Medical Billing ManagerWe are seeking a Medical Billing Manager to join our team in Memphis, Tennessee. The main function of this role is to supervise the processing of customer applications, ensure the correctness of customer records, address customer inquiries, and monitor customer accounts. Our industry is dynamic and requires a meticulous individual. <br><br>Responsibilities:<br><br>• Direct and manage a team to achieve monthly objectives<br>• Maintain clear and effective communication through various channels such as phone, fax, and written correspondences<br>• Supervise the review and analysis of medical records and patient information for accurate coding and billing<br>• Ensure the application of ICD-10 Official Guidelines for Coding and Reporting<br>• Respond to requests for medical records promptly<br>• Incorporate detailed, clear notes into the billing system outlining all activities performed on patient accounts<br>• Work closely with Providers and other departments to confirm the accuracy of diagnosis, date of service, and procedural codes<br>• Supervise the printing of statements and CMS-1500 claim forms<br>• Manage the scanning and emailing of patient's bills and records after final review of chart<br>• Supervise daily charge entries<br>• Apply critical thinking and problem-solving skills to address issues<br>• Maintain a strong focus on details and work ethic<br>• Assist in other areas of the billing department as needed<br>• Ensure punctuality and reliability.Medical Billing Manager<p>A Manager of a Medical Billing Department is needed for a Medical Facility in Long Beach. The Manager of a Medical Billing Department will need to be detail-oriented and a highly motivated individual to fill this role. This is an excellent opportunity for an experienced medical billing detail oriented with managerial experience. In this vital role, the select individual will oversee all aspects of medical billing and collections, including working with different types of insurances including HMO, PPO, Medicare, and Medi-Cal. The ideal candidate will be experienced in auditing, reviewing denial trends, and creating effective policies and procedures. The Manager of a Medical Billing Department must have 5 years of experience and UB04/CMS1500 experience.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Oversee and manage all aspects of medical billing and collections. Work closely with various insurance providers including HMO, PPO, Medicare, and Medi-Cal.</p><p>• Audit and review denial trends, identifying potential areas of concern and implementing corrective measures.</p><p>• Develop and implement effective billing policies and procedures.</p><p>• Manage a team of up to 12 permanent employees, promoting a positive and productive work environment.</p><p>• Ensure compliance with state and federal regulations pertaining to medical billing and collections.</p><p>• Collaborate with financial and medical personnel for seamless operational flow.</p><p>• Generate reports and present analysis on billing activities for senior management.</p>Medical Coder<p>Are you a detail-oriented professional with a passion for accuracy and efficiency in medical documentation? Robert Half is partnering with a Minneapolis, MN based client who is seeking a skilled <strong>Medical Coder</strong> to join a thriving healthcare team. In this role, you will play a critical part in ensuring proper coding of procedures, diagnoses, and treatments to support medical billing and compliance initiatives. If you’re looking for an opportunity to leverage your expertise, maintain high coding standards, and grow in a fast-paced environment, we want to hear from you!</p><p><br></p><p>Key Responsibilities:</p><ul><li>Assign accurate medical codes for diagnoses, procedures, and services using ICD-10-CM, CPT, and HCPCS coding systems.</li><li>Review and analyze patient medical records to identify proper coding opportunities in compliance with standard coding guidelines.</li><li>Ensure coding accuracy to optimize reimbursement and reduce claim denials while adhering to regulations set by CMS and other entities.</li><li>Collaborate with medical providers and billing staff to clarify medical documentation and ensure proper code assignment.</li><li>Stay up to date with changes in medical coding protocols, insurance industry policies, and federal compliance guidelines.</li><li>Perform audits on coded data to ensure accuracy, compliance, and completeness.</li><li>Utilize electronic medical record (EMR) systems (e.g., Epic, Cerner) and maintain data integrity in patient billing systems.</li><li>Contribute to training and development for practice managers and healthcare staff on coding best practices.</li></ul><p><br></p>Revenue Cycle Manager<p>Robert Half is partnering with a Minneapolis, Minnesota based client that is seeking a highly skilled and detail-oriented <strong>Revenue Cycle Manager</strong> with prior mental health billing experience, specifically with <strong>Credible Software.