Billing Specialist to join their team and deliver accurate, timely billing for healthcare services. This is a contract role suited to someone who thrives in fast-paced medical environments and is committed to supporting top-quality patient and financial outcomes. Key Responsibilities: Review and process medical claims and billing statements for accuracy and compliance Submit claims to insurance providers, follow up on outstanding payments, and resolve denials/rejections Collaborate with other healthcare staff to ensure accurate patient account information Maintain confidentiality and data integrity at all times Assist with general administrative tasks related to billing and collections as needed
<p><em>The salary range for this position is $100,000-$105,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance.</em></p><p><br></p><p><strong>Job Description</strong></p><p><strong>Essential Duties and Responsibilities:</strong></p><ul><li>Tracks and reports on timekeeper hours</li><li>Prepares prebills and reviews edits by billing partner(s)</li><li>Verifies the accuracy of billing entries and supporting documentation.</li><li>Prepares invoices for submission to clients via various Ebilling platforms or by email, dependent on client requirements</li><li>Monitors accounts receivable and collection efforts</li><li>Submits budgets per client requirements</li><li>Works closely with billing partners on bill appeals</li></ul><p><strong> </strong></p><p><strong>Skills/Qualifications:</strong></p><ul><li>Detail-oriented, with excellent organizational skills</li><li>Working knowledge of various Ebilling platforms, including: ASCENT, LSS, TyMetrix, Legal-X, Legal Tracker, etc.</li><li>Working knowledge of PCLaw or similar billing application</li><li>Ability to work well under pressure, i.e., managing conflicting and fluctuating deadlines, and effectively prioritizing multiple tasks of equal urgency and importance with minimal supervision</li><li>Experience in effective problem-solving, actively using sound judgment in decision-making processes</li><li>Ability to handle confidential matters discreetly, in a mature and responsible manner conducive to the position</li><li>Effective communication skills, including the ability to be courteous in handling situations patiently and tactfully, with all audiences including partners, associates, staff and external clients and vendors</li><li>Experience with troubleshooting minor technology issues, including hardware and software</li><li>Ability to occasionally work more than 40 hours per week to perform the essential duties of the position; may require irregular hours</li></ul>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baltimore, Maryland. This is a contract-to-permanent position within the medical devices industry, offering an opportunity to contribute to healthcare operations through accurate billing and coding practices. The ideal candidate will have hands-on experience in medical billing and a solid understanding of insurance processes, including Medicare, Medicaid, and third-party payers.</p><p><br></p><p>Responsibilities:</p><p>• Handle medical billing and coding tasks with precision and attention to detail.</p><p>• Reach out to insurance companies to resolve billing issues and ensure claims are processed effectively.</p><p>• Manage reimbursements and claims for Medicare, Medicaid, and third-party insurance providers.</p><p>• Collaborate with healthcare providers to verify patient insurance benefits and coverage.</p><p>• Maintain accurate records of billing and insurance communications.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Assist in identifying discrepancies in claims and resolving them promptly.</p><p>• Provide support in medical collections processes, ensuring timely payments.</p><p>• Communicate with patients regarding billing inquiries and insurance coverage.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our client's team in Beaverton, Oregon. This part time, long-term contract position is ideal for a detail-oriented individual with expertise in medical billing and coding. The role involves interacting with claims, denials, and insurance billing processes while ensuring compliance with industry standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical billing claims using Advanced MD software.</p><p>• Conduct thorough follow-ups on insurance claims and resolve any issues related to denials.</p><p>• Perform medical coding tasks, including assigning appropriate codes for new testing procedures.</p><p>• Manage collections and ensure timely payments from insurance providers such as Medicare, Medicaid, and Tricare.</p><p>• Research and analyze billing discrepancies to identify solutions and maintain financial accuracy.</p><p>• Utilize critical thinking skills to streamline operations and improve billing workflows.</p><p>• Collaborate with other departments to ensure proper documentation and coding compliance.</p><p>• Maintain up-to-date knowledge of billing regulations and industry standards.</p><p><br></p>
We are looking for a dedicated Insurance Service Associate for Property and Casualty to join our team in Rochester, New York. In this long-term contract position, you will provide exceptional customer service to clients, ensuring their needs are addressed promptly and with attention to detail. Your role will involve handling client interactions, resolving complaints, and maintaining accurate documentation in alignment with company policies.<br><br>Responsibilities:<br>• Deliver outstanding customer service to clients by addressing inquiries and resolving claims in a timely and detail-oriented manner.<br>• Maintain accurate records of all client interactions, ensuring compliance with company policies and procedures.<br>• Utilize software tools, including Salesforce and Adobe Flex, to manage customer data and streamline processes.<br>• Develop a foundational understanding of Paychex products to better support client needs.<br>• Perform data entry tasks with a focus on prioritization and organizational accuracy.<br>• Handle complaints effectively, ensuring fair resolutions while maintaining positive customer relations.<br>• Collaborate with team members to provide quality service and support for property and casualty insurance clients.<br>• Scan, photocopy, and organize documents as needed to support administrative functions.<br>• Stay updated on industry best practices and internal procedures to enhance service delivery.<br>• Assist in claim administration and policy-related tasks to ensure seamless operations.
