<p>Are you an organized, personable, and proactive individual looking to make a difference in patient care? We are seeking a <strong>Medical Front Desk Specialist</strong> to join our healthcare team and provide outstanding service to patients, staff, and providers.</p><p>As the first point of contact for patients, the role requires strong customer service skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. If you are bilingual and have a knack for creating smooth experiences for people, we want to hear from you!</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li><strong>Patient Check-In/Check-Out:</strong> Greet patients warmly upon arrival, maintain accurate registration details, and manage documentation for check-out procedures.</li><li><strong>Insurance Verification:</strong> Verify patient insurance benefits and handle all related inquiries for accurate processing.</li><li><strong>Appointment Scheduling:</strong> Coordinate patient scheduling, manage cancellations/rescheduling, and assist with appointment reminders.</li><li><strong>Receptionist Duties:</strong> Answer phones promptly, handle inquiries professionally, and triage calls as needed.</li><li><strong>Document Management:</strong> Fax, scan, and file medical records effectively while maintaining patient information confidentiality (Source: HIPAA standards).</li><li><strong>Copay Collection:</strong> Process patient payments and provide receipts for financial transactions accurately.</li><li><strong>Greeting Patients and Providers:</strong> Provide welcoming and attentive support to all visitors, ensuring a positive experience.</li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>High school diploma or equivalent required; additional education in healthcare or administration is a plus.</li><li>Previous experience in a medical front office or similar healthcare setting preferred.</li><li>Proficiency in using medical scheduling software and Microsoft Office (Word, Excel, and Outlook).</li><li>Bilingual (English and [Specify Second Language]), with strong communication and interpersonal skills.</li><li>Familiarity with insurance verification processes and billing procedures is highly desirable.</li><li>Ability to multitask and remain calm under pressure in a busy healthcare environment.</li></ul><p><br></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 an organized and friendly Medical Front Office Specialist to join our team in Noblesville, Indiana. In this role, you will play a vital part in ensuring smooth communication between patients and the clinical staff while managing administrative tasks efficiently. This position offers an excellent opportunity to contribute to the healthcare industry by supporting patient care and maintaining accurate records.</p><p><br></p><p>Hours:</p><p>Monday 7:45a - 5pm</p><p>Tuesday 8am – 5:30</p><p>Wednesday 9am – 4pm</p><p>Thursday 9am– 5pm</p><p>Friday 7:45am- 4:00pm</p><p><br></p><p>Responsibilities for the position include the following:</p><p>• Coordinate with clinical staff to ensure seamless patient flow and keep waiting patients informed of any updates.</p><p>• Accurately copy, scan, and verify patients' insurance information, ensuring all records are up-to-date and signed appropriately.</p><p>• Prepare and distribute daily patient lists, including morning updates and end-of-day reports.</p><p>• Organize new patient charts and ensure completed charts are filed correctly for upcoming visits.</p><p>• Schedule appointments, medical tests, X-ray studies, and office procedures, providing patients with clear instructions.</p><p>• Collect co-payments, process patient encounter forms, and assist patients with scheduling follow-up visits.</p><p>• Update and verify patient demographic information in the system, ensuring all changes are accurately recorded.</p><p>• Address patient calls regarding delays and notify clinical staff promptly.</p><p>• Rotate late-day shifts with front office staff to assist physicians and patients as needed.</p><p>• Provide backup support for various roles and cover other office locations when required.</p>
We are looking for a detail-oriented Patient Access Specialist to join our team on a contract basis in Miramar Beach, Florida. In this role, you will ensure smooth and efficient patient registration processes while providing excellent support to patients and healthcare staff. This position involves a mix of desk work and hands-on tasks, making it ideal for professionals who thrive in dynamic environments.<br><br>Responsibilities:<br>• Welcome and check in patients upon arrival, ensuring all necessary documentation is completed.<br>• Retrieve and review medical orders to support accurate patient registration and scheduling.<br>• Conduct financial clearance for procedures, including basic medical coding tasks.<br>• Schedule patients for laboratory tests and other healthcare services.<br>• Determine appropriate registration pathways, such as LabCorp or Ascension, based on patient needs.<br>• Maintain accurate records and data entry to streamline administrative workflows.<br>• Collaborate with healthcare providers and staff to address patient inquiries and resolve registration issues.<br>• Perform occasional off-desk tasks to support operational needs and enhance patient care.
