<p>We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis. This role involves working with healthcare billing processes, reviewing insurance claims, and ensuring accurate coding practices. Based in York, Maine, this is a great opportunity for professionals seeking a challenging and rewarding position in the medical billing field.</p><p><br></p><p>Responsibilities:</p><p>• Manage the daily processing of medical claims, ensuring accuracy and compliance with billing regulations.</p><p>• Review hospital records and insurance documents to verify patient information and payment details.</p><p>• Utilize ICD-10 coding standards to correctly classify medical procedures and diagnoses.</p><p>• Handle approximately 30-40 accounts per day, maintaining efficiency and attention to detail.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and secure timely reimbursements.</p><p>• Monitor account balances and follow up on collections as needed.</p><p>• Maintain proficiency in using medical billing software, including tools such as Cerner.</p><p>• Adapt to west coast hours to ensure alignment with team operations and client needs.</p><p>• Ensure compliance with healthcare regulations and company policies.</p><p>• Provide clear communication and updates on claim status to relevant stakeholders.</p>
We are looking for an experienced Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you will play a vital part in managing medical billing processes, ensuring accuracy in claims reconciliation, and maintaining strong communication with insurance representatives. The ideal candidate will have a background in healthcare billing, preferably with experience in behavioral health.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including addressing approvals or denials and resolving any discrepancies.<br>• Conduct research to identify and resolve issues related to billing and insurance claims.<br>• Manage medical billing processes, ensuring timely and accurate submission of claims.<br>• Maintain patient insurance and demographic records, ensuring all information is up-to-date and accurate.<br>• Collaborate with insurance representatives to address claim-related issues and improve communication.<br>• Provide guidance to program directors and clinicians regarding billing procedures and specifications.<br>• Generate and review aging reports to monitor claims and ensure compliance with payer filing deadlines.<br>• Analyze high balance accounts and report any account activity concerns to the Billing Manager.<br>• Stay informed about payer specifications and independently research requirements.<br>• Utilize clearinghouse systems, such as Inovalon, for efficient claim processing.
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 billing and claims for a healthcare facility in Raeford, North Carolina. This position offers the opportunity to contribute to the smooth financial operations of a trusted healthcare provider.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.<br>• Follow up on outstanding claims and resolve any issues or discrepancies promptly.<br>• Verify patient insurance coverage and eligibility to facilitate proper billing.<br>• Maintain detailed records of billing activities and ensure confidentiality of sensitive information.<br>• Collaborate with healthcare providers and administrative staff to clarify billing details and address concerns.<br>• Monitor and analyze billing trends to identify opportunities for process improvements.<br>• Respond to patient inquiries regarding billing statements and insurance claims.<br>• Ensure compliance with all relevant healthcare and billing laws, regulations, and guidelines.<br>• Assist in generating financial reports related to billing and collections.
<p>We are looking for a dedicated Medical Biller II to join our healthcare team in Los Angeles, California. The Medical Biller II will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. The ideal person for the Medical Biller II role must have expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
<p><strong>Job Summary:</strong> The Medical Billing Specialist is responsible for accurately processing and managing healthcare billing information for medical practices, clinics, or hospitals. This role ensures that insurance claims are correctly coded, submitted, and followed up to maximize reimbursements and minimize errors. Medical Billing Specialists serve as a liaison between healthcare providers, patients, and insurance companies, helping to resolve billing issues and maintain compliance with relevant regulations.</p>
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
A Robert Half client is looking for a Member Services Representative to join their team near Hoffman Estates, Illinois. In this role, you will serve as a key point of contact for members, fostering positive relationships and assisting with their needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. <br> Key Details: Role: Member Service Associate (similar to CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/claims—NOT a call center position) Schedule: Mon–Fri, 8AM–4PM, 100% on-site Compensation/Benefits: $26–$29/hour, based on experience and education; overtime opportunities available + full benefits package Position Highlights: Serve as the first point of contact for insured members to process claims, answer inquiries, and update information Handle sensitive member data and documents, ensuring privacy, security, and compliance Work closely with beneficiaries throughout claims and changes (address updates, beneficiary designations, etc.) Perform administrative/research tasks and support department projects Maintain accurate records in Salesforce and other internal systems Participate in weekly team meetings and ongoing training as you grow in the role <br> If you are interested in contributing to a friendly and committed team that makes an impact for its members—and your experience aligns with any of the above—please apply!