<p>Our Robert Half Madison team recently partnered on a search for a <strong>Billing Analyst</strong> just north of Madison. Join a thriving construction company with a reputation for teamwork, longevity, and genuine people. Many of the organizations team members, including key leaders, have been with them for decades, reflecting a strong, positive culture. As a Billing Analyst, you will be responsible for assigned customer billing and support larger accounting projects within a ten-member accounting and payroll team. You’ll report directly to the Billing Manager and play a key role in accurate, timely billing and overall process improvement. If interested, please apply with your most up to date resume and call 608-716-5643. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Review and interpret customer contracts to ensure billing and job accounting compliance</li><li>Process incoming field reports weekly, research discrepancies, and verify job cost coding for revenue, payroll, and expenses</li><li>Accurately price and verify billings before posting and routing for customer approval</li><li>Manage customer receipts and monitor accounts receivable aging balances</li><li>Provide weekly reporting to field supervisors and management</li><li>Execute account reconciliations</li><li>Assist with broader accounting functions and projects as needed</li></ul>
We are looking for a skilled Medical Billing Specialist to join our team in Johnston, Iowa. In this long-term contract position, you will play a critical role in managing medical billing operations, ensuring accuracy, and maintaining compliance with healthcare regulations. This is an excellent opportunity to contribute your expertise in a dynamic and collaborative environment.<br><br>Responsibilities:<br>• Process third-party billing across various locations to ensure timely and accurate claim submissions.<br>• Stay informed about Medicare and Skilled billing regulations to maintain compliance.<br>• Manage co-insurance calculations, cash posting, and collections for Medicare and commercial insurance accounts.<br>• Resolve issues with delinquent accounts and address credit balances effectively.<br>• Collaborate with providers, finance teams, auditors, and state agencies to streamline billing processes.<br>• Update rates and maintain billing software tables to ensure system accuracy.<br>• Coordinate with office managers, therapy providers, and nursing directors to ensure accurate billing workflows.<br>• Communicate financial and billing details clearly with clients, responsible parties, and therapy providers.<br>• Maintain confidentiality and safeguard sensitive client and organizational data.<br>• Participate in team projects and contribute to improving billing operations.
We are looking for a detail-oriented Billing Clerk to join our team in Taunton, Massachusetts. This long-term contract position requires someone with experience in medical billing, particularly in behavioral health and healthcare settings. The ideal candidate will possess strong organizational skills and the ability to work independently while handling claims and insurance-related tasks efficiently.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including researching issues and addressing approvals or denials.<br>• Manage medical billing processes accurately and in compliance with healthcare standards.<br>• Ensure patient insurance and demographic records are updated and maintained correctly.<br>• Process charge entries for assigned programs promptly and with precision.<br>• Build and maintain effective communication with insurance representatives to resolve billing issues.<br>• Provide guidance to program directors and clinicians regarding billing procedures and requirements.<br>• Monitor high balance accounts and report problematic account activities to the Billing Manager.<br>• Review aging reports regularly to ensure claims are submitted within the payer’s timely filing limits.<br>• Conduct independent research to stay informed about payer specifications and healthcare billing requirements.<br>• Utilize clearing house platforms, such as Inovalon, to streamline billing processes.
