We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
<p>We are looking for a Medical Collections Specialist to support revenue cycle performance by managing insurance follow-up and resolving outstanding account issues. This position plays an important role in reducing aged receivables, addressing claim obstacles, and helping maintain accurate reimbursement activity. Based in Shrewsbury, Massachusetts, the role is well suited for someone who is detail-oriented, organized, and comfortable working across billing platforms and payer resources.</p><p><br></p><p>Responsibilities:</p><p>• Monitor unpaid insurance claims and take timely action to advance accounts toward resolution and payment.</p><p>• Manage billing and follow-up activities for assigned payer accounts, ensuring all claims are worked accurately and consistently.</p><p>• Investigate billing variances and payment discrepancies, then complete the necessary corrections to support proper reimbursement.</p><p>• Identify rejected claims quickly, determine the cause, and complete corrective steps to prevent delays in claim submission or reprocessing.</p><p>• Use clearinghouse tools to review claim activity and track submission issues, with familiarity in Waystar considered highly beneficial.</p><p>• Navigate payer web portals to verify claim status, review remittance details, and complete required follow-up actions.</p><p>• Participate in recurring accounts receivable review meetings and provide updates on account progress, trends, and barriers to payment.</p><p>• Maintain clear and accurate documentation within billing or medical record systems to support account history and collection efforts.</p><p><br></p><p><strong><em><u>**Immediate needs here! Please reach out ASAP to me directly, Eric Lebow 508-205-2127**</u></em></strong></p>
We are looking for a dedicated Medical Credit Clerk to join our team in Federal Way, Washington. In this long-term contract role, you will play a key part in ensuring accurate resolution of credit balances and maintaining the integrity of financial transactions in the healthcare industry. This position offers a blend of structured training and hands-on experience, with company-provided equipment to support remote work after training.<br><br>Responsibilities:<br>• Investigate and resolve credit balances caused by insurance overpayments.<br>• Analyze claims to validate discrepancies and determine eligibility for refunds.<br>• Conduct root cause analysis to identify payment inconsistencies and implement resolutions.<br>• Utilize insurance portals and forms to manage retractions and research payment issues.<br>• Communicate with insurance payers to verify claim details and facilitate adjustments.<br>• Process electronic remittance advice (ERAs) and review related insurance documentation.<br>• Collaborate with internal departments to ensure timely and accurate credit resolution.<br>• Participate in structured training programs combining classroom learning and practical experience.<br>• Use company-provided tools and equipment to transition to remote work after training.
We are looking for a Medical Administrative Assistant to support a busy healthcare-focused office in Boca Raton, Florida. This Contract position is ideal for someone who thrives in a fast-paced administrative environment and can manage patient-related information with accuracy and professionalism. The role centers on coordinating front-office activities, maintaining organized records, and helping the team operate efficiently each day.<br><br>Responsibilities:<br>• Gather, review, and maintain detailed intake information while ensuring records are complete and well organized.<br>• Coordinate appointments and calendars to support smooth daily scheduling for staff and visitors.<br>• Enter, update, and verify data in office systems with a high level of accuracy and attention to detail.<br>• Handle front-desk and receptionist activities, including answering inbound calls and directing inquiries appropriately.<br>• Provide day-to-day administrative support across the office, adapting to changing priorities as needed.<br>• Work closely with colleagues to keep workflows efficient and ensure consistent support for daily operations.
