We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
We are looking for a detail-oriented Automotive Claims Representative to join our team in Rockville Centre, New York. In this role, you will handle a variety of accounting tasks and ensure that claims are processed efficiently and accurately. The ideal candidate thrives in a structured environment and has a solid understanding of accounts payable, accounts receivable, and invoice processing.<br><br>Responsibilities:<br>• Process and manage automotive claims with accuracy and attention to detail.<br>• Handle accounts payable and accounts receivable transactions in a timely manner.<br>• Use QuickBooks to maintain and update financial records.<br>• Review and process invoices to ensure proper documentation and compliance.<br>• Enter data efficiently into accounting systems while maintaining accuracy.<br>• Communicate with clients and vendors to address inquiries and resolve discrepancies.<br>• Assist in reconciling accounts to ensure balanced financial records.<br>• Support the team in preparing reports and documentation as required.<br>• Monitor deadlines and prioritize tasks to meet organizational goals.
<p>We are looking for a detail-oriented individual to join our team as a Medical Billing/Claims/Collections Specialist in Chattanooga, Tennessee. This Contract position offers an opportunity to contribute to the effective management of accounts receivable and insurance claims, with a focus on Medicare Advantage and commercial billing. If you have a strong background in medical billing and collections, excellent organizational skills, and the ability to multitask, we encourage you to apply. **Candidates must be available for onsite work in Chattanooga, Tennessee**</p><p><br></p><p>Responsibilities:</p><p>• Manage accounts receivable processes, ensuring timely follow-up on Medicare Advantage and commercial insurance claims.</p><p>• Review and resolve medical billing issues, including denials and appeals, to ensure accurate payment.</p><p>• Utilize various online portals to work through claims and insurance submissions efficiently.</p><p>• Maintain detailed and organized records of billing activities to support accurate reporting.</p><p>• Collaborate with team members to address complex billing scenarios and achieve resolution.</p><p>• Apply expertise in MR claims systems to streamline processes.</p><p>• Use Microsoft Excel and Word to create reports and track billing performance.</p><p>• Ensure compliance with healthcare billing regulations and standards.</p><p>• Prioritize tasks effectively to meet deadlines and handle multiple responsibilities simultaneously.</p><p><br></p><p>Please complete an application and call (423) 244-0726 for more information today! </p>
<p>We are looking for a skilled and detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Daytona Beach, Florida. This role focuses on managing accounts receivable and collections for commercial insurance and Medicare/Medicaid accounts while ensuring compliance and accuracy in claims processing. As a long-term contract position, it offers the opportunity to contribute to vital healthcare operations within a dynamic environment. This position is fully onsite in Port Orange, FL. </p><p><br></p><p>Responsibilities:</p><p>• Handle accounts receivable clean-up activities, prioritizing outstanding commercial and Medicare/Medicaid balances.</p><p>• Oversee collection efforts by following up on aged accounts and resolving discrepancies to ensure timely payments.</p><p>• Review and process claims with a focus on accuracy, compliance, and timely reimbursement.</p><p>• Utilize Epic system work queues to verify that claims are complete, clean, and ready for submission.</p><p>• Collaborate with internal teams to support efficient billing operations and resolve AR-related challenges.</p><p>• Identify recurring issues in claims or AR processes and recommend improvements.</p><p>• Maintain accurate and up-to-date documentation across systems to ensure seamless operations.</p><p>• Provide expertise in navigating both legacy and updated systems for efficient claims and collections handling.</p><p>• Communicate effectively with payers to address disputes and secure resolutions for outstanding balances.</p>
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
We are looking for an attentive and compassionate Healthcare Call Center Representative to join our team on a long-term contract basis in Phoenix, Arizona. In this role, you will play a vital part in ensuring a positive experience for patients and callers by addressing inquiries, responding to emergencies, and maintaining high standards of confidentiality. Your ability to handle high call volumes with professionalism and care will be crucial to success.<br><br>Responsibilities:<br>• Manage incoming calls efficiently, ensuring timely and accurate handling of inquiries.<br>• Utilize telecommunications systems and software platforms to route calls effectively and maintain communication standards.<br>• Respond promptly to emergency codes and alarms, initiating necessary actions to ensure safety.<br>• Make emergency announcements clearly and concisely in critical situations.<br>• Apply communication tools and techniques to foster understanding and collaboration across diverse patient populations.<br>• Uphold confidentiality and professionalism in all interactions to protect sensitive information.<br>• Maintain knowledge of multiple IT applications relevant to the role.<br>• Deliver excellent customer service by assessing caller needs and providing appropriate resolutions.<br>• Handle high call volumes, averaging over 300 calls per shift, with a focus on efficiency and kindness.<br>• Collaborate with team members to ensure seamless communication and support during emergencies.
