<p>A healthcare organization in Baltimore is seeking an experienced Customer Service Representative with a background in public health to join their team! In this contract position, you will handle high volumes of inbound calls related to public health information, ensuring callers receive accurate guidance and are directed to appropriate resources. This contract role requires strong communication skills and a commitment to excellent customer service, with the potential for extension based on organizational needs.</p><p><br></p><p>Responsibilities:</p><p>• Manage high volumes of inbound calls from the public, providing accurate information and support.</p><p>• Follow established scripts and protocols to ensure consistent communication.</p><p>• Maintain a detail-oriented and courteous demeanor while addressing caller inquiries.</p><p>• Ask clarifying questions to understand caller needs and minimize errors.</p><p>• Direct callers to the appropriate departments or resources based on their concerns.</p><p>• Accurately document call details and interactions in the system.</p><p>• Protect caller confidentiality and adhere to organizational policies.</p><p>• Escalate complex or urgent issues in accordance with provided guidelines.</p><p>• Work collaboratively with team members to ensure smooth operations.</p>
<p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Roanoke, Virginia. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status.</li></ul>
<p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Lewiston and Bangor, ME. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status.</li></ul><p><br></p>
<p>We are offering a long-term contract-to-hire employment opportunity for a Medical Customer Service Representative in Lewes, DE. This Medical Customer Service Representative role is in the health sector and is centered around patient registration in both the Outpatient and Emergency Departments. The workplace is onsite-local and offers varied shifts. Apply to become a Medical Customer Service Representative today!</p><p><br></p><p>Responsibilities:</p><ul><li>Engage in patient-facing activities and provide a high level of customer service.</li><li>Process patient credit applications with accuracy and efficiency.</li><li>Responsible for answering inbound calls and dealing with patient queries promptly.</li><li>Maintain an up-to-date record of patient credit information.</li><li>Perform authorizations, benefit functions, and billing functions as part of the role.</li><li>Participate in clinical trial operations as required.</li><li>Monitor patient accounts and take necessary actions based on account status</li></ul>
<p>We are looking for a Medical Customer Service Rep to support patients and healthcare customers through a high-volume call center environment in Connecticut. This Contract position is ideal for someone who communicates clearly, handles sensitive information with professionalism, and is comfortable assisting with billing questions and general patient inquiries. The role requires strong customer service skills, confidence using basic medical terminology, and the ability to guide callers to the appropriate resources.</p><p><br></p><p>Responsibilities:</p><p>• Respond to inbound calls from patients and other callers, providing courteous and efficient service in a fast-paced support setting.</p><p>• Assist individuals with questions related to patient accounts, billing matters, and general service concerns while maintaining accuracy and empathy.</p><p>• Explain basic healthcare-related information using appropriate medical terminology in a clear and understandable manner.</p><p>• Route callers to the correct department, provider, or resource based on the nature of their needs.</p><p>• Document conversations, updates, and follow-up details accurately within company systems.</p><p>• Address patient concerns professionally and escalate more complex issues when additional support is needed.</p><p>• Maintain confidentiality and handle all interactions in accordance with organizational standards and privacy expectation.</p>
<p>We are looking for a Medical Customer Service Rep to support home-based care coordination for patients managing chronic conditions. This Contract position is based in San Francisco, California, and focuses on delivering responsive service through phone, ticketing, and scheduling support in a fast-moving healthcare environment. The person in this role will help organize patient visit logistics, maintain accurate documentation, and work closely with pharmacies, nurses, and internal teams to keep operations running smoothly.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate in-home nursing visit schedules using internal systems and external tools to ensure timely patient care.</p><p>• Respond to a steady volume of inbound calls from patients, pharmacy partners, and nursing staff with professionalism and urgency.</p><p>• Monitor and resolve service requests in Zendesk while keeping records accurate, complete, and up to date.</p><p>• Confirm upcoming appointments and adjust visit details as needed to support daily care delivery.</p><p>• Gather, review, and upload required documentation to maintain compliance and support continuity of service.</p><p>• Manage competing priorities efficiently in a high-volume setting while meeting established turnaround expectations.</p><p>• Partner with cross-functional teams to share observations, address workflow challenges, and improve service quality.</p><p>• Build productive working relationships with specialty pharmacies and nursing partners to support coordinated care.</p><p>• Identify opportunities to streamline administrative processes and contribute ideas that enhance operational performance.</p><p><br></p>
<p><em>Robert Half is seeking a Customer Service Specialist for an exciting opportunity with a growing organization in the Lehigh Valley area.</em></p><p><br></p><p>Are you a people-first professional who thrives on delivering exceptional service? We’re partnering with a well-established company looking to add a Customer Service Specialist to their team. This is a great opportunity for someone who enjoys solving problems, building relationships, and being a key point of contact for customers.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Serve as the primary point of contact for customer inquiries via phone, email, and/or chat</li><li>Resolve customer issues efficiently while maintaining a positive and professional experience</li><li>Process orders, returns, and account updates with accuracy and attention to detail</li><li>Collaborate with internal teams (sales, operations, billing) to ensure customer needs are met</li><li>Maintain detailed records of customer interactions in CRM systems</li><li>Identify opportunities to improve processes and enhance the overall customer experience</li></ul>
