<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 looking for a dedicated Patient Access Specialist to join our team in Bethel Park, Pennsylvania. In this DIRECT HIRE role, you will play a vital part in ensuring seamless patient admissions and interactions, while upholding organizational standards and regulatory compliance. This position offers an opportunity to impact patient care through exceptional service and attention to detail.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Accurately assign medical record numbers (MRNs) and complete compliance checks to ensure proper patient documentation.</p><p>• Provide clear and compassionate instructions to patients while collecting insurance information and processing physician orders.</p><p>• Meet assigned point-of-service goals through efficient and precise handling of patient accounts.</p><p>• Conduct audits of patient accounts to ensure accuracy and compliance, generating statistical reports for leadership as needed.</p><p>• Perform pre-registration tasks by contacting patients to gather demographic, insurance, and financial information, including past due balances.</p><p>• Explain and obtain signatures for general consent forms, distributing educational documents to patients and guardians.</p><p>• Verify insurance eligibility and input benefit data into the system to support billing and point-of-service collections.</p><p>• Screen medical necessity using approved software, informing patients of potential non-payment scenarios when applicable.</p><p><br></p><p>Shifts are 10am-6:30pm M-Th, 8am-5pm Friday's, with rotating Saturdays</p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Bangor, Maine. In this role, you will be responsible for managing the admission process for patients seeking services at the hospital. This is a long-term contract position that requires a strong commitment to providing exceptional customer service while ensuring compliance with organizational policies and regulatory standards. Scheduled Shift: Days 7:30a-4:00p, M-F, occasional weekend or Scheduled Shift: Monday - Friday 7:00a-3:30p</p><p><br></p><p>Responsibilities:</p><p>• Assign unique medical record numbers (MRNs) and perform compliance checks to ensure accuracy and adherence to regulations.</p><p>• Provide clear instructions to patients, collect and verify insurance details, process physician orders, and utilize overlay tools to maintain accurate records.</p><p>• Conduct pre-registration tasks, including obtaining demographic and insurance information, as well as discussing financial responsibilities and payment options with patients.</p><p>• Explain and secure signatures for consent forms, distribute patient education materials, and ensure all necessary documentation is completed.</p><p>• Verify insurance eligibility and input benefit data into the system to support billing processes and facilitate accurate claims.</p><p>• Inform Medicare patients of potential non-payment for specific services using the Advance Beneficiary Notice system and distribute related forms as needed.</p><p>• Perform quality audits on patient accounts to identify and correct discrepancies, ensuring compliance with organizational standards.</p><p>• Meet and maintain point-of-service collection goals while delivering compassionate and attentive customer service.</p><p>• Utilize reporting systems to monitor account accuracy and provide feedback to leadership on audit findings. </p>
We are looking for a skilled Patient Access Specialist to join our team on a contract basis in New Orleans, Louisiana. In this role, you will play a vital part in ensuring smooth patient registration and scheduling processes within a healthcare setting. This position requires a strong understanding of electronic health record (EHR) systems and a commitment to providing exceptional service to patients.<br><br>Responsibilities:<br>• Facilitate patient registration by accurately collecting and verifying personal and insurance information.<br>• Schedule patient appointments efficiently while considering clinic availability and patient needs.<br>• Assist patients with understanding their medical insurance coverage and benefits.<br>• Ensure all patient data is entered and maintained accurately in the electronic health record (EHR) system.<br>• Provide excellent customer service by addressing patient inquiries and resolving any issues promptly.<br>• Collaborate with clinical and administrative staff to ensure seamless patient care and clinic operations.<br>• Perform insurance verification to confirm coverage and eligibility prior to appointments.<br>• Maintain confidentiality and compliance with healthcare regulations during all interactions.<br>• Adapt to different clinic locations as needed to meet operational demands.<br>• Support team members with additional administrative tasks as required.
