<p>Our team is looking for a dedicated Insurance Authorization Specialist to support our growing healthcare organization in Carmel, IN. In this role, you will be responsible for verifying patient insurance coverage, obtaining pre-authorizations for medical services, and serving as a key liaison between our office, patients, and insurance providers. Your efforts will ensure a smooth billing process and timely patient care.</p><p><br></p><p><strong>Schedule:</strong> Monday – Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li>Verify patient insurance eligibility and benefits prior to appointments and procedures.</li><li>Obtain prior authorizations and track their status for a range of medical services.</li><li>Maintain accurate records of communication with insurance companies, payers, and patients.</li><li>Communicate clearly with providers, billing staff, and patients regarding authorization requirements and coverage issues.</li><li>Work collaboratively to resolve denied authorizations or appeals efficiently.</li><li>Keep current with insurance policies, authorization protocols, and payer guidelines.</li><li>Ensure HIPAA compliance and protect sensitive patient information at all times.</li></ul><p><br></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.
<p>We are looking for a detail-oriented Patient Access Specialist to join a local 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. </p><p><br></p><p>Open schedules: </p><p>Scheduled Shift: 7:45 AM to 8:15 PM Week 1: Thursday, Friday, Saturday; Week 2: Monday, Wednesday, Thursday </p><p>Scheduled Shift: Monday - Friday 7:00 a.m. – 3:30 p.m.</p><p>Scheduled Shift: Monday - Friday, 8:00 AM - 4:30 PM, rotating Saturdays, 7:00 AM - 12:00 PM</p><p>Scheduled Shift: Monday - Friday 7:00 AM to 3:30PM Rotating Saturdays.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform compliance checks to ensure patient records meet regulatory standards.</p><p>• Provide patients with clear instructions and collect necessary insurance information while processing physician orders.</p><p>• Conduct pre-registration tasks such as gathering demographic and insurance details via inbound and outbound calls.</p><p>• Explain consent forms and patient education documents to patients, guarantors, or legal guardians while obtaining necessary signatures.</p><p>• Verify insurance eligibility and enter benefit data into the system to support billing processes.</p><p>• Inform Medicare patients about non-payment risks and distribute required documents, including Advance Beneficiary Notices.</p><p>• Perform audits on patient accounts to ensure accuracy and compliance with quality standards.</p><p>• Utilize reporting systems to identify and correct errors in accounts across various departments and facilities.</p><p>• Meet assigned point-of-service collection goals and assist patients with payment plans, including collecting past-due balances.</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>Our growing medical practice is seeking a talented Medical Front Desk Specialist to be the first, friendly face our patients see. This is a great opportunity for someone who thrives on multitasking, problem solving, and making a positive impact each day.</p><p><br></p><p><strong>Hours: </strong> Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Job responsibilities for the position include the following: </strong></p><ul><li>Greet and check in patients with professionalism and warmth</li><li>Manage high-volume phone calls, scheduling, and patient inquiries</li><li>Coordinate patient registration, insurance verification, and appointment confirmations</li><li>Maintain patient records with accuracy and confidentiality</li><li>Collaborate with nurses, doctors, and fellow support staff to keep operations running smoothly</li><li>Provide quick solutions to unexpected challenges</li><li>Ensure the front office environment is welcoming, organized, and compliant</li></ul><p><br></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><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p>We are looking for an Insurance Authorization Coordinator to join our team in Saco, Maine. This role involves managing insurance-related tasks and ensuring the accuracy of patient benefit verifications. As a key member of our healthcare team, you will handle confidential patient information with professionalism and attention to detail. This is a fully onsite, long-term contract position.</p><p><br></p><p>Responsibilities:</p><p>• Conduct outbound calls to insurance companies to verify patient benefits and coverage details.</p><p>• Manage and process insurance authorizations efficiently and accurately.</p><p>• Maintain and update electronic medical records related to insurance verification.</p><p>• Use tools like Chrome, Microsoft Outlook, and Adobe to facilitate daily operations.</p><p>• Ensure all patient information is handled in compliance with confidentiality standards.</p><p>• Collaborate with healthcare staff to address insurance-related inquiries or issues.</p><p>• Monitor authorization expirations and initiate renewals as necessary.</p><p>• Support administrative tasks related to insurance authorization processes.</p>
