We are looking for a PR Specialist to lead local public relations initiatives for consumer-facing restaurant and retail brands in Atlanta, Georgia. This position plays a central role in shaping market visibility through thoughtful campaign planning, media engagement, and launch support for key brand moments. The ideal candidate brings strong regional media knowledge, excellent communication skills, and the ability to manage multiple projects in a fast-moving environment.<br><br>Responsibilities:<br>• Create and carry out localized public relations plans that support seasonal promotions, major marketing initiatives, holiday activations, and new location launches.<br>• Coordinate campaign schedules, organize outreach efforts, and support on-the-ground event logistics to ensure timely execution.<br>• Work closely with marketing teams, operational partners, and store-level leadership to align public relations activity with broader business goals.<br>• Monitor market trends and audience interests to strengthen campaign relevance and improve visibility in the Atlanta area.<br>• Cultivate and maintain productive relationships with local and regional media contacts to expand press opportunities.<br>• Prepare press materials such as news releases, media alerts, and supporting campaign communications tailored to each initiative.<br>• Serve as a point of coordination for interview requests, incoming media questions, and earned media opportunities.<br>• Measure publicity results using industry platforms and reporting tools, then translate findings into recommendations for future campaigns.
<p>A National Hospital System in in Los Angeles is in the immediate need of a <strong>Medical Credentialing Specialist </strong>to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of <strong>MD Staff</strong>, and the ability to manage sensitive information with accuracy and care. <strong>MD Staff </strong>Software is a MUST.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.</p><p>• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.</p><p>• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.</p><p>• Maintain complete and current practitioner files within the <strong>MD Staff </strong>platform, ensuring data accuracy and documentation readiness.</p><p>• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.</p><p>• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.</p><p>• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.</p><p>• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.</p><p>• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services.</p><p><br></p><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a skilled Lien Specialist to join our team in Bonita Springs, Florida. In this long-term contract position, you will play a key role in ensuring compliance with lien and bond rights, supporting accounts receivable collections, and assisting with the resolution of at-risk accounts. This role is ideal for detail-oriented professionals with a background in legal risk management and a commitment to accuracy and collaboration.</p><p><br></p><p>Responsibilities:</p><p>• Evaluate whether lien and bond rights should be pursued based on customer account risks and outstanding accounts receivable.</p><p>• Verify the eligibility of equipment for lien or bond claims in compliance with state statutes.</p><p>• Conduct ownership and contractor research to ensure the accuracy of Preliminary Notices.</p><p>• Collaborate with field teams to confirm and update jobsite information in internal systems.</p><p>• Document all activities in designated systems to maintain accurate and accessible records.</p><p>• Monitor and meet critical deadlines and service level agreements (SLAs).</p><p>• Assess business types to determine eligibility for lien and bond claims.</p><p>• Provide appropriate lien releases to customers based on job details and payment status.</p><p>• Assist the Legal Services Team in resolving at-risk accounts by preparing payment plans and final demand letters.</p><p>• Promote and actively participate in the company’s safety culture, ensuring the well-being of team members and customers.</p>
We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment.<br><br>Responsibilities:<br>• Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness.<br>• Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays.<br>• Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement.<br>• Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable.<br>• Maintain complete and organized billing records in designated systems such as Credible and Qualifacts.<br>• Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands.<br>• Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication.<br>• Monitor account status and identify discrepancies so billing concerns can be resolved efficiently.<br>• Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement.</p><p>Responsibilities</p><ul><li>Submit and manage medical claims</li><li>Verify insurance eligibility and benefits</li><li>Resolve claim denials and billing discrepancies</li><li>Post payments and maintain accurate records</li><li>Communicate with patients and insurance providers</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up.<br><br>Responsibilities:<br>• Process medical claims with accuracy and ensure billing information is complete before submission.<br>• Review coding and billing details to identify discrepancies and resolve issues that could delay payment.<br>• Follow up on unpaid or underpaid accounts with payers to support timely collections.<br>• Maintain billing records and update account documentation to reflect claim status and payment activity.<br>• Use EPACES and related systems to verify claim information and assist with billing workflows.<br>• Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
<p>We are seeking a detail-oriented Medical Biller with strong customer service skills to support billing operations and provide a positive experience for patients and internal partners. This role requires accuracy, professionalism, and the ability to communicate clearly while resolving billing questions and issues. This is a<strong> part-time</strong> role only. </p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Process and submit medical claims accurately and timely to insurance carriers</li><li>Review patient accounts and insurance payments to ensure correct posting and follow-up</li><li>Respond to patient billing inquiries with professionalism, empathy, and clear explanations</li><li>Resolve billing issues, payment discrepancies, and rejected or denied claims</li><li>Coordinate with insurance companies, providers, and internal teams to resolve account issues</li><li>Maintain accurate documentation and notes within billing systems</li><li>Follow HIPAA guidelines and maintain confidentiality of patient information</li></ul><p><br></p>
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and on schedule to support timely reimbursement.<br>• Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission.<br>• Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes.<br>• Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances.<br>• Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system.<br>• Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements.<br>• Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward.<br>• Support billing operations using Athena software and contribute to process updates within the department as needed.