We are looking for a detail-oriented Patient Access Specialist to join our team on a long-term contract basis in Lewiston, Maine. In this role, you will handle patient admissions and related administrative tasks, ensuring compliance with organizational policies and regulatory requirements. This position requires a strong commitment to providing exceptional customer service while managing patient accounts and supporting the hospital's mission.<br><br>Responsibilities:<br>• Accurately assign medical record numbers (MRNs) and perform compliance checks to ensure patient records meet regulatory standards.<br>• Provide patients with clear instructions and collect necessary insurance information while processing physician orders.<br>• Conduct pre-registration tasks such as gathering demographic and insurance details via inbound and outbound calls.<br>• Explain consent forms and patient education documents to patients, guarantors, or legal guardians while obtaining necessary signatures.<br>• Verify insurance eligibility and enter benefit data into the system to support billing processes.<br>• Inform Medicare patients about non-payment risks and distribute required documents, including Advance Beneficiary Notices.<br>• Perform audits on patient accounts to ensure accuracy and compliance with quality standards.<br>• Utilize reporting systems to identify and correct errors in accounts across various departments and facilities.<br>• Meet assigned point-of-service collection goals and assist patients with payment plans, including collecting past-due balances.
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Glen Burnie, Maryland. In this Contract-to-permanent role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.</p><p>• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.</p><p>• Review denied or unpaid claims and work on appeals to secure payment.</p><p>• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.</p><p>• Utilize medical coding knowledge, including ICD-10, to process claims accurately.</p><p>• Maintain confidentiality of patient information in compliance with healthcare regulations.</p><p>• Handle insurance verifications and follow up on outstanding claims.</p><p>• Collaborate with team members to streamline billing processes and improve efficiency.</p><p>• Utilize electronic medical record (EMR) systems to manage data entry and documentation.</p><p>• Stay updated on changes in medical billing procedures and insurance policies.</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>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><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>Winter is here! Want to be with a company that will ensure you get to enjoy the holiday season? 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 detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.<br><br>Responsibilities:<br>• Process and manage medical claims with a focus on accuracy and compliance.<br>• Ensure that all required authorizations are current and meet payor requirements.<br>• Verify patient insurance details to confirm coverage and eligibility.<br>• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.<br>• Handle payor accounts, including follow-up on outstanding claims and payments.<br>• Investigate and resolve claim denials or rejections in a timely manner.<br>• Maintain detailed and organized records of claims and billing activities.<br>• Communicate effectively with insurance providers, patients, and internal teams.<br>• Stay updated on changes in medical billing regulations and insurance policies.
We are looking for a detail-oriented individual to join our team as a Patient Registration specialist on a contract basis. This role is based in New Haven, Connecticut, and offers an opportunity to work in both psychiatry and ambulatory departments. The ideal candidate will play a critical role in providing excellent patient-facing services while ensuring accurate administrative support.<br><br>Responsibilities:<br>• Greet and assist patients during their registration process, ensuring a welcoming experience.<br>• Schedule patient appointments and coordinate with healthcare departments to maintain efficient workflows.<br>• Verify medical insurance details and ensure accurate documentation for billing purposes.<br>• Utilize Epic software for patient scheduling and record management.<br>• Provide support to both psychiatry and ambulatory departments, adapting to daily operational needs.<br>• Address patient inquiries and resolve concerns professionally and promptly.<br>• Maintain confidentiality and comply with healthcare regulations and standards.<br>• Participate in mandatory Epic training sessions to acquire necessary system knowledge.<br>• Collaborate with healthcare staff to streamline administrative processes and improve patient care.<br>• Monitor and update patient records to ensure accuracy and compliance.
Job Description As a Patient Access Financial Specialist, you will support patients by ensuring that all financial aspects of their care are managed effectively. You will play a critical role in optimizing patient satisfaction and ensuring seamless access to services. Key Responsibilities: Collaborate with patients to coordinate financial arrangements and discuss payment plans. Assist patients with registration, insurance verification, and pre-authorizations. Manage scheduling for appointments and services, ensuring accuracy and timeliness. Proactively address patient inquiries and concerns, delivering excellent customer service. Maintain compliance with healthcare regulations and company policies. Work efficiently using healthcare systems, with EPIC knowledge being a strong plus. Assist with other administrative duties as needed to support operational success. <br> Qualifications and Skills Previous experience in healthcare or patient financial services. Strong customer service skills, with a compassionate and detail oriented approach. Exceptional organizational and multitasking abilities. Comfort with healthcare platforms such as EPIC is highly preferred. High attention to detail and accuracy in managing documentation and patient information. Proficiency in standard office software and systems.