<p>Robert Half Legal is partnering with an insurance company located in downtown Chicago who is seeking to hire a Claims Attorney with at least 2-4+ years of experience to join their in-house team. This specialty insurance company handles complex environmental, asbestos, and other latent type insurance claims. In this position, you will be responsible for coordinating activities involving these claims, including resolution of coverage issues and establishment of adequate reserves. See further responsibilities below. Salary for the role is paying between $100-120K plus a 5% bonus while working on a 40-hour work week. In addition, the company offers a comprehensive benefits package including medical, dental, vision, generous PTO, 401k (plus match), LT/ST Disability, Life Insurance, and more. This position will start working fully in-office and begin transitioning to a hybrid schedule after 6-months. If you're looking to take your career in-house and get away from billable requirements, then this is the opportunity for you!</p><p><br></p><p><strong><u>Claims Attorney Responsibilities:</u></strong></p><ul><li>Analyzing, investigating, and evaluating new loss notices and claim tenders</li><li>Collaborating with policy search teams to find copies of alleged coverage where appropriate</li><li>Analyzing and positioning claim under applicable primary, umbrella, and excess coverage swiftly</li><li>Coordinating the retention of defense counsel with internal/external stakeholders</li><li>Establishing defense strategy with insured, defense counsel, and/or other participating insurance carriers</li><li>Managing the case resolution process and actively participating in mediations as needed</li><li>Working with the reinsurance department to provide notice of new accounts, updates on existing accounts, and responding to specific reinsurer inquiries</li><li>Collaborating with in-house Legal/management to manage declaratory judgment actions, including formation and implementation of resolution strategy, settlement valuation, and obtaining settlement authority</li><li>Coordinating timely processing of payments including verifying proper allocation of such payments across appropriate policies</li><li>Managing ALAE through strategic handling and bill review/payment processing in coordination with the billing unit.</li></ul><p><br></p><p>For immediate consideration, please email your resume directly to Justin Rambert, VP - Permanent Placement at <strong><u>justin . rambert @ robert half com</u></strong></p>
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a vital part in managing and processing medical claims, ensuring accurate billing, and supporting efficient revenue cycles. This is an excellent opportunity for professionals with expertise in medical billing, coding, and collections.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers and other payers.<br>• Review and verify patient billing information for accuracy and compliance with regulations.<br>• Resolve discrepancies and follow up on denied or unpaid claims to ensure timely collections.<br>• Collaborate with healthcare providers to obtain documentation needed for billing purposes.<br>• Maintain detailed records of billing activities and payment statuses.<br>• Ensure compliance with medical coding standards and billing guidelines.<br>• Address inquiries from patients and insurance companies regarding billing issues.<br>• Assist in identifying and implementing improvements to the billing process.<br>• Monitor accounts receivable and prepare reports on billing and collections.<br>• Provide support for audits and regulatory reviews related to billing procedures.
<p>A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves engaging with stakeholders to gather and analyze requirements, transforming them into actionable functional specifications. Responsibilities include evaluating existing processes, offering solutions to drive business value, and ensuring project success under tight timelines. The position also includes mentoring junior analysts, leading cross-departmental projects, and fostering innovation. Strong analytical and communication skills, along with a solid understanding of software development life cycles, are essential to succeed in this fast-paced environment.</p><p>The ideal candidate will work closely with development and QA teams to monitor project milestones, provide updates to stakeholders, and address any project risks and challenges. A proactive approach to improving application usability and efficiency will be critical. Focusing on the specialty pharmacy sector, the organization provides end-to-end solutions including hub services, pharmacy network management, group purchasing (GPO) services, cutting-edge technology platforms, and more. With a strong presence as an industry advocate, the focus remains on delivering strategic channel management, advanced products, and tailored services to optimize patient outcomes and improve healthcare delivery.</p><p><br></p><p><strong>** Qualified candidates should have experience with pharmacy insurance, medical insurance, and claims processing **</strong></p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Collect and translate business requirements into detailed functional specifications for new and existing systems.</li><li>Perform gap analyses between current system capabilities and business needs using tools like Confluence, flowcharts, and wireframes to document workflows.</li><li>Create use cases for review during functional testing phases by developers and QA teams.</li><li>Work with IT teams to evaluate project scope and affected systems, providing strategic insights.</li><li>Assess new methodologies for feasibility and implementation efficiency.</li><li>Gain in-depth knowledge of internal software platforms and their underlying functionalities.</li><li>Analyze and optimize existing processes to identify inefficiencies and propose re-engineering solutions.</li><li>Host regular meetings with development teams to resolve obstacles and track progress.</li><li>Provide project status reports to business stakeholders.</li><li>Identify potential risks and escalate issues as required.</li><li>Continuously explore opportunities to improve application functionality, making recommendations for enhancements.</li><li>Maintain compliance with HIPAA regulations and related amendments</li></ul>