We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment.<br><br>Responsibilities:<br>• Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness.<br>• Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays.<br>• Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances.<br>• Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission.<br>• Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information.<br>• Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts.<br>• Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution.
<p>We are seeking a <strong>Medical Billing Specialist</strong> to join our team immediately. This is a great opportunity for someone who thrives in a <strong>fast-paced, team-oriented healthcare environment</strong> and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee**</p><p><br></p><p>Position Overview</p><p>The Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in <strong>Medicare and Medicaid billing and claims</strong>. We are looking for someone adaptable, self-directed, and ready to grow with the team.</p><p><br></p><p>Key Responsibilities</p><ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</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><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>
We are looking for a Medical Insurance Claims Specialist to join a healthcare team in Vancouver, Washington. This Contract position is fully onsite and focuses on confirming insurance details before services are provided so billing can be processed accurately and efficiently. The ideal candidate brings strong attention to detail, a solid understanding of coverage verification, and the ability to communicate clearly with patients, providers, and insurance representatives.<br><br>Responsibilities:<br>• Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered.<br>• Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices.<br>• Enter, verify, and maintain accurate insurance and benefits information within the patient management system.<br>• Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner.<br>• Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission.<br>• Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification.<br>• Follow established healthcare regulations and organizational standards when handling patient information and insurance records.
<p>Our client is looking to hire a success driven, AP Specialist with strong general ledger expertise. The AP Specialist is responsible for performing a variety of accounting tasks, including general ledger maintenance, account reconciliations, financial reporting, and assisting with month-end and year-end close processes. As the AP Specialist, you will maintain the general ledger, perform balance sheet analysis, assist with expense analysis and reconciliation, complete fixed asset reporting, enter payroll journal entries into the ERP system, generate monthly bonus calculations, handle employee expense reimbursements, and provide other accounting support as needed. The ideal candidate for this role should have great problem-solving skills, excellent time-management and strong budgeting/forecasting abilities that will ensure revenue generation.</p><p><br></p><p>Everyday Responsibilities</p><p>· Support daily accounting functions</p><p>· Month End/Year End Close</p><p>· Assist with preparing journal entries</p><p>· Maintain general ledger</p><p>· Prepare and review monthly financial statements</p><p>· Bank Reconciliations</p><p>· Resolve accounting discrepancies</p><p>· Assist with the internal and external audit process</p><p>· Ad hoc financial analysis projects as requested</p>
<p>Job Summary</p><p>We are seeking a detail-oriented <strong>Accounts Payable Specialist</strong> to support our finance team within a fast-paced manufacturing environment. This role is responsible for processing high-volume invoices, ensuring accurate three-way matching, and collaborating closely with purchasing, receiving, and vendors to maintain timely and accurate payments.</p><p>Key Responsibilities</p><ul><li>Process high-volume accounts payable invoices with a high degree of accuracy</li><li>Perform three-way matching (PO, invoice, receiving documents)</li><li>Review and resolve invoice discrepancies related to pricing, quantities, and terms</li><li>Ensure proper coding of invoices to GL accounts, departments, and cost centers</li><li>Handle vendor inquiries regarding payment status and account discrepancies</li><li>Reconcile AP subledger to the general ledger and assist with month-end close</li><li>Ensure compliance with internal controls, company policies, and audit requirements</li><li>Assist with check runs, ACH payments, and wire transfers</li><li>Maintain accurate vendor records and ensure W-9 and 1099 compliance</li><li>Support continuous improvement initiatives related to AP processes</li></ul><p><br></p>
<p><strong>Description</strong></p><p>Robert Half is seeking skilled AP Specialists to support our clients' accounts payable operations. These contract roles are ideal for professionals looking to grow in a fast-paced finance environment.</p><p><strong>Responsibilities:</strong></p><ul><li>Process vendor invoices and ensure timely payments.</li><li>Reconcile accounts and resolve discrepancies.</li><li>Maintain accurate financial records and documentation.</li><li>Collaborate with internal departments to ensure compliance.</li></ul>