<p>We are looking for a skilled P& C Insurance Specialist to join our team in the Tinton Falls, New Jersey area. In this role, you will be responsible for managing and optimizing the company's insurance programs, ensuring compliance, and coordinating claims efficiently. This position plays a key role in protecting the company’s assets while maintaining strong relationships with insurance carriers, legal teams, and internal departments.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate the renewal process for all insurance policies, including management, construction, workers’ compensation, and auto coverage.</p><p>• Review, process, and track insurance invoices while maintaining accurate records of premium payments.</p><p>• Provide Certificates of Insurance to lenders, homeowners, and other stakeholders as required.</p><p>• Monitor deductible expenses and contribute to the effective management of insurance-related costs.</p><p>• Maintain organized and up-to-date records of insurance documentation and correspondence.</p><p>• Collect and submit necessary documentation for insurance claims, including property, liability, and auto-related incidents.</p><p>• Collaborate with the legal department to address litigation matters related to insurance claims.</p><p>• Track the progress of claims and ensure timely follow-ups with insurance carriers and relevant internal parties.</p><p>• Verify that all insurance policies comply with regulatory requirements and contractual obligations.</p><p>• Assist in preparing data for audits and internal reporting, supporting senior leadership with insurance-related collections and reconciliations.</p>
<p>We are looking for an experienced Credentialing Specialist to join our team on a short-term contract basis in New Orleans, Louisiana. The ideal candidate will excel in managing the credentialing process for healthcare providers, ensuring compliance with Medicaid, Medicare, and various insurance requirements. This position offers the potential for hybrid work arrangements, with flexibility for remote opportunities. </p><p><br></p><p>Responsibilities:</p><p>• Manage the acquisition and verification of credentialing documentation for new and existing healthcare providers.</p><p>• Collaborate with providers to resolve any issues or discrepancies in their credentialing documentation.</p><p>• Oversee the distribution and organization of credentialing documents to ensure regulatory compliance.</p><p>• Develop and implement streamlined systems to maintain adherence to relevant standards and policies.</p><p>• Maintain an accurate and comprehensive database of credentialing information.</p><p>• Handle administrative tasks related to the credentialing process, addressing challenges as they arise.</p><p>• Ensure timely re-credentialing applications for providers across Medicaid, Medicare, and other insurance networks.</p><p>• Monitor and update systems to alert for upcoming credentialing deadlines.</p><p>• Provide consistent follow-up with providers and stakeholders to ensure seamless credentialing processes.</p>
We are looking for a dedicated Medical Billing Specialist to join our team in Scottsdale, Arizona. This is a Contract to permanent position, offering an excellent opportunity for individuals with expertise in medical billing and coding to contribute to patient care and operational efficiency. The role will involve managing billing processes, insurance claims, and patient payment collections, ensuring accuracy and compliance.<br><br>Responsibilities:<br>• Process medical bills and claims accurately, ensuring compliance with insurance policies and regulations.<br>• Handle patient payment collections, including insurance and cash transactions, in a detail-oriented manner.<br>• Collaborate with insurance companies to resolve billing issues and ensure timely reimbursement.<br>• Collect and verify patient information at the front desk to facilitate smooth billing processes.<br>• Maintain detailed records of billing activities and patient transactions for audit purposes.<br>• Communicate effectively with patients regarding billing inquiries and payment options.<br>• Utilize medical billing software to streamline and manage billing operations.<br>• Support the front desk by guiding patients and managing administrative tasks.<br>• Ensure all billing operations adhere to healthcare regulations and standards.<br>• Work closely with the physical therapy team to align billing practices with patient care.
