<p>We are looking for a skilled Medical Coder to join our team! In this position, you will play a vital role in ensuring the accuracy of medical coding processes while adhering to industry standards. This opportunity is ideal for someone passionate about healthcare and detail-oriented in their work.</p><p><br></p><p>Responsibilities:</p><p>• Assign ICD-10 and CPT codes while ensuring compliance with industry standards and regulations.</p><p>• Reviewing and ensuring proper coding.</p><p>• Serve as point of contact and liaison between patient and medical insurance providers.</p><p><br></p><p><br></p>
We are looking for a detail-oriented Medical Coder to join our team on a long-term contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is based in Atlanta, Georgia, and offers the opportunity to contribute to the efficiency and compliance of healthcare documentation processes.<br><br>Responsibilities:<br>• Review inpatient medical records to assign accurate ICD-10-CM and CPT codes.<br>• Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines.<br>• Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies.<br>• Stay updated on coding standards, payment systems, and healthcare regulations.<br>• Participate in audits and quality improvement initiatives to ensure coding accuracy.<br>• Protect the confidentiality and integrity of patient information throughout the coding process.<br>• Meet established productivity and accuracy benchmarks to support organizational goals.<br>• Assist in staff training efforts to enhance coding knowledge and compliance.
<p>We are looking for a skilled Medical Billing Specialist to join our client's team in Beaverton, Oregon. This part time, long-term contract position is ideal for a detail-oriented individual with expertise in medical billing and coding. The role involves interacting with claims, denials, and insurance billing processes while ensuring compliance with industry standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical billing claims using Advanced MD software.</p><p>• Conduct thorough follow-ups on insurance claims and resolve any issues related to denials.</p><p>• Perform medical coding tasks, including assigning appropriate codes for new testing procedures.</p><p>• Manage collections and ensure timely payments from insurance providers such as Medicare, Medicaid, and Tricare.</p><p>• Research and analyze billing discrepancies to identify solutions and maintain financial accuracy.</p><p>• Utilize critical thinking skills to streamline operations and improve billing workflows.</p><p>• Collaborate with other departments to ensure proper documentation and coding compliance.</p><p>• Maintain up-to-date knowledge of billing regulations and industry standards.</p><p><br></p>
<p>We are looking for an experienced RN Medical Coder with a strong background in coding and reimbursement methodologies to join our team. This long-term contract role offers the opportunity to work remotely and contribute to the development of coding for benefit plans within the healthcare insurance industry. As part of this position, you will collaborate with certified coders and business analysts to ensure accuracy and compliance in coding practices.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and identify appropriate codes for language used in benefit plans.</p><p>• Review and validate coding decisions made by peers to ensure accuracy.</p><p>• Facilitate discussions to align on coding documentation and standards.</p><p>• Assess audit results and implement necessary adjustments to maintain compliance.</p><p>• Actively participate in project meetings to provide insights and updates.</p><p>• Collaborate with team members, including certified coders and business analysts, to achieve project goals.</p><p>• Ensure coding practices align with industry standards and regulatory requirements.</p><p>• Contribute to the creation of coding documentation for benefit plans.</p><p>• Utilize Microsoft Office tools to support project tasks and communication.</p><p>• Stay updated on healthcare coding methodologies and best practices.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Dayton, Ohio. In this role, you will be responsible for ensuring accurate and efficient processing of claims related to pathology services. This position is a contract-to-permanent opportunity, providing a chance to grow within the healthcare field while contributing to billing accuracy and compliance.<br><br>Responsibilities:<br>• Process and submit claims for pathology services, adhering to federal, state, and insurance guidelines.<br>• Assign appropriate medical codes based on pathology reports and patient records to ensure accuracy.<br>• Review documentation for completeness and compliance prior to submitting claims.<br>• Investigate and resolve issues related to denied claims, underpayments, and appeals by collaborating with insurance providers.<br>• Partner with pathologists, laboratory staff, and coding teams to address complex cases and maintain compliant billing practices.<br>• Track claim statuses, reconcile payments, and follow up on unpaid accounts to ensure timely reimbursement.<br>• Maintain detailed records of billing transactions and compliance documentation.<br>• Stay informed about changes in billing regulations, coding standards, and payer requirements.<br>• Support audit processes and contribute to quality assurance initiatives for pathology billing.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baltimore, Maryland. This is a contract-to-permanent position within the medical devices industry, offering an opportunity to contribute to healthcare operations through accurate billing and coding practices. The ideal candidate will have hands-on experience in medical billing and a solid understanding of insurance processes, including Medicare, Medicaid, and third-party payers.</p><p><br></p><p>Responsibilities:</p><p>• Handle medical billing and coding tasks with precision and attention to detail.</p><p>• Reach out to insurance companies to resolve billing issues and ensure claims are processed effectively.</p><p>• Manage reimbursements and claims for Medicare, Medicaid, and third-party insurance providers.</p><p>• Collaborate with healthcare providers to verify patient insurance benefits and coverage.</p><p>• Maintain accurate records of billing and insurance communications.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Assist in identifying discrepancies in claims and resolving them promptly.</p><p>• Provide support in medical collections processes, ensuring timely payments.</p><p>• Communicate with patients regarding billing inquiries and insurance coverage.</p>