<p>We are seeking a Customer Support / Escalations Specialist to handle complex customer issues, ensure timely resolutions, and provide a high level of service.</p><p><strong>Job Description</strong></p><ul><li>Respond to escalated customer concerns via phone, email, or chat</li><li>Investigate issues and coordinate with internal departments for resolution</li><li>Maintain detailed documentation of customer cases and outcomes</li><li>Identify recurring issues and recommend process improvements</li><li>Provide support to frontline team members on escalated matters</li><li>Ensure customer concerns are resolved in a timely and professional manner</li></ul><p><br></p>
We are looking for a highly skilled Customer Service Specialist to join our team in Greensboro, North Carolina. This is a long-term contract position ideal for someone passionate about delivering exceptional service and resolving customer inquiries efficiently. The successful candidate will thrive in a fast-paced call center environment and demonstrate expertise in handling multi-line phone systems and data entry.<br><br>Responsibilities:<br>• Provide superior customer service by addressing inquiries and resolving complaints with professionalism and efficiency.<br>• Handle inbound calls in a high-volume call center setting while ensuring customer satisfaction.<br>• Operate multi-line phone systems to manage and prioritize incoming calls effectively.<br>• Perform accurate data entry to document customer interactions and maintain records.<br>• Collaborate with team members to ensure seamless communication and service delivery.<br>• Utilize Windows PC systems to access and update customer information.<br>• Maintain a thorough understanding of company policies to provide consistent and accurate information.<br>• Identify and escalate unresolved issues to appropriate departments for further assistance.<br>• Monitor call center operations and contribute to process improvement initiatives.<br>• Uphold a positive and helpful attitude while managing challenging situations with customers.
<p>We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement.</p><p>Responsibilities</p><ul><li>Submit and manage medical claims</li><li>Verify insurance eligibility and benefits</li><li>Resolve claim denials and billing discrepancies</li><li>Post payments and maintain accurate records</li><li>Communicate with patients and insurance providers</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up.<br><br>Responsibilities:<br>• Process medical claims with accuracy and ensure billing information is complete before submission.<br>• Review coding and billing details to identify discrepancies and resolve issues that could delay payment.<br>• Follow up on unpaid or underpaid accounts with payers to support timely collections.<br>• Maintain billing records and update account documentation to reflect claim status and payment activity.<br>• Use EPACES and related systems to verify claim information and assist with billing workflows.<br>• Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
<p>We are seeking a detail-oriented Medical Biller with strong customer service skills to support billing operations and provide a positive experience for patients and internal partners. This role requires accuracy, professionalism, and the ability to communicate clearly while resolving billing questions and issues. This is a<strong> part-time</strong> role only. </p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Process and submit medical claims accurately and timely to insurance carriers</li><li>Review patient accounts and insurance payments to ensure correct posting and follow-up</li><li>Respond to patient billing inquiries with professionalism, empathy, and clear explanations</li><li>Resolve billing issues, payment discrepancies, and rejected or denied claims</li><li>Coordinate with insurance companies, providers, and internal teams to resolve account issues</li><li>Maintain accurate documentation and notes within billing systems</li><li>Follow HIPAA guidelines and maintain confidentiality of patient information</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Richmond, Virginia. This contract opportunity with permanent potential is ideal for someone who brings strong knowledge of medical claims, insurance billing, and account follow-up in a fast-paced office setting. The person in this role will help drive timely reimbursement, resolve claim issues efficiently, and deliver a high standard of service to patients and insurance partners.<br><br>Responsibilities:<br>• Monitor aging reports and proactively pursue patient account balances that remain unpaid beyond 60 days from the date of service.<br>• Submit electronic primary and secondary insurance claims accurately and consistently to support prompt payment processing.<br>• Investigate rejected, returned, or denied claims and take corrective action quickly, including resubmission and account adjustment when needed.<br>• Prepare and submit claim appeals with clear supporting documentation to improve reimbursement outcomes.<br>• Review billing details for accuracy, completeness, coding alignment, and insurance selection before claims are finalized.<br>• Work directly with insurance carriers and third-party contacts to resolve denials, partial payments, suspended claims, and other reimbursement barriers.<br>• Research payer-related issues such as coverage questions, network concerns, and workers' compensation claim challenges.<br>• Reconcile accounts and address correspondence within established turnaround expectations to maintain efficient collections activity.<br>• Share weekly productivity updates and maintain organized documentation of billing follow-up efforts.<br>• Provide billing and eligibility guidance related to coding, payer requirements, and insurance coverage questions.