</strong> In this role, you will function as a Credible subject matter expert to assist with reconfiguring reports that are no longer tying out after an implementation. The candidate will have the ability to work in a fully remote capacity from anywhere in the United States, provided you have a strong working knowledge of Credible Software and mental health revenue cycle processes. Your expertise will play a pivotal role in driving billing accuracy and enhancing operational workflows.</p><p><br></p><p><strong>Responsibilities</strong>:</p><ol><li>Serve as the <strong>Credible Software Subject Matter Expert</strong>, ensuring optimal use of the platform to streamline billing and revenue processes.</li><li>Train staff on Credible software functionality, addressing system-related issues, and implementing best practices to improve revenue cycle efficiency.</li><li>Review end-to-end revenue cycle processes, including patient registration, coding, claims submission, payment posting, and accounts receivable.</li><li>Ensure that all medical procedure codes, diagnostic codes, and patient information is being accurately entered into Credible software.</li><li>Review current reporting structure to look for gaps in efficiency and provide recommendations on the fix. </li><li>Identify and resolve any discrepancies with insurance companies, patients, and internal stakeholders.</li><li>Analyze revenue cycle performance metrics and provide actionable insights for improvement.</li><li>Maintain compliance with all federal, state, and local regulations, including HIPAA guidelines, to ensure patient confidentiality is preserved.</li><li>Handle all patient billing inquiries, reassuring and resolving issues effectively and promptly.</li></ol>Staff Accountant<p>We are offering an exciting opportunity in the accounting industry based in San Francisco, California, for a Revenue Manager. This role will primarily focus on ensuring the accurate, consistent, and timely accounting and compliance of our organization's grants.</p><p><br></p><ul><li>Oversee the Billing Department to ensure accurate claim submission and timely collections, adhering to third-party contracts (Medicare, Medi-Cal, managed care, commercial insurance, and patient pay).</li><li>Review, rework, and resubmit unprocessed claims and denials for revenue maximization.</li><li>Maintain billing/financial data, including medical billing codes, rate schedules, and payer information.</li><li>Analyze reimbursement from all sources and identify exceptions.</li><li>Maximize cash collections by monitoring open accounts receivable balances.</li><li>Develop and enforce billing policies/procedures; ensure staff adherence.</li><li>Prepare reports on billing, AR activity, performance, bad debt, and AR days for CFO review.</li><li>Provide staff training on eligibility, insurance, coding updates, and errors.</li><li>Collaborate with Patient Services Director and CFO for revenue cycle improvements.</li><li>Mentor, coach, and conduct performance reviews for direct reports.</li><li>Oversee billing and collection operations, including staff training, development, and performance monitoring.</li><li>Implement and monitor quality control standards for billing, coding, and compliance (e.g., Medicare, Medi-Cal).</li><li>Coordinate month-end AR/billing close with the accounting manager.</li><li>Address and resolve issues to improve efficiency, compliance, and revenue.</li><li>Lead the implementation of billing/coding changes (e.g., ICD-10, CPC updates).</li><li>Participate actively in organizational meetings.</li></ul>Medical Coder<p>We are offering a contract opportunity for a Medical Coder based in Minneapolis, MN. As a Medical Coder, your key role will be to review and accurately assign medical record documentation, serve as an essential resource for coding and compliance queries, and perform stringent quality checks before billing. This role is fully remote but does require candidates to be local to Minnesota for occasional onsite meetings. This role has a schedule of 32 hours per week.</p><p><br></p><p>Responsibilities</p><p>• Accurately assign ICD-10, CPT, and HCPCS codes by reviewing medical record documentation in adherence to correct coding guidelines and AHIMA’s standards of ethical coding.</p><p>• Act as a reliable resource for addressing coding and compliance questions.</p><p>• Provide guidance to physicians and non-physician practitioners on compliance regulations and coding guidelines.</p><p>• Conduct coding and compliance education sessions with medical providers, documenting attendance, methods, context, and evaluation of feedback.</p><p>• Train and educate support staff in various aspects of coding.