<p>Nashua, NH - ON-SITE - Patient Access Specialist - 3rd Shift Position</p><p>Hours 11:00am-7:00pm - Multiple Openings </p><p><br></p><p>We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. This Contract to permanent position focuses on ensuring seamless patient admissions and delivering exceptional service while adhering to organizational policies and regulatory standards. As part of the healthcare industry, this role plays a vital part in supporting patients and maintaining efficient processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and verify medical necessity to ensure compliance with regulations.</p><p>• Deliver clear instructions to patients, collect insurance details, and process physician orders while maintaining a high level of customer service.</p><p>• Meet point-of-service collection targets and pre-register patient accounts by gathering demographic, insurance, and financial information through inbound and outbound calls.</p><p>• Explain and obtain signatures for consent and treatment forms, ensuring patients understand their rights and responsibilities.</p><p>• Verify insurance eligibility and input benefit data to support billing processes and enhance claims accuracy.</p><p>• Utilize software tools to identify potential non-payment issues for Medicare patients, distribute required forms, and provide necessary documentation.</p><p>• Conduct audits on patient accounts to ensure accuracy and compliance with quality standards, offering feedback to leadership as needed.</p><p>• Maintain a compassionate and detail-oriented approach in all patient interactions, aligning with organizational goals and customer service expectations.</p><p>• Provide patient education materials and ensure all required documentation is completed promptly and correctly.</p>
<p>3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! </p><p><br></p><p>We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.</p><p>• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.</p><p>• Adhere to organizational policies while delivering exceptional customer service with compassion.</p><p>• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.</p><p>• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.</p><p>• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.</p><p>• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.</p><p>• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.</p><p>• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.</p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine. Scheduled Shift: Scheduled Shift: Week1: Thursday, Friday, Saturday - 7:45 a.m. - 8:15 p.m.</p><p>Week 2: Monday, Wednesday, Thursday - 7:45 a.m. - 8:15 p.m. offering the opportunity to provide exceptional support and service to patients while ensuring compliance with organizational policies and regulatory requirements. In this role, you will play a vital part in facilitating smooth admission processes and maintaining accurate patient information.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers and perform medical necessity and compliance checks for patient admissions.</p><p>• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining exceptional customer service standards.</p><p>• Conduct pre-registration activities, including inbound and outbound calls to gather demographic and insurance information, as well as inform patients of financial liabilities and payment options.</p><p>• Explain and obtain signatures for treatment consent forms and distribute patient education materials such as Medicare and Tricare messages, observation forms, and other relevant documents.</p><p>• Utilize insurance verification systems to review eligibility responses, select appropriate insurance codes, and input benefit data to facilitate billing and clean claim processes.</p><p>• Screen medical necessity using Advance Beneficiary Notice software to inform Medicare patients of potential coverage issues and distribute required documentation.</p><p>• Perform audits on patient accounts to ensure accuracy, completing forms in compliance with audit standards, and provide statistical data to leadership.</p><p>• Meet assigned point-of-service goals and ensure quality standards are upheld through the use of reporting and auditing systems.</p><p>• Maintain a compassionate approach when interacting with patients, guardians, and healthcare providers, adhering to organizational policies and customer service expectations.</p>
We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. In this Contract-to-permanent role, you will play a critical part in ensuring smooth admissions and registration processes for hospital patients while maintaining compliance with organizational policies and regulatory standards. This position requires strong attention to detail and excellent communication skills to deliver exceptional service to patients and their families.<br><br>Responsibilities:<br>• Register patients accurately by assigning medical record numbers, performing compliance checks, and collecting necessary insurance and physician order details.<br>• Provide clear instructions and compassionate customer service during all patient interactions, adhering to organizational policies and standards.<br>• Meet assigned point-of-service goals, including the collection of patient financial responsibilities and past-due balances.<br>• Conduct pre-registration tasks, which may involve inbound and outbound calls to gather demographic, insurance, and payment information.<br>• Explain and obtain signatures for consent forms and distribute necessary patient education materials, ensuring proper documentation.<br>• Verify insurance eligibility and input benefit details to facilitate billing processes and maintain a high clean claim rate.<br>• Screen medical necessity for Medicare patients using specialized tools and provide required forms to inform them of potential non-payment scenarios.<br>• Utilize quality auditing systems to review and correct account information, ensuring compliance with audit standards and reporting accuracy.<br>• Perform audits of accounts across teams and departments, providing statistical data to support leadership in improving processes.