<p>We are seeking a reliable and detail-oriented Accounts Payable Specialist for an ongoing temporary, part-time opportunity. This position is ideal for someone who enjoys working in a collaborative environment and has strong invoice processing and vendor management experience.</p><p><br></p><p>This role will support day-to-day accounting operations and assist with maintaining accurate and timely accounts payable functions.</p><p><br></p><p>Responsibilities</p><ul><li>Process high-volume invoices accurately and efficiently</li><li>Match invoices to purchase orders and receiving documentation</li><li>Prepare and process check runs and electronic payments</li><li>Reconcile vendor statements and resolve discrepancies</li><li>Respond to vendor inquiries in a professional and timely manner</li><li>Maintain organized AP records and supporting documentation</li><li>Assist with month-end closing activities related to accounts payable</li><li>Ensure compliance with internal policies and procedures</li></ul><p><br></p><p><br></p>
<p>Specialty company located in the Plymouth Meeting, PA area is looking to hire an AP Specialist with proven experience within a multi-entity or multi-location setting. The responsibilities for this role will consist of processing vendor invoices, expense reporting, assisting with coding of invoices, account reconciliation, posting client reimbursable costs, verifying and updating vendor accounts, analyzing accounts payable transactions for accuracy, assist with check runs, preparing documents for audits, and resolving accounts payable discrepancies. Ideally, we are seeking an AP Specialist who can perform day-to-day financial transactions utilizing their knowledge of best practices in accounting and bookkeeping.</p><p><br></p><p>How you will make an impact</p><p>· Oversee full accounts payable cycle</p><p>· Code invoices and match purchases</p><p>· Process 1099 Forms</p><p>· Resolve invoice discrepancies</p><p>· Process expense reimbursements</p><p>· Month-End/Year-End Close</p><p>· Prepare financial reports and statements</p><p>· Assist with AP benefits administration activities</p><p>· General Ledger processing</p><p>· Perform accounting research</p>
<p><strong>Description</strong></p><p> Robert Half is seeking skilled AP Specialists to support our clients' accounts payable operations. These contract roles are ideal for professionals looking to grow in a fast-paced finance environment.</p><p><strong>Responsibilities:</strong></p><ul><li>Process vendor invoices and ensure timely payments.</li><li>Reconcile accounts and resolve discrepancies.</li><li>Maintain accurate financial records and documentation.</li><li>Collaborate with internal departments to ensure compliance.</li></ul>
<p><em>The salary range for this position is $65,000 - $72,000 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><strong>Job Description:</strong> </p><p> </p><p>The A/R Specialist will manage the timely and accurate collection of customer receivables for the Organization. The ideal candidate will be responsible for the collection, processing, and reconciliation of outstanding receivables. position supports the Company’s objectives through building relationships with customers, working cross-functionally with departments and monitoring and reporting on key performance indicators.</p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Monitor the accurate and timely generation of customer invoices, ensuring compliance with established billing policies and procedures.</li><li>Review and verify the accuracy of invoices and other billing documents.</li><li>Maintain consistent communication with contact(s) at customer to ensure prompt payment and resolve any outstanding payment issues.</li><li>Reconciliation of assigned customer accounts to identify and address discrepancies or variances.</li><li>Investigate and resolve customer inquiries related to billing discrepancies or account issues.</li><li>Prepare and maintain accounts receivable reporting, including aging analysis and collection forecasts.</li><li>Monitor and track customer payment trends, identifying potential risks and opportunities for process improvement.</li><li>Assist with month-end and year-end closing activities as needed, ensuring accurate revenue recognition and financial reporting.</li><li>Support internal and external audits by providing documentation and responding to inquiries.</li><li>Stay up to date with industry best practices and regulations related to accounts receivable and billing.</li></ul><p> </p><p> </p>
<p>Robert Half is partnering with a well-established automotive dealership in National City to identify an Accounts Payable Specialist for a contract-to-hire opportunity. This is a great fit for someone who enjoys working in a fast-paced, high-volume environment and is looking for long-term stability.</p><p><br></p><p><strong>What you’ll be doing</strong></p><p>• Process a high volume of vendor invoices with accuracy and efficiency</p><p>• Perform 3-way matching (invoice, PO, receiving)</p><p>• Manage vendor communication and resolve discrepancies</p><p>• Prepare and assist with weekly check runs</p><p>• Ensure proper approvals and maintain organized documentation</p><p>• Support month-end close, including reconciliations</p>