<p>We are looking for a skilled Medical Billing Specialist to join our team in Elizabethtown, North Carolina. This is a long-term contract position offering an excellent opportunity to contribute to a healthcare environment dedicated to patient care and operational excellence. The ideal candidate will bring expertise in medical billing processes and a commitment to accuracy and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance companies with accuracy and attention to detail.</p><p>• Review and resolve claim denials or discrepancies to ensure timely reimbursement.</p><p>• Maintain up-to-date knowledge of medical billing codes and insurance regulations.</p><p>• Collaborate with healthcare providers and administrative staff to address billing inquiries.</p><p>• Monitor and track payments, ensuring proper documentation and record-keeping.</p><p>• Generate and analyze billing reports to identify trends and improve processes.</p><p>• Assist patients with billing-related questions and provide clear and precise communication.</p><p>• Ensure compliance with all billing policies, procedures, and legal requirements.</p><p>• Support the implementation of new billing systems or updates as needed.</p>
We are looking for a Billing Clerk to join our team in Roslyn Heights, New York. In this role, you will play a critical part in ensuring the accuracy and efficiency of billing processes within a healthcare setting. Your responsibilities will include managing insurance claims, addressing patient inquiries, and contributing to the overall success of the revenue cycle.<br><br>Responsibilities:<br>• Analyze and address denials and underpaid claims from insurance carriers based on contracted fee schedules.<br>• Submit appeals for inappropriate insurance denials in a timely manner.<br>• Communicate with patients to resolve questions about their claims, coverage, and billing concerns.<br>• Validate overpayment refund requests from insurance carriers to ensure accuracy.<br>• Monitor and identify trends among payors that impact revenue.<br>• Participate in individualized accounts receivable reviews with management.<br>• Determine coordination of benefits for patients with secondary and tertiary insurance coverage.<br>• Support various tasks related to revenue cycle operations as needed.<br>• Maintain constructive and positive interactions with patients, colleagues, and managers to foster a collaborative work environment.
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
We are looking for a detail-oriented and friendly individual to join our team as a Patient Registration Specialist in Blue Ash, Ohio. In this Contract-to-Permanent role, you will play a vital part in ensuring a smooth registration process for patients while maintaining accurate records and providing excellent customer service. This position is within the healthcare sector, offering an opportunity to contribute meaningfully to patient care.<br><br>Responsibilities:<br>• Welcome patients and visitors warmly, ensuring a positive first impression.<br>• Maintain and update patient records with accuracy and confidentiality.<br>• Handle insurance claims and payment processing efficiently.<br>• Monitor inventory levels and order supplies as needed.<br>• Coordinate patient scheduling and registration processes.<br>• Verify medical insurance details to ensure proper billing.<br>• Assist patients with inquiries, providing clear and helpful information.<br>• Perform general administrative duties to support daily operations.<br>• Address any issues or concerns related to patient registration promptly.
<p>We are seeking a detail-oriented <strong>Insurance Biller</strong> to join our team and ensure accurate billing, timely claims submission, and effective follow-up with insurance providers.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare, review, and submit claims to insurance companies electronically and by paper.</li><li>Verify insurance eligibility, benefits, and coverage requirements.</li><li>Research and resolve claim denials, rejections, and payment discrepancies.</li><li>Post insurance payments and adjustments accurately.</li><li>Communicate with insurance companies, patients, and internal teams regarding billing issues.</li><li>Maintain accurate billing records, reports, and monthly account reconciliations.</li><li>Ensure compliance with payer guidelines, HIPAA regulations, and internal policies.</li><li>Follow up on unpaid claims to ensure timely reimbursement.</li></ul>
We are looking for a detail-oriented Billing Coordinator to join our team on a Contract basis in Smyrna, Georgia. In this role, you will oversee and manage the billing process for pharmacy claims, ensuring timely reimbursements from insurance providers and patient payments. Your expertise will be key to maintaining compliance with industry standards while fostering efficient communication between payers, patients, and internal teams.<br><br>Responsibilities:<br>• Submit and monitor pharmacy claims to third-party payers, including commercial insurance, Medicare, and Medicaid, ensuring timely reimbursements.<br>• Track aging reports and follow up on unpaid or partially paid claims to facilitate full payment collection.<br>• Investigate and resolve claim rejections and denials by identifying errors, making corrections, and re-filing or appealing claims as necessary.<br>• Generate patient invoices, explain billing charges, and collect payments while delivering excellent customer service.<br>• Accurately post payments from insurance providers and patients to the appropriate accounts in the billing system.<br>• Reconcile accounts receivable regularly to maintain accurate financial records and address discrepancies promptly.<br>• Communicate with insurance providers to verify coverage details, clarify claim issues, and expedite resolutions.<br>• Maintain organized and detailed records of all billing activities to ensure compliance with pharmacy industry regulations.<br>• Provide clerical support, including sorting, filing, and maintaining departmental reports, to support seamless operations.<br>• Collaborate with management to suggest strategies for improving data accuracy and provide backup assistance to team members when needed.