<p>Are you a detail-oriented healthcare professional with expertise in medical billing and patient account management? Our client is seeking a Patient Account Representative to join their team in the Sacramento area. In this position, you will play a key role in supporting patients throughout the pre-visit billing process, verifying insurance coverage, addressing outstanding balances, and providing a positive patient experience.</p><p><strong>Key Responsibilities</strong></p><ul><li>Initiate and verify insurance coverage and eligibility for scheduled services.</li><li>Review and obtain necessary pre-authorizations for treatments and procedures.</li><li>Investigate drug benefits, communicate patient financial responsibilities, and support payment for services.</li><li>Follow up on outstanding balances and unpaid insurance claims, including denials and patient portions.</li><li>Interact with patients both in person and over the phone regarding billing inquiries and account resolutions.</li><li>Draft effective appeal letters for initial and secondary insurance claim appeals.</li><li>Assess account balances and determine appropriate next steps to ensure payment.</li><li>Assist patients with co-pay and financial assistance programs, including sending information packets, answering questions, enrolling patients online, and helping to qualify for support.</li><li>Utilize payer and benefit websites to track claim and appeal status.</li><li>Manage phone queue for inquiries from patients and clinic staff.</li><li>Contribute to proper inventory documentation and storage processes for high-cost treatments.</li><li>Complete other administrative duties as assigned.</li></ul><p><br></p>
<p>Robert Half is hiring a compassionate, detail‑accurate <strong>Patient Services Representative</strong> for a well‑regarded <strong>multi‑site healthcare group</strong> serving <strong>Encinitas and Escondido</strong>. You’ll deliver top‑tier front‑desk service—greeting patients, verifying insurance, scheduling, and ensuring a smooth visit from check‑in to check‑out. If you enjoy helping people and keeping a medical office humming, this is a great fit.</p><p><br></p><p><strong>What You’ll Do</strong></p><ul><li>Provide warm, professional <strong>front desk</strong> reception; verify IDs, insurance, and demographics.</li><li>Manage <strong>multi‑provider scheduling</strong>, referrals, prior auth coordination, and wait‑list optimization.</li><li>Handle <strong>check‑in/check‑out</strong>, copay collection, charges, and basic patient account questions.</li><li>Update EMR records, scan documents, and maintain HIPAA‑compliant files.</li><li>Coordinate with clinical teams to prioritize urgent adds, procedure prep, and follow‑ups.</li><li>Educate patients on portal use, pre‑visit instructions, and post‑care steps.</li><li>Resolve issues with empathy; escalate billing or clinical questions to the right team quickly.</li><li>Support daily close: batch reconciliation, end‑of‑day reports, and next‑day schedule accuracy.</li></ul>
<p>We are seeking a <strong>Senior Workers’ Compensation Claim Representative</strong> to join our team in Los Angeles, CA. This is an on-site, full-time temporary role. The <strong>Senior Workers’ Compensation Claim Representative</strong> will be responsible for managing all aspects of lost time claims for California, ensuring superior customer service and compliance with state regulations. As a <strong>Senior Workers’ Compensation Claim Representative</strong>, you’ll work closely with attorneys, vendors, and internal teams to deliver high-quality claims management services.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage workers' compensation lost time claims from start to closure</li><li>Conduct comprehensive investigations and evaluate compensability</li><li>Communicate claim decisions to insureds, claimants, and attorneys</li><li>Administer statutory medical and indemnity benefits throughout claim lifecycle</li><li>Set and adjust reserves within authority limits</li><li>Collaborate with attorneys on hearings and litigation strategies</li><li>Direct nurse case managers, rehabilitation vendors, and telephonic case managers</li><li>Ensure compliance with all statutory filing requirements</li><li>Pursue subrogation opportunities where applicable</li><li>Maintain detailed file notes and participate in claim reviews</li></ul><p><br></p>