<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>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Lexington, Kentucky. This Contract-to-Permanent position is ideal for professionals with experience in medical billing and coding who are ready to contribute to a collaborative and efficient work environment. The role involves handling high-volume authorizations, insurance claims, and patient communications, ensuring accuracy and timeliness in all billing processes.<br><br>Responsibilities:<br>• Process medical claims and ensure all billing activities comply with established policies and procedures.<br>• Verify patient insurance benefits online and obtain necessary authorizations for services.<br>• Conduct follow-ups with insurance companies to resolve denied claims and ensure timely reimbursements.<br>• Communicate with patients regarding copays, deposits, and payment arrangements, maintaining professionalism and empathy.<br>• Record and process payments within the system, ensuring accurate documentation.<br>• Collaborate with a team of billing professionals to meet departmental goals and deadlines.<br>• Utilize medical coding knowledge to accurately input data and avoid errors.<br>• Manage a high volume of authorizations with a proactive and organized approach.<br>• Stay updated on industry trends and insurance company policies to improve efficiency.<br>• Assist in maintaining a positive and productive office environment.
<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>
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.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. In this contract position, you will play a key role in ensuring accurate and efficient billing processes for healthcare providers. This opportunity is ideal for professionals with strong medical billing experience who thrive in fast-paced environments and are committed to maintaining compliance with industry standards. TMHP Or EVV software knowledge is required for this position. </p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing, including coding verification, charge entry, claim submission, and reconciliations.</p><p>• Accurately submit government claims while adhering to established billing guidelines and compliance standards.</p><p>• Review and correct errors on claims prior to submission deadlines to ensure timely processing.</p><p>• Track and complete billing within a 5-7 day payment cycle to maintain efficiency.</p><p>• Collaborate with internal teams to address inquiries and ensure seamless billing operations.</p><p>• Analyze claim denials and implement corrective actions to resolve discrepancies.</p><p>• Verify insurance coverage and eligibility to streamline claim submissions.</p><p>• Utilize electronic billing systems and tools such as Epaces to optimize workflows.</p><p>• Ensure proper application of CPT codes and ICD standards during billing processes.</p><p>• Maintain detailed records and documentation for compliance and audits.</p>
We are looking for an Insurance Follow-Up Specialist to join our team in Tampa, Florida. In this Contract to permanent position, you will play a vital role in ensuring timely insurance claim processing and maintaining strong relationships with partners. If you have a knack for organization, persistence, and excellent communication, this opportunity is designed for you.<br><br>Responsibilities:<br>• Pursue prompt collection of signatures and necessary documents from funeral home partners to expedite claim processing.<br>• Investigate delays in insurance claims and provide solutions with a proactive and detail-oriented approach.<br>• Build and nurture strong partnerships with insurance representatives and funeral home stakeholders.<br>• Maintain comprehensive and accurate records to ensure all cases are tracked and managed effectively.<br>• Collaborate with the Concierge team to provide additional follow-up support as needed.
<p>The Prior Authorization Specialist is responsible for obtaining and processing all prior authorization requests, coordinating phone calls, entering, and tracking data from insurance providers and health plans regarding authorization, expedited reviews, and appeals. The Prior Authorization Specialist is required to document and track all communication attempts with insurance providers and health plans, follow up on all denials while working to ensure services are validated Duties and Responsibilities.</p><p><br></p><p>o Reviews accounts, and initiate pre-authorizations, and other requirements related to managed care; route to appropriate departments as needed.</p><p>o Collects demographic, insurance, and clinical information to ensure that all reimbursement requirements are met.</p><p>o Assists in monitoring utilization services to assure cost effective use of medical resources through processing prior authorizations.</p><p>o Assists with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.</p><p>o Provides consistent and comprehensive information (both in writing and verbally) to facilitate approvals.</p><p>o Ensures insurance carrier documentation requirements are met and authorization documentation is entered and recorded in the patient's records. </p><p>o Appeals pre-authorization denials and/or set-up peer to peer reviews. </p><p>o Maintains extensive knowledge and expertise of insurance companies and billing authorization requirements.</p><p>o Submitting Authorization as required and ensuring all applicable codes, and information required were submitted to the appropriate payer.</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><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>
We are looking for a dedicated Medical Front Desk Specialist to join a dynamic healthcare team in Chattanooga, Tennessee. In this long-term contract position, you will play a crucial role in ensuring smooth office operations while delivering exceptional service to patients. If you excel in a fast-paced environment and enjoy creating a welcoming atmosphere, this opportunity is perfect for you.<br><br>Responsibilities:<br>• Greet patients with warmth and professionalism, ensuring a positive experience from the moment they enter the office.<br>• Answer incoming calls, schedule appointments, and confirm patient visits with accuracy and attention to detail.<br>• Coordinate and update patient records using electronic medical record systems, maintaining confidentiality at all times.<br>• Address patient inquiries regarding office policies, procedures, and general information in a helpful and empathetic manner.<br>• Perform check-in and check-out duties, including verifying insurance information and collecting payments as necessary.<br>• Collaborate with the medical team to ensure seamless daily operations and timely patient flow.<br>• Handle various administrative tasks such as filing, faxing, and managing correspondence to support a well-organized office environment.<br>• Assist in resolving scheduling conflicts and managing last-minute changes efficiently.<br>• Maintain a clean and welcoming front desk area to create a positive environment for patients and staff.
