We are looking for a skilled Medical Collections Specialist to join our team in Irvine, California. This is a Contract-to-Permanent position, offering an excellent opportunity to grow your career in a dynamic healthcare environment. The ideal candidate will play a vital role in managing accounts receivable, resolving payment discrepancies, and ensuring compliance with industry regulations.<br><br>Responsibilities:<br>• Manage accounts receivable by following up on outstanding payments, payment errors, and claim denials.<br>• Analyze insurance Explanation of Benefits (EOBs) and initiate appeals when necessary to resolve discrepancies.<br>• Maintain detailed documentation of account issues, resolutions, and follow-up actions for patient records.<br>• Prepare and send required documentation via mail or other channels to support claims processing.<br>• Stay informed about commercial and managed care pricing models, as well as relevant rules and regulations.<br>• Ensure compliance with organizational policies and healthcare laws, safeguarding patient confidentiality at all times.<br>• Participate in compliance training sessions and promptly report any concerns or incidents to management.<br>• Utilize systems such as EHR platforms, Epic Software, and IBM AS/400 to ensure efficient claims and collections processes.<br>• Support the team by performing additional tasks as directed by supervisors or management.<br>• Contribute to the overall success of the department by collaborating with colleagues to meet organizational goals.
<p>A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,</p><p><br></p><p>Responsibilities:</p><p><br></p><p>1. Investigating and resolving denied claims from various insurance providers.</p><p>2. Reviewing credit balances and denials management. </p><p>3. Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.</p><p>4. Follow up on outstanding claim denials and secure reimbursement where possible.</p><p>5. Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.</p><p>6. Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.</p><p>7. Submit appeals and reconsideration requests to insurance companies for denied claims.</p><p>8. Strong understanding of HMO and PPO. </p>
<p>Our <strong>healthcare client in San Luis Rey</strong> is seeking a proactive <strong>Collections Specialist</strong> to manage outstanding patient and insurance balances within the revenue cycle department. The ideal candidate has prior experience handling medical collections, understands insurance follow-up procedures, and thrives in a fast-paced, results-driven environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Follow up on unpaid insurance claims and patient balances to ensure timely reimbursement.</li><li>Contact insurance companies regarding claim denials, underpayments, and appeals.</li><li>Initiate patient outreach for outstanding self-pay balances with professionalism and empathy.</li><li>Record all collection activities in the billing system, ensuring documentation accuracy.</li><li>Work closely with billing and posting teams to correct errors and resubmit claims.</li><li>Review EOBs and identify opportunities to improve collection efficiency.</li><li>Maintain compliance with HIPAA and Fair Debt Collection Practices Act (FDCPA) standards.</li><li>Generate weekly collection reports and aging summaries for management.</li></ul>
<p>About the Role:</p><p> We’re seeking a detail-oriented and motivated Collector to join our team at a busy Ambulatory Surgery Center. This position is responsible for managing the collection of patient and insurance balances, ensuring timely reimbursement, and maintaining a high level of professionalism in all interactions. The ideal candidate is proactive, organized, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Review and follow up on outstanding patient and insurance balances.</li><li>Process insurance denials and appeals promptly and accurately.</li><li>Contact patients and payers via phone and email to resolve account issues.</li><li>Verify insurance information and update patient records as needed.</li><li>Post payments, adjustments, and reconcile accounts.</li><li>Collaborate with billing and front-office teams to resolve billing discrepancies.</li><li>Maintain compliance with HIPAA and organizational policies.</li></ul>
We are looking for an experienced Medical Billing/Claims/Collections specialist to join our team on a contract basis. This role is based in Northbrook, Illinois, and offers an excellent opportunity to contribute your expertise in medical billing and claims management within a dynamic healthcare setting. The ideal candidate will bring a strong understanding of medical collections, appeals, and denials processes, ensuring timely and accurate handling of claims.<br><br>Responsibilities:<br>• Manage medical billing operations, including hospital billing and claims processing, to ensure accuracy and compliance.<br>• Handle medical collections and follow up on outstanding claims with payers to secure payments.<br>• Investigate and resolve medical denials by reviewing documentation and initiating appeals as needed.<br>• Collaborate with healthcare providers and insurance companies to address claim-related inquiries and discrepancies.<br>• Utilize Epic software and other electronic medical record systems to maintain and update patient billing information.<br>• Ensure adherence to healthcare billing procedures, statutory requirements, and compliance standards.<br>• Perform research to support claim administration and resolve complex billing issues.<br>• Process payments and reconcile accounts to maintain accurate financial records.<br>• Escalate unresolved issues appropriately to ensure timely resolution.<br>• Provide training and support to staff on billing processes and system functionalities.