</p><p>• Develop and maintain up-to-date coding compliance manuals, materials, and policies for staff education, training, guidance, and charge capture.</p><p>• Implement, monitor, and follow the clinics Compliance Work Plan under the direction of the Director of Compliance.</p><p>• Carry out audits/internal monitoring of medical record documentation and corresponding coding, provide reports and feedback, and educate on deficient areas discovered in audit. Make recommendations and follow-up.</p><p>• Analyze problem claims, compare coding with medical record documentation, and make any appropriate changes.</p><p>• Consult with medical providers for clarification of coding and compliance issues when necessary.</p><p>• Track rejections/denials of claims after changing to ensure appropriate adjudication. Assess risk based on the types of denial/rejections received.</p><p>• Document and report non-compliance concerns to the Director of Compliance for further follow-up.</p><p>• Collaborate with the provider liaison and coding consultant(s) regularly to discuss coding and documentation issues.</p><p>• Work actively with the electronic health record team in the evaluation and testing of the EHR to ensure accurate documentation in the EHR and appropriate capturing of charges for services, procedures, and supplies rendered during an office visit.</p><p>• Implement new ICD-10 codes and other coding factors, playing a key role.</p>Assistant Director of Revenue Cycle<p>Our client located in Bellaire, TX is currently seeking an energetic and results-driven individual to join their rapidly growing team as an Assistant Director of Revenue. This position is primarily responsible for planning, organizing, and directing the revenue cycle activities of the healthcare organization.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>Review and manage all aspects of the daily revenue cycle operations.</p><p>Work collaboratively with other departments to ensure compliant and efficient revenue cycle management.</p><p>Develop, implement, and maintain revenue cycle goals and objectives.</p><p>Assist in the preparation, review, and approval of the budget and financial forecasts in relation to revenue.</p><p>Ensure the revenue cycle team is up-to-date on the latest healthcare regulations and trends.</p><p>Lead and motivate the revenue cycle team to enhance performance by setting clear, accountable performance measures.</p><p>Build and maintain relationships with key stakeholders and vendors.</p><p>Qualifications:</p><p><br></p><p>Bachelor's degree in Business Administration, Finance, or related field. MBA or Master's in Health Administration is required.</p><p>Minimum of 7 years experience in healthcare revenue cycle management. And 10+ Years Management Experience.</p><p>Excellent understanding of healthcare billing/coding procedures.</p><p>Strong leadership and team management skills.</p><p>Outstanding communication skills, both written and verbal.</p><p>Proficient in Microsoft Office suite (Excel, Word, PowerPoint).</p><p>Detail-oriented with an analytical bent of mind.</p><p>This is a direct hire opportunity working one day from home paying up to 125k plus benefits and bonuses.</p>Medical Billing SpecialistWe are inviting applications for the role of Medical Billing Specialist in the healthcare and social assistance sector. Based in Jacksonville, Florida, this position offers a long-term contract employment opportunity where you will be responsible for processing and posting payments, maintaining and managing patient records, and resolving any related issues. <br><br>Responsibilities: <br>• Accurate and efficient processing of insurance payer’s electronic funds transfers, denials, and adjustments.<br>• Download, upload, and process electronic Explanation of Benefits (EOBs) from various sources.<br>• Accurately interpret EOBs from various insurance payers and post the payments to client accounts.<br>• Post and adjust insurance take-backs and withholdings.<br>• Document payer payments and receipt dates in the cash database.<br>• Utilize payer websites to locate missing remittances.<br>• Research and resolve posted and unposted payments, including refunds.<br>• Perform routine functions such as daily deposits and payment posting.<br>• Verify payments posted against totals on the bank statement and conduct weekly reconciliation.<br>• Assist with handling incoming calls to the Patient Accounts Department regarding client statements and insurance coverage.<br>• Communicate and assist the Business Office Manager and Patient Accounts Specialists in regards to denied charges, rejected claims, or any other issues that affect reimbursement.Inpatient Coder<p>We are offering a contract for a permanent employment opportunity for an Outpatient Coder in the Healthcare/NHS industry. This fully remote role is based in Prosper, Texas, United States and will involve various disciplines within medical coding such as inpatient, outpatient, and coding audit.