<p>We are looking for a dedicated Patient Registration Specialist to join our team in Rochester, Michigan. This Contract-to-Permanent position offers an excellent opportunity for individuals with strong customer service skills and a keen eye for detail. The role involves assisting patients with registration processes in various healthcare settings, ensuring accuracy and efficiency while providing exceptional support. <strong>This is a part-time 3pm-11:30pm schedule. </strong></p><p><br></p><p>Responsibilities:</p><p>• Register patients in emergency, inpatient, and outpatient settings, ensuring accurate and timely data entry.</p><p>• Assist patients in navigating technology and registration processes to ensure a smooth experience.</p><p>• Perform medical insurance verification to confirm coverage and eligibility.</p><p>• Schedule patient appointments and coordinate related administrative tasks efficiently.</p><p>• Maintain compliance with healthcare regulations, including Covid vaccination and flu shot requirements.</p><p>• Participate in a comprehensive 4-6 week training program, including virtual and on-site sessions.</p><p>• Adapt to varying shifts, including afternoon and midnight rotations, as required.</p><p>• Provide support for additional departmental duties as assigned.</p><p>• Uphold high standards of reliability and initiative in daily tasks.</p><p>• Collaborate effectively with team members to enhance patient care and operational efficiency.</p>
<p>We are looking for a detail-oriented and reliable Patient Registration Specialist to join our team in Rochester, Michigan. This Contract-to-Permanent position offers an excellent opportunity for individuals with strong customer service skills and a passion for healthcare support. The role involves assisting patients with their registration process, ensuring accuracy in data entry, and providing guidance as needed. <strong>Must be willing to work a flexible scheduling including weekends. </strong></p><p><br></p><p>Responsibilities:</p><p>• Accurately register patients in various settings, including the emergency room, inpatient, and outpatient departments.</p><p>• Assist patients with navigating technology and provide clear instructions when necessary.</p><p>• Perform data entry with precision to maintain accurate patient records.</p><p>• Collaborate with team members to ensure a seamless registration process.</p><p>• Handle patient scheduling and provide support in managing appointments.</p><p>• Verify medical insurance information and address any discrepancies.</p><p>• Adapt to rotating shifts, including afternoon and midnight rotations, after completing initial training.</p><p>• Comply with health and safety requirements, including COVID-19 vaccination, flu shot, and occupational health screenings.</p><p>• Provide additional assistance within the department 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>
<p>We are looking for a skilled AP Lead to assist our busy client in Cerritos. The ideal candidate will bring expertise in accounting processes, attention to detail, and a proactive approach to managing vendor relationships and financial accuracy.</p><p><br></p><p><strong>JOB SUMMARY:</strong></p><p>Responsible for managing accounts payable process including ensuring all invoices are approved, determining the general ledger codes for each invoice, entering invoices into databases, paying invoices, performing check runs and mailing out or wiring payments to vendors for various entities. Work with other AP Associates to ensure proper coverage for all entities.</p><p><strong> </strong></p><p><strong>MAJOR DUTIES AND RESPONSIBILITIES:</strong></p><p> </p><p>§ Manage the invoice process including data entry, general ledger coding, approval verification and payment.</p><p>Ø Assemble invoices into categories and batches to be processed for payment.</p><p>Ø Verify vendor information for accuracy including addresses and Federal ID numbers.</p><p>Ø Calculate all extensions and totals on invoices, calculating and taking discounts.</p><p>Ø 3-way matching of invoices with purchase order and packing slip copies.</p><p>Ø Determine if taxable or tax-exempt.</p><p>§ Determine GL Codes required for each invoice and record it accordingly.</p><p>§ Review check registers and associated check and invoice back-up to ensure accuracy.</p><p>§ Reconcile monthly credit card statement which includes assembling all back-up documents and reviewing information for accuracy and to identify any fraudulent activity.</p><p>§ Review accounting email folders and distribute to appropriate person(s).</p><p>§ Assist AP Associates to help them resolve any issues that may arise.</p><p>§ Review weekly wires for all entities as needed.</p><p>§ Reconcile vendor statements for accuracy and all invoices are entered into the accounting system.</p><p>§ Assist with check count, check inventory, and check distribution.</p><p>§ Provide good customer service when vendors inquire about payment status.</p><p>§ Contact vendors to clarify any questionable invoice items and prices; contacts purchasing department to request necessary information for any discrepancies between PO and invoice.</p><p>§ File 1099s at the end of the year for 1099-NEC, 1099-MISC, and 1099-INT for 1099 Vendors.</p><p>§ Ability to research discrepancies on invoices and work with vendors to reconcile accounts.</p><p>§ Assist with preparing training materials and presenting to team.</p><p>§ Ensure that the proper approval has been acquired for timely payments for all invoices.</p><p>§ Copy, scan, file, and organize invoices and other accounting department documents.</p><p>§ Other accounting and administrative duties and projects assigned by AP Manager and senior leadership.</p>