<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.</p><p>DUTIES AND RESPONSIBILITIES</p><p>-Performs full cycle billing and collection functions for OHMG Surgical detail-oriented fees.</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.</p><p> -Performs all data entry and charge posting functions for OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned.</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p>-Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies.</p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p>- Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Chicago, Illinois. This Contract-to-permanent position offers the opportunity to play a key role in ensuring accurate billing and claims processing within the healthcare sector. The ideal candidate will bring expertise in medical billing, coding, and collections while demonstrating a strong commitment to compliance and patient confidentiality.<br><br>Responsibilities:<br>• Review and validate patient billing information to ensure accuracy and completeness.<br>• Prepare and submit insurance claims electronically or via paper, adhering to industry standards.<br>• Investigate and resolve unpaid claims by coordinating with insurance providers and addressing billing discrepancies.<br>• Collaborate with healthcare providers, patients, and insurance companies to facilitate accurate billing processes.<br>• Maintain strict patient confidentiality and adhere to relevant healthcare regulations.<br>• Keep up to date with current insurance guidelines and billing codes to ensure compliance.<br>• Utilize specialized billing platforms and tools, including Epaces, for claims processing.<br>• Monitor and manage medical collections to ensure timely resolution of outstanding balances.<br>• Provide support for coding tasks related to medical claims and documentation.
<p>Are you a detail-oriented professional with expertise in denials management and medical collections? We are seeking a <strong>Clinical Appeals Medical Collector</strong> to join our team remotely! The ideal candidate will be experienced in handling denials, appeals, and working with various insurance payers, including HMO, PPO, Medicare, and Medi-Cal. If you thrive in a fast-paced environment and are ready to make an impact, this position is for you!</p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage insurance denials and appeals with precision and timeliness.</li><li>Analyze denied claims and identify root causes to reduce future occurrences.</li><li>Submit detailed and comprehensive appeals to insurance providers (HMO, PPO, Medicare, Medi-Cal) to secure payment.</li><li>Stay up-to-date with payer policies and procedures to ensure compliance.</li><li>Collaborate with healthcare providers, payers, and internal team members for resolution of outstanding accounts.</li><li>Maintain accurate documentation of claims and communications.</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.
We are seeking a detail-oriented Medical Billing Collections Specialist to join our team and ensure accurate and timely management of claims for Skilled Nursing Facility services. As a key contributor to the revenue cycle, you'll handle critical tasks such as claims submission, denials management, and appeals, while ensuring compliance with Medicare, Medi-Cal, and other insurance guidelines.<br><br>Key Responsibilities:<br><br>Claims Submission: Accurately and promptly prepare and submit claims to insurance payers for Skilled Nursing Facility services.<br>Denials Management: Review denied claims, identify root causes, and implement corrective actions to minimize future denials.<br>Appeals: Draft and submit effective appeals for claim denials to secure appropriate reimbursements.<br>Billing Accuracy: Maintain detailed, accurate patient records, ensuring compliance with Medicare, Medi-Cal, and payer-specific requirements.<br>Follow-Up: Communicate with insurance companies and other payers to resolve outstanding claims and secure timely reimbursements.<br>Regulatory Compliance: Stay informed and ensure adherence to all federal, state, and local billing regulations, including compliance with HIPAA.<br>Collaboration: Work closely with administrative and clinical teams to optimize billing workflows and integrate documentation processes.<br>Reporting: Generate clear, actionable account reports showing billing trends, claim statuses, and resolution timelines for management review.