</p><p><br></p><p>Responsibilities:</p><ul><li>Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).</li><li>Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.</li><li>Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.</li><li>Goal is to average coding quality standard of =/ >95% accuracy per monitoring period.</li><li>Meets and/or exceeds Conifer’s coding productivity guidelines.</li><li>Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls</li><li>Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution</li></ul><p><br></p>Medical Collections Specialist<p>A Medical Group in Montebello is in the immediate of two strong Medical Collections Specialists who are bilingual in Spanish and English. This position works closely with the Manager while performing all components in the Insurance AR Follow Up Process for existing and new patients as well as working closely with staff. The Medical Collections Specialists supports the vision and mission of Healthcare Organization through providing excellent patient service throughout the entire Patient Services Process. <u>The Medical Collections Specialist MUST be bilingual in Spanish and English</u></p><p><br></p><p>The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned. </p><p><br></p><ul><li>Contacting insurance companies daily to resolve outstanding claims issues, using the collection connection.</li><li>Respond to emails in a timely manner and work reports daily.</li><li>Report all coding, denial issues and appeal requests to designated associates/management.</li><li>Resolve disputed balances.</li><li>Report any identified billing issues that result in non-collection to the manager. </li><li>Exhibit continual adherence to policies and regulations regarding HIPAA and Electronic Patient Health Information EPHI).</li><li>Attend education activities, in-services and staff meetings as required.</li><li>Consistent, regular attendance as scheduled in compliance with attendance policies.</li><li>Comply with company policies and procedures in accordance with state and federal regulations (CMS, HIPAA, OSHA or other governing agencies).</li><li>Other duties as assigned by Management.</li><li><u>MUST be bilingual in Spanish and English</u></li></ul><p><br></p>Medical Billing SpecialistWe are offering a permanent employment opportunity for a Medical Billing Specialist. In this role, you will be tasked with a range of responsibilities, from processing insurance claims to ensuring timely payments. This position is in the healthcare industry, and your workplace will be a non-profit organization dedicated to providing superior healthcare services.<br><br>Responsibilities:<br>• Accurately coding procedures and diagnoses for the purpose of medical records and billing<br>• Collaborating with healthcare providers and insurance companies to address discrepancies and inaccuracies in claims<br>• Complying with HIPAA laws, including those pertaining to confidentiality, when handling medical information<br>• Providing clear answers to patients' billing inquiries while upholding high customer service standards<br>• Ensuring payments from patients and insurance companies are received in a timely manner<br>• Reviewing accounts for potential assignment and offering recommendations to the billing supervisor<br>• Performing various administrative tasks as required<br>• Processing and submitting insurance claims on behalf of patients<br>• Validating patients' insurance information and performing insurance verification for medical services.Accounting Manager<p><em>The salary range for this position is $120,000-$140,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p>Sweater weather is here! Treat yourself this Fall season to a new job opportunity at a Fortune 500 company that was voted one of the best places to work in 2024. </p><p><br></p><p><strong>Responsibilities: </strong></p><ul><li>Managing the month end close process from beginning to end</li><li>Ownership of monthly financial reporting and maintaining business metrics to evaluate the company’s performance at a consolidated and terminal level</li><li>Identify and establish best-practice accounting policies and procedures</li><li>Review of balance sheet account reconciliations and income statement review to ensure proper account coding and accrual practices</li><li>Manage weekly financial dashboards for management reporting</li><li>Oversee treasury function and collaborate with treasurer on banking specific projects and ad hoc requests</li><li>Manage Roadtex accounting team and communicate effectively with various team members</li><li>Collaborate with the corporate office for ad hoc requests including the corporate FP& A team for financial metrics, data requests, and forecasts</li><li>Fulfill documentation requests for audit and other compliance (business, legal, and