<p>Our client in in the local government sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team!</p><p><br></p><p>Responsibilities:</p><ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Insurance Verification Specialist</strong> with <strong>Medi-Cal experience</strong> to join our team. This role is critical to ensuring that patient insurance information is accurately verified and updated to maintain a seamless billing process and exceptional patient care. The ideal candidate has hands-on experience with Medi-Cal programs, strong communication skills, and a commitment to excellence in administering insurance verifications.</p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage for Medi-Cal and other insurance providers.</li><li>Obtain and validate pre-authorization and referral requirements for medical services.</li><li>Accurately input patient insurance information into the system and update records as needed.</li><li>Communicate with patients, insurance companies, and healthcare providers to clarify coverage details.</li><li>Resolve insurance-related issues and discrepancies efficiently and proactively.</li><li>Ensure compliance with Medi-Cal guidelines, policies, and procedures.</li><li>Collaborate with billing teams to ensure timely claims submission and support revenue cycle processes.</li></ul><p><br></p>
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul><p><br></p>
<p>We are looking for a diligent and organized Medical Insurance Verifications Specialist to join our team at a growing Sub-Acute Care Center. This unique role requires a candidate with a special combination of administrative skills and direct experience in health care, particularly in the areas of authorizations and insurance verification.</p><p><br></p><p>Responsibilities:</p><ul><li>Verify patient insurance coverage, including validating benefits and eligibility, and ensure accurate data entry in our patient record system.</li><li>Process referrals, pre-authorizations, and pre-certifications for patients.</li><li>Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations for patient treatment.</li><li>Communicate effectively and courteously with patients and their representatives, physicians, other hospital personnel, and insurance companies.</li><li>Manage and oversee administrative tasks and office operations to ensure the facility runs smoothly and efficiently.</li><li>Maintain strict confidentiality of patient health information in compliance with health insurance portability and accountability act (HIPAA) regulations.</li><li>Assist with administrative duties such as answering phones, scheduling appointments, and filing paperwork.</li></ul>
<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 a dedicated Patient Access Specialist to join our team in Lewiston, Maine.<strong> Scheduled Shift: Monday – Friday, 7:00 a.m. - 3:30 p.m., rotating Saturdays, 7a.m. - 12 p.m</strong>. In this long-term contract position, you will play a crucial role in ensuring smooth patient admissions and maintaining compliance with organizational and regulatory standards. This role offers the opportunity to make a meaningful impact by delivering exceptional service and accuracy in a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures.</p><p>• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service.</p><p>• Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections.</p><p>• Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained.</p><p>• Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes.</p><p>• Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation.</p><p>• Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership.</p><p>• Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed.</p><p>• Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.</p>
<p>We are looking for a dedicated and detail-oriented Medical Insurance Verifier to join our team in Long Beach, California. The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their eligibility for Medi-Cal and other programs. The ideal candidate will have a strong background in medical billing, insurance verification, and financial counseling.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings to determine patient eligibility for Medi-Cal, PPO, HMO and other healthcare programs.</p><p>• Guide patients through the application process for HMO, PPO, Medi-Cal, ensuring accuracy and timely submission of required documents.</p><p>• Explain available coverage options and assist patients in understanding their financial responsibilities.</p><p>• Verify insurance eligibility, financial status, and documentation to ensure services are appropriately covered.</p><p>• Collaborate with billing teams and other departments to ensure compliance with Medi-Cal regulations and accurate claims processing.</p><p>• Maintain comprehensive records of patient interactions and screenings in alignment with organizational standards.</p><p>• Stay informed about updates to HMO, PPO, Medi-Cal policies, eligibility criteria, and healthcare regulations.</p><p>• Support the organization’s operations by ensuring seamless patient access to financial assistance programs.</p><p>• Utilize electronic health record (EHR) systems to document and track patient information effectively.</p>
<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>We are seeking a <strong>Patient Access Specialist</strong> with strong administrative experience for a 3-month contract. This <strong>Patient Access Specialist</strong> role is ideal for professionals who excel in customer service, data entry, and multi-tasking—no prior healthcare background required. If you're detail-oriented, organized, and thrive in a fast-paced environment, the <strong>Patient Access Specialist</strong> position could be the perfect opportunity for you.