<p>Nationally recognized hospital system is seeking a dedicated and experienced <strong>Medical Insurance Collections Specialist</strong> to join our dynamic team. In this critical role, you will be responsible for handling insurance collections, ensuring accurate claims processing, and collaborating with internal departments to resolve outstanding accounts. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced healthcare environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Review patient accounts to identify unpaid claims and follow up with insurance providers for resolution.</li><li>Resolve denials and claim discrepancies by researching and resubmitting claims where necessary.</li><li>Communicate with patients and insurance companies regarding outstanding balances and payment plans.</li><li>Maintain accurate and up-to-date records of all collections activities in compliance with company policies and healthcare regulations.</li><li>Collaborate with the billing, coding, and accounts receivable teams to address any billing issues and expedite payments.</li><li>Analyze insurance claims to identify trends, minimize denials, and maximize collections efficiency.</li><li>Ensure compliance with HIPAA and all applicable regulations in handling sensitive healthcare and financial information.</li></ul><p><br></p>
We are looking for a meticulous individual to join our healthcare team in Henrico, Virginia as part of a long-term contract position. This role focuses on medical billing, claims processing, and collections, ensuring seamless revenue cycle management. The ideal candidate will demonstrate expertise in handling billing systems and claims appeals within a medical setting.<br><br>Responsibilities:<br>• Manage medical billing processes, including claims submission and payment tracking.<br>• Conduct collections efforts to recover overdue payments and resolve outstanding balances.<br>• Analyze and address medical denials by identifying root causes and implementing corrective actions.<br>• Prepare and submit medical appeals to insurance providers for rejected claims.<br>• Collaborate with hospital billing departments to ensure accurate documentation and coding.<br>• Utilize eClinicalWorks (eCW) software for efficient claims management and record-keeping.<br>• Maintain compliance with healthcare regulations and billing standards.<br>• Communicate effectively with patients, providers, and insurance companies to resolve billing inquiries.<br>• Monitor account statuses and generate regular reports for revenue cycle performance.<br>• Identify opportunities to streamline billing workflows and improve operational efficiency.
We are looking for a dedicated Claims Adjustor to join our team on a contract basis in Des Moines, Iowa. In this role, you will handle medical-only workers' compensation claims, ensuring accuracy and prompt processing. This position requires excellent customer service skills and attention to detail to effectively manage a low volume of daily calls and claims.<br><br>Responsibilities:<br>• Review workers' compensation claims to ensure compliance with medical and insurance standards.<br>• Process medical-only claims accurately and in a timely manner.<br>• Communicate with customers to address inquiries and provide exceptional service.<br>• Collaborate with team members to maintain organized and efficient claim workflows.<br>• Handle medical billing and insurance claim documentation with precision.<br>• Monitor and manage medical denials and appeals to resolve issues.<br>• Support hospital billing processes and ensure proper claim handling.<br>• Maintain detailed records for claims and related communications.<br>• Identify discrepancies in claim submissions and take corrective actions.<br>• Provide regular updates and reports on claim processing activities.