We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p><strong>Job Summary:</strong> The Medical Billing Specialist is responsible for accurately processing and managing healthcare billing information for medical practices, clinics, or hospitals. This role ensures that insurance claims are correctly coded, submitted, and followed up to maximize reimbursements and minimize errors. Medical Billing Specialists serve as a liaison between healthcare providers, patients, and insurance companies, helping to resolve billing issues and maintain compliance with relevant regulations.</p>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
We are looking for a skilled Clinical Policy Coding Administrator to join our team on a contract basis. This position is based in Mountlake Terrace, Washington, and offers an excellent opportunity to contribute to the health insurance industry. The selected candidate will play a key role in analyzing medical policies, ensuring accurate coding, and supporting cross-functional collaboration to enhance policy implementation and claims processing.<br><br>Responsibilities:<br>• Analyze and interpret medical policies to identify and update accurate procedure and diagnosis codes.<br>• Collaborate with cross-functional teams to ensure seamless implementation of medical policies and utilization management guidelines.<br>• Provide coding expertise to support decision-making processes related to claims, reimbursement, and product configuration.<br>• Conduct thorough research and data analysis to evaluate the effectiveness of medical policy implementation.<br>• Facilitate meetings and discussions with stakeholders to address coding edits and mitigate downstream impacts.<br>• Ensure coding updates align with medical necessity and regulatory requirements.<br>• Act as a subject matter expert in coding-related matters for various departments.<br>• Address cross-functional requests with detailed assessments to enhance consistency in claims processing.<br>• Support the development of medical policies by providing accurate coding recommendations.<br>• Maintain compliance with industry standards and company-specific coding 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>
<p>We are looking for a detail-oriented Medical Biller to join our healthcare team in Salem, Oregon. In this Contract to permanent position, you will play a vital role in managing patient billing, insurance claims, and payment processes while ensuring compliance with industry standards. Your expertise will help maintain smooth operations and provide a high level of service to patients and insurance providers.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate patient billing information using specialized clinical software.</p><p>• Verify patient demographic details and insurance information for accuracy and completeness.</p><p>• Manage the preparation and submission of claims to insurance companies, both electronically and on paper.</p><p>• Follow up on unpaid claims, handle denials, and manage appeals to maximize reimbursements.</p><p>• Record and reconcile payments in the billing system, ensuring data integrity.</p><p>• Respond to patient inquiries regarding billing matters and outstanding balances with professionalism.</p><p>• Maintain adherence to regulatory requirements and software compliance standards.</p><p>• Generate detailed billing reports, analyze trends, and resolve discrepancies effectively.</p>
<p>We are seeking a Medical Charge Entry Specialist in the Indianapolis, IN to help ensure the smooth and accurate processing of healthcare revenue. As an integral member of the administrative team, you will be responsible for entering medical charges, verifying patient information, and supporting the financial operations of health providers.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Enter medical charge information into electronic health record (EHR) and billing systems with speed and accuracy.</li><li>Review patient accounts for proper coding, completeness, and compliance with payer requirements.</li><li>Verify insurance and demographic data for accuracy prior to charge submission.</li><li>Communicate with medical billing, coding, and healthcare teams to resolve discrepancies.</li><li>Follow up on missing or incomplete charge information and correct errors as needed.</li><li>Assist in generating claims, preparing reports, and supporting month-end billing processes.</li><li>Maintain strict confidentiality of patient and organizational information.</li></ul><p><br></p>
We are seeking a skilled Medical Biller/Collections Specialist to join our team in Dallas, Texas. In this Contract to permanent position, you will play a critical role in managing accounts receivable, ensuring accurate insurance filings, and maintaining compliance with healthcare regulations. This opportunity is ideal for professionals who excel in a fast-paced healthcare environment and possess strong organizational and communication skills.<br><br>Responsibilities:<br>• Analyze and manage daily work queues for accounts that are overdue by more than 31 days.<br>• Audit account details to confirm proper insurance filings and verify patient balances before initiating collection efforts.<br>• Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date of service.<br>• Submit appeals using approved templates and forward medical or coding denials to the QA Department for review.<br>• Facilitate secondary insurance filings and ensure explanations of benefits are properly documented.<br>• Establish payment arrangements with patients, adhering to timelines and policies.<br>• Conduct skip tracing for accounts requiring additional investigation.<br>• Send collection letters or statements to patients in accordance with office policies.<br>• Maintain a secure and organized workspace in compliance with privacy laws, including HIPAA regulations.<br>• Collaborate with the Manager and Compliance Committee to uphold the organization’s Compliance Program.