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Greet and assist patients in person or via phone with scheduling, registration, and general inquiries</li><li>Collect and verify patient information, ensuring accuracy in records and documentation</li><li>Manage appointment scheduling and coordinate with departments to avoid conflicts</li><li>Handle insurance verification and eligibility checks as needed (training provided)</li><li>Maintain confidentiality and adhere to privacy standards in all communications</li><li>Ensure efficient patient flow and provide administrative support to clinical staff</li><li>Accurately input data into electronic systems and maintain up-to-date records</li><li>Respond to patient concerns and escalate issues to appropriate departments when necessary</li></ul><p><br></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: Week 1: Tuesday, Wednesday (10:30 a.m. - 11:00 p.m.), Saturday (6:30 a.m. - 7:00 p.m.) Week 2: Sunday (6:30 a.m. - 7:00 p.m.), Tuesday, Friday (10:30 a.m. - 11:00 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 (MRNs) 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>Are you a meticulous and detail-oriented professional with extensive experience in medical authorizations and insurance eligibility? Do you have deep knowledge of Medi-Cal systems and requirements, and thrive in a fast-paced healthcare environment? If so, we want you to join our team as our next <strong>Medical Authorizations Specialist</strong>!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage and process <strong>Medi-Cal authorizations</strong> for services, ensuring compliance with payer and regulatory requirements.</li><li>Verify <strong>insurance eligibility</strong> and benefits to confirm coverage for procedures and treatments.</li><li>Work closely with providers and healthcare teams to secure necessary pre-authorizations for patient care.</li><li>Resolve authorization delays by effectively communicating and working with payers.</li><li>Maintain knowledge of Medi-Cal policies, procedures, and updates to ensure accurate and timely processing.</li><li>Utilize medical billing software to input and track authorization data.</li><li>Handle escalations and problem-solve complex authorization issues with confidence and professionalism.</li><li>Ensure strict adherence to HIPAA guidelines and patient confidentiality standards.</li></ul><p><br></p>
<p>A growing organization in the Healthcare & Social Assistance sector is seeking a detail-oriented Administrative Support Specialist to join their team in Fallbrook, CA. This hybrid/remote role offers flexibility while supporting essential operations in one of Fallbrook’s largest and most impactful industries. This position is ideal for someone who enjoys working independently, is tech-savvy, and has a strong sense of initiative. You’ll be supporting clinical and administrative teams with scheduling, documentation, and communication tasks.</p><p><br></p><p><strong><u>Day-to-Day Responsibilities</u></strong></p><ul><li>Provide remote administrative support to healthcare professionals and case managers.</li><li>Schedule appointments, manage calendars, and coordinate virtual meetings.</li><li>Maintain accurate records and update databases.</li><li>Assist with billing, insurance verification, and patient communications.</li><li>Prepare reports and assist with compliance documentation.</li><li>Support onboarding and training of new staff.</li></ul>
<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>
We are looking for a Medical Collections Specialist to join our team in Federal Way, Washington. In this long-term contract position, you will play a vital role in ensuring the accurate management of medical billing, collections, and insurance claims. This is a remote opportunity within the healthcare industry, offering flexibility while maintaining regular communication with clinics, payers, and patients.<br><br>Responsibilities:<br>• Investigate and resolve insurance denials by conducting thorough account reviews from the start of patient treatment.<br>• Verify patient benefits and eligibility to ensure accurate billing and collection processes.<br>• Manage back-end collections by coordinating with payers and filing appeals to recover owed payments.<br>• Communicate effectively with clinics, payers, and patients to address outstanding balances and resolve discrepancies.<br>• Perform root cause analysis to identify underlying issues in billing or claims processing.<br>• Utilize spreadsheets and internal systems to organize and manage financial data efficiently.<br>• Collaborate with team members to meet revenue cycle goals and optimize collection efforts.<br>• Handle pre-authorizations and eligibility verifications for accurate claims submission.<br>• Demonstrate technical proficiency in Microsoft Excel and other internal systems used for billing and collections.<br>• Maintain an organized and methodical approach to all tasks, ensuring compliance with healthcare regulations.
<p>A Surgery Center in Encino is in the need of a Medical Billing Specialist. The Medical Billing Specialist must have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for services rendered. </p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing functions for Surgical detail-oriented fees.</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.</p><p> -Performs all data entry and charge posting functions for services as needed</p><p>-Performs all third-party follow-up functions for all products and procedures.</p><p> -Reviews EOBS . Make corrections as required and resubmit the claim for payments.</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10 code to identify the provider's narrative diagnosis </p><p>-Provides the correct HCPCS code to identify medications and supplies.</p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10 codes for services performed by staff surgeons</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Burr Ridge, Illinois. In this Contract-to-permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ideal candidate will bring expertise in medical collections and billing practices, along with familiarity with industry systems and Medicare billing.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and review appointment schedules to track billing for assigned locations effectively.</p><p>• Process infusion billing daily, verifying accuracy in codes, drug quantities, and pharmacy delivery documentation.</p><p>• Submit claims to insurance companies by printing and mailing forms, attaching primary explanation of benefits for secondary claims as needed.</p><p>• Monitor and coordinate drug returns for patients who did not receive infusions, working closely with clinics and pharmacies.</p><p>• Verify patient demographics and insurance information to ensure accurate billing procedures.</p><p>• Maintain oversight of assigned billing tasks and provide regular updates to supervisors.</p><p>• Collaborate with clinical staff to address and resolve missing documentation to complete billing efficiently.</p><p>• Handle additional billing-related duties and tasks as assigned by management.</p><p>• Utilize systems such as Accurint, Allscripts, and Cerner Technologies to optimize billing processes.</p><p><br></p><p>The salary range for this position is $23 to $25. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <u>roberthalf.gobenefits.net</u> for more information.</p>