<p>We are looking for a detail-oriented Medical Administrative Assistant to support the Medical Staff department in Santa Monica, California. This Medical Administrative Assistant position is ideal for someone who excels at coordinating administrative processes, maintaining accurate records, and keeping compliance-related documentation current in a busy healthcare setting. The role also involves organizing department meetings, preparing documentation, and communicating effectively with physicians, staff, and leadership. Success in this position requires sound judgment, strong organizational skills, and the ability to handle confidential information with care.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Oversee the tracking of time-sensitive items such as licenses, certifications, and other required medical staff documents to help maintain compliance.</p><p>• Keep credentialing and departmental records accurate, complete, and regularly updated across internal files and systems.</p><p>• Arrange department meetings by managing calendars, confirming attendance, and preparing agendas and supporting materials.</p><p>• Record clear, thorough meeting minutes and distribute finalized documentation promptly to appropriate stakeholders.</p><p>• Perform document control, filing, and data entry tasks to ensure information is organized and accessible.</p><p>• Follow up with physicians, team members, and leadership regarding outstanding paperwork, renewals, and submission deadlines.</p><p>• Provide day-to-day administrative support for the Medical Staff department, including general office coordination and communication assistance.</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 seeking a detail‑oriented and dependable <strong>Medical Records Clerk</strong> to support the accurate management and maintenance of patient records in a healthcare setting. This role is ideal for someone who is organized, discreet, and comfortable working with confidential information.</p><p>Key Responsibilities:</p><ul><li>Maintain, organize, and accurately file medical records (electronic and/or paper)</li><li>Retrieve, scan, and upload patient documentation into medical record systems</li><li>Ensure compliance with HIPAA and patient confidentiality standards</li><li>Respond to internal and external requests for medical records</li><li>Audit records for completeness and accuracy</li><li>Assist with chart preparation and record retention processes</li><li>Work closely with clinical and administrative staff as needed</li></ul><p><br></p><p><br></p>
We are looking for a personable and organized Medical Receptionist to join our team on a Contract basis. In this role, you will support both in-person visitors and telehealth patients by guiding them through intake and follow-up steps with care and attention to detail. This position is ideal for someone who stays composed in a fast-moving environment, communicates clearly, and handles scheduling details with accuracy.<br><br>Responsibilities:<br>• Welcome patients and families for walk-in intake visits, creating a positive and detail-oriented first impression in person and through telehealth interactions.<br>• Complete registration activities by verifying identification, collecting insurance information, and setting up or updating patient records in the system.<br>• Explain portal access and other intake-related information so patients understand the next steps in their care experience.<br>• Assist individuals and family members with required intake documentation, including consent and privacy-related forms, while ensuring accuracy and completeness.<br>• Manage the check-out process by updating chart details, recording staff assignments, and arranging follow-up visits based on service needs.<br>• Coordinate appointment scheduling with close attention to timing, provider availability, and other details that affect patient flow.<br>• Adapt to changing lobby volume and daily priorities while maintaining a calm, responsive approach to patient service.<br>• Learn additional front-desk duties over time through training, shadowing, and guidance from leads and administrative support staff.
Are you an organized, reliable detail oriented with healthcare front office experience? Join our team as a Medical Receptionist, supporting five locations and contributing to exceptional patient care and service. We are seeking at least two candidates who have proven stability in prior roles and a strong commitment to delivering a positive patient experience. Key Responsibilities: Welcome and assist patients and visitors at the front desk, ensuring a detail oriented and friendly atmosphere. Manage appointment scheduling for medical procedures and efficiently coordinate patient flow. Process prior authorizations for medical procedures. Utilize EPIC or other EMR systems for patient scheduling and records management. Collaborate with clinical and administrative staff to ensure timely and accurate service. Required Skills and Experience: Prior experience with EPIC (preferred), or other EMR systems. Previous employment in a healthcare setting. Experience processing prior authorizations. Proven ability to handle scheduling for medical procedures efficiently. Soft Skills and detail oriented Attributes: Reliability: Consistently punctual and dependable; must demonstrate low absenteeism and minimal personal cell phone use during work hours. Courteous & Personable: Maintain a welcoming and detail oriented demeanor with patients and colleagues. Responsible & Patient-centric: Ability to stay organized, multitask, and prioritize patient needs. Locations: Multiple—must be available and willing to travel as needed between local offices. Why Join Us? Make an impact daily by being a key part of the patient experience. Leverage your healthcare and EMR skills in a reputable, team-oriented practice environment. Competitive compensation and opportunities for growth. Ready to build your healthcare career? Apply today if you have the experience and dedication needed to keep our practice running smoothly and are committed to excellence in patient care.
