We are looking for a Billing Specialist to join a fast-growing software company based in New York, New York. This role offers the opportunity to work with a global organization of over 1,500 employees, supporting essential finance operations and ensuring smooth billing and collections processes. The position is hybrid, requiring three days onsite, and includes comprehensive training to help you succeed.<br><br>Responsibilities:<br>• Manage billing and invoicing processes with precision to ensure all financial systems are accurate and aligned.<br>• Handle client inquiries and resolve billing-related issues promptly and professionally.<br>• Oversee collections efforts, collaborating with collection agencies to recover outstanding payments.<br>• Verify that Salesforce and NetSuite systems are synchronized and functioning effectively for billing purposes.<br>• Address and resolve client support tickets related to billing and collections.<br>• Monitor and manage accounts receivable, ensuring timely payments and accurate reporting.<br>• Execute detailed calculations and adjustments as required for billing accuracy.<br>• Support the finance team in achieving organizational goals and maintaining compliance with financial regulations.<br>• Participate in training sessions to continuously enhance billing and collections expertise.<br>• Collaborate with global financial headquarters to streamline processes and improve efficiency.
Our client, a well-established company in the medical industry, is seeking a proactive and hands-on Customer Service Call Center Supervisor for an onsite, permanent contract-to-permanent opportunity. The organization has just over 100 employees and is dedicated to providing exceptional service and support to its clients and patients. This role offers strong growth potential and the prospect of permanent employment for high performers. <br> Key Responsibilities: <br> Supervise and manage a call center staff of up to 15 employees, overseeing day-to-day operations and team productivity. Ensure staff effectively handle incoming medical billing inquiries and contractual questions in a prompt, detail oriented manner. Lead recruitment, hiring, onboarding, and training processes for new and current call center employees. Monitor call volumes, hold times, and performance standards, using data analytics to track team and individual metrics. Coach and mentor team members, assisting with escalated and challenging customer calls to maintain service quality. Drive employee development through regular feedback, performance reviews, and ongoing training. Manage and contribute to revenue cycle billing operations, ensuring accuracy and timely resolution of cases. Maintain strong organizational systems and reporting practices using Microsoft Office Suite and other relevant software. Ensure compliance with healthcare industry regulations and company policies. Collaborate cross-functionally with internal departments to approve contracts and support resolution of medical billing matters. Requirements: <br> Proven experience supervising a call center team, preferably within the medical, healthcare, or revenue cycle management field. Strong understanding of medical billing cycles and contracts. Demonstrated ability to deescalate complex customer issues and provide effective solutions. Solid organizational and multitasking skills, with the capacity to prioritize in a fast-paced environment. Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint). Excellent verbal and written communication skills. Ability to coach, mentor, and lead staff while maintaining a positive team culture. Experience tracking performance metrics and using analytics for operational improvement. This role is a contract position with the possibility of permanent employment based on performance. <br> Ready to make an impact? Apply today to help lead and support a dedicated team at the heart of healthcare customer service operations. Please apply and contact: Kelly Fellows for immediate consideration at 865-370-2219
We are looking for a detail-oriented Medicare Biller to join our team in Lexington, Kentucky. In this long-term contract position, you will play a critical role in ensuring compliance with Medicare regulations and guidelines, particularly in the context of research billing and financial processes. This role requires collaboration with various teams to maintain billing integrity, secure adequate funding, and uphold the highest standards of fiscal compliance for research projects.<br><br>Responsibilities:<br>• Conduct comprehensive Medicare Coverage Analysis to determine appropriate billing classifications for routine and research services.<br>• Collaborate with research management, finance personnel, and study teams to secure sufficient funding from research sponsors.<br>• Advise principal investigators and departmental staff on compliant billing practices and fiscal responsibilities for research projects.<br>• Partner with revenue integrity and charge capture teams to ensure proper coding and billing processes within the electronic medical record system.<br>• Review and analyze research protocols to create accurate project-specific budgets, ensuring all procedural and labor costs are accounted for.<br>• Negotiate contracts and budgets with research sponsors to align with institutional financial policies and goals.<br>• Maintain tracking databases and provide timely updates to leadership and study teams regarding project progress.<br>• Identify and implement process improvements to enhance performance and customer satisfaction.<br>• Resolve contract and budget-related issues stemming from amendments or regulatory changes.<br>• Ensure compliance with federal, state, and local regulations affecting Medicare billing practices.