<p>We are looking for a dedicated and detail-oriented individual to join our team as a Patient Registration specialist in Dowagiac, Michigan. In this contract role, you will play a key part in ensuring smooth patient intake processes and providing exceptional service to patients and their families. This position is ideal for someone with strong organizational skills and a passion for customer care in a healthcare setting.</p><p><br></p><p>Responsibilities:</p><p>• Register patients accurately in the emergency department, including admissions for inpatient and outpatient care.</p><p>• Input patient demographic and financial data efficiently into the hospital's computer system.</p><p>• Verify insurance coverage and eligibility to facilitate treatment.</p><p>• Collect co-payments and other patient-related payments in a courteous and efficient manner.</p><p>• Conduct interviews with patients and their families to gather necessary registration details.</p><p>• Prepare and manage registration forms, admissions paperwork, and relevant documentation.</p><p>• Provide clerical support by handling various secretarial tasks as required.</p><p>• Escort patients within the hospital and assist with tracking bed availability.</p><p>• Support patient transfer and discharge processes in coordination with hospital staff.</p><p>• Handle medical records requests in compliance with organizational policies.</p>
<p>We are looking for a detail-oriented individual to join our healthcare team in Plainwell, Michigan, as a Patient Registration specialist. In this Contract role, you will play a vital part in ensuring smooth patient admissions and accurate data entry. This position requires excellent organizational skills and a commitment to providing outstanding service to patients and their families.</p><p><br></p><p>Responsibilities:</p><p>• Accurately register patients in emergency, inpatient, and outpatient settings.</p><p>• Input demographic and financial data into the hospital's system efficiently and accurately.</p><p>• Verify insurance coverage and eligibility to ensure proper billing processes.</p><p>• Collect co-payments and other patient-related financial transactions.</p><p>• Conduct interviews with patients and families to gather necessary registration information.</p><p>• Prepare and manage registration forms, admissions paperwork, and related documentation.</p><p>• Provide clerical support and assist with administrative tasks as required.</p><p>• Guide patients to various hospital areas and track emergency department bed availability.</p><p>• Support transfer and discharge processes, ensuring proper documentation and communication.</p><p>• Handle medical records requests following organizational guidelines and procedures.</p>
We are looking for a detail-oriented and compassionate individual to join our healthcare team as a Patient Registration specialist in Kalamazoo, Michigan. In this contract role, you will be responsible for ensuring accurate and efficient registration of patients while delivering excellent customer service in a fast-paced environment. This position plays an essential role in supporting hospital operations and enhancing patient experiences.<br><br>Responsibilities:<br>• Accurately register patients in the emergency department, handling inpatient and outpatient admissions with attention to detail.<br>• Input patient demographic and financial information into the hospital's computer system efficiently and accurately.<br>• Verify insurance coverage and eligibility to ensure proper billing processes.<br>• Collect co-pays and other patient payments in a courteous and efficient manner.<br>• Conduct interviews with patients or their families to gather necessary registration information.<br>• Prepare and manage registration forms, admissions paperwork, and other related documentation.<br>• Provide clerical and secretarial support to assist with hospital operations.<br>• Assist patients with navigating the hospital, escorting them to designated areas when needed.<br>• Monitor bed availability in the emergency department and communicate updates to relevant staff.<br>• Support transfer or discharge procedures, ensuring smooth transitions for patients.
We are looking for an organized and detail-oriented individual to join our healthcare team in Boston, Massachusetts as a Patient Registration Specialist. In this contract position, you will play a critical role in ensuring a seamless patient intake process while maintaining high standards of accuracy and efficiency. This role demands strong communication skills and the ability to collaborate effectively within a dynamic healthcare environment.<br><br>Responsibilities:<br>• Manage new patient intakes and inpatient admissions with accuracy and timeliness.<br>• Coordinate with outpatient clinics and care managers to place orders and facilitate same-day scheduling.<br>• Liaise with referring providers to ensure smooth transitions from referrals to appointments.<br>• Support uninsured patients by assisting with financial counseling procedures.<br>• Perform general office tasks, including scanning, filing, and faxing as needed.<br>• Maintain comprehensive records and documentation to support patient registration processes.<br>• Collaborate with team members to streamline workflows and improve patient experiences.<br>• Address inquiries from patients and providers, delivering excellent customer service.<br>• Ensure compliance with healthcare regulations and organizational policies.