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 detail-oriented Medical Billing Specialist to join our team on a contract basis in Fayetteville, North Carolina. In this role, you will be responsible for ensuring accurate billing processes and maintaining compliance with healthcare regulations. This position requires a strong understanding of medical billing practices and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Review and process medical claims with accuracy and attention to detail.</p><p>• Verify patient information and insurance coverage to ensure proper billing.</p><p>• Resolve discrepancies and follow up on denied claims to maximize reimbursement.</p><p>• Maintain compliance with state and federal healthcare billing regulations.</p><p>• Collaborate with healthcare providers and administrative staff to streamline billing operations.</p><p>• Generate and analyze billing reports to identify trends and areas for improvement.</p><p>• Handle inquiries from patients and insurance companies regarding billing issues.</p><p>• Stay updated on industry changes and updates to billing codes and procedures.</p><p>• Assist with audits and ensure documentation is complete and accurate.</p><p>• Support the implementation of new billing systems as needed.</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 skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
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 skilled Medical Payment Poster Specialist to join our client's team near Cincinnati, Ohio. In this long-term contract position, you will play a vital role in accurately managing patient account payments, including electronic remittance advice (ERAs), explanations of benefits (EOBs), and manual checks. This is an excellent opportunity for professionals with experience in medical billing and payment posting who thrive in a collaborative, fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post payments, denials, and adjustments from ERAs, EOBs, and manual checks to patient accounts.</p><p>• Ensure daily claim batching and deposits are completed and reconciled with bank deposits.</p><p>• Verify and apply appropriate write-offs based on EOBs while making necessary adjustments to accounts.</p><p>• Assist in resolving cash application issues and support billing requests.</p><p>• Participate in month-end reconciliation processes to ensure accuracy.</p><p>• Respond to inquiries from patients, insurance companies, and clients regarding billing and insurance matters.</p><p>• Maintain detailed and accurate records while adhering to established procedures.</p><p>• Collaborate with team members to address and resolve any discrepancies.</p><p>• Handle other billing and finance-related tasks as required.</p>
<p>We are looking for a dedicated Patient Registration Specialist to join our team in Rochester, Michigan on first shift. This Contract-to-Permanent position offers an excellent opportunity for individuals with strong customer service abilities and accurate data-entry skills to contribute to a healthcare environment. The role will require flexibility in scheduling, including virtual training and rotating shifts, along with adherence to health and safety requirements.</p><p><br></p><p>Responsibilities:</p><p>• Perform patient registration for emergency room visits, inpatient admissions, and outpatient services.</p><p>• Assist patients in navigating technology and resolving any technical issues during the registration process.</p><p>• Verify and update patient information accurately to ensure seamless scheduling and insurance processing.</p><p>• Deliver exceptional customer service by addressing patient inquiries and concerns with attention to detail.</p><p>• Collaborate with other departments to ensure smooth operational workflows.</p><p>• Maintain compliance with organizational policies, including health screenings, COVID vaccination, and flu shot requirements.</p><p>• Adapt to varying shift schedules, including virtual training and midnight rotations.</p><p>• Support additional departmental tasks as needed to optimize patient care and administrative efficiency.</p>