<p>Our company is seeking a talented Medical Accounts Receivable Specialist to join our team in a fully remote capacity. The ideal candidate is detail-oriented, proactive, and experienced in healthcare accounts receivable processes, with strong problem-solving and communication skills.</p><p><br></p><p><strong><em>Please note: Candidates must reside in the United States but may not live in California, New York, Washington, or Colorado.</em></strong></p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 4:30pm EST</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Examine denied and unpaid medical claims to determine and document reasons for discrepancies.</li><li>Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and secure timely and accurate reimbursement.</li><li>Identify root causes for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable.</li><li>Maintain current knowledge of federal/state regulations and payer-specific requirements; act in compliance with all applicable rules.</li><li>Document all account activities accurately in the client’s host or tracking system, including contact details and essential claim information.</li><li>Proactively recommend process improvements and communicate claim and payment trends to management.</li><li>Employ critical thinking and strong problem-solving skills to resolve outstanding account balances while meeting productivity and quality standards.</li></ul><p><br></p>
<p>We are looking for a skilled Accounts Receivable Clerk to join a remote team. As part of this contract position, you will play a key role in ensuring accurate claim management, resolving payment discrepancies, and maintaining compliance standards. This role offers the opportunity to contribute to a dynamic and inclusive work environment while supporting healthcare operations.</p><p><br></p><p>Responsibilities:</p><p>• Analyze denied and pending claims to identify and address issues in third-party accounts receivable.</p><p>• Initiate outbound calls to insurance providers to appeal claims and verify their status.</p><p>• Coordinate resolutions with insurance carriers to reconcile discrepancies and streamline claim processing.</p><p>• Process refunds and adjustments for insurance and patient accounts as needed.</p><p>• Ensure compliance with organizational standards and industry regulations at all times.</p><p>• Monitor worklists and meet daily production and quality metrics.</p><p>• Familiarize yourself with explanations of benefits to effectively address claim inquiries.</p><p>• Collaborate with team members to adapt to evolving business needs and responsibilities.</p><p>• Conduct research using internet tools to support claim-related problem-solving efforts.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract-to-hire basis in Castle Rock, Colorado. In this role, you will focus on managing billing and collections related to personal injury litigation, ensuring accuracy and compliance throughout the process. The ideal candidate will bring expertise in medical billing, lien resolution, and legal support, particularly in the area of personal injury cases. This position offers an opportunity to contribute to a fast-paced environment while applying your organizational and analytical skills.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Process and reconcile medical bills associated with personal injury cases to ensure accuracy.</p><p>• Communicate with healthcare providers, insurance companies, and clients to address billing concerns and outstanding balances.</p><p>• Negotiate and resolve medical liens and subrogation claims efficiently.</p><p>• Maintain detailed records of payments, settlements, and collection activities.</p><p>• Assist attorneys by gathering medical records, bills, and lien documentation for case preparation.</p><p>• Draft key documents, including settlement statements and correspondence related to billing and collections.</p><p>• Coordinate with healthcare providers and experts to submit billing evidence for litigation purposes.</p><p>• Ensure compliance with relevant state and federal regulations regarding medical billing and lien resolution.</p><p>• Update case management systems with current billing and collection statuses.</p><p>• Uphold confidentiality and organizational guidelines while managing sensitive information.</p>
<p>A growing healthcare organization in Vista is hiring a <strong>detail-oriented Collections Specialist</strong> to support patient and insurance collections. This role requires a compassionate yet persistent communicator who can navigate sensitive financial conversations while ensuring timely payment resolution. The ideal candidate understands medical billing workflows, insurance reimbursement cycles, and the importance of maintaining patient trust throughout the collection process.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Follow up on outstanding patient balances and insurance claims</li><li>Communicate professionally with patients regarding payment options</li><li>Work with billing teams to resolve claim denials and underpayments</li><li>Maintain accurate notes and documentation in billing systems</li><li>Set up payment plans and process adjustments when approved</li><li>Assist with audits and AR aging reviews</li></ul>
We are looking for a dedicated Insurance Follow-Up Specialist to join our team in Tampa, Florida. This role requires a proactive individual who can effectively manage communication with funeral homes and insurance representatives while ensuring timely document processing. As a contract position with potential for long-term collaboration, it offers an opportunity for growth.<br><br>Responsibilities:<br>• Collaborate with funeral homes to obtain necessary signatures and documentation promptly.<br>• Address and resolve delays in document processing with professionalism and persistence.<br>• Establish and maintain strong relationships with insurance representatives and funeral home partners.<br>• Accurately record and organize case information to ensure seamless tracking and follow-up.<br>• Provide additional support to the Concierge team by handling extra follow-up tasks when required.
