<p>We are seeking a detail-oriented Medical Billing/Coding Specialist with a current CPC certification to review patient medical records, accurately assign ICD-10 and CPT codes, and submit insurance claims to ensure timely reimbursement. This role requires strong knowledge of medical terminology, anatomy, and coding systems, along with at least one year of experience in OB/GYN or a relevant specialty. Responsibilities include coding procedures and diagnoses, data entry into the EMR, claim submission, assisting with denied claims, supporting clinical staff with coding questions, and maintaining compliance with billing regulations. The ideal candidate is highly organized, has excellent communication and customer service skills, works well independently and as part of a team, and is committed to ongoing professional development and CPC maintenance.</p>
<p>The Robert Half Healthcare Practice is working with a healthcare organization to add a <strong>Medical Coder</strong> to their team. This is a fully remote position aside from an <strong>8 week onsite training.</strong> This candidate will be an excellent communicator and a strong attention to detail. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li><strong>Assign codes:</strong> Accurately assign ICD-10-CM, CPT, and HCPCS II codes.</li><li><strong>Review documentation:</strong> Verify medical record documentation supports coding.</li><li><strong>Ensure compliance:</strong> Adhere to all coding guidelines and regulations (e.g., CMS, HIPAA).</li><li><strong>Optimize reimbursement:</strong> Apply coding knowledge for ethical reimbursement.</li><li><strong>Support billing:</strong> Help resolve coding-related claim denials.</li><li><strong>Participate in audits:</strong> Engage in internal and external coding audits.</li><li><strong>Maintain data:</strong> Ensure accurate entry of coded information into systems.</li><li><strong>Uphold confidentiality:</strong> Protect patient information per HIPAA.</li></ul><p><br></p>
<p>We are looking for an experienced Medical Coding Supervisor to join our team in Seattle, Washington. This role is ideal for someone with strong expertise in revenue cycle management and medical coding, who thrives in a fast-paced healthcare environment. As a key leader, you will oversee coding operations, ensuring compliance and efficiency while supporting the needs of a federally supported health center. Excellent work-life balance, with the potential of a hybrid work schedule. </p><p><br></p><p>Responsibilities:</p><p>• Lead and manage the medical coding team, ensuring accuracy and compliance with healthcare regulations and standards.</p><p>• Supervise revenue cycle processes, including medical claims, accounts receivable, and credentialing activities.</p><p>• Utilize Epic systems to streamline coding operations and maintain data integrity.</p><p>• Develop strategies to optimize coding efficiency and accuracy across healthcare services.</p><p>• Conduct audits and reviews to ensure adherence to coding guidelines and billing practices.</p><p>• Collaborate with healthcare providers and administrative teams to resolve coding discrepancies.</p><p>• Provide training and mentorship to coding staff, fostering growth and development.</p><p>• Monitor key performance indicators related to revenue cycle and coding operations.</p><p>• Implement best practices to maintain compliance with federal and state healthcare regulations.</p><p>• Support remote and flexible work schedules to align with team preferences and productivity.</p><p><br></p><p>The salary range for this position is $70k to $99k. Benefits available with this position include paid medical, dental and vision; life and disability insurances; participation in the company’s 401(k) plan with a match and 15 days of paid vacation and sick leave and 9 paid holidays per calendar year.</p>
We are looking for a skilled Medical Billing Specialist to join our team on a short-term contract basis in Northfield, Illinois. This role focuses on processing insurance and patient payments with precision and efficiency. If you have experience in medical billing and are comfortable handling claims and collections, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately post payments received from insurance providers and patients into the appropriate systems.<br>• Review and reconcile patient accounts to ensure all payments are properly allocated.<br>• Process medical claims and ensure timely submission to insurance companies.<br>• Investigate and resolve discrepancies in billing and payments.<br>• Collaborate with insurance companies and patients to address billing inquiries and issues.<br>• Maintain up-to-date knowledge of medical coding and billing regulations.<br>• Utilize Epaces software and other medical billing tools effectively.<br>• Generate reports on billing activities and payment statuses.<br>• Communicate with the team to ensure consistency and accuracy in billing processes.