<p>We are seeking a highly organized and detail-oriented <strong>Insurance Authorization Specialist</strong> with proven <strong>Microsoft Excel expertise</strong> to join our team. In this critical role, you will be responsible for securing insurance authorizations and ensuring compliance with pre-approval requirements for medical services and procedures. If you thrive in fast-paced environments and are motivated by efficiency and accuracy, we want to hear from you!</p><p><strong>Key Responsibilities</strong></p><ul><li>Obtain and manage authorizations from insurance providers for medical services and procedures.</li><li>Track and document authorization statuses in systems, spreadsheets, and other databases.</li><li>Maintain organized records in <strong>Microsoft Excel</strong> for tracking deadlines, approvals, and patient-specific insurance requirements.</li><li>Collaborate with medical staff and billing departments to ensure insurance approvals align with patient care plans.</li><li>Communicate with patients and insurance companies to address issues, verify coverage requirements, or request additional documentation.</li><li>Proactively follow up on pending authorizations to avoid delays in medical services.</li><li>Ensure compliance with HIPAA regulations and insurance provider-specific policies.</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
<p><strong><u>Job Summary:</u></strong> </p><p>We are seeking an <strong>experienced Dental Billing Specialist</strong> to join a fast-paced, customer-facing practice. This role focuses on managing complex dental billing processes, claims attachments, pre-determinations for treatment coverage, and all other administrative steps unique to dental billing. The ideal candidate is detail-oriented with strong communication skills, has direct dental billing experience, and is accustomed to working in an open and collaborative work environment.</p><p> </p><p><strong><u>Key Responsibilities:</u></strong> </p><ul><li><strong><u>Dental Billing Expertise:</u></strong> Process dental-specific claims accurately, ensuring all required documents, coding, and attachments are completed and submitted within specified deadlines. </li><li><strong><u>Pre-Determinations:</u></strong> Manage pre-determination requests for dental treatments, including navigating insurance requirements for advanced or specialized dental procedures. </li><li><strong><u>Claims Attachments</u></strong>: Compile, prepare, and submit claims attachments and required paperwork for insurance companies, ensuring compliance with dental-specific documentation protocols. </li><li><strong><u>Customer Interaction:</u></strong> Work closely with patients, insurance companies, and resolve billing inquiries promptly and professionally. Maintain a courteous and patient-first approach in customer-facing scenarios. </li><li><strong><u>Compliance: </u></strong>Stay updated on dental billing codes, insurance regulations, and healthcare compliance standards to ensure accuracy and precision in work execution. </li><li><strong><u>Team Collaboration: </u></strong>Work in a highly collaborative, open-office environment alongside front-facing staff and other departments to ensure seamless operational functioning. </li><li><strong><u>Multi-Step Processes:</u></strong> Navigate the more intricate and multi-step requirements of dental billing compared to other healthcare settings accurately and efficiently. </li></ul><p>Please complete an application and call (423) 244-0726 for more information and IMMEDIATE CONSIDERATION!</p>
<p>Are you an experienced Medicare Billing Specialist with expertise in home health billing? Robert Half is assisting a valued client in Fort Wayne, Indiana, in finding a skilled professional to join their team. This is a <strong>temp-to-perm opportunity</strong>, providing the potential for long-term career growth with a rewarding organization.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Accurate processing and submission of Medicare claims for home health services.</li><li>Verifying insurance coverage and eligibility for Medicare beneficiaries.</li><li>Reviewing and resolving billing discrepancies and payment issues.</li><li>Staying updated on Medicare regulations, billing codes, and compliance requirements.</li><li>Communicating professionally with patients, healthcare providers, and payers to address billing inquiries.</li><li>Preparing billing reports and maintaining thorough documentation of claims in compliance with regulatory guidelines.</li></ul><p><br></p>
We are looking for a dedicated Patient Registration Specialist to join our healthcare team in Warren, Michigan. In this role, you will support the intake and registration process for patients while providing exceptional customer service. This is a long-term contract position with midnight shifts (11 PM - 7:30 AM), including rotating weekends and holidays.<br><br>Responsibilities:<br>• Accurately register patients in the emergency department, inpatient, and outpatient settings.<br>• Assist patients with technology and ensure a seamless registration experience.<br>• Verify medical insurance information and ensure proper documentation.<br>• Maintain a high level of accuracy in data entry during the registration process.<br>• Provide excellent customer service to patients and their families.<br>• Collaborate with the department team to handle additional tasks as needed.<br>• Adhere to healthcare protocols, including COVID-19 vaccination, flu shots, and occupational health screenings.<br>• Work on rotating shifts, including weekends and holidays, to meet department needs.
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.