<p>Our team is seeking a Medical Insurance Collections Specialist with prior hospital experience to join a dynamic healthcare organization. In this role, you will play a critical part in maximizing hospital revenue by managing insurance denials, processing appeals, and handling collections related to HMO/PPO insurance claims. A strong understanding of UB-04 billing practices is required.</p><p>Key Responsibilities:</p><ul><li>Review and analyze insurance denials and identify appropriate action steps for appeal or resubmission.</li><li>Prepare and submit timely, thorough appeals using clinical and financial data.</li><li>Navigate and resolve issues related to HMO/PPO insurance programs.</li><li>Complete and accurately review UB-04 forms for billing and appeals processes.</li><li>Communicate with insurance carriers to gather status updates and clarify payment issues.</li><li>Collaborate with hospital billing and patient accounts teams to resolve outstanding balances.</li><li>Document all actions and maintain compliance with HIPAA and hospital policies.</li></ul><p><br></p>
<p>We are looking for a dedicated Medical Front Desk Specialist to join our team in Beverly Hills, California. The Medical Front Desk Specialist will play a vital role in ensuring smooth front desk operations while delivering outstanding service to patients. The role requires strong organizational skills and a commitment to maintaining a detail-oriented and welcoming environment.</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients warmly and courteously to create a positive first impression.</p><p>• Schedule, confirm, and adjust patient appointments using scheduling software while coordinating follow-ups.</p><p>• Communicate office policies and procedures clearly to patients to ensure understanding and compliance.</p><p>• Verify and process patient forms and insurance details with accuracy and confidentiality.</p><p>• Update patient records and manage data entry tasks to maintain compliance with medical regulations.</p><p>• Follow up with patients and leads via calls to schedule appointments and address inquiries.</p><p>• Coordinate scheduling of follow-up visits with patients and staff to optimize workflow.</p><p>• Provide administrative support to medical personnel and office management as required.</p>
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.
<p><em>The salary range for this position is $70,000-$75,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p>NOTE: This position is a career-fast-track opportunity. Whoever fills this role is expected to be promoted quickly. </p><p><br></p><p><strong>Job Description</strong></p><p>The desired candidate possesses strong analytical and problem-solving skills, is detail-oriented, well organized, and can manage competing priorities while meeting constant deadlines.</p><p>Specific job responsibilities</p><ul><li>Perform the accounts payable cycle to ensure timely payments of invoices to vendors, from receipt of invoices to finalizing payments, including:</li><li>Enter invoices into the accounts payable system (SAP Concur).</li><li>Gain the proper business and financial statement knowledge to administer accurate coding of each invoice, including expense categorization, approval workflow, and other applicable fields necessary for business reporting.</li><li>Assist with monitoring the accounts payable email inbox.</li><li>Prepare batch ACH and check runs, as well as wire transfers.</li><li>Ensure payment success and that all invoices are accounted for in the general ledger and the accounts payable system.</li><li>Investigate and resolve issues associated with invoice processing internally with business owners and externally with vendors.</li><li>Provide support during mergers and acquisitions, including assistance with integration of merger firm accounts payable processes and new vendor onboarding.</li><li>Communicate with vendors regarding payment status of invoices and other ad-hoc requests.</li><li>Review and approve employee expense reimbursement reports, including verification of mandatory documentation and expensing coding accuracy.</li><li>Review, code, and reconcile monthly corporate credit card transactions.</li><li>Assist with IRS 1099 compliance and reporting.</li><li>Assist with monthly tasks, including balance sheet reconciliations, journal entries, and determining appropriate accruals.</li><li>Assist with accounts receivable tasks, including depositing checks, posting receipts, and researching discrepancies.</li><li>General accounting assistance: scanning, organizing, and filing accounting documentation, opening and sorting mail for the accounting team.</li><li>Special projects or ad-hoc requests, as required.<strong> </strong></li></ul><p><br></p>