<p>We are seeking a detail-oriented Receptionist to join our team on a contract basis. In this role, you will serve as the first point of contact, creating a welcoming and professional experience while supporting day-to-day administrative operations. This is an excellent opportunity for someone with strong organizational and communication skills and experience in a front office environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Greet visitors and clients in a friendly and professional manner, ensuring a positive first impression.</li><li>Manage check-in and check-out processes while maintaining accurate records.</li><li>Schedule and confirm appointments, coordinating as needed with internal team members.</li><li>Handle incoming calls and respond to inquiries promptly and courteously.</li><li>Maintain an organized front office, including managing files, paperwork, and supplies.</li><li>Verify and update information in internal systems to ensure accuracy.</li><li>Assist in maintaining compliance with company policies and procedures.</li><li>Provide general administrative support to ensure smooth daily operations.</li><li>Keep records up to date and ensure data integrity.</li></ul><p><br></p>
<p>We are looking for a Medical Receptionist to support patient-facing operations for a healthcare organization in Los Angeles, California. This Medical Receptionist position is ideal for someone who brings strong customer service skills, accuracy in handling patient information, and confidence assisting callers in both English and Spanish. The person in this role will help create a welcoming experience while ensuring communication and documentation are handled efficiently and effectively.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Greet patients and visitors in a courteous, attentive manner and provide clear assistance with front-line inquiries.</p><p>• Receive and manage inbound calls, directing questions and concerns to the appropriate department or staff member.</p><p>• Gather patient demographic details and review documentation for completeness and accuracy during intake interactions.</p><p>• Confirm Medi-Cal insurance information and other required records to support timely patient processing.</p><p>• Serve as a communication bridge between care teams and Spanish-speaking patients to help ensure understanding.</p><p>• Maintain accurate records using customer service and office systems while following established procedures.</p><p>• Respond to service-related concerns with patience, care, and a solutions-focused approach.</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 Medical Receptionist to support patient registration and front-desk operations for a healthcare setting in Grand Rapids, Michigan. This Long-term Contract position is ideal for someone who brings professionalism, empathy, and strong organizational skills to every patient interaction. The role focuses on creating a smooth check-in experience, handling insurance and payment tasks accurately, and helping patients feel informed and welcomed throughout their visit. This role is 100% onsite. Prior patient registration experience is highly preferred.</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients and visitors warmly, creating a courteous and supportive front-desk experience from arrival through check-in.</p><p>• Gather, confirm, and update demographic, insurance, and medical intake details with a high level of accuracy.</p><p>• Process copays and other patient payments, issue receipts, and maintain organized records of financial transactions.</p><p>• Review insurance eligibility and benefit information, including deductibles and patient cost responsibilities, before or during visits.</p><p>• Communicate with insurance carriers to clarify coverage questions and resolve registration or billing discrepancies efficiently.</p><p>• Arrange patient appointments, provide scheduling guidance, and coordinate with care teams to accommodate urgent visit needs when possible.</p><p>• Respond to patient questions and concerns with professionalism, escalating issues appropriately to support a positive care experience.</p><p>• Perform administrative duties such as scanning, filing, data entry, and maintaining a clean, orderly, and efficient reception area.</p>
<p><strong>Medical Receptionist – Bilingual Spanish (On-Site)</strong></p><p><br></p><p>We are currently hiring for a Bilingual Spanish Medical Receptionist to join a fast-paced healthcare office. This is a great opportunity for someone with strong administrative and patient-facing experience who is looking for a stable, long-term role.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Greet and check in patients in a professional and friendly manner</li><li>Answer and route incoming calls; schedule and confirm appointments</li><li>Verify insurance and collect copays/payments</li><li>Maintain accurate patient records and update information in the system</li><li>Assist with patient intake, forms, and documentation</li><li>Coordinate with medical staff to ensure smooth daily operations</li><li>Handle general administrative duties such as filing, scanning, and data entry </li></ul><p><br></p>
We are looking for a detail-oriented Medical Receptionist to support daily front-desk operations for a healthcare setting in New Jersey. This long-term contract position is ideal for someone who thrives in a patient-facing environment and can balance administrative tasks with excellent service. The person in this role will help create an efficient, welcoming experience for patients while keeping appointment flow and records organized.<br><br>Responsibilities:<br>• Welcome patients upon arrival, confirm appointment details, and guide them through the check-in process efficiently.<br>• Coordinate provider calendars by scheduling, rescheduling, and confirming patient visits based on office procedures.<br>• Manage incoming calls on a multi-line phone system, direct inquiries appropriately, and relay messages in a timely manner.<br>• Maintain accurate patient information within electronic medical records and update documentation as needed.<br>• Support front-office operations by handling routine reception tasks, preparing paperwork, and assisting with patient flow.<br>• Communicate clearly with patients regarding basic office procedures, appointment expectations, and general administrative questions.<br>• Monitor the reception area to ensure a welcoming, organized, and patient-friendly environment at all times.