<p>Are you a detail-oriented professional with experience in medical billing? Robert Half is seeking <strong>Medical Billers</strong> on an ongoing basis for roles within healthcare organizations located throughout the Twin Cities. If you have a strong understanding of medical billing processes and are ready to make an impact, we’d love to help you find your next opportunity!</p><p> </p><p><strong>Key Responsibilities:</strong></p><ul><li>Prepare, review, and submit accurate medical claims to insurance companies, Medicare, or Medicaid.</li><li>Process claim denials and work with insurance providers to resolve discrepancies and rejections.</li><li>Ensure all patient billing, coding, and claims submissions comply with regulations and standards.</li><li>Reconcile accounts, process payments, and follow up on outstanding balances.</li><li>Collaborate with healthcare providers, administrative staff, and insurance companies regarding billing inquiries.</li><li>Maintain the confidentiality of patient information in compliance with HIPAA guidelines.</li><li>Stay updated on healthcare billing trends, regulations, and coding changes, such as ICD-10 and CPT updates</li></ul><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York. In this critical role, you will contribute to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, offering an opportunity to grow within the organization while supporting essential billing operations.<br><br>Responsibilities:<br>• Prepare, review, and submit accurate insurance claims in alignment with established deadlines.<br>• Process payments received from patients and insurance providers, ensuring timely updates to financial records.<br>• Follow up on unpaid claims, resolve discrepancies, and maintain account accuracy.<br>• Communicate professionally with patients to address billing inquiries, statements, and payment plans.<br>• Organize and maintain patient records, payment histories, and other billing-related documentation in compliance with healthcare regulations.<br>• Coordinate with insurance providers to clarify coverage details and resolve reimbursement issues.<br>• Stay informed on healthcare billing codes, industry standards, and policy updates to ensure compliance in all billing activities.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Emmett, Idaho. In this long-term contract position, you will play a crucial role in managing payment posting processes, ensuring accuracy in patient accounts, and maintaining balanced daily logs. If you have a strong background in medical billing and a commitment to excellence, we invite you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Retrieve remittance advice from clearing houses daily and ensure timely processing.</p><p>• Organize and calculate insurance payment batches to confirm deposit accuracy.</p><p>• Export electronic remittance files to revenue cycle software and assist in developing electronic payment posting systems.</p><p>• Post payments manually and electronically while verifying patient details such as account numbers, dates of service, and other identifiers.</p><p>• Apply adjustments to patient accounts for deductibles, copays, coinsurance, and contractual obligations, while directing denials to the appropriate team.</p><p>• Reconcile and balance posted payment batches daily, ensuring accounts are accurate and properly closed.</p><p>• Analyze and interpret Explanation of Benefits (EOBs) to post payments correctly to patient accounts.</p><p>• Research unidentified payments and recoupments to determine proper transactions, including refund requests and takebacks.</p><p>• Collaborate with the Controller to balance daily, weekly, and monthly financial totals.</p><p>• Assist with billing work queues, insurance follow-ups, and other assigned tasks as needed.</p><p>Cerner and TruBridge knowledge preferred</p>
We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis in New York, New York. In this role, you will play a key part in managing and resolving medical claim denials, ensuring accuracy and compliance with Medicaid billing standards. This is an excellent opportunity for detail-oriented professionals with experience in medical billing and coding.<br><br>Responsibilities:<br>• Analyze and review medical claim denials to identify errors or discrepancies.<br>• Resubmit claims under Medicaid guidelines to ensure compliance and accuracy.<br>• Utilize medical billing software, including eClinicalWorks, to process claims efficiently.<br>• Maintain detailed and organized records of rebilled claims for tracking and auditing purposes.<br>• Collaborate with healthcare providers and insurance representatives to resolve claim issues.<br>• Perform coding tasks using ICD-10 and CPT standards to ensure proper billing.<br>• Ensure confidentiality and security of patient information in all billing activities.<br>• Provide timely updates and reports on claim statuses and resolutions.<br>• Adapt quickly to new processes and systems to support the team’s goals.