<p>We are looking for an experienced Billing Representative to join a remote team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><ul><li>Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed Care, and other commercial and third-party payers in accordance with payer-specific billing guidelines.</li><li>Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure timely and accurate resolution.</li><li>Perform root cause analysis of claim rejections and denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement.</li><li>Collaborate with clinical, coding, registration, and other internal and external departments to validate demographic, insurance, authorization, and coding accuracy, including updates related to CPT, HCPCS, and ICD-10 changes.</li><li>Accurately document claim research, resolution actions, and follow-up steps within billing and account management systems.</li><li>Maintain strict compliance with hospital policies, federal and state regulations, payer requirements, and HIPAA privacy standards at all times.</li><li>Meet or exceed established productivity and performance metrics by effectively managing assigned work queues and daily workloads.</li><li>Meet or exceed quality standards by ensuring claims are submitted clean, accurate, and complete.</li><li>Respond promptly and professionally to billing-related inquiries and email requests to support timely account resolution.</li><li>Perform additional revenue cycle and billing-related duties as assigned.</li></ul>
<p>We are seeking an experienced CAM Accountant to support our portfolio during a medical leave coverage through the end of January, with a strong possibility of extension. This is a hybrid role based in El Segundo, with remote work on Fridays only.</p><p>The ideal candidate will bring strong CAM reconciliation experience, excellent attention to detail, and the ability to work independently in a deadline-driven environment.</p><p><br></p><p><strong>General Purpose</strong></p><p>Responsible for all aspects of annual <strong>CAM reconciliations</strong> across the company’s portfolio, including <strong>tenant tax billings</strong>, insurance reconciliations, and related tenant correspondence.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p>Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Responsibilities include, but are not limited to:</p><ul><li>Perform annual <strong>CAM reconciliations</strong> and assemble detailed support for tenant review</li><li>Complete <strong>semi-annual and annual tax reconciliations</strong></li><li>Perform <strong>annual insurance reconciliations</strong></li><li>Ensure accuracy of reconciliations through expense, billing, and rent roll tie-outs</li><li>Prepare <strong>annual budgets</strong> and <strong>quarterly reforecast CAM calculations</strong></li><li>Perform <strong>quarterly recovery accrual calculations</strong></li><li>Review and abstract <strong>lease language</strong>, as applicable</li><li>Assist with <strong>CAM reconciliation audits</strong></li><li>Set up and maintain the integrity of <strong>CAM pools</strong></li><li>Respond to and support <strong>tenant CAM inquiries and correspondence</strong></li><li>Assist with preparation of <strong>annual rent letters</strong></li><li>Support <strong>ad-hoc projects</strong> as needed</li><li>Perform other duties as assigned</li></ul>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Hampton, Virginia. This role requires expertise in medical billing, coding, and claims processing to ensure accurate and timely management of healthcare financial transactions. If you have a strong attention to detail and a commitment to maintaining compliance with medical standards, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently to ensure timely reimbursements.</p><p>• Review and verify patient account information for accuracy and completeness.</p><p>• Handle medical collections, including resolving discrepancies and communicating with insurance companies.</p><p>• Collaborate with healthcare providers and staff to address billing inquiries and resolve issues.</p><p>• Maintain up-to-date knowledge of medical billing regulations and compliance standards.</p><p>• Generate reports related to billing activities and provide insights for process improvements.</p><p>• Identify and correct billing errors to minimize delays and denials.</p><p>• Ensure confidentiality and security of patient financial information at all times.</p>
The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. <br>Essential Duties:<br>• Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process.<br>• Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution.<br>• Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor.<br>• Reverses balance to credit or debit if charges were improperly billed.<br>• Contacts insurance carriers as necessary to determine correct payment application.<br>• Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer.<br>• Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner.<br>• Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process.<br>• Communicates issues related to payment posting and refunds from payers to management.<br>• Updates correct payer and resubmits claims to the payers.<br>• Consistently meets/exceeds productivity and quality standards.<br>• Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists.<br>• Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances.<br>• Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances.<br>• Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits.<br>• Special billing and collections for LOAs.<br>• Special billing and collections for Case Rates.<br>• Special billing and collections for Embassy Services.<br>• Performs other related duties as assigned by management team.