<p>We are looking for a skilled individual to join our healthcare team in Henrico, Virginia, as a Medical Billing Specialist. In this long-term contract role, you will play a vital part in ensuring the accuracy and efficiency of billing processes, claims management, and collections. This position offers an excellent opportunity to contribute to the healthcare industry's revenue cycle management while utilizing your expertise in medical billing systems.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and on time to ensure timely reimbursement.</p><p>• Review and resolve billing discrepancies, denials, and appeals effectively.</p><p>• Manage collections activities by following up on outstanding balances and communicating with patients and insurance providers.</p><p>• Utilize eClinicalWorks (eCW) to maintain and update billing records and claims information.</p><p>• Identify and address issues related to hospital billing processes to improve efficiency.</p><p>• Collaborate with the revenue cycle management team to optimize billing workflows.</p><p>• Analyze financial data and prepare reports related to claims and collections.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Provide excellent customer service while addressing patient inquiries regarding billing and payments.</p><p>• Stay updated on industry best practices and changes in medical billing policies.</p>
<p>Are you an experienced Medical Biller/Collector with strong leadership skills and a passion for solving complex billing issues? Join a dynamic team as our next <strong>Lead Medical Biller Collector</strong>! We are seeking a driven professional with hands-on experience in medical billing and collections, appeals, denials management, and overseeing a high-performing team.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead and assist in overseeing a team of medical billers and collectors, providing mentorship and ensuring optimal team performance.</li><li>Actively contribute to the day-to-day production of billing and collections processes.</li><li>Manage and resolve all aspects of insurance denials, including appeals and root-cause analysis.</li><li>Collaborate with team members to create strategies that minimize denials and optimize operational workflows.</li><li>Work with Medi-Cal, Medicare, and Commercial medical insurance payers to ensure timely and accurate claim submissions and payments.</li><li>Stay informed of changes in insurance guidelines and compliance requirements</li></ul><p><strong>Qualifications:</strong></p><ul><li>Proven experience in a medical billing and collections role, including leading or assisting in managing a team.</li><li>Hands-on expertise in insurance appeals, denials management, and identifying root causes of claim denials.</li><li>In-depth experience working with Medi-Cal, Medicare, and Commercial insurance providers.</li><li>Strong knowledge of medical billing systems and coding practices (CPT, ICD-10, HCPCS).</li><li>Excellent problem-solving, organizational, and communication skills.</li><li>Ability to work both independently and collaboratively in a remote environment.</li></ul><p><br></p><p><br></p>
<p>We’re partnering with a well-established credit union experiencing significant growth and team integration! Their collections department now supports both direct and indirect lending and is seeking a service-minded professional to join their team.</p><p><br></p><p>Apply today or contact our team at 563-359-3995 to learn more. Christin, Lydia, and Erin are great points of contact!</p><p><br></p><p>Details:</p><p>Location - Onsite: Moline, IL</p><p>Hours: M-F 8:30am-5pm</p><p>Duration: Contract-to-Hire</p><p><br></p><p>Key Responsibilities:</p><p>- Handle early-stage delinquency queues (typically 7+ days past due) with a focus on proactive, respectful outreach via phone, text, and email</p><p>- Respond to inbound member calls regarding locked accounts, payment issues, and account recovery</p><p>- Collaborate with team members to find solutions and bring accounts back into good standing</p><p>- Progress into more complex queues over time, with opportunities to develop negotiation skills</p><p>- Contribute to a team culture that emphasizes member service, accountability, and collaboration</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Glen Burnie, Maryland. In this Contract-to-permanent role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ideal candidate will bring a strong understanding of medical billing practices and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Submit medical claims to insurance companies and ensure timely reimbursement for healthcare services provided.</p><p>• Verify the accuracy of patient demographic information and insurance details to prevent claim errors.</p><p>• Review denied or unpaid claims and work on appeals to secure payment.</p><p>• Communicate effectively with insurance companies, healthcare providers, and patients to address billing concerns.</p><p>• Utilize medical coding knowledge, including ICD-10, to process claims accurately.</p><p>• Maintain confidentiality of patient information in compliance with healthcare regulations.</p><p>• Handle insurance verifications and follow up on outstanding claims.</p><p>• Collaborate with team members to streamline billing processes and improve efficiency.</p><p>• Utilize electronic medical record (EMR) systems to manage data entry and documentation.</p><p>• Stay updated on changes in medical billing procedures and insurance policies.</p>
We are looking for a detail-oriented Medical Billing Specialist to join our team in Rochester, New York. In this Contract-to-Permanent position, you will play a key role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with healthcare regulations. This is an excellent opportunity for professionals with expertise in medical billing systems and a commitment to providing high-quality service.<br><br>Responsibilities:<br>• Process and submit medical claims to insurance providers, ensuring accuracy and adherence to guidelines.<br>• Verify patient information and eligibility prior to claim submission.<br>• Monitor accounts receivable and follow up on unpaid or denied claims.<br>• Collaborate with healthcare providers to resolve billing discrepancies and ensure proper coding.<br>• Utilize systems such as MEDENT and Epic EMR to manage billing operations efficiently.<br>• Conduct audits to ensure compliance with billing and coding regulations.<br>• Communicate with patients regarding billing inquiries and payment options.<br>• Maintain up-to-date knowledge of medical billing policies and insurance requirements.<br>• Generate and analyze financial reports related to billing and collections.<br>• Provide support during system updates or transitions to ensure continuity in billing processes.