A healthcare organization in Canton, Ohio, is seeking a dedicated Patient Account Representative to join its team. This role is critical to maintaining the organization’s financial health by optimizing its revenue cycle, improving cash flow, and upholding high standards of documentation and quality. Ideal candidates will have a strong background in medical billing, claims follow-up, and payer relations and must possess a keen attention to detail and excellent communication skills. <br> Key Responsibilities: Accounts Receivable Management: Handle and resolve outstanding accounts receivable for assigned clients and payers. Insurance Claim Denials: Investigate and address denials for both electronic and paper claims, ensuring timely resolutions. Appeals Management: Prepare and submit appeals to insurance payers, collaborating with the revenue integrity team as necessary. Denial Trends Analysis: Monitor and analyze trends in insurance denials to identify opportunities for revenue recovery. Payment Posting Coordination: Work closely with payment posting teams to resolve coding issues and ensure credit application to appropriate accounts. Patient Communication: Communicate with patients regarding billing concerns and collaborate with customer service representatives to ensure excellent service delivery. Payer Relations Escalation: Document recurring payer issues and escalate them to the payer relations team for further research and resolution. Projects and Policies: Participate in special projects while complying with the organization’s policies and procedures. Documentation Accuracy: Maintain accurate records of all collection activities in relevant systems. Performance Goals: Meet production and quality benchmarks to support organizational objectives. <br> Qualifications: Previous experience in medical billing, collections, or revenue cycle management preferred. Attention to detail and a thorough understanding of insurance claims, denial management, and appeals processes. Proficiency in using electronic medical record (EMR) systems such as Epic or Cerner is a plus (Source: SG25 US Healthcare.docx—EMR systems expertise is highly sought-after). Strong verbal and written communication skills to effectively interact with patients, internal teams, and payers. Ability to work collaboratively in a fast-paced environment with multiple stakeholders. Certification as a Certified detail oriented Biller (CPB) or Certified detail oriented Coder (CPC) is valuable but not required (Source: SG25 US Healthcare.docx—CPB and CPC certifications are listed as desired qualifications by healthcare hiring managers).
<p>Are you an experienced medical billing professional with a background in surgery billing, ASC (Ambulatory Surgery Center) operations, and expertise in EPIC software? Do you thrive in a fast-paced environment and have a proven track record in medical insurance collections? If so, we want to hear from you! Robert Half is partnering with a leading healthcare provider to find a detail-oriented <strong>Surgery Medical Billing Specialist</strong> to join their team.</p><p><strong>Key Responsibilities</strong></p><ul><li>Process, review, and submit medical billing claims specific to surgical procedures using EPIC software.</li><li>Accurately code surgeries and other medical services in compliance with healthcare regulations.</li><li>Collaborate with ASC teams to ensure seamless coordination of patient billing and documentation.</li><li>Perform insurance verifications and communicate with payers to resolve claim issues or discrepancies.</li><li>Manage and monitor accounts receivable, following up on unpaid claims to improve collections.</li><li>Research and resolve denials and appeals to maximize reimbursement.</li><li>Maintain strict adherence to HIPAA regulations and patient confidentiality protocols.</li><li>Provide regular reporting on billing activities, payment trends, and collections performance</li></ul><p><br></p>
<p>We are offering an exciting opportunity for an Accounts Receivable Supervisor in the healthcare industry, based in ODENTON, Maryland. This positions 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.</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>
We are looking for an experienced Medical Billing Specialist to join our team on a 12-week contract basis in Milwaukee, Wisconsin. In this role, you will play a vital part in ensuring accurate claims processing, timely reimbursements, and compliance with healthcare billing regulations. This position provides an opportunity to apply your expertise in a dynamic healthcare environment.<br><br>Responsibilities:<br>• Review patient accounts and billing data to identify and correct discrepancies.<br>• Submit claims using UB04 and CMS1500 formats while adhering to payer-specific requirements.<br>• Resolve unpaid or denied claims by collaborating with insurance payers and internal teams.<br>• Ensure compliance with Medicare, Medicaid, and other insurance regulations.<br>• Communicate with clinical and administrative staff to obtain necessary documentation for accurate billing.<br>• Monitor and analyze billing workflows to identify areas of improvement.<br>• Reprocess billing data to maintain accuracy and ensure timely payments.<br>• Maintain detailed records of claims and follow-ups for audit purposes.<br>• Provide support for accounts receivable tasks, including appeals and authorizations.<br>• Utilize medical billing systems, such as Epic, to streamline billing processes.