<p>Join our dynamic healthcare team as a Medical Denials Specialist, where you will play a vital role in resolving denied medical claims efficiently and accurately in a fast-paced setting.</p><p><br></p><p><strong>Schedule:</strong> Monday through Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Primary Responsibilities:</strong></p><ul><li>Review insurance denials and conduct thorough research to resolve outstanding claims.</li><li>Analyze patterns and trends in denied claims to identify underlying issues and recommend process improvements.</li><li>Communicate with insurance payers to clarify claim status and expedite resolutions.</li><li>Prepare and submit appeals with supporting documentation when necessary.</li><li>Work closely with billing teams, healthcare providers, and insurance carriers to facilitate effective claims management.</li><li>Stay current on payer requirements, and relevant healthcare laws and regulations.</li><li>Ensure all activities comply with HIPAA and internal organizational policies.</li></ul><p><br></p>
<p>Join our team as a Medical Payment Posting Specialist and make a direct impact on the financial success of leading healthcare organizations. In this vital role, you’ll help ensure accurate and timely processing of medical payments—promoting a smooth revenue cycle and enhancing the patient experience.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am -5pm</p><p><br></p><p><strong>Job Responsibilities: </strong></p><ul><li>Precisely post insurance and patient payments into billing systems, maintaining up-to-date records.</li><li>Analyze Explanations of Benefits (EOBs) to verify and allocate payments accurately.</li><li>Reconcile deposits and payment activity with patient accounts, resolving discrepancies quickly.</li><li>Proactively identify and address denials, underpayments, or posting errors to optimize account accuracy.</li><li>Collaborate with internal teams and insurance carriers to resolve payment inquiries efficiently.</li><li>Uphold industry standards by maintaining compliance with HIPAA and other healthcare regulations.</li><li>Support month-end close processes related to payment posting and financial reporting.</li></ul><p><br></p>
<p><em>The salary range for this position is $100,000-$105,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance.</em></p><p><br></p><p><strong>Job Description</strong></p><p><strong>Essential Duties and Responsibilities:</strong></p><ul><li>Tracks and reports on timekeeper hours</li><li>Prepares prebills and reviews edits by billing partner(s)</li><li>Verifies the accuracy of billing entries and supporting documentation.</li><li>Prepares invoices for submission to clients via various Ebilling platforms or by email, dependent on client requirements</li><li>Monitors accounts receivable and collection efforts</li><li>Submits budgets per client requirements</li><li>Works closely with billing partners on bill appeals</li></ul><p><strong> </strong></p><p><strong>Skills/Qualifications:</strong></p><ul><li>Detail-oriented, with excellent organizational skills</li><li>Working knowledge of various Ebilling platforms, including: ASCENT, LSS, TyMetrix, Legal-X, Legal Tracker, etc.</li><li>Working knowledge of PCLaw or similar billing application</li><li>Ability to work well under pressure, i.e., managing conflicting and fluctuating deadlines, and effectively prioritizing multiple tasks of equal urgency and importance with minimal supervision</li><li>Experience in effective problem-solving, actively using sound judgment in decision-making processes</li><li>Ability to handle confidential matters discreetly, in a mature and responsible manner conducive to the position</li><li>Effective communication skills, including the ability to be courteous in handling situations patiently and tactfully, with all audiences including partners, associates, staff and external clients and vendors</li><li>Experience with troubleshooting minor technology issues, including hardware and software</li><li>Ability to occasionally work more than 40 hours per week to perform the essential duties of the position; may require irregular hours</li></ul><p><br></p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis. This role involves working with healthcare billing processes, reviewing insurance claims, and ensuring accurate coding practices. Based in York, Maine, this is a great opportunity for professionals seeking a challenging and rewarding position in the medical billing field.</p><p><br></p><p>Responsibilities:</p><p>• Manage the daily processing of medical claims, ensuring accuracy and compliance with billing regulations.</p><p>• Review hospital records and insurance documents to verify patient information and payment details.</p><p>• Utilize ICD-10 coding standards to correctly classify medical procedures and diagnoses.</p><p>• Handle approximately 30-40 accounts per day, maintaining efficiency and attention to detail.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and secure timely reimbursements.</p><p>• Monitor account balances and follow up on collections as needed.</p><p>• Maintain proficiency in using medical billing software, including tools such as Cerner.</p><p>• Adapt to west coast hours to ensure alignment with team operations and client needs.</p><p>• Ensure compliance with healthcare regulations and company policies.</p><p>• Provide clear communication and updates on claim status to relevant stakeholders.</p>