We are looking for a detail-oriented Medical Billing Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring accurate and timely processing of medical claims, collections, and coding. Based in New Orleans, Louisiana, this position offers an opportunity to contribute your expertise to a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Process medical claims with accuracy and efficiency, adhering to industry standards and regulations.<br>• Conduct medical coding to ensure proper classification and compliance with billing requirements.<br>• Manage collections by following up on outstanding balances and resolving discrepancies.<br>• Utilize Epaces and other systems to monitor claims and maintain data integrity.<br>• Communicate effectively with healthcare providers and insurance companies to address billing issues.<br>• Verify patient information and insurance details to facilitate accurate billing.<br>• Identify and resolve errors in claims submissions to minimize delays and denials.<br>• Maintain up-to-date knowledge of billing policies, procedures, and regulatory changes.<br>• Generate reports to track billing performance and identify areas for improvement.<br>• Collaborate with team members to streamline billing processes and enhance operational efficiency.
<p>We are looking for a skilled Collections Specialist to manage and improve business-to-business accounts receivable processes. This is a permanent position with standard Monday-Friday business hours. This role requires a proactive approach to handling complex and overdue accounts while ensuring smooth communication with clients. The ideal candidate will be dedicated to resolving outstanding balances efficiently and contributing to the overall financial health of the organization. The ideal candidate is someone with 2-3+ years of collections experience. </p><p><br></p><p>Responsibilities:</p><p>• Conduct thorough follow-ups on overdue accounts to ensure timely payment.</p><p>• Manage and resolve challenging or complex collections cases with persistence and professionalism.</p><p>• Maintain accurate records of collection activities and update account statuses regularly.</p><p>• Perform comprehensive clean-up of accounts receivable and collections data to streamline processes.</p><p>• Collaborate with clients to address billing discrepancies and negotiate payment arrangements.</p><p>• Transition from intensive collections efforts to softer approaches as accounts stabilize.</p><p>• Utilize multiple systems effectively to track and manage collection activities.</p><p>• Prepare detailed reports on collection performance and outstanding balances.</p><p>• Communicate effectively with internal teams regarding account statuses and customer concerns.</p><p><br></p><p>They do offer a full benefits package: medical/dental/vision, 401K, PTO, paid holidays, and a wonderful flexible team! </p>
We are looking for a detail-oriented Plaintiff Litigation Paralegal to join our team in San Francisco, California. In this role, you will play a critical part in supporting attorneys with case preparation, discovery management, and client coordination. This position offers an opportunity to work on complex litigation matters involving multiple plaintiffs, requiring strong organizational skills and legal expertise.<br><br>Responsibilities:<br>• Manage intricate multi-plaintiff cases, ensuring client information is accurately gathered, analyzed, and organized.<br>• Maintain and update comprehensive client databases to support case management.<br>• Conduct thorough client intake interviews to gather essential case details.<br>• Monitor discovery and filing deadlines, keeping attorneys informed of upcoming tasks and ensuring timely submissions.<br>• Coordinate the collection of documents from clients to support discovery responses and establish liability and damages claims.<br>• Request and organize records such as medical bills, medical records, police reports, and other relevant documentation.<br>• Summarize and systematically organize medical records and associated expenses for case preparation.<br>• Assist attorneys with drafting and responding to written discovery requests, including interrogatories and Fact Sheets.<br>• File complaints, motions, and other legal pleadings with precision and timeliness.<br>• Notify lienholders and manage lien information effectively, ensuring compliance with settlement procedures.