We are looking for an experienced Medical Billing Specialist to join our team on a 12-week contract basis in Milwaukee, Wisconsin. In this role, you will play a key part in ensuring the accuracy and compliance of healthcare claims processing, supporting timely reimbursements and maintaining high standards in billing operations. This position offers an excellent opportunity to contribute your expertise in a dynamic healthcare environment.<br><br>Responsibilities:<br>• Review and analyze patient accounts and billing data to ensure accuracy within the designated billing system.<br>• Prepare and submit claims using UB04 and CMS1500 billing formats, adhering to payer-specific guidelines.<br>• Identify and resolve billing discrepancies by correcting errors and resubmitting claims for timely payment.<br>• Conduct follow-ups on unpaid or denied claims, collaborating with payers and internal teams to address issues.<br>• Ensure compliance with insurance and government regulations, including Medicare and Medicaid requirements.<br>• Communicate effectively with clinical and administrative staff to gather necessary information for accurate billing.<br>• Utilize your knowledge of medical billing systems and processes to optimize claims handling and reimbursement.<br>• Maintain organized records and documentation to track claims progress and outcomes.<br>• Stay updated on payer rules and billing compliance standards to ensure adherence to industry requirements.
We are looking for a skilled Medical Billing Specialist to join our team on a 12-week contract in Milwaukee, Wisconsin. In this role, you will play a crucial part in ensuring accurate and timely processing of healthcare claims, contributing to the efficiency and success of our billing operations. This is an exciting opportunity to apply your expertise in a collaborative healthcare environment while making a tangible impact.<br><br>Responsibilities:<br>• Review patient accounts and billing data to ensure accuracy and completeness.<br>• Prepare and submit claims using UB04 and CMS1500 formats based on payer-specific requirements.<br>• Identify errors in billing data, correct discrepancies, and resubmit claims to facilitate timely reimbursement.<br>• Follow up on unpaid or denied claims, working with payers and internal teams to resolve issues effectively.<br>• Ensure compliance with insurance regulations and government guidelines, including Medicare and Medicaid policies.<br>• Collaborate with clinical and administrative staff to obtain necessary information for accurate billing.<br>• Utilize billing systems, such as Epic, to process claims and manage accounts receivable.<br>• Handle appeals and authorizations as part of the claims resolution process.<br>• Maintain organized records and meet deadlines in a fast-paced healthcare setting.
We are looking for a skilled and proactive Medical Biller/Collections Specialist to join our team in Fort Worth, Texas. This role is vital for ensuring accurate billing processes, resolving insurance claims, and maintaining patient documentation. As a Contract-to-permanent position, it offers flexible afternoon and evening hours in a collaborative healthcare environment.<br><br>Responsibilities:<br>• Manage patient billing and insurance claims efficiently using Lytec and TriZetto platforms.<br>• Handle insurance payments, address denial issues, and perform follow-ups on aged accounts to secure timely reimbursements.<br>• Maintain detailed and accurate records in paper charts while assisting with filing and organizational tasks.<br>• Draft and send correspondence, including insurance and medicolegal reports, adhering to company standards.<br>• Collaborate with physicians and staff to prepare annual wellness reports and other patient documentation.<br>• Leverage Microsoft Office tools for scheduling, reporting, and administrative tasks.<br>• Coordinate with medical records personnel and the nursing team to ensure compliance with documentation and reporting requirements.