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and on schedule to support timely reimbursement.<br>• Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission.<br>• Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes.<br>• Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances.<br>• Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system.<br>• Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements.<br>• Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward.<br>• Support billing operations using Athena software and contribute to process updates within the department as needed.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baton Rouge, Louisiana for a short-term contract position. In this role, you will help keep billing operations accurate and efficient by translating clinical documentation into billable information, managing claims activity, and supporting timely reimbursement. This opportunity is ideal for someone who understands healthcare billing processes, communicates effectively with multiple stakeholders, and can maintain compliance in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Assign appropriate billing and coding details to patient accounts based on documented diagnoses, treatments, and services provided.</p><p>• Prepare and submit insurance claims accurately, then monitor their progress to support prompt payment and correct posting of reimbursements.</p><p>• Research denied, rejected, or outstanding claims and coordinate with payers, patients, and internal staff to resolve discrepancies.</p><p>• Confirm insurance coverage and eligibility information before billing and assist in addressing patient account and payment-related questions.</p><p>• Reconcile billing records and account activity to help maintain accurate financial information across the revenue cycle.</p><p>• Document billing actions thoroughly and preserve organized records to support audit readiness and operational accuracy.</p><p>• Stay current on payer policies, coding standards, and healthcare billing regulations to promote compliant claim submission.</p><p>• Identify recurring billing issues and recommend process improvements that strengthen collections and overall revenue cycle performance.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Columbus, Ohio. This long-term Contract position is ideal for someone who can manage billing activity accurately, resolve claim issues efficiently, and communicate proactively with internal stakeholders. The role combines hands-on medical billing work with claim follow-up, denial resolution, and consistent data entry in a hybrid work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing transactions accurately and maintain steady workflow across a high monthly volume of claims.</p><p>• Investigate denied or unpaid claims, identify the cause of issues, and take appropriate action to support timely reimbursement.</p><p>• Perform follow-up activities with payers and related parties to help reduce outstanding balances and improve collection outcomes.</p><p>• Enter billing and claim information into internal systems with a high degree of accuracy and attention to detail.</p><p>• Use Microsoft Excel for routine tracking, status updates, and organizing billing-related data.</p><p>• Communicate clearly and proactively with team members regarding claim status, billing concerns, and items needing resolution.</p><p>• Support revenue cycle management activities by helping keep billing processes organized, current, and compliant.</p><p>• Work in a hybrid schedule, including on-site attendance in Columbus, Ohio one to two days per week as needed.</p>
<p>A well-established healthcare organization in the Central PA area is seeking a detail-oriented Medical Billing Specialist to support accurate and timely claims processing. This role is ideal for someone who understands the full revenue cycle and enjoys working in a fast-paced, team-oriented environment.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Prepare and submit insurance claims (electronic and paper) in a timely manner</li><li>Review charges, coding, and documentation for accuracy prior to billing</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Post payments and adjustments while ensuring proper allocation</li><li>Communicate with insurance companies, patients, and internal teams regarding billing inquiries</li><li>Maintain compliance with healthcare regulations and payer requirements (HIPAA, etc.)</li></ul><p><br></p>
We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement.<br>Key Responsibilities<br><br>Review and submit hospital claims to third‑party payers<br>Resolve claim edits generated by EHR and clearinghouse systems<br>Reconcile claim acceptance and rejection reports<br>Maintain assigned work queues to meet productivity and quality standards<br>Ensure compliance with payer requirements and billing regulations<br>Coordinate with internal departments to resolve missing or incorrect claim information<br>Document claim activity and follow‑up in billing systems<br>Apply payer‑specific billing rules and reimbursement guidelines<br><br>Qualifications<br>High School Diploma or GED required<br>2+ years of medical billing or healthcare accounts receivable experience<br><br>Working knowledge of ICD‑10, CPT, and HCPCS coding<br>Experience with healthcare billing or patient accounting systems<br>Proficiency with Microsoft Office, including Excel<br>Strong attention to detail, organization, and time management skills<br>Ability to manage high‑volume workloads accurately<br><br>For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