We are looking for an experienced Collections Specialist to join our team in DFW Airport, Texas. In this Contract-to-permanent position, you will play a key role in managing and improving collection processes for both commercial and consumer accounts. This role offers an exciting opportunity to contribute to the financial health of the organization while collaborating with a dedicated team.<br><br>Responsibilities:<br>• Manage the collection of outstanding balances from both commercial and consumer accounts in a timely manner.<br>• Communicate effectively with clients to resolve payment issues and disputes.<br>• Review and analyze accounts to identify overdue payments and implement appropriate collection strategies.<br>• Maintain accurate records of collection activities and ensure compliance with company policies.<br>• Collaborate with internal departments to streamline billing and collection processes.<br>• Monitor account aging reports and prioritize collection efforts based on risk and value.<br>• Provide regular updates and reports to management concerning collection status.<br>• Develop and implement strategies to minimize overdue accounts and improve recovery rates.<br>• Ensure adherence to credit and collection policies and industry regulations.<br>• Respond promptly to inquiries regarding billing and payment discrepancies.
We are looking for a skilled Case Manager to join our team in Encino, California. In this role, you will oversee multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a dynamic work environment and opportunities for growth.<br><br>Responsibilities:<br>• Manage multiple pre-litigation cases, ensuring timely and effective resolution.<br>• Supervise and guide entry-level case managers in their daily tasks and responsibilities.<br>• Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.<br>• Coordinate property damage and loss of use claims, ensuring proper resolution.<br>• Identify healthcare providers and schedule medical appointments for injury treatment.<br>• Advocate for clients by monitoring their medical treatment and arranging necessary care based on provider recommendations.<br>• Review, analyze, and interpret medical records, surgical reports, and medical bills.<br>• Prepare case files and documentation for submission to the demands department.<br>• Communicate effectively with clients, healthcare providers, and internal staff to maintain a high level of service.
<p>Our client is looking for a medical billing specialist to join their team on a contract to hire basis. This is a hybrid role and will require in office days 3 times a week. CPC is a must have and great communication preferred. </p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy and compliance.</p><p>• Monitor claim submission activities and generate reports to track progress and efficiency.</p><p>• Assemble and mail claims with all necessary documentation, including attachments, explanations of benefits (EOBs), and proper postage.</p><p>• Research patient encounter details to ensure proper packaging and billing of services in alignment with contract guidelines.</p><p>• Identify and resolve claim discrepancies proactively, collaborating with internal teams and external stakeholders.</p><p>• Manage invalid claims by correcting errors and updating physician and contract information.</p><p>• Operate automated systems to retrieve patient demographics, insurance details, and generate reports.</p><p>• Perform data entry for essential claim components, reconciling daily charges to ensure accuracy and compliance with turnaround requirements.</p><p>• Maintain organized records of claims, including storage of batches, transmittals, EOBs, and related documents.</p><p>• Participate in staff meetings, continuing education programs, and provide coverage for all billing activities as needed.our</p>
We are looking for a skilled and dedicated Collections Specialist to join our team in Alpharetta, Georgia. In this position, you will be responsible for managing customer accounts, ensuring timely payments, and resolving billing issues. If you thrive in a fast-paced environment and excel in B2B collections, we invite you to apply.<br><br>Responsibilities:<br>• Oversee a portfolio of customer accounts, ensuring the efficient collection of outstanding balances.<br>• Record and manage collection activities using Oracle with precision and compliance to company policies.<br>• Investigate and address discrepancies in payments, billing errors, and short payments to achieve resolution.<br>• Work collaboratively with Sales, Customer Service, and Accounting teams to resolve disputes and maintain customer satisfaction.<br>• Prepare and analyze aging reports, identifying trends and sharing updates with management regarding collection progress.<br>• Recommend appropriate actions for delinquent accounts, including escalation, write-offs, or legal measures.<br>• Build and maintain positive relationships with customers while enforcing payment terms and policies.