<p>We are looking for an experienced Revenue Cycle Manager to oversee and optimize the billing and revenue operations within our healthcare organization in Las Vegas, Nevada. This role is integral to ensuring efficient financial processes while maintaining strong relationships with both internal teams and external stakeholders. The ideal candidate will have a proven track record in medical billing, management, and revenue cycle operations.</p><p><br></p><p>Responsibilities:</p><p>• Supervise the organization's billing and revenue processes to ensure accuracy and compliance with healthcare regulations.</p><p>• Develop strategies to maximize cash flow while fostering positive relationships with patients and partners.</p><p>• Lead daily operations related to the revenue cycle, addressing challenges and implementing solutions.</p><p>• Analyze current processes, create documentation, and train staff to build a cohesive revenue cycle team.</p><p>• Manage accounts receivable, billing, and coding teams, including direct oversight of approximately 22 employees.</p><p>• Implement measures to reduce accounts receivable days and enhance daily collections.</p><p>• Utilize advanced Excel tools and healthcare software, such as Allscripts, to streamline operations and reporting.</p><p>• Ensure adherence to fee billing standards and third-party payer regulations.</p><p>• Collaborate with leadership to address operational impacts of healthcare regulatory requirements.</p><p>• Foster a culture of continuous improvement and problem-solving within the revenue cycle team.</p><p><br></p><p>If you are interested in learning more about this opportunity, please contact Kathy Beavers at Robert Half, see contact information on LinkedIn.</p>
We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.<br><br>Responsibilities:<br>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.<br>• Manage medical billing operations, ensuring timely and accurate processing.<br>• Handle medical claims by reviewing, validating, and resolving discrepancies.<br>• Collaborate with team members to streamline billing functions and improve workflows.<br>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.<br>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.<br>• Support the transition of revenue processes back in-house, ensuring seamless integration.<br>• Provide detailed reporting on billing and claims metrics to stakeholders.<br>• Assist in supply chain-related tasks when applicable to revenue cycle management.<br>• Maintain up-to-date knowledge of industry practices and regulatory changes.
We are looking for a motivated and detail-oriented Medical Accounts Receivable Specialist to join our team, working Monday through Friday from 8:00 AM to 4:30 PM. In this role, you will play a critical part in maintaining the financial health of our organization by handling Medicare billing, patient accounts, and insurance claims with precision and efficiency. Success in this position requires strong expertise in medical billing processes, exceptional customer service skills, and the ability to manage accounts through to their final resolution.<br>Responsibilities:<br>Process Medicare billing activities, ensuring accurate handling and management of patient accounts.<br>Submit both electronic and paper insurance claims in compliance with payer guidelines.<br>Bill patient claims promptly and manage associated patient accounts with attention to compliance and accuracy.<br>Perform timely payment follow-ups to resolve outstanding balances; communicate effectively with stakeholders as needed.<br>Review work list activities regularly to prioritize and address accounts requiring immediate attention.<br>Work all assigned accounts diligently until final resolution, documenting every step accurately.<br>Review remittances to verify charges processed or paid align with insurance contracts and fee schedules.<br>Interpret and understand the billing UB04 form and 1500 form.<br>Highlights of Required Skills/Knowledge:<br>Full understanding of Managed Care Collections and knowledge of Managed Care contracts, including their terms, language, and Federal/State requirements.<br>Familiarity with terms such as HMO, PPO, Medicare Advantage Plans, and Capitation, with a clear understanding of how payers process claims under these plans.<br>Proficiency in using electronic medical record (EMR) systems (e.g., Cerner, Epic) and billing software. For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
<p>We are looking for a dedicated Training Coordinator to join our client's team in Knoxville, Tennessee. In this contract-to-permanent position, you will play a vital role in training new employees, ensuring they are equipped with the knowledge and skills to excel in their roles. This position requires expertise in medical coding and terminology, along with the ability to deliver training to diverse audiences in an engaging and effective manner.</p><p><br></p><p>Responsibilities:</p><p>• Design and deliver comprehensive training programs for new team members, focusing on medical coding, billing, and practice management systems.</p><p>• Develop and maintain training materials tailored to different learning styles and needs.</p><p>• Conduct onboarding sessions, ensuring new employees are familiar with organizational processes and tools.</p><p>• Audit training effectiveness and make improvements based on feedback and observed outcomes.</p><p>• Track employee progress toward training goals and provide support as needed.</p><p>• Utilize CPT, ICD-10, and other medical coding standards to ensure accuracy in training content.</p><p>• Present information clearly and professionally to groups of varying sizes and backgrounds.</p><p>• Collaborate with team members to continuously enhance training strategies and materials.</p><p>• Stay updated on industry trends and integrate relevant updates into training programs.</p><p>• Foster an environment that prioritizes superior customer service and operational excellence.</p><p>For immediate consideration please contact: Kelly Fellows at 865-370-2219</p>
<p>A growing healthcare organization in Valley Center is hiring an <strong>Accounts Receivable Specialist</strong> to support insurance and patient receivables. This role is ideal for someone who enjoys analytical problem-solving and working within structured billing and reimbursement cycles. You will collaborate closely with billing, coding, and clinical support teams to ensure claims are resolved accurately and payments are received in a timely manner.</p><p><strong>Key Responsibilities</strong></p><ul><li>Post insurance and patient payments, adjustments, and remittances</li><li>Review EOBs and explanation codes for accuracy</li><li>Investigate underpayments, denials, and delayed reimbursements</li><li>Follow up with insurance carriers and payer portals</li><li>Maintain accurate AR aging and escalate unresolved balances</li><li>Communicate with internal teams to resolve coding or billing issues</li><li>Assist with AR reporting, audits, and month-end close</li></ul>
We are looking for an experienced Billing Office Manager to oversee medical billing operations, manage staff, and ensure compliance with regulatory standards. This role is essential in maintaining efficient workflows, accurate billing processes, and timely payments while fostering collaboration across internal and external stakeholders. Key Duties and Responsibilities: Supervise and manage staff responsible for medical billing and patient accounting tasks. Ensure accurate and timely billing that aligns with organizational goals. Monitor workflows and collaborate with insurance providers, collection agencies, admitting departments, physicians, and auditors to address billing and account-related issues. Resolve patient account concerns diplomatically while adhering to established internal guidelines. Stay knowledgeable about third-party reimbursement policies, contracts, and healthcare regulations (e.g., HMOs, PPOs). Optimize department operations by effectively utilizing billing systems and implementing process improvements. Forecast staffing needs, balance workloads, and employ part-time assistance when required. Regularly prepare and present statistical reports to the CFO. Foster communication between cross-functional teams, including accounts receivable, registration, and health information. <br> Posted by Recruiting Director Scott G. Moore
We are looking for a highly skilled Revenue Cycle Manager to join our team in Vancouver, Washington. This long-term contract position requires an experienced, detail-oriented individual to oversee and optimize revenue cycle operations, with a strong focus on Medicaid billing and eligibility. The ideal candidate will bring leadership experience, technical expertise, and a proactive approach to drive results and improve processes.<br><br>Responsibilities:<br>• Supervise and manage a team of 11 staff members, ensuring efficient operations and collaboration.<br>• Oversee all aspects of the revenue cycle, including Medicaid eligibility, authorization, documentation, coding, billing, and payments.<br>• Develop and implement strategies to streamline revenue cycle processes and improve overall performance.<br>• Collaborate with managed care organizations (MCOs) to address and resolve challenges effectively.<br>• Ensure compliance with healthcare regulations and standards related to Medicaid billing and mental health services.<br>• Analyze financial data and generate reports to monitor revenue trends and identify areas for improvement.<br>• Act as a proactive leader, driving initiatives and motivating the team to achieve organizational goals.<br>• Provide training and guidance to staff to enhance their skills and ensure accurate documentation and billing practices.<br>• Foster strong communication with internal and external stakeholders to address issues and maintain positive relationships.<br>• Identify and implement best practices to optimize revenue cycle efficiency and effectiveness.
<p>A growing medical group in San Marcos is hiring an <strong>Accounts Receivable Specialist</strong> with strong analytical ability, healthcare billing knowledge, and excellent follow-up skills. This role is ideal for someone who enjoys detailed reconciliation work, payer communication, and supporting patients with a high level of professionalism and clarity. You will be working closely with insurers, patients, and internal billing teams to ensure timely reimbursement and accurate financial records.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Post payments, adjustments, and electronic remittances</li><li>Investigate and resolve insurance denials and underpayments</li><li>Maintain accurate aging reports and escalate overdue claims</li><li>Communicate with payers, patients, and physician offices</li><li>Support audits and revenue cycle reporting</li><li>Reconcile patient account balances and assist with month-end AR tasks</li></ul>
<p>We are looking for a dedicated Patient Access Specialist to join our team in East China, Michigan. In this long-term contract role, you will be responsible for ensuring seamless patient registration and access processes while delivering exceptional customer service. This position requires strong communication skills, attention to detail, and the ability to navigate medical billing and insurance procedures effectively.</p><p><br></p><p>Responsibilities:</p><p>• Manage patient registration processes, including verifying information and ensuring accuracy.</p><p>• Handle inbound and outbound calls to assist patients with scheduling, insurance inquiries, and billing concerns.</p><p>• Collaborate with clinical teams to optimize protocols and ensure efficient operations.</p><p>• Provide support for financial procedures such as deductible calculations and copays.</p><p>• Maintain accurate documentation and labeling within computer systems.</p><p>• Assist patients with understanding medical coverage and resolving access-related issues.</p><p>• Perform receptionist duties, including greeting patients and directing them as needed.</p><p>• Execute clerical tasks such as typing, filing, and protocol management.</p><p>• Ensure compliance with clinical trial operations and related procedures.</p><p>• Support ad hoc financial and administrative tasks as required.</p>
<p>We are looking for an experienced Revenue Cycle Director to oversee and optimize the management of revenue cycle operations for a healthcare client in Richmond, Virginia. This role will focus on improving administrative processes, enhancing team productivity, and ensuring compliance with industry standards and regulations. As a Contract to permanent position, this opportunity offers the potential for long-term growth and leadership within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Direct and manage all aspects of the revenue cycle process, including billing, collections, cash posting, refunds, and monthly reporting.</p><p>• Identify opportunities for improvement in administrative processes to enhance cash flow, reduce outstanding accounts receivable, and improve billing accuracy.</p><p>• Lead and implement changes in systems, team structures, and operational workflows to achieve optimal organizational results.</p><p>• Supervise and develop departmental staff by fostering engagement, defining roles, supporting skill development, and ensuring accountability and productivity.</p><p>• Monitor team workloads and production metrics to ensure equity and support organizational goals.</p><p>• Communicate industry and payor updates that impact revenue cycle processes to internal and external stakeholders.</p><p>• Provide guidance on resolving client revenue-related issues and making adjustments for uncollectable claims.</p><p>• Analyze performance metrics related to payer payment methodologies and troubleshoot issues to optimize revenue cycle outcomes.</p><p>• Review and manage departmental budgets, forecast revenue projections, and align operations with strategic goals.</p><p>• Ensure compliance with current industry practices and regulatory requirements affecting revenue cycle activities.</p>
We are looking for an experienced Operations Manager to join our nonprofit organization in San Diego, California. This position involves overseeing administrative operations, including managing a small team and ensuring smooth day-to-day functioning of our clinic. This is a long-term contract role ideal for someone with strong leadership skills and a commitment to serving veterans and their families.<br><br>Responsibilities:<br>• Supervise and lead an administrative team, including a billing coordinator and front desk staff.<br>• Manage daily operations to support clinicians and fellows, ensuring seamless client interactions and clinic efficiency.<br>• Handle billing processes, including data entry, denial audits, and statement verification.<br>• Prepare and analyze reports related to administrative and billing functions.<br>• Coordinate with the clinic director to address operational needs and improvements.<br>• Perform receptionist duties, such as signing in clients, managing appointments, and directing them to clinicians.<br>• Support up to 11 clinicians and fellows while accommodating 30 clients daily.<br>• Ensure compliance with psychotherapy billing codes and procedures.<br>• Maintain excellent communication with clinicians and administrative staff to foster collaboration.
<p>We are looking for an experienced Manager of Revenue Cycle to oversee and optimize all facets of billing, collections, coding, and credentialing operations. This role is pivotal in driving efficiency, ensuring compliance, and aligning revenue cycle strategies with overarching organizational objectives. Join our team in New York, New York, and lead a dedicated group of professionals to achieve operational excellence.</p><p><br></p><p>Responsibilities:</p><p>• Lead and mentor the revenue cycle team, ensuring all billing, collections, coding, and credentialing processes run efficiently.</p><p>• Develop and implement workflows, policies, and procedures to enhance the efficiency and scalability of revenue cycle operations.</p><p>• Monitor key performance indicators (KPIs) and metrics, analyzing trends to identify opportunities for improvement and implement data-driven solutions.</p><p>• Partner with executive leadership and other departments to align revenue cycle strategies with the organization's broader goals.</p><p>• Ensure compliance with all applicable regulations and payer requirements within the revenue cycle functions.</p><p>• Conduct regular team meetings to review performance metrics, discuss initiatives, and foster accountability.</p><p>• Identify and address inefficiencies in billing practices, reimbursement methods, and cash flow management.</p><p>• Create and deliver training programs to continuously educate and develop the skills of revenue cycle staff.</p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Bangor, Maine. In this role, you will be responsible for managing the admission process for patients seeking services at the hospital. This is a long-term contract position that requires a strong commitment to providing exceptional customer service while ensuring compliance with organizational policies and regulatory standards. Scheduled Shift: Days 9:30a-6:00p, M-F, Rotating Saturdays.</p><p><br></p><p>Responsibilities:</p><p>• Assign unique medical record numbers (MRNs) and perform compliance checks to ensure accuracy and adherence to regulations.</p><p>• Provide clear instructions to patients, collect and verify insurance details, process physician orders, and utilize overlay tools to maintain accurate records.</p><p>• Conduct pre-registration tasks, including obtaining demographic and insurance information, as well as discussing financial responsibilities and payment options with patients.</p><p>• Explain and secure signatures for consent forms, distribute patient education materials, and ensure all necessary documentation is completed.</p><p>• Verify insurance eligibility and input benefit data into the system to support billing processes and facilitate accurate claims.</p><p>• Inform Medicare patients of potential non-payment for specific services using the Advance Beneficiary Notice system and distribute related forms as needed.</p><p>• Perform quality audits on patient accounts to identify and correct discrepancies, ensuring compliance with organizational standards.</p><p>• Meet and maintain point-of-service collection goals while delivering compassionate and attentive customer service.</p><p>• Utilize reporting systems to monitor account accuracy and provide feedback to leadership on audit findings.</p>
<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>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>
We are looking for a skilled Credit Balance AR Analyst III to join our team in Land O' Lakes, Florida. In this role, you will focus on analyzing and resolving credit balances within accounts receivable while contributing to efficient financial operations. This is a Contract position within the healthcare industry, offering the chance to work with advanced systems and collaborate with various teams.<br><br>Responsibilities:<br>• Investigate and resolve credit balances by identifying duplicate payments and determining their root causes.<br>• Ensure vendors are accurately set up in the accounts payable system to facilitate refunds.<br>• Monitor refund activities and reconcile credit balance data between patient accounting systems and accounts payable systems.<br>• Utilize systems such as Patcom, Fusion, and Beacon to manage and analyze financial transactions.<br>• Collaborate with the data analytics team to create dashboards and graphs using tools like R.<br>• Maintain accurate transaction records and ensure alignment with general ledger accounts.<br>• Work closely with accounting and treasury teams to address financial discrepancies and improve processes.<br>• Analyze patient billing data to ensure accuracy and compliance with financial standards.<br>• Prepare detailed reports on credit balance activities and provide insights for process improvements.<br>• Manage SharePoint documentation related to accounts receivable and credit balance workflows.
<p>A growing healthcare organization in Vista is hiring a <strong>detail-oriented Collections Specialist</strong> to support patient and insurance collections. This role requires a compassionate yet persistent communicator who can navigate sensitive financial conversations while ensuring timely payment resolution. The ideal candidate understands medical billing workflows, insurance reimbursement cycles, and the importance of maintaining patient trust throughout the collection process.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Follow up on outstanding patient balances and insurance claims</li><li>Communicate professionally with patients regarding payment options</li><li>Work with billing teams to resolve claim denials and underpayments</li><li>Maintain accurate notes and documentation in billing systems</li><li>Set up payment plans and process adjustments when approved</li><li>Assist with audits and AR aging reviews</li></ul>
<p>We are looking for a detail-oriented Credentialing Specialist to join our team on a contract basis in Torrance, California. In this role, you will handle the credentialing needs for a group of healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. This position also offers the opportunity to expand your skill set by gaining experience in medical billing through dedicated training. This position is part-time, 3 days/week (24 hours/week).</p><p><br></p><p>Responsibilities:</p><p>• Manage and maintain credentialing documentation for healthcare providers, ensuring compliance with Medicare and commercial insurance requirements.</p><p>• Prepare and submit credentialing and re-credentialing applications in a timely and accurate manner.</p><p>• Monitor the status of applications and follow up to resolve any issues or delays.</p><p>• Collaborate with providers and insurance companies to address credentialing-related inquiries.</p><p>• Ensure all necessary documentation is collected, reviewed, and updated as required for credentialing processes.</p><p>• Support the team in maintaining accurate records and databases related to provider credentialing.</p><p>• Assist in the transition to medical billing tasks by participating in training sessions.</p><p>• Coordinate with internal and external stakeholders to streamline credentialing workflows.</p><p>• Stay informed about industry updates and regulatory changes impacting provider credentialing.</p><p>• Contribute to the overall efficiency of credentialing operations through proactive problem-solving.</p>
<p>We are looking for a detail-oriented Medical Receptionist to join our team in Minneapolis, Minnesota on a part-time basis. As a Patient Care Coordinator, you will play a pivotal role in ensuring a seamless experience for patients while supporting clinic operations. This is a Contract position within the healthcare industry, offering a dynamic and collaborative work environment.</p><p><br></p><p>Responsibilities:</p><p>• Welcome and check in patients for clinic and radiology appointments, ensuring a friendly and efficient experience.</p><p>• Provide clear instructions to patients regarding required forms and documentation.</p><p>• Collect and verify demographic and insurance information, entering details accurately into the NextGen system for billing purposes.</p><p>• Process patient payments, including co-pays, swiftly and accurately.</p><p>• Prepare daily charts for scheduled appointments to maintain efficient clinic operations.</p><p>• Assist patients in scheduling follow-up appointments and provide guidance on the patient portal.</p><p>• Coordinate interpreter services for patients requiring language assistance.</p><p>• Update and maintain the provider database within NextGen to ensure accurate tracking of referring providers.</p><p>• Keep the front office area tidy and organized, including restocking supplies and maintaining a welcoming environment.</p><p>• Collaborate with clinic staff to support smooth workflows and continuity of care for patients.</p>
We are looking for a Billing Clerk to join our team in Roslyn Heights, New York. In this role, you will play a critical part in ensuring the accuracy and efficiency of billing processes within a healthcare setting. Your responsibilities will include managing insurance claims, addressing patient inquiries, and contributing to the overall success of the revenue cycle.<br><br>Responsibilities:<br>• Analyze and address denials and underpaid claims from insurance carriers based on contracted fee schedules.<br>• Submit appeals for inappropriate insurance denials in a timely manner.<br>• Communicate with patients to resolve questions about their claims, coverage, and billing concerns.<br>• Validate overpayment refund requests from insurance carriers to ensure accuracy.<br>• Monitor and identify trends among payors that impact revenue.<br>• Participate in individualized accounts receivable reviews with management.<br>• Determine coordination of benefits for patients with secondary and tertiary insurance coverage.<br>• Support various tasks related to revenue cycle operations as needed.<br>• Maintain constructive and positive interactions with patients, colleagues, and managers to foster a collaborative work environment.
<p> </p><p>We are looking for an experienced Billing Representative to join our 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> </p><p>Responsibilities:</p><p>• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.</p><p>• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.</p><p>• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.</p><p>• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.</p><p>• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.</p><p>• Adhere to organizational compliance standards and industry regulations in all billing activities.</p><p>• Achieve or exceed daily production and quality metrics by managing worklists effectively.</p><p>• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.</p>
<p>Jenny Bour with Robert Half is working with a well-established organization that is seeking a detail-oriented <strong>Accounts Receivable & Billing Coordinator</strong> to join their Business and Finance team! This Accounts Receivable & Billing Coordinator role is responsible for cash receipt applications and private insurance billing functions, ensuring accuracy and compliance in all financial transactions. This excellent opportunity is located in Cheektowaga NY and offers a <u>hybrid schedule</u>!</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Apply daily cash receipts and client copayments in the AR system.</li><li>Prepare private pay billings and statements.</li><li>Maintain weekly spreadsheets for government vouchers and payment logs.</li><li>Complete and pursue payment logs for government contracts.</li><li>Interact with clients regarding account information, including processing payments over the phone.</li><li>Provide billing support to AR Billing Reimbursement Coordinator II as needed.</li><li>Assist with aging reports, collections, and preparation of A/R work papers for audits.</li><li>Maintain organized filing systems for billings and cash receipts.</li><li>Ensure compliance with HIPAA regulations and maintain client confidentiality.</li><li>Demonstrate excellent customer service and phone etiquette.</li><li>Participate in quality improvement processes and maintain positive working relationships across the agency.</li></ul><p><br></p><p><br></p>