We are looking for a detail-oriented Medical Payment Poster Specialist to join our team in Sacramento, California. This contract-to-permanent position offers an excellent opportunity for individuals skilled in medical billing, coding, and payment posting. The role requires working on-site during the contract assignment, with potential for long-term placement.<br><br>Responsibilities:<br>• Accurately post insurance payments by line item to the patient account system, ensuring all entries are precise and compliant.<br>• Verify payment amounts against contracts and organizational policies to ensure correctness.<br>• Process patient payments efficiently and update records within the designated system.<br>• Record denials, zero payments, and flag accounts for follow-up by the Medical Collections team.<br>• Apply takebacks and recoupments in accordance with established policies.<br>• Identify and communicate trends in payment discrepancies, denials, or short payments to leadership for resolution.<br>• Balance daily payment entries against settlement reports to maintain accurate financial records.<br>• Route payer correspondence to the appropriate team members for timely follow-up.<br>• Utilize knowledge of contracts and policies to ensure proper application during payment posting.
<p>A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, <strong>remote work opportunities may be available</strong>.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.</li><li>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.</li><li>Manage <strong>denials and appeals</strong>, researching root causes, documenting issues, and resubmitting claims as needed.</li><li>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.</li><li>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.</li><li>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.</li><li>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.</li></ul><p><br></p>
<p>We are looking for a dedicated Patient Account Collector / Biller to join our team in Atwater, California. In this role, you will handle medical billing and collections, ensuring accuracy and compliance with healthcare regulations. This is a long-term contract position that offers the opportunity to contribute to the efficient management of patient accounts in a supportive and meticulous environment.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage patient accounts, including billing and collections for commercial, Medi-Cal, Medicare, and third-party payers.</p><p>• Verify insurance coverage and ensure claims are submitted accurately and on time.</p><p>• Communicate with patients to discuss financial matters, payment options, and account resolutions.</p><p>• Review and analyze medical claims for accuracy and compliance with healthcare guidelines.</p><p>• Utilize knowledge of ICD-9 coding and other relevant billing systems to ensure proper processing.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and expedite payments.</p><p>• Maintain organized records of billing activities and patient interactions.</p><p>• Ensure adherence to healthcare regulations and organizational policies in all billing processes.</p><p>• Provide support to the team by sharing expertise in medical billing and collections.</p><p>• Assist in identifying and implementing improvements to billing workflows.</p><p><br></p><p>For immediate consideration, contact Robert Half at 209-232-1991!</p>
<p>The Robert Half Healthcare Practice is working with a healthcare organization in the Indianapolis area to add a <strong>Medical Charge Entry Specialist </strong>to their team. This will be a fully onsite position. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li><strong>Accurate Charge Entry:</strong> Precisely input physician charges into the billing system.</li><li><strong>Coding Expertise:</strong> Maintain up-to-date knowledge of all procedural and diagnostic codes (CPT, ICD-10, etc.), correctly identify appropriate codes, and educate staff on proper coding practices when errors occur.</li><li><strong>Coding Issue Resolution:</strong> Collaborate with staff to resolve coding discrepancies and associated billing problems.</li><li><strong>Daily Charge Balancing:</strong> Reconcile and balance charges on a daily basis to ensure accuracy.</li><li><strong>Payment Posting:</strong> Accurately post payments collected by the office or department.</li><li><strong>Confidentiality:</strong> Uphold strict confidentiality of all patient and financial information.</li></ul>
<p>An outstanding company that we are partnering with in the healthcare industry in Encinitas, CA is looking for a Billing Coordinator who can bring accuracy, empathy, and efficiency to their patient billing operations. This role is perfect for someone who understands the importance of clear communication and timely billing in a healthcare setting.</p><p><br></p><p><strong><u>What You’ll Be Doing:</u></strong></p><ul><li>Prepare and submit patient billing statements and insurance claims.</li><li>Verify insurance coverage and ensure proper coding of services.</li><li>Follow up on unpaid claims and patient balances.</li><li>Maintain billing records and assist with reporting and audits.</li><li>Communicate with patients and insurance providers to resolve billing inquiries.</li></ul>
We are looking for an experienced Accounts Receivable Clerk to join our team in Gibsonia, Pennsylvania. This role involves managing financial transactions, ensuring timely billing and payments, and maintaining accurate records for healthcare facilities. The ideal candidate will bring expertise in insurance billing and reconciliation, along with strong organizational and analytical skills.<br><br>Responsibilities:<br>• Handle accounts receivable processes for long-term care, assisted living, and independent living facilities.<br>• Perform insurance billing and follow-ups for Skilled Nursing Part A & B claims.<br>• Verify insurance details for Skilled Nursing and Home Health services.<br>• Reconcile accounts and prepare journal entries to ensure financial accuracy.<br>• Generate and analyze accounts receivable aging reports.<br>• Post private pay cash payments and process refunds efficiently.<br>• Manage consolidated billing and prepare statements for healthcare organizations.<br>• Update yearly fee schedules for Medicare and Highmark Part B services.<br>• Process miscellaneous invoices such as ambulance charges and handle mail forwarding tasks.<br>• Enter facility charges related to resident accounts and ensure proper coding of diagnosis codes.