<p>We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a long-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.</p><p>• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.</p><p>• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.</p><p>• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.</p><p>• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.</p><p>• Adhere to organizational compliance standards and industry regulations in all billing activities.</p><p>• Achieve or exceed daily production and quality metrics by managing worklists effectively.</p><p>• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.</p>
We are looking for a dedicated Claims specialist to join our team in Los Angeles, California. This contract-to-permanent position offers an exciting opportunity to contribute to effective claims management processes within the service industry. The ideal candidate will bring expertise in workers' compensation and a proactive approach to managing medical records, claims data, and communication with stakeholders.<br><br>Responsibilities:<br>• Oversee the management of medical records related to workplace injuries, ensuring timely submission to insurance adjusters.<br>• Input medical details from records into the system and provide updates on diagnoses and work status to supervisors.<br>• Support injured employees and managers in implementing early return-to-work programs.<br>• Schedule and monitor follow-up doctor appointments, ensuring medical statuses are documented within 24 hours of visits.<br>• Communicate appointment outcomes to adjusters and supervisors promptly, maintaining a 24-hour response time.<br>• Track and update lost time and modified work statuses in the system regularly.<br>• Maintain consistent communication with insurance adjusters every 60 days until claims are resolved.<br>• Conduct audits of claim data and other relevant records to ensure accuracy and compliance.<br>• Monitor and review organizational claim-related data on a monthly basis.
We are looking for an experienced Insurance Defense Associate to join our dynamic legal team in Philadelphia, Pennsylvania. This role is ideal for a dedicated individual who is eager to work in a collaborative yet fast-paced environment, managing complex litigation cases and providing exceptional legal support. If you have a passion for insurance defense and a commitment to delivering high-quality legal services, we encourage you to apply.<br><br>Responsibilities:<br>• Analyze new case files to formulate strategic action plans and provide recommendations.<br>• Draft and review pleadings, motions, and other legal documents, ensuring accuracy and adherence to procedural requirements.<br>• Oversee discovery processes, including preparing responses and managing document production.<br>• Represent clients in depositions, hearings, and other litigation events, delivering comprehensive updates and reports.<br>• Negotiate settlements effectively and obtain necessary approvals while preparing cases for trial when required.<br>• Collaborate closely with paralegals and legal assistants to ensure seamless case management.<br>• Conduct legal research to support case strategies and arguments.<br>• Maintain consistent communication with clients to provide updates and address inquiries.<br>• Monitor case progress and deadlines to ensure timely execution of all legal tasks.
We are looking for a skilled Medical Billing Specialist to join our team in Raeford, North Carolina. This is a long-term contract position offering an excellent opportunity to contribute to a healthcare environment dedicated to patient care and operational excellence. The ideal candidate will bring expertise in medical billing processes and a commitment to accuracy and efficiency.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance companies with accuracy and attention to detail.<br>• Review and resolve claim denials or discrepancies to ensure timely reimbursement.<br>• Maintain up-to-date knowledge of medical billing codes and insurance regulations.<br>• Collaborate with healthcare providers and administrative staff to address billing inquiries.<br>• Monitor and track payments, ensuring proper documentation and record-keeping.<br>• Generate and analyze billing reports to identify trends and improve processes.<br>• Assist patients with billing-related questions and provide clear and precise communication.<br>• Ensure compliance with all billing policies, procedures, and legal requirements.<br>• Support the implementation of new billing systems or updates as needed.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>We are looking for a dedicated Billing Clerk to join our team in Bethlehem, Pennsylvania. In this long-term contract to hire position, you will play a critical role in managing insurance claims, school billing processes, and ensuring accurate financial operations. The ideal candidate will have experience in Medicaid billing and accounts receivable, with a strong attention to detail and commitment to timely reimbursements and payments.</p><p><br></p><p>Responsibilities:</p><p>• Process insurance claims for commercial and Managed Medicaid reimbursement, including secondary claims, ensuring timely submissions.