insurance) requirements</li><li>Reconciliation between TMS (ERP) system and accounting system</li><li>Assistance with accounting software integration and process mapping</li><li>Collaborates across functions including IT and operations to recommend solutions, identify opportunities for improvement, and implement projects to increase productivity and automation</li><li>Creating a culture of continuous improvement for the accounting functions</li></ul><p><br></p>Financial Analyst/Manager<p>Our client, a prestigious and growing law firm, is searching for their new Financial Analyst. This newly created and highly visible role will support their CFO, work with the entire finance & accounting team and have true exposure to firm leadership. In this role, you will be responsible for coordinating the preparation, development, and maintenance of the annual budget and periodic forecasts. You will also work to identify and research variances to forecast, budget, and prior-year expenses, as well as prepare cash flow projections. This role is an exciting opportunity to apply your skills in financial analysis, budgeting and forecasting, and general ledger management, among others.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate the preparation, development, and maintenance of the annual budget and periodic forecasts</p><p>• Identify and research variances to forecast, budget, and prior-year expenses on a monthly, quarterly, and annual basis</p><p>• Articulate explanations to budget variances and proactively identify action items and opportunities for improvement</p><p>• Prepare cash flow projections on a monthly, quarterly, and annual basis and assist with year-end cash flow planning</p><p>• Prepare ad-hoc and periodic statistical and metrics reports and develop expert knowledge of the firm’s business intelligence solution to extract financial data upon request</p><p>• Develop and maintain financial models as requested</p><p>• Prepare and/or review adjusting journal entries and work with accounting staff, and budget holders, on resolving GL coding issues</p><p>• Develop and prepare worksheets to evaluate billing rate increases</p><p>• Maintain Financial Dashboard and make updates when required, interface with subject matter consultants</p><p>• Participate in the development and implementation of relevant accounting software and internal reporting enhancement</p><p><br></p><p>Our client offers medical benefits as part of their overall compensation package </p><p> </p><p>Please submit your resume in confidence to Raj Khanna, Senior Vice President at Robert Half or directly via LinkedIn for immediate consideration for this or one of our other active career opportunities in the Washington Metro area.</p><p> </p>Manager of Inpatient Applications<p>We are looking for a dedicated Manager of Applications to join our team in the healthcare industry located in Hartford County, Connecticut. In this role, you will be leading a team that designs, implements, maintains, and analyzes data from various clinical and business information systems. You will be providing technical leadership to a team of Clinical Informatics Specialists and Analysts, and using the data produced by these systems to help stakeholders identify trends and improvement areas. </p><p><br></p><p>Responsibilities: </p><p><br></p><p>• Lead a team to design, implement, and maintain clinical and business information systems</p><p>• Supervise the implementation of electronic health record (EHR) systems and other relevant health information systems</p><p>• Provide technical leadership and guidance to a team of Clinical Informatics Specialists and Analysts</p><p>• Use the data produced by these systems to assist stakeholders in identifying trends and areas for improvement</p><p>• Ensure all systems are functioning properly and recommend improvements when necessary</p><p>• Support the inpatient workflows for current applications using MEDITECH, Business Intelligence (BI), and EHR SYSTEM skills</p><p>• Exhibit strong clinical and organizational leadership skills in managing the team and the systems.</p>Accounting Associate<p><em>The salary range for this position is $70,000-$85,000 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>Feeling stuck or straight up bored at your current job? Let’s fix that. A high-End Investment firm is seeking a Accounting Associate. Perks include including above market pay-rates, top-tier health benefits, plenty of work from home flexibility, and other unique perks that their top competitors can’t to provide.</p><p><br></p><p>We are offering an exciting opportunity in Chicago, Illinois, for an Accounting Associate who will have a pivotal role in our team. As an Accounting Associate, your primary focus will be on transactional duties related to Accounts Payable (AP) and Accounts Receivable (AR), as well as assisting with special projects. This role is based in a dynamic environment, where you will be processing client payments, coding invoices for payment, and managing company credit card processing.