We are looking for a bilingual Medical Receptionist to join our team in Monterey, California. This is a Contract to permanent position offering a dynamic opportunity to work in a healthcare environment and provide exceptional administrative support. The ideal candidate will play a vital role in ensuring smooth front office operations and delivering a positive experience for patients.<br><br>Responsibilities:<br>• Greet and check in patients, ensuring all necessary forms and documentation are completed accurately.<br>• Schedule and manage patient appointments using EMR systems, ensuring efficient time management.<br>• Handle incoming calls, provide information, and route inquiries to the appropriate staff members.<br>• Maintain and update patient records in compliance with healthcare regulations and privacy standards.<br>• Assist with insurance verification and billing processes to streamline administrative workflows.<br>• Communicate effectively with patients and staff, including providing bilingual support in Spanish.<br>• Ensure the front office area is organized and welcoming for patients and visitors.<br>• Collaborate with medical staff to support daily operations and resolve any scheduling conflicts.<br>• Adhere to healthcare protocols and maintain confidentiality at all times.
<p>40,000 - 48,000</p><p><br></p><p>benefits:</p><ul><li>medical</li><li>paid time off</li></ul><p><br></p><p>We are seeking an experienced Medical Receptionist to support our client’s healthcare office in the Raritan, NJ area. This is an on-site position with a pay rate of $21–$24/hr based on experience. Enjoy a consistent Monday–Friday work schedule with no nights, weekends, or holiday shifts required. This role is open for full-time or part-time depending on what you are looking for (Medical benefits are offered for full-time employees)</p><p><br></p><p>Key Responsibilities:</p><ul><li>Patient Intake & Check-in: Welcome and check in patients, verify and update personal and financial information, and create a positive experience upon arrival.</li><li>Scheduling & Coordination: Manage appointment calendars, assist with rescheduling, and inform healthcare providers of patient arrivals.</li><li>Administrative Duties: Answer multi-line phones, manage email correspondence, sort incoming mail, and maintain office supplies inventory.</li><li>Financial & Insurance Management: Verify insurance eligibility, collect co-pays, and assist with patient billing and third-party payer coordination.</li><li>EHR Management: Maintain and update patient records within Electronic Health Records (EHR) systems, ensuring security and confidentiality.</li></ul><p>Position Details:</p><ul><li>Pay Rate: $21–$24/hr, depending on experience </li><li>Schedule: Monday–Friday, 8:30am–5:00/5:30pm</li><li>Location: On-site in the Raritan area</li></ul><p><br></p>
<p>We are seeking a friendly, organized, and detail-oriented <strong>Medical Receptionist</strong> to join a busy healthcare practice. This role serves as the first point of contact for patients and is critical to delivering a positive patient experience while ensuring smooth front-office operations.</p><p><br></p><p>Responsibilities</p><ul><li>Greet patients and visitors in a professional and courteous manner</li><li>Answer incoming calls, schedule appointments, and manage calendars</li><li>Check patients in and out; verify demographic and insurance information</li><li>Collect co-pays and balances, and process payments as needed</li><li>Maintain accurate patient records within the electronic medical record (EMR/EHR) system</li><li>Handle medical records, referrals, and prior authorizations as required</li><li>Coordinate with clinical staff to support daily workflow</li><li>Ensure HIPAA compliance and patient confidentiality at all times</li><li>Perform general administrative tasks, including scanning, filing, and data entry</li></ul><p><br></p>
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care. </p>
<p>The Medical Front Desk Representative serves as the first point of contact for patients and plays a critical role in delivering an exceptional patient experience. This individual is responsible for front desk operations including patient check‑in/check‑out, appointment scheduling, insurance verification, and administrative support to ensure smooth clinic operations.</p><p>Key Responsibilities</p><ul><li>Greet and check in patients in a professional, friendly, and compassionate manner</li><li>Schedule, reschedule, and confirm patient appointments</li><li>Verify patient demographics, insurance coverage, and benefits accuracy</li><li>Collect copays, deductibles, and outstanding balances at time of service</li><li>Answer incoming phone calls and route messages appropriately</li><li>Maintain accurate and up‑to‑date patient records in the EMR/EHR system</li><li>Scan, upload, and manage patient documentation</li><li>Ensure compliance with HIPAA and patient privacy standards</li><li>Coordinate with clinical staff to support efficient patient flow</li><li>Resolve patient questions related to appointments, paperwork, or billing at a basic level</li><li>Perform general administrative tasks as needed to support the clinic</li></ul><p><br></p>