</p><p>• Assist patients in establishing self-pay arrangements and payment plans tailored to their needs.</p><p>• Post and track payments within the accounts receivable system, maintaining accuracy in financial records.</p><p>• Investigate and resolve billing issues, adhering to payor collection timelines.</p><p>• Coordinate private pay collections following insurance cancellations, denials, or similar issues under the guidance of the Administrative Director.</p><p>• Enter client authorizations and necessary documentation into the billing system, ensuring compliance with school contracts.</p><p>• Track mileage reimbursements and process school billing efficiently.</p><p>• Review and verify staff timesheets for billing purposes, addressing coding errors or overlapping times.</p><p>• Train new employees on billing procedures and system operations to support cross-training initiatives.</p><p>• Maintain and troubleshoot billing platform functionalities, including service codes and authorizations, as required.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
<p>We are looking for an experienced attorney to join our client's well-respected law firm on their General Liability team in Philadelphia, Pennsylvania. This role offers an exciting opportunity for a mid-level lawyer to handle a variety of insurance defense and liability litigation matters. The ideal candidate will bring strong analytical skills, legal expertise, and a commitment to delivering excellent results.</p><p><br></p><p>Responsibilities:</p><p>• Manage a diverse range of general liability litigation cases from inception to resolution.</p><p>• Draft and file legal pleadings, motions, and briefs with precision and attention to detail.</p><p>• Conduct thorough discovery processes, including reviewing documents and preparing responses.</p><p>• Take depositions to gather essential case information and build effective legal strategies.</p><p>• Represent clients in arbitrations, trials, and other legal proceedings.</p><p>• Provide expert advice on insurance defense matters, ensuring compliance with relevant laws and regulations.</p><p>• Collaborate with senior attorneys and legal teams to develop case strategies and solutions.</p><p>• Maintain clear and consistent communication with clients regarding case progress and legal options.</p><p>• Stay updated on legal trends and changes in liability and insurance defense laws.</p><p>• Contribute to the firm's growth by mentoring less experienced team members and sharing expertise.</p>
We are looking for a detail-oriented Denials Specialist to join our team in Minnetonka, Minnesota on a contract basis. In this role, you will be responsible for analyzing and resolving denied or underpaid claims, ensuring compliance with regulations, and contributing to process improvements that minimize future denials. This position requires strong analytical skills and a thorough understanding of medical claims and insurance processes.<br><br>Responsibilities:<br>• Investigate and analyze denied or underpaid claims to identify underlying issues and recommend corrective actions.<br>• Prepare and submit appeals with complete and accurate supporting documentation within established deadlines.<br>• Track and document denial patterns, providing data-driven insights to billing and coding teams.<br>• Collaborate with various departments to implement strategies that prevent recurring denials.<br>• Prioritize and manage aging accounts, focusing on high-dollar or high-risk claims for efficient resolution.<br>• Ensure all activities comply with organizational policies and relevant regulations.<br>• Conduct audits on claims data to verify accuracy and identify discrepancies.<br>• Utilize Epic Clinical systems and other tools to manage claims processing workflows.<br>• Maintain detailed and organized records of claims and appeals for reporting purposes.<br>• Support collection efforts by providing necessary documentation and insights.
<p>We are looking for a dedicated and detail-oriented PART TIME Claims Assistant to join our team in Lakewood, New Jersey. This position is 100% on-site and offers a Contract to permanent opportunity in the healthcare industry. The ideal candidate will excel at managing claims-related tasks, maintaining accurate records, and taking initiative in a fast-paced environment. If you are motivated, organized, and eager to contribute, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Review and compile medical records using computer systems while ensuring accuracy and completeness.</p><p>• Log claims and appeals requests as directed by the Claims Department Manager, following established procedures.</p><p>• Organize and provide medical records from Net Health and SharePoint to the appropriate reviewer.</p><p>• Maintain detailed tracking of requests, submissions, denials, and appeals according to departmental standards.</p><p>• Respond promptly to facility requests, ensuring timely communication and resolution.</p><p>• Submit records online or via physical mail, adhering to required formats and guidelines.</p><p>• Generate and pull necessary reports as requested by management.</p><p>• Maintain clean and accurate spreadsheets to track claims-related data.</p><p>• Organize medical records based on provided checklists and department protocols.</p>