</p><p><br></p><p><strong>Responsibilities</strong>:</p><p>• Oversee the application and research of client payments and the preparation of deposits</p><p>• Process and apply coding to invoices for payment</p><p>• Assist in the management of Employee Expense and Company Credit Card processing</p><p>• Prepare and enter related journal entries accurately</p><p>• Manage and maintain accurate customer credit records</p><p>• Assist the Accounting Manager and Controller with special projects as necessary</p><p>• Ensure all processing and reporting deadlines are met</p><p>• Utilize skills in Account Reconciliation, Accounts Payable (AP), Accounts Receivable (AR), Billing, Data Entry, Invoice Processing, Microsoft Excel, Oracle, QuickBooks, SAP.</p>Inpatient Coder<p>We are offering a *fully remote* contract to permanent employment opportunity for an Inpatient Coder within the Healthcare/NHS industry. This fully remote role is based in Prosper, TX. As an Inpatient Coding Specialist, you will be primarily tasked with various responsibilities related to medical coding, including inpatient, outpatient, and coding audit.</p><p><br></p><p><strong><u>RESPONSIBILITIES:</u></strong></p><p>- Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).</p><p>- Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.</p><p>- Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.</p><p>- Meets and/or exceeds Conifer’s inpatient coding productivity guidelines</p><p>- Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.</p><p>- Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.</p><p>- Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.</p>Revenue Cycle Director<p>The Revenue Cycle Director is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management, and is primarily responsible for Cash Flow. The position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This role will also manage Provider credentialing. This position is to stay apprised of coding and revenue trends; and is responsible for coding education to clinical and coding/billing staff. In addition, this position will manage all Revenue Cycle Management staff including billers and coders. </p><p> </p><p><strong>Essential Functions</strong>: </p><p>1. Oversee and manage entire revenue cycle including billing, coding, collections, and denial management</p><p>2. Communicate professionally with various payers</p><p>3. Manage, develop, and mentor all revenue department staff, including billers and coders and RCM/Admissions Supervisor</p><p>4. Responsible for management and maintenance of billing and practice management software platform</p><p>5. Provide up to date education for clinical, billing, and coding staff on coding trends</p><p>6. Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies</p><p>7. Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements</p><p>8. Manage and update the charge master based on the current CMS fee schedule and negotiated contracts</p><p>9. Conduct monthly analysis of Medicare/Medicaid/Third Party Payers</p><p>10. Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors</p><p>11. Responsible for the generation and management of revenue, admissions, and credentialing metric reports</p><p>12. Review and resolve issues related to claim generation and rejected/denied billings</p><p>13. Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information</p><p>14. Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations</p><p>15. Maintains appropriate internal controls over accounts receivable, RCM process</p><p>16. Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers</p><p>17. Reviews, monitors, and evaluates third party reimbursement and research variances</p><p>18. Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payors)</p><p>19. All other duties as assigned</p>Medical AdministratorWe are looking for a meticulous and dedicated Medical Administrator to join our team in Houston, Texas. As a Medical Administrator, you will be primarily involved in verifying patient insurance coverage, ensuring that necessary procedures are covered by their insurance provider. This role offers a long term contract employment opportunity.<br><br>Responsibilities <br><br>• Verify patient's insurance coverage by contacting payers and inquiring about enrolment and necessary steps required.<br>• Operate with a high level of confidentiality and security when handling sensitive information.<br>• Perform data entry tasks while maintaining the accuracy of all entries.<br>• Utilize fax and email services to transmit documents as needed.<br>• Engage in enrolment discussions with various parties.<br>• Scan, load, and manage various documents, including forms.<br>• Collaborate with team members to meet or exceed performance metrics.