<p>We are looking for a dedicated Medical Receptionist to join our client's team in Cincinnati, Ohio. In this long-term contract role, you will serve as the first point of contact for patients, ensuring their experience starts on a positive note. This position involves managing patient registration, maintaining accurate records, and performing essential front-office tasks with attention to detail and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Greet patients warmly and assist them with the check-in process.</p><p>• Register new and returning patients in the system while ensuring accurate demographic and financial details are recorded.</p><p>• Collect and manage completed paperwork from patients, ensuring all necessary forms are completed properly.</p><p>• Orient new patients by providing essential information and preparing their charts for appointments.</p><p>• Schedule patient appointments and update calendars as needed.</p><p>• Maintain and organize electronic medical records (EMR) with precision and confidentiality.</p><p>• Answer phone calls and address inquiries or route them to the appropriate personnel.</p><p>• Collaborate with medical staff to ensure seamless office operations and patient flow.</p><p>• Monitor and order office supplies to support daily operations.</p>
<p><br></p><p>Robert Half is currently seeking a bilingual (English/Spanish) Medical Receptionist to support a busy healthcare office. Candidates must have prior medical office experience. This role is ideal for someone who enjoys working in a patient-facing environment, is highly organized, and can manage front desk responsibilities with professionalism and care.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Greet and check in patients in a friendly and professional manner</li><li>Answer phones, schedule appointments, and manage patient inquiries</li><li>Verify patient information, insurance, and maintain accurate records</li><li>Handle patient intake forms and ensure all documentation is complete</li><li>Coordinate with medical staff to ensure smooth daily operations</li><li>Manage front desk workflow, including filing, scanning, and data entry</li><li>Maintain confidentiality of patient information (HIPAA compliance) </li></ul><p><br></p>
<p>A healthcare organization in Baltimore is seeking an experienced Customer Service Representative with a background in public health to join their team! In this contract position, you will handle high volumes of inbound calls related to public health information, ensuring callers receive accurate guidance and are directed to appropriate resources. This contract role requires strong communication skills and a commitment to excellent customer service, with the potential for extension based on organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage high volumes of inbound calls from the public, providing accurate information and support.</p><p>• Follow established scripts and protocols to ensure consistent communication.</p><p>• Maintain a detail-oriented and courteous demeanor while addressing caller inquiries.</p><p>• Ask clarifying questions to understand caller needs and minimize errors.</p><p>• Direct callers to the appropriate departments or resources based on their concerns.</p><p>• Accurately document call details and interactions in the system.</p><p>• Protect caller confidentiality and adhere to organizational policies.</p><p>• Escalate complex or urgent issues in accordance with provided guidelines.</p><p>• Work collaboratively with team members to ensure smooth operations.</p>
<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> 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</p><p><br></p><p>Responsibilities:</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><p><br></p>