<p>Robert Half has a new direct-hire opportunity for a Medical Accounts Receivable and Billing Specialist. This role will support a growing department. Our client offers great work-life balance and ability to work in a fast-paced environment where your work will make a big impact. This position sits on-site full-time Monday-Friday.</p><p><br></p><ul><li>Responsible for billing and coding</li><li>Collecting on past due balances</li><li>Insurance company follow-up</li><li>Maintain up to date information from insurance companies and customers</li><li>Reduce AR aging</li><li>Special project as assigned</li><li>Provide and obtain necessary documentation as needed</li></ul><p><br></p>
<p>Our team is seeking a detail-oriented Medical Denials Specialist to join a fast-paced healthcare environment and ensure accurate, timely resolution of denied medical claims. This position would support our Carmel, IN team.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities: </strong></p><ul><li>Review, investigate, and resolve denied insurance claims.</li><li>Analyze denial trends to identify and address root causes.</li><li>Research and communicate with payers to facilitate claim resolution.</li><li>Prepare and submit appeals and supporting documentation as needed.</li><li>Collaborate with billing staff, providers, and insurance companies for effective claims management.</li><li>Maintain up-to-date knowledge of payer guidelines, state/federal regulations, and healthcare industry developments.</li><li>Ensure compliance with all HIPAA regulations and organizational policies.</li></ul>
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>We are seeking a detail-oriented <strong>Insurance Biller</strong> to join our team and ensure accurate billing, timely claims submission, and effective follow-up with insurance providers.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare, review, and submit claims to insurance companies electronically and by paper.</li><li>Verify insurance eligibility, benefits, and coverage requirements.</li><li>Research and resolve claim denials, rejections, and payment discrepancies.</li><li>Post insurance payments and adjustments accurately.</li><li>Communicate with insurance companies, patients, and internal teams regarding billing issues.</li><li>Maintain accurate billing records, reports, and monthly account reconciliations.</li><li>Ensure compliance with payer guidelines, HIPAA regulations, and internal policies.</li><li>Follow up on unpaid claims to ensure timely reimbursement.</li></ul>
<p>Are you a certified medical coder with at least <strong>1 year of direct coding experience</strong>? Do you thrive in a remote environment and have a passion for accuracy and specialty coding? If so, we want to hear from you!</p><p><br></p><p><strong>Position Overview:</strong></p><p>We’re hiring <strong>experienced Medical Coders</strong> to support our client’s growing needs on the <strong>professional (profee) side. </strong>This is a fully remote, first-shift opportunity with <strong>flexible hours across all U.S. time zones</strong>.</p><p><br></p><p><strong>Specialties We’re Hiring For: </strong>Cardiology, Vascular, Thoracic Surgery, Orthopedics and General Surgery</p><p><br></p><p><strong>Schedule:</strong></p><ul><li>Monday–Friday: First shift hours (flexible start/end times)</li><li>Work from anywhere in the U.S.</li></ul><p><strong>Why Join Us?</strong></p><ul><li>100% remote work environment</li><li>Great opportunity for entry-level coders</li></ul><p><strong>Ready to code your way into a great opportunity? </strong>Apply now and bring your expertise to a team that values precision, flexibility, and professional growth.</p>
<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>
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.
We are looking for a detail-oriented Patient Registration Processor to join our team in Syracuse, New York. As part of the healthcare industry, this role requires accuracy, professionalism, and a commitment to delivering excellent service to patients and staff. This is a long-term contract position offering an opportunity to contribute to an essential function within a fast-paced environment.<br><br>Responsibilities:<br>• Accurately input and scan patient information into the system to ensure records are precise and complete.<br>• Manage patient registration processes, ensuring all necessary data and documentation are collected and verified.<br>• Apply medical coding standards, such as ORG-10, to determine and confirm medical necessity.<br>• Maintain and organize requisition records in compliance with organizational policies.<br>• Assist with other administrative tasks and duties as required to support the department.<br>• Communicate effectively and professionally with patients and healthcare staff to address inquiries and resolve issues.<br>• Utilize computer systems and applications for patient registration, billing, and order entry.<br>• Adapt to high-volume workloads and navigate a dynamic work environment efficiently.<br>• Ensure compliance with healthcare regulations and organizational standards in all activities.<br>• Uphold a high standard of accuracy and attention to detail in all tasks performed.
Medical Payment Poster needed for North Dallas company. Duties and responsibilities include:<br><br>• Posts payments received to corresponding charges on patient accounts.<br>• Downloads remittance reports and posts payments to corresponding charges on patient accounts.<br>• Imports daily files and extracts remittances from Easy Print and other websites.<br>• Posts all zero pay remittance with corresponding denial/reason code.<br>• Ensures payments received are paid in accordance to contract reimbursement terms.<br>• Applies appropriate contractual transaction relative to the contract and/or penalty application.<br>• Responsible for contacting system vendor and opening a case when a system issue occurs.<br>• Responsible for extracting the daily deposits from bank on a daily basis to ensure the funds are there.<br>• Responsible for updating the Director of Business Services and the Billing Manager on a daily basis of our daily cash to be posted.<br>• Ensures that the daily deposit worksheet is accurate and matches what was posted daily.<br>• Ensures that the daily downloads are in balance before going on to the next download.<br>• Scans all EOBs and denials into VSDM daily.<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.
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care. </p>