<p>We are looking for a dedicated and empathetic Customer Service Representative with expertise in healthcare call center operations. In this role, you will handle inquiries related to medical eligibility, benefits, claims, and provider information while maintaining a high level of professionalism and accuracy. This is a Contract to permanent position that offers the opportunity to grow within the organization for the right candidate. While the position is primarily remote, occasional in-office attendance may be required depending on location.</p><p><br></p><p>Responsibilities:</p><p>• Respond to a high volume of customer inquiries via phone and email regarding medical benefits, claims, and provider information.</p><p>• Provide accurate and detailed information about healthcare plans, pre-authorizations, and claim statuses.</p><p>• Utilize tracking systems to document all interactions and ensure proper follow-up.</p><p>• Stay updated on changes to healthcare policies, procedures, and benefits to provide accurate guidance.</p><p>• Resolve customer complaints and troubleshoot issues with professionalism and efficiency.</p><p>• Advise members on outstanding payments and explain billing details when necessary.</p><p>• Assist callers in navigating network provider options and understanding plan coverage.</p><p>• Escalate complex issues to supervisors or managers when required.</p><p>• Collaborate with team members to ensure seamless customer support.</p><p>• Adhere to HIPAA policies and maintain confidentiality in all interactions.</p>
<p>We are looking for a meticulous Insurance Coordinator to oversee and streamline insurance-related processes within our organization. This role requires an individual with a strong attention to detail and excellent communication skills to ensure the accurate and timely management of insurance claims. The successful candidate will collaborate with insurance providers, patients, and internal teams to maintain compliance and optimize operational efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Solid knowledge of medications D and B</p><p>Verify and confirm insurance policy details to ensure coverage aligns with services provided.</p><p>• Communicate effectively with insurance companies to address coverage issues and resolve disputes.</p><p>• Educate patients or clients about their insurance benefits, co-payments, and coverage details.</p><p>• Maintain and update comprehensive records of insurance coverage, authorizations, and payments.</p><p>• Ensure compliance with all current insurance regulations and industry standards.</p><p>• Work closely with the billing department to accurately process payments and insurance remittances.</p><p>• Assist in managing patient balances and collecting co-payments as needed.</p><p>• Resolve issues related to denied or underpaid insurance claims in a prompt and efficient manner.</p><p>• Stay informed on changes in insurance policies and procedures to maintain organizational compliance.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team! In this position, you will play a pivotal role in ensuring the accuracy and efficiency of the billing processes. This role requires strong communication skills and the ability to handle complex insurance claims, appeals, and patient inquiries.</p><p><br></p><p>Responsibilities:</p><p>• Review denied medical claims and file appeals as needed.</p><p>• Address patient inquiries regarding claim issues and insurance coverage with professionalism and clarity.</p><p>• Billing and reimbursement for specific patient accounts</p><p>• Submitting bills to insurance organizations and patients.</p><p><br></p>
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Blue Ash, Ohio. This role involves managing prior authorization processes, ensuring patients receive timely approvals for prescription medications and other healthcare services. As part of this long-term contract position, you will play a pivotal role in facilitating communication between healthcare providers, patients, and insurance companies.</p><p><br></p><p>Responsibilities:</p><p>• Review and compile necessary medical documentation to support authorization requests, including physician recommendations and patient records.</p><p>• Submit prior authorization requests to insurance providers and diligently follow up to ensure timely approvals for essential medical services.</p><p>• Communicate effectively with healthcare providers, patients, and insurance representatives to address and resolve authorization-related concerns.</p><p>• Track authorization statuses and promptly notify healthcare teams regarding approvals, denials, or pending requests.</p><p>• Stay informed about current insurance policies and regulations to optimize the authorization process.</p><p>• Investigate patterns of denied authorizations and collaborate with teams to handle appeals, escalations, or resubmissions.</p><p>• Maintain organized records and detailed reports of authorization activities, adhering to compliance standards and organizational guidelines.</p>