We are looking for an experienced Billing Specialist III to join our team in Charlotte, North Carolina. In this role, you will be responsible for overseeing billing processes, ensuring accuracy, and providing support to internal teams and clients. This position requires a keen eye for detail, strong analytical skills, and the ability to lead and train team members effectively.<br><br>Responsibilities:<br>• Validate weekly data submissions to verify invoices are accurately processed through third-party platforms.<br>• Review and approve or reject credit memos requested by Billing or Accounts Receivable representatives, providing clear feedback on rejection reasons.<br>• Analyze and correct billing errors on rejected invoices, ensuring resubmission within five business days of notification.<br>• Collaborate with the billing team, clients, and internal stakeholders to provide leadership and support.<br>• Conduct thorough root cause analyses to identify process inefficiencies, system issues, or areas for improvement.<br>• Assist in testing and implementing new processes or systems for billing-related tasks.<br>• Provide backup coverage for Billing Administrators during absences or high-demand periods such as month-end.<br>• Train and mentor new employees, offering guidance and ongoing support.<br>• Support upper management with billing-related tasks and reporting.<br>• Process agent invoice submissions and coach billing staff to address performance improvement areas.
<p>We are looking for a Medical Customer Service Rep to support a healthcare organization serving members in Minneapolis, Minnesota. This Long-term Contract opportunity is ideal for someone who is comfortable handling high-volume calls, resolving benefit and claims-related questions, and guiding members through available healthcare services. The person in this role will deliver attentive service, provide accurate information, and help members navigate coverage, authorizations, and transportation-related support. This role is remote but does require candidates to be local to MN for quarterly onsite meetings. </p><p><br></p><p>Responsibilities:</p><p>• Handle incoming calls from health plan members and provide clear answers related to coverage, claims activity, and amounts owed to providers.</p><p>• Review member benefit information and explain plan details in a way that is easy to understand and aligned with service standards.</p><p>• Assist callers with questions involving Medicaid programs, managed care services, and eligibility-related concerns.</p><p>• Help members understand prior authorization requirements and direct them through the appropriate next steps for care access.</p><p>• Use provider network resources to confirm participating providers and support members in locating appropriate care options.</p><p>• Guide members through transportation service coordination and appointment navigation when those services are part of their health plan benefits.</p><p>• Document interactions accurately and maintain complete records of inquiries, resolutions, and follow-up needs.</p><p>• Escalate complex issues when necessary while ensuring members receive timely and courteous support.</p>
We are looking for a Medical Customer Service Rep to support care coordination activities for a healthcare team serving patients, pharmacies, and nursing partners. This Long-term Contract position is based in San Francisco, California, and is ideal for someone who thrives in a high-volume environment, communicates with empathy, and can manage administrative work with accuracy and speed. The person in this role will help keep daily operations running smoothly by coordinating visits, handling service requests, and maintaining organized documentation across multiple systems.<br><br>Responsibilities:<br>• Coordinate patient and nursing visit appointments using internal healthcare technology and supporting third-party applications.<br>• Respond to a steady flow of inbound inquiries from pharmacies, patients, and clinicians while delivering attentive and compassionate service.<br>• Manage a high daily volume of Zendesk requests, ensuring updates are accurate, timely, and properly documented.<br>• Confirm scheduled visits and adjust appointments as needed to support efficient care delivery.<br>• Gather, review, and upload required records and supporting documents to maintain complete case files.<br>• Balance competing priorities in a fast-moving setting while meeting service expectations and deadlines.<br>• Work closely with internal teams and external partners to communicate updates, resolve issues, and improve coordination.<br>• Build productive relationships with specialty pharmacies and nursing networks to support a reliable patient experience.<br>• Identify opportunities to streamline workflows and share practical recommendations that enhance team operations.