<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>
Robert Half Finance & Accounting Contract Talent is currently seeking a highly skilled Healthcare Claims Processor to join our client's team.<br><br>Opportunity Overview:<br>We are in search of a detail-oriented Healthcare Claims Processor with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing. This role is critical in understanding the complexities of claim denials, drafting appeal letters, and ensuring the reimbursement process operates smoothly. The position demands a commitment of 40 hours per week.<br><br>Key ResponsibIlities:<br>Conduct thorough healthcare AR follow-up, focusing on prompt reimbursement.<br>Skillfully handle the collection of insurance claims, ensuring accuracy and completeness.<br>Execute comprehensive claims processing, proactively addressing potential denial factors.<br>Demonstrate expertise in identifying and resolving issues leading to claim denials.<br>Draft persuasive appeal letters to challenge and rectify denied claims.<br>Stay informed about industry changes and insurance regulations affecting claims processing.<br><br>Qualifications:<br>Proven experience in healthcare claims processing, with a deep understanding of industry best practices.<br>Proficient knowledge of insurance claim collection procedures.<br>Familiarity with the intricacies of claim denial factors and effective resolution strategies.<br>Exceptional skills in drafting compelling appeal letters.<br>Available to commence work in March with a commitment of 40 hours per week.<br><br>Additional Details:<br>Familiarity with relevant healthcare coding systems is preferred.<br>Ability to navigate and utilize healthcare information systems effectively.<br>Understanding of healthcare compliance regulations and privacy laws.<br>Strong analytical skills to identify patterns and trends in claim denials.<br>Collaborative approach to work, ensuring seamless coordination with other healthcare professionals.<br><br>To express your interest in this role or to obtain further information, please reach out to us directly at (314) 262-4344. We are eager to discuss this exciting opportunity with you.
<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>
We are looking for a dedicated EMR Implementation Manager to oversee the customization and deployment of Athenahealth systems for healthcare providers and clinical teams. This Contract-to-Permanent position is based in Poughkeepsie, New York, and requires a strong background in clinical workflows combined with technical expertise in EMR systems. The ideal candidate will play a pivotal role in optimizing patient care processes, ensuring compliance, and providing comprehensive training to healthcare staff.<br><br>Responsibilities:<br>• Analyze patient care workflows to design and optimize Athenahealth templates, forms, and order sets tailored to specific medical specialties.<br>• Configure EMR systems to enhance clinical efficiency, including ePrescribing, lab ordering, imaging integration, and patient portal functionality.<br>• Deliver targeted training sessions for healthcare professionals, ensuring they are equipped to utilize Athenahealth systems effectively.<br>• Provide ongoing support during go-live phases and post-implementation to address user needs and system adjustments.<br>• Develop data reports and refine clinical quality measures to support regulatory compliance and actionable insights.<br>• Collaborate with compliance teams to ensure accurate clinical documentation and adherence to coding and billing standards.<br>• Lead the transition from paper-based or legacy workflows into Athenahealth systems to streamline operations.<br>• Integrate Athenahealth with lab, imaging, and specialty systems for seamless interoperability.<br>• Optimize EMR configurations to support value-based care programs and quality reporting.<br>• Design user-friendly quick-reference guides and workflows to improve staff efficiency and reduce administrative burdens.