<p>We are seeking a <strong>Medical Billing Specialist</strong> to join our team immediately. This is a great opportunity for someone who thrives in a <strong>fast-paced, team-oriented healthcare environment</strong> and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee**</p><p><br></p><p>Position Overview</p><p>The Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in <strong>Medicare and Medicaid billing and claims</strong>. We are looking for someone adaptable, self-directed, and ready to grow with the team.</p><p><br></p><p>Key Responsibilities</p><ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</li></ul>
We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
<p>A respected hospital in the San Fernando Valley is seeking an experienced and results-driven Hospital Medical Collections Specialist to join its revenue cycle team. This role is ideal for a motivated professional with a strong background in hospital collections, payer follow-up, and denial resolution. The ideal candidate will play a key role in accelerating reimbursements, reducing aging accounts receivable, and ensuring accurate resolution of inpatient and outpatient claims across a variety of payer sources.</p><p>The hospital is open to candidates with 2+ years of medical collections experience, particularly within an acute care or hospital setting.</p><p>Key Responsibilities</p><ul><li>Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers</li><li>Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution</li><li>Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs</li><li>Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims</li><li>Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history</li><li>Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes</li><li>Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates</li><li>Monitor assigned accounts to reduce aging AR and improve overall collection performance</li><li>Support departmental goals related to cash collections, denial management, and revenue cycle efficiency</li></ul><p><br></p>
We are looking for a detail-focused Medical Charge Entry Specialist to join a billing team in Dublin, Ohio in a contract-to-permanent position. This role supports accurate charge entry, claim readiness, and timely reimbursement by reviewing coding details, addressing billing issues, and keeping account activity current. The ideal candidate is comfortable working in a fast-paced medical billing environment, communicates effectively with patients and internal teams, and maintains a high standard of accuracy and confidentiality.<br><br>Responsibilities:<br>• Review and enter provider charges with close attention to coding accuracy, insurance details, and supporting documentation.<br>• Investigate claim edit issues and take corrective action to reduce delays in claim submission and payment.<br>• Support revenue cycle operations by monitoring billing activity, identifying discrepancies, and helping keep accounts updated.<br>• Respond to billing and coverage questions from patients and staff in a clear, thorough, and service-oriented manner.<br>• Follow up on outstanding insurance and patient balances, including denied claims, appeals, and account resolution efforts.<br>• Use practice management and electronic medical record systems to document activity, update records, and complete daily billing tasks efficiently.<br>• Coordinate with coworkers, providers, managers, and insurance representatives to resolve complex account and reimbursement issues.<br>• Protect patient and provider information by following privacy standards and maintaining strict confidentiality.<br>• Assist with additional billing department duties such as payment collection, payment plan support, and cross-trained team functions as needed.
We are looking for a Member Service Specialist to join our team in Tucson, Arizona in a contract-to-permanent capacity. This position serves as a key point of contact for members, delivering responsive support while ensuring a welcoming and attentive front-desk experience. The role also contributes to accurate membership administration, event support, and day-to-day coordination across internal teams to strengthen the overall member experience.<br><br>Responsibilities:<br>• Respond to member questions and concerns courteously, providing timely guidance and effective issue resolution.<br>• Explain membership offerings, renewal and transfer processes, and registration details for classes, meetings, and events.<br>• Support event and orientation logistics by assisting with coordination, guest arrival, and check-in activities.<br>• Manage membership record updates, including renewals, transfers, status changes, and other account adjustments with a high degree of accuracy.<br>• Maintain the membership database by entering and reviewing information carefully while safeguarding confidential data.<br>• Welcome visitors in the lobby, direct them to the appropriate assistance, and help keep the reception area organized and presentable.<br>• Partner with internal departments to support member-focused programs, services, and related initiatives.<br>• Provide administrative assistance to the Compliance Coordinator and other team members, including support for projects, retail transactions, and notifications for arriving Pearson testers.<br>• Participate in cross-training and take on backup coverage or special assignments as business needs require.
<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>