<br>• Monitor and manage customer accounts, taking appropriate action as necessary.<br>• Process customer credit applications with accuracy and efficiency.<br>• Maintain precise customer credit records.Medical Billing/Claims/Collections<p><strong>Job Title:</strong> Medical Claims Specialist (Temp-to-Hire)</p><p><strong>Job Description:</strong></p><p>Seeking a detail-oriented <strong>Medical Claims Specialist</strong> to manage healthcare billing with accuracy and efficiency. The role will be working under great team managers that truly care for the candidates' success in the role, and helps develop their strengths!</p><p><br></p><p><strong>Responsibilities:</strong></p><ol><li><strong>Claims Preparation & Validation:</strong></li></ol><ul><li>Prepare and verify claims for billing per contract terms.</li><li>Ensure all patient and provider information is accurate; run pre-billing reports.</li></ul><ol><li><strong>Collaboration with Teams:</strong></li></ol><ul><li>Resolve coding/documentation issues with clinical staff.</li></ul><ol><li><strong>Claims Tracking & Submission:</strong></li></ol><ul><li>Monitor submission through clearinghouses to ensure payers receive claims.</li></ul><ol><li><strong>Claim Edits:</strong></li></ol><ul><li>Identify and resolve errors (e.g., missing codes, modifiers).</li><li>Resubmit corrected claims promptly.</li></ul><ol><li><strong>Rejections Management:</strong></li></ol><ul><li>Investigate denials with payers and clearinghouses.</li><li>Maintain compliance with Medicaid/Medicare guidelines and payer policies.</li></ul><ol><li><strong>Payment Posting:</strong></li></ol><ul><li>Accurately post EOBs, co-pays, and adjustments in EHR systems.</li><li>Generate claims and payment reports for process improvement.</li></ul><ol><li><strong>Compliance & Knowledge:</strong></li></ol><ul><li>Stay current on HIPAA, ICD-10, CPT, HCPCS coding, and industry updates.</li></ul>Medical AdministratorWe are in search of a diligent Medical Administrator to join our team in the healthcare industry at our Santa Cruz, California location. The role primarily involves managing front desk operations, addressing patient inquiries, and maintaining a high level of professionalism. This role is an on-site position and offers a short-term contract employment opportunity.<br><br>Responsibilities:<br>• Manage front desk operations, ensuring smooth workflow<br>• Maintain high professionalism while interacting with patients and their families<br>• Efficiently handle a high-volume multi-line phone system <br>• Assist with insurance queries and other related issues<br>• Ensure the accurate and efficient processing of patient check-ins<br>• Regularly update and maintain patient records <br>• Handle email correspondence professionally and timely<br>• Create reports and organize documents as required<br>• Multitask effectively to ensure all tasks are completed in a timely manner<br>• Utilize office software tools for administrative tasks and document management.Staff Accountant<p>We are offering an exciting opportunity for a Staff Accountant in Bel Air, California. This role involves managing a variety of accounting tasks such as accounts payable, payroll, month-end close, treasury/accounts receivable, and general accounting. The workplace is dynamic and requires someone proficient in processing customer applications, maintaining accurate records, and resolving customer inquiries. Our client is a leading educational institution who offers an excellent benefits package including 100% covered medical, dental, and vision benefits along with 25 vacation days!</p><p><br></p><p>Responsibilities:</p><p>• Manage the complete cycle of accounts payable, which includes data entry, payment disbursements, compliance with W-9 and sales tax, and 1099 reporting.</p><p>• Handle reimbursements, purchase requests, invoices, and general ledger coding while maintaining both paper and digital files.</p><p>• Supervise the purchase order and expense report system workflow.</p><p>• Run the full payroll cycle, including preparation of payroll batches, reviewing time and attendance, and semi-monthly processing and transmission.</p><p>• Prepare journal entries, reports, and schedules, and investigate any variances or discrepancies.</p><p>• Manage employee timekeeping, including time off requests and attendance tracking, in collaboration with HR and department supervisors.</p><p>• Support the Controller with hard-close requirements, prepare journal entries, account reconciliations, ad-hoc reports, and analysis.</p><p>• Handle general banking tasks, including deposits (in-bank, electronic, cash, etc.).</p><p>• Record and apply cash receipts from all sources, including e-checks, ACH, wire transfers, stocks, checks, cash, and pledges.</p><p>• Assist administration and department managers with Business Office needs.</p>