<p>We are looking for a dedicated Patient Registration Specialist to join our team in Rochester, Michigan. This Contract to permanent position offers an excellent opportunity for candidates with strong customer service and data entry skills to make a meaningful impact in a healthcare setting. The role requires a reliable and detail-oriented individual who is committed to accuracy and ensuring a positive experience for patients during the registration process. <strong>Must be willing to work a flexible schedule and weekends if needed. </strong></p><p><br></p><p>Responsibilities:</p><p>• Register patients in various departments such as the emergency room, inpatient, or outpatient areas.</p><p>• Provide guidance to patients in utilizing healthcare-related technology.</p><p>• Maintain accurate and timely data entry for patient information.</p><p>• Verify medical insurance details and ensure proper documentation.</p><p>• Assist patients with scheduling and appointment coordination.</p><p>• Deliver exceptional customer service to address patient inquiries and concerns.</p><p>• Collaborate with team members and support other department tasks as needed.</p><p>• Adhere to healthcare protocols, including COVID vaccination, flu shots, and occupational health screenings.</p><p>• Participate in comprehensive training sessions, including virtual and on-site rotations.</p><p>• Handle shift transitions effectively, including afternoon and midnight rotations.</p>
<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.</p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing and collection functions for OHMG 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 OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned.</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-10M code to identify the provider's narrative diagnosis -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-CM codes for services performed by staff surgeons.</p>
<p>Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.</p><p>• Monitor claim submission activities and generate reports to track progress and efficiency.</p><p>• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.</p><p>• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.</p><p>• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.</p><p>• Manage invalid claims by correcting errors and updating physician and contract information.</p><p>• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.</p><p>• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.</p><p>• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.</p><p>• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our</p>
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Cincinnati, Ohio. In this long-term contract role, you will play a vital part in ensuring that patients receive timely and appropriate healthcare services by managing prior authorization requests. This position is ideal for individuals passionate about streamlining healthcare processes and improving patient care.</p><p><br></p><p>Responsibilities:</p><p>• Review and collect necessary documentation, such as medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track prior authorization requests with insurance providers, focusing on prescription medications prescribed by primary care providers.</p><p>• Communicate with healthcare providers, patients, and insurance representatives to address and resolve authorization-related inquiries.</p><p>• Monitor the status of authorization requests and promptly inform healthcare teams of approvals, denials, or pending updates.</p><p>• Stay informed about current insurance policies, procedures, and regulations to ensure compliance and efficiency in authorization processes.</p><p>• Analyze trends in authorization denials and collaborate with teams to manage appeals, escalations, and resubmissions when necessary.</p><p>• Maintain accurate and secure records of all authorization activities and ensure adherence to organizational guidelines.</p>
<p><em>The salary for this position is up to $100,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance.</em></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><br></p>
<p>Are you a skilled Medical Biller with extensive experience in billing, and denial management? Do you thrive in solving complex billing issues, investigating denied claims, and working closely with insurance providers to ensure timely resolutions? If so, we have an exciting contract role for you!</p><p><br></p><p>Our client near Central/Thomas in Phoenix, AZ is seeking a Medical Billing Specialist to join their team for a 5-6 month contract opportunity, with the potential for conversion into a permanent role based on performance.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform detailed follow-up on denied insurance claims to determine the reason for denial and identify solutions.</li><li>Utilize payer portals effectively to research claim statuses, submissions, and discrepancies.</li><li>Resolve complex billing issues through proactive communication with insurance companies via phone, email, and portal inquiries.</li><li>Apply critical thinking to analyze denial patterns and recommend process improvements to mitigate future denials.</li><li>Work collaboratively with teammates to ensure timely collection of accounts receivable and resolution of claim-related issues</li></ul><p><br></p>
