<p>We are seeking a skilled Medical Billing Specialist to join a busy team and assist with processing and submitting medical insurance invoices and claims. The successful candidate will be responsible for ensuring accurate and timely submission of claims to insurance companies, reviewing and verifying insurance information, and resolving any issues or errors related to patient accounts.</p><p> </p><p>As a Medical Billing Specialist, you will work in this fast-paced environment, collaborating with other members of the medical billing team to ensure efficient and effective billing and claims processing. The ideal candidate will have strong attention to detail, excellent communication and customer service skills, and the ability to work independently. **This is an onsite role in the greater Chattanooga/North Georgia area**</p><p> </p><p>Responsibilities:</p><ul><li>Process and submit medical insurance claims accurately and in a timely manner</li><li>Review and verify patient insurance information, including policy numbers and coverage</li><li>Resolve any issues or errors related to patient billing</li><li>Communicate with patients and insurance companies regarding claim status and payment</li><li>Collaborate with other members of the medical billing team to ensure efficient and effective claims processing</li><li>Maintain accurate records and documentation of claims and payments</li></ul><p>Please complete an application and call (423) 244-0726 directly for more information!</p><p> </p>
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>Join our fast-paced healthcare team as a Medical Denials Specialist and make a meaningful impact by ensuring accurate and efficient resolution of denied medical claims.</p><p><br></p><p><strong>Schedule:</strong> Monday–Friday, 8:00 am – 5:00 pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Review insurance denial communications and perform detailed research to address outstanding claims.</li><li>Identify trends and root causes in denied claims, offering recommendations for process improvements.</li><li>Liaise directly with insurance payers to resolve claim issues and accelerate resolution.</li><li>Prepare and submit appeals, including all necessary documentation.</li><li>Collaborate with billing teams, healthcare providers, and insurance carriers to support effective claims management.</li><li>Maintain up-to-date knowledge of payer requirements and current healthcare regulations.</li><li>Ensure all work adheres to HIPAA standards and internal compliance policies.</li></ul><p><br></p>
<p>We are looking for a detail-oriented and experienced Medical Collections Specialist to join our team in Sacramento, California. In this Contract-to-permanent role, you will play a key part in managing accounts receivable, resolving claim denials, and ensuring accurate reimbursements from insurance providers. This position will be performed on-site during the contract assignment, with the potential for long-term employment based on your performance.</p><p><br></p><p>Responsibilities:</p><p>• Review and interpret contracts to determine allowed amounts for claims.</p><p>• Analyze Explanation of Benefits (EOBs) to resolve discrepancies and ensure proper adjudication.</p><p>• Communicate with insurance providers to address and resolve denied or underpaid claims.</p><p>• Educate patients about their account balances, including copays, coinsurance, deductibles, and other adjudication outcomes.</p><p>• Write effective appeals to challenge and overturn denied claims.</p><p>• Stay knowledgeable about various insurance products, including Medicare Advantage plans and other private policies.</p><p>• Maintain high levels of productivity and accuracy in a fast-paced work environment.</p><p>• Collaborate effectively within a team to achieve and surpass performance goals.</p><p>• Utilize strong analytical skills to determine the best course of action for claim resolution.</p><p>• Ensure timely and thorough follow-up on accounts to meet production targets.</p>
<p>We are looking for a skilled Medical Collections Specialist to join our team. In this long-term contract role, you will play a critical part in ensuring accurate and efficient resolution of insurance claims, denials, and billing issