Job Summary:<br>Overall responsibility for contacting all assigned patient and insurance/third party payer accounts with a debit balance to ensure receipt and processing of claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or establish payment arrangements with patients and/or guarantors in accordance with business office policies and procedures. <br>Principal Duties and Responsibilities:<br>• Works a detailed daily work queue for assigned accounts over 31 days old.<br>• Works detailed aging report as assigned for accounts over 31 days old.<br>• Audits assigned accounts for proper insurance filing. Compares posted payments to EOBs to confirm proper patient balances prior to patient collection attempts.<br>• Keeps up-to-date on vital contract information concerning assigned payers to establish proper and timely payment of claims.<br>• Determines average claim entry, processes timeframes for assigned payers, and determines the status of unpaid claims beginning from the 45th workday from the date of service.<br>• Responsible for using Replica to extract needed EOB’s or zero pay EOB’s when needed.<br> <br>• Utilizes approved appeal form letters to submit appeals in accordance with billing office policies and procedures.<br>• Forwards medical or coding denials to the QA Department for nurse review and appeal.<br>• Demands claims for secondary insurance filing and copies explanation of benefits in accordance with business office policies and procedures.<br>• Procures applicable payment from patients, or establishes payment arrangements not to exceed 120 days from the date of service.<br>• Skip traces accounts according to established practices.<br>• Reviews payment arrangement accounts that have not had regular payments in over a month.<br>• Initiates collection letters and/or statements to patients in accordance with business office policies and procedures.<br>• Responsible for neatness of work area and security of patient information in accordance with the Privacy Act of 1974 and the Health Information and Portability Act (HIPAA).<br>• Works with Manager and Compliance Committee to ensure Compliance Program is followed.<br>• Performs other duties as assigned or requested.<br>Knowledge, Skills, and Abilities:<br>• Has a working knowledge of the Fair Debt Collection Act and state and federal laws applying to collection activities.<br>• Excellent verbal and written communication skills, interpersonal skills, analytical skills, organizational skills, math skills, accurate typing and data entry skills.<br>• Ability to deal professionally, courteously, and efficiently with the public.<br>• Treat all patients, referring physicians, referring physicians’ staff, and co-workers with dignity and respect. Be polite and courteous at all times. <br>• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.<br>• Knowledge of medical terminology, CPT and ICD-10 coding, office ethics, and spelling.<br>• Must be computer literate.<br>• Must possess knowledge and understanding of managed care and insurance practices.<br>Education and Experience:<br>• High School graduate, technical school, or related training preferred.<br>• Accounts Receivable and collection experience.<br>• One-year work experience in a medical office or equivalent.<br><br><br> <br><br><br><br>_________________________ ____
<p>We are offering an exciting opportunity for an Accounts Receivable Supervisor in the healthcare industry, based in ODENTON, Maryland. This position sits on site and will manage a small team while being hands on with your work. The primary function of this role is to oversee and manage the billing and coding, pre-certification, and credentialing processes. This role is also responsible for maintaining accurate patient records, collecting outstanding payments, and following up with insurance companies. Small private-clinic healthcare experience required for consideration. </p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Oversee and manage the process of obtaining authorization for pain management procedures from insurance companies.</p><p>• Supervise the billing and coding, pre-certification, and credentialing processes.</p><p>• Manage the collection of outstanding account payments and follow up with insurance companies and patient accounts.</p><p>• Maintain up-to-date knowledge of commonly-used concepts, practices, and procedures within the Medical Billing and Medical Insurance field.</p><p>• Ensure all tasks are completed simultaneously and independently with attention to detail and organization.</p><p>• Stay informed about various insurance companies and any relevant changes, keeping management updated.</p><p>• Work towards reducing aged A/R and analyze Explanation of Benefits (EOB’s) and Correspondence to identify zero pays and underpayments.</p><p>• Coordinate with healthcare insurance companies on outstanding medical claims and appeals.</p><p>• Maintain effective communication with the insurance verification team, billing department, and office support staff.</p><p>• Conduct collection actions and provide resolution for complex accounts, providing supporting documentation when necessary</p>
<p>We are seeking an experienced and detail-oriented <strong>Accounts Receivable Manager</strong> to join our client’s team and oversee the billing and collections process in a fast-paced healthcare environment. In this role, you will be responsible for maintaining accurate and organized <strong>resident admission files</strong> on a weekly basis, processing <strong>monthly billings</strong> for each payor class and related co-insurances, and preparing <strong>resident statements</strong> as required. You will handle <strong>Medicaid and Medicare claims</strong>, correcting and re-billing any denied claims in a timely manner to ensure prompt payment to the facility. Additionally, you will review and track all billable ancillary supplies, as well as check and prepare vendor bills to ensure proper payment. This position requires a strong commitment to accuracy, timeliness, and compliance with all applicable regulations. <strong>Other duties may apply</strong> as needed to support the financial health of the organization.</p><p>If you thrive in a detail-driven role, enjoy problem-solving, and have a passion for ensuring smooth revenue cycle operations, we’d love to hear from you.</p><p><br></p><p>For immediate consideration please call Allison Brown at 508.205.2121</p>
<p><em>The salary range for this position is $120,000-$140,000 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>High-End Firm looking to build new team quickly due to rapid expansion.</p><p><br></p><p><strong>Primary Duties and Responsibilities:</strong></p><p>The Manager of Operations Accounting is responsible for the day-to-day management of the team accountable for providing transactional accounting services (including accounts payable, accounts receivable, billing, and other business operational accounting). They will also have operational responsibility over certain systems that are key to the accounting team success.</p><p><br></p><p><strong>Job Description: </strong></p><ul><li>Directs and oversees the daily accounting operations for accounts receivable collection, billing, and accounts payable teams.</li><li>Strong knowledge of AP practices, including but not limited to managing payment runs, including checks and ACH, managing corporate purchase card program, and managing 1099-year end compliance.</li><li>Act as the liaison between accounting and business operations for business licensing requirements and other compliance requirements.</li><li>Review outgoing payments to ensure they are compliant with financial policies and procedures.</li><li>Ensures month end activities, relevant to this function, are completed on schedule and with accuracy.</li><li>Ensures all suppliers are paid in accordance with agreement terms and coded accurately before being transferred to the general ledger.</li><li>Identify, establish, and document internal controls relevant to this function.</li><li>Assists in the design and implementation of process improvements, including standardization, enhancements and potential automation of existing processes and systems.</li><li>Independently organizes and oversees efforts and activities for the team; manages, coaches and mentors staff.</li></ul><p><br></p>
<p><em>The salary range for this position is $120,000-$140,000 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>The two biggest things on people’s minds right now: ‘Busy season is just around the corner’ and ‘Where can I find a fresh start?’. NOTE: This position is a career-fast-track opportunity. Whoever fills this role is expected to be promoted quickly. </p><p><br></p><p><strong>Job Description</strong></p><ul><li>Management of all financial accounting functions of the firm.</li><li>Leads the firm's budgeting and expense management processes, including the development of annual operating budgets and financial projections and periodic variance review</li><li>Ensures the accuracy of monthly financial reporting and assists external CPA in the preparation of financial reports</li><li>Manages all daily accounting functions: bank reconciliations, cash receipts/accounts receivables</li><li>Handles partner distribution, payroll, 401k administration, benefits administration, and expense report management</li><li>Supervises Accounting Assistant in the Accounts Payable and Billing functions</li><li>Works closely with Accounting Consultant in London client billing</li><li>Works closely with Office Manager in human resource and benefits and facilities and vendor contract management</li><li>May participate in the strategic planning of operations</li><li>Management of all billing functions of the firm.</li><li>Tracks and reports on timekeeper hours</li><li>Prepares prebills and reviews edits by billing partner(s)</li><li>Verifies the accuracy of billing entries and supporting documentation.</li><li>Prepares invoices for submission to clients via various Ebilling platforms or by email, dependent on client requirements</li><li>Monitors accounts receivable and collection efforts</li><li>Submits budgets per client requirements</li><li>Works closely with billing partners on bill appeals</li></ul><p><strong> </strong></p>
<p>Lana Funkhouser with Robert Half is looking for a skilled Revenue Cycle Manager to oversee and enhance the financial health of our organization in Emmett, Idaho. This role involves leading all aspects of revenue cycle operations, ensuring compliance with regulatory standards, and implementing strategies to improve efficiency and accuracy in billing and coding. The ideal candidate will bring strong expertise in healthcare revenue management and a proven ability to drive results through collaboration and innovation.</p><p><br></p><p>Responsibilities:</p><p>• Develop and execute strategic plans for the Revenue Cycle team, setting clear goals and objectives.</p><p>• Provide expert oversight on CPT and ICD-10 coding, while preparing for the transition to ICD-11 standards.</p><p>• Manage the Chargemaster, ensuring timely updates and accurate coding for all services to support proper billing.</p><p>• Utilize quality improvement tools to monitor billing accuracy, identify concerns, and implement corrective actions.</p><p>• Deliver training to providers and staff on updates to coding and billing practices, particularly for Critical Access Hospitals.</p><p>• Ensure compliance with privacy standards, the No Surprises Act, Hospital Price Transparency Rule, and other federal and state regulations.</p><p>• Build and maintain strong relationships with insurance companies to address issues affecting cash flow, such as claim denials or policy changes.</p><p>• Drive revenue integrity by optimizing charge capture, reimbursement processes, patient collections, and minimizing bad debt.</p><p>• Regularly evaluate team performance, ensuring goals are met and providing feedback for continuous improvement.</p><p>• Act as the subject matter expert on revenue cycle operations, advising leadership on payer relations and regulatory changes.</p><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p><p><br></p>
We are looking for a dedicated Office Assistant to join our team in Albany, New York. This long-term contract position plays a key role in supporting the smooth operations of a busy healthcare office. The ideal candidate will provide front desk, administrative, and billing support while maintaining a welcoming and organized environment for patients and staff.<br><br>Responsibilities:<br>• Greet and assist patients and visitors in a friendly and attentive manner at the front desk.<br>• Handle administrative tasks such as scheduling appointments, managing office supplies, and maintaining organized records.<br>• Support billing and collections processes, including verifying insurance information and handling copay transactions.<br>• Collaborate with team members to ensure efficient workflow and address patient inquiries effectively.<br>• Serve as a backup for billing, accounts receivable, and collections tasks as needed.<br>• Utilize office software, including Eclipse and Microsoft Office, to complete daily responsibilities.<br>• Maintain a well-organized and clean reception area to enhance the patient experience.<br>• Assist in training and cross-training team members to ensure coverage in key operational areas.<br>• Manage interruptions and multitask effectively in a fast-paced environment.<br>• Provide additional administrative support to the Office Manager and other team members as required.
<p><em>The salary range for this position is $120,000-$140,000 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>You know what’s awesome? Sweater weather. You know what else is awesome? A high-paying job that respects your work-life balance so you can enjoy it. This role has perks that are unmatched by its competitors. Plus, this position doubles as a fast-track career advancement opportunity as they prefer to promote from within. </p><p><br></p><p><strong>Job Summary:</strong></p><p>The primary responsibility of the Accounting Manager is to lead and oversee the accounting team, ensure the accurate and timely recording of financial transactions, comprehensive financial reporting, and adherence to accounting standards and regulations.</p><p><strong> </strong></p><p><strong>Duties/Responsibilities: </strong></p><p> </p><ol><li>Manages the accounting staff who are responsible for financial reporting, billing, collections, payroll, and budget preparation.</li><li>Establishes internal controls and guidelines for accounting transactions and budget preparation.</li><li>Oversees the production of periodic financial reports; ensures that the reports results comply with generally accepted accounting principles or financial reporting standards.</li><li>Lead and oversee monthly closing activities and financial reporting.</li><li>Audits accounts to ensure compliance with state and federal regulations; coordinates with outside auditors and provides needed information for the annual external audit.</li><li>Ensures compliance with local, state, and federal government requirements.</li><li>Performs other duties as assigned.</li></ol><p> </p><p><strong>Required Skills/Abilities: </strong></p><p> </p><ul><li>Strong analytical and problem-solving skills.</li><li>Strong management and supervisory skills.</li><li>Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.</li><li>Proven ability to work effectively in a team environment with associates.</li><li>Proficient with Microsoft Office Suite or related software.</li><li>Proficient in accounting and tax preparation software.</li></ul><p><strong>Supervisory Responsibilities:</strong></p><ul><li>Supervise and oversee performance of Accounting team. </li><li>Interviews, hires, and trains new staff.</li><li>Oversees the daily workflow of the department.</li><li>Provides constructive and timely performance evaluations. </li></ul><p><br></p>
<p>We are looking for a dedicated Revenue Billing Cycle Manager to oversee and optimize the revenue cycle processes for our healthcare organization in Hilo, Hawaii. This role requires a strategic thinker who can lead teams effectively, analyze financial data, and ensure compliance with industry regulations. If you have a strong background in revenue management and are passionate about improving operational efficiency, we encourage you to apply by calling us at 808-531-8056. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage all aspects of the revenue cycle, including patient registration, coding, claims submission, payer relations, and collections.</p><p>• Supervise and mentor a team of 30 or more staff members, fostering growth and collaboration.</p><p>• Analyze financial data to identify trends and implement strategies for revenue cycle optimization.</p><p>• Ensure compliance with healthcare regulations and standards throughout all billing and financial processes.</p><p>• Collaborate with internal and external stakeholders to address billing issues and improve operational workflows.</p><p>• Utilize advanced software systems like Sunquest, XiFin, and Epic to streamline revenue management operations.</p><p>• Develop and oversee budgets, ensuring efficient allocation of resources.</p><p>• Monitor accounts receivable and auditing processes to maintain financial accuracy and transparency.</p><p>• Implement solutions to resolve denials and improve claims management.</p><p>• Conduct regular performance reviews and provide actionable feedback to enhance team productivity.</p>