We are looking for an Insurance Enrollment Representative to join our team in Lawrenceville, New Jersey. This Contract to permanent role focuses on ensuring smooth credentialing and enrollment processes for healthcare providers. The ideal candidate will play a vital part in maintaining compliance with payer requirements and facilitating timely reimbursements.<br><br>Responsibilities:<br>• Obtain licenses, certifications, and essential documentation from healthcare providers to support accurate and efficient billing processes.<br>• Prepare and submit enrollment applications to payers, ensuring providers are linked to group billing for reimbursement.<br>• Maintain accurate and up-to-date records of provider credentials to support credentialing and re-credentialing activities.<br>• Collaborate with third-party payers to resolve enrollment issues and ensure uninterrupted cash flow.<br>• Meet with newly contracted providers to guide them through the insurance enrollment process.<br>• Liaise with insurance representatives to expedite enrollment and address any challenges.<br>• Communicate enrollment updates to providers, billing managers, and organizational stakeholders.<br>• Provide supervisors and managers with provider identification numbers for system entry.<br>• Conduct timely follow-ups on enrollment issues and maintain tracking spreadsheets to monitor progress.<br>• Update departmental logs and records to reflect the status of insurance credentialing and re-credentialing processes.
<p>We are looking for a dedicated Personal Lines Customer Service Representative to join our client in the Lancaster, Pennsylvania area. This role involves assisting clients with their insurance needs, ensuring efficient service, and maintaining compliance with agency and carrier policies. The ideal candidate will thrive in a collaborative environment and be committed to delivering exceptional customer experiences.</p><p><br></p><p>Responsibilities:</p><p>• Provide support to the service assistant by managing client tasks from the Personal Lines service inbox.</p><p>• Assist clients with filing auto and home insurance claims and address billing inquiries.</p><p>• Update payment plans and follow up on property inspections to ensure compliance with agency processes.</p><p>• Write and review policies for existing clients, adhering to underwriting guidelines and completing necessary checklists.</p><p>• Conduct policy reviews, identify opportunities for cross-selling or upselling, and work to retain existing client policies.</p><p>• Record customer interactions in the agency management system.</p><p>• Organize daily priorities using desk management standards and maintain a streamlined workflow.</p><p>• Collaborate with the Personal Lines Sales and Service teams to achieve shared goals and enhance customer satisfaction.</p><p>• Build positive relationships with carrier personnel to ensure smooth operations.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team in Mt. Laurel, New Jersey. This long-term contract position offers the opportunity to utilize your medical billing expertise, specifically focusing on Medicaid and Medicare claims. The ideal candidate is detail-oriented, has a strong understanding of medical collections processes, and is eager to contribute to the financial health of the organization.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit claims accurately for Medicaid, Medicare, and other insurance providers.</p><p>• Handle medical collections, ensuring timely follow-up on outstanding accounts.</p><p>• Investigate and resolve medical billing denials to secure payment.</p><p>• Prepare and submit appeals for denied claims as needed.</p><p>• Manage hospital billing procedures with precision and compliance.</p><p>• Communicate effectively with insurance companies and healthcare providers to resolve discrepancies.</p><p>• Maintain detailed records of billing activities and collections.</p><p>• Collaborate with internal teams to ensure proper documentation and coding.</p><p>• Stay updated on healthcare billing regulations and compliance standards.</p>
We are looking for a detail-oriented Medical Biller/Collections Specialist to join our team in Memphis, Tennessee. In this long-term contract role, you will play a key part in ensuring accurate billing and collections processes within the healthcare industry. This position requires exceptional organizational skills and a commitment to maintaining high standards of accuracy.<br><br>Responsibilities:<br>• Process and enter 45–60 invoices daily with precision and speed.<br>• Perform data entry tasks to ensure accurate record-keeping and billing.<br>• Manage and update medical records and insurance information using Epic software.<br>• Collaborate with the supervisor to address any billing or collection challenges.<br>• Maintain compliance with healthcare billing regulations and guidelines.<br>• Verify and reconcile patient account information for accuracy.<br>• Resolve discrepancies in billing and collections with attention to detail.<br>• Provide timely updates and reports on billing activities to the supervisor.<br>• Support administrative tasks related to medical billing and collections.