<p>Robert Half is seeking a detail-oriented and dependable <strong>Accounts Payable Specialist</strong> for an onsite opportunity in <strong>Kapolei, Hawaii</strong>. This role is ideal for an accounting professional who thrives in a fast-paced environment and has a strong understanding of full-cycle accounts payable processes. The Accounts Payable Specialist will play an important role in supporting daily accounting operations by ensuring invoices are processed accurately, vendors are paid on time, and financial records are maintained in an organized and compliant manner.</p><p><br></p><p>Due to the onboarding process and onsite requirements of this role, <strong>preference will be given to candidates who are currently located in Hawaii</strong>. If you are interested in this <strong>Accounts Payable Specialist</strong> opportunity in <strong>Kapolei</strong>, please contact <strong>Robert Half at 808-531-8056</strong> for immediate consideration.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Process a high volume of vendor invoices accurately and in a timely manner</li><li>Review invoices, purchase orders, and payment requests for proper approval and coding</li><li>Match invoices to purchase orders and receiving documentation</li><li>Prepare and process check runs, ACH payments, and other disbursements</li><li>Maintain accurate vendor files and ensure all required documentation is complete</li><li>Reconcile vendor statements and research discrepancies</li><li>Respond to vendor inquiries regarding payment status, invoice issues, and account details</li><li>Assist with month-end close by preparing accounts payable reconciliations and reports</li><li>Support the accounting team with audit requests and documentation</li><li>Ensure compliance with company policies, procedures, and internal controls</li><li>Collaborate with internal departments to resolve invoice and payment discrepancies</li><li>Assist with other accounting and administrative duties as assigned</li></ul><p><br></p>
<p>We are looking for an experienced REMOTE Benefits Programs Specialist to join our team on a contract basis in <strong><u>Newport News, Virginia.</u></strong> This role focuses on evaluating Medicaid eligibility for specific populations, including aged, blind, and disabled individuals, while ensuring effective benefits coordination and administration. If you have a strong background in compensation and benefits analysis, this position offers an opportunity to contribute meaningfully within the non-profit sector.</p><p><br></p><p>Responsibilities:</p><p>• Assess Medicaid eligibility for individuals classified as aged, blind, or disabled by conducting detailed case evaluations.</p><p>• Analyze available resources and determine eligibility criteria for Medicaid programs.</p><p>• Identify individuals who meet protected status requirements and complete comprehensive Medicaid evaluations.</p><p>• Review and interpret organizational forms and documentation for updates, changes, or conversions.</p><p>• Ensure accurate application of Medicaid regulations and guidelines during casework processes.</p><p>• Collaborate with team members to streamline benefits coordination and administration.</p><p>• Provide insights and recommendations based on benefits analysis to support decision-making.</p><p>• Maintain detailed records and documentation for all case evaluations and eligibility determinations.</p><p>• Stay informed about changes in state and federal Medicaid policies to ensure compliance.</p><p>• Deliver thorough and timely services to meet the needs of beneficiaries.</p>
<p>We are looking for a dependable Eligibility Specialist to join a customer support team in Vandalia, Ohio in a contract-to-permanent capacity. This position focuses on maintaining accurate member records, supporting enrollment-related activities, and providing responsive service through phone and email communication. The ideal candidate is organized, comfortable handling administrative tasks, and able to manage a steady workflow in a weekday office setting.</p><p><br></p><p>Responsibilities:</p><p>• Enter and update member information in the designated portal while verifying accuracy and confirming successful submission of records.</p><p>• Process enrollment-related transactions and maintain eligibility records to support timely and accurate member services.</p><p>• Communicate with vendors and external representatives as needed to resolve routine questions and support service-related follow-up.</p><p>• Prepare, review, and distribute reports that help track operational activity and support day-to-day team needs.</p><p>• Scan, organize, and index documents so files remain accessible, accurate, and properly maintained.</p><p>• Sort and distribute incoming mail and related materials to ensure timely handling of correspondence.</p><p>• Respond to inbound inquiries and email messages with clear, service-focused communication.</p><p>• Support additional order entry, scheduling, and administrative tasks required to keep daily operations running smoothly.</p>
<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>