We are looking for a dedicated Medical Biller/Collections Specialist to join our team on a long-term contract basis in Blue Ash, Ohio. In this role, you will be responsible for ensuring the accuracy of provider charges, overseeing billing processes, and supporting collections efforts in the healthcare industry. This is an excellent opportunity for professionals with experience in medical billing and collections to contribute to a dynamic and fast-paced environment.<br><br>Responsibilities:<br>• Verify and input provider charges accurately into billing systems to ensure proper invoicing.<br>• Manage medical billing processes, including claim submissions and payment tracking.<br>• Address denied claims by identifying issues and initiating appeals to secure reimbursement.<br>• Monitor collections efforts and follow up on outstanding accounts to ensure timely payments.<br>• Collaborate with healthcare providers to resolve billing discrepancies and maintain accurate records.<br>• Utilize medical billing software effectively to streamline operations and improve efficiency.<br>• Ensure compliance with relevant healthcare regulations and billing practices.<br>• Prepare and analyze reports related to billing and collections to identify trends and areas for improvement.<br>• Communicate with patients and insurance representatives to clarify billing inquiries.<br>• Maintain up-to-date knowledge of hospital and physician billing practices.
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. <br> The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. <br> Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,<br><br>Responsibilities:<br><br>1. Investigating and resolving denied claims from various insurance providers.<br>2. Reviewing credit balances and denials management. <br>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.<br>4. Follow up on outstanding claim denials and secure reimbursement where possible.<br>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.<br>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.<br>7. Submit appeals and reconsideration requests to insurance companies for denied claims.<br>8. Strong understanding of HMO and PPO.
<p>We are seeking a Medical Customer Service Specialist to serve as the main point of contact for patients and healthcare providers. In this position, you will help ensure a positive experience for patients by answering inquiries, addressing concerns, verifying information, and supporting the routine operations of a medical office or healthcare setting.</p><p><br></p><p><strong>Schedule</strong>: Monday through Friday, 8:00 a.m. – 5:00 p.m.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Deliver prompt, professional assistance to patients via phone, email, and in person</li><li>Manage patient registration, appointment scheduling, and insurance eligibility confirmation</li><li>Respond accurately to questions regarding billing, claims, and account matters</li><li>Maintain compliance with HIPAA regulations to safeguard patient information</li><li>Collaborate with clinical and administrative staff to coordinate patient services and communication</li><li>Document all interactions and track issues to ensure timely follow-up and resolution</li><li>Provide information to patients regarding office procedures, available services, and next steps</li></ul><p><br></p>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
We are looking for a dedicated Patient Service Representative to join our team on a long-term contract basis in Minneapolis, Minnesota. In this role, you will provide exceptional support to both potential and existing patients while collaborating with clinicians and internal teams. Your ability to communicate effectively and empathetically will be crucial in ensuring patients receive the highest level of service.<br><br>Responsibilities:<br>• Provide clear and compassionate communication to educate patients, address inquiries, and resolve conflicts through multiple channels.<br>• Accurately record and maintain detailed documentation of patient interactions in company systems.<br>• Collaborate with internal teams and clinicians to deliver seamless service and support.<br>• Stay informed about product offerings, competitor products, and industry trends to assist patients effectively.<br>• Meet performance standards, including call handling and quality benchmarks.<br>• Uphold ethical and meticulous business practices, adhering to relevant laws, regulations, and company guidelines.<br>• Handle additional responsibilities as assigned to support team objectives.
<p>Robert Half is seeking a motivated Patient Service Representative to join our client's fast‑paced team<strong>.</strong> As the Patient Service Representative, you will keep the office running smoothly while delivering excellent support to patients and providers. If you’re organized, proactive, and thrive in a medical office setting, we want to hear from you.</p><p><br></p><p>Responsibilities:</p><ul><li>Maintain and update electronic health records (EHR) systems to ensure accurate patient information.</li><li>Provide administrative support by scheduling appointments for patients and physicians.</li><li>Operate office equipment efficiently, including scanners, fax machines, and computers.</li><li>Verify and explain insurance benefits to patients, addressing any questions or concerns.</li><li>Coordinate communication between patients, providers, and insurance companies.</li><li>Assist with general office tasks to support the daily functions of the medical team.</li><li>Monitor and manage patient scheduling to maintain an organized workflow.</li><li>Ensure compliance with office policies and procedures while handling sensitive information.</li></ul>
We are looking for a dedicated Patient Service Representative to join our team in Miami, Florida. As a key member of the patient services department, you will play a vital role in ensuring smooth communication and efficient processes for patient care. This is a Contract position offering an excellent opportunity to contribute to a dynamic healthcare environment.<br><br>Responsibilities:<br>• Facilitate patient registration while maintaining confidentiality and adhering to customer service standards.<br>• Conduct financial assessments, collect patient fees, and accurately record transactions.<br>• Manage billing processes for assigned providers, ensuring timely and precise posting.<br>• Coordinate with providers on unresolved encounters and pending charges to ensure resolution.<br>• Communicate with program managers regarding appointment schedules, including follow-ups on no-shows and cancellations.<br>• Confirm appointments through outbound calls and monitor compliance with meaningful use objectives.<br>• Perform clerical tasks such as scanning documents and updating patient charts.<br>• Verify Medicaid and other insurance eligibility, conduct enrollment and disenrollment procedures.<br>• Provide patients with detailed information about available services within the organization and the community.<br>• Schedule new and follow-up appointments to support patient care needs.
We are looking for a dedicated Medical Collections Specialist to join our team on a long-term contract basis in Bethesda, Maryland. In this role, you will handle accounts receivable balances, communicate with patients regarding outstanding payments, and manage medical billing processes efficiently. This position offers an opportunity to work on-site and contribute to the financial operations of a healthcare setting.<br><br>Responsibilities:<br>• Contact patients to discuss outstanding account balances and resolve payment issues.<br>• Manage medical billing processes, ensuring accurate and timely submissions.<br>• Address and resolve medical denials and appeals with insurance providers.<br>• Collaborate with internal teams to ensure seamless handling of accounts receivable.<br>• Utilize Modernizing Medicine (ModMed) software to track and manage collections.<br>• Analyze accounts to identify discrepancies and implement corrective actions.<br>• Maintain detailed records of patient communications and payment activities.<br>• Ensure compliance with healthcare regulations and billing standards.<br>• Provide excellent customer service to patients and insurance representatives.<br>• Prepare reports on collection activities and account statuses for management review.
<p>We are looking for an experienced Medical Collections Specialist to join our team in Blue Ash, Ohio. In this role, you will focus on managing outstanding balances for occupational health services and ensuring timely follow-up with clients. This is a long-term contract position offering an excellent opportunity to contribute to the healthcare sector while utilizing your collections expertise.</p><p><br></p><p>Responsibilities:</p><ul><li>Utilize Systoc (web-based EMR) to review accounts and follow up with employer clients regarding outstanding Occupational Health balances.</li><li>Communicate with employer groups to resolve billing issues related to services such as physicals, screenings, and occupational health visits.</li><li>Manage and prioritize significant outstanding accounts receivable, including high-volume balances totaling millions in uncollected revenue.</li><li>Investigate aging balances, identify root causes of non-payment, and implement appropriate collection strategies.</li><li>Escalate delinquent or complex accounts to specialized collections team when necessary for further action.</li><li>Document all collection activity and account updates accurately within the EMR and billing systems.</li><li>Collaborate with internal departments to ensure timely and accurate billing, payment posting, and account resolution.</li><li>Utilize experience with EMR systems (including but not limited to Systoc) to efficiently track and manage accounts; specific EMR experience not required, but general EMR familiarity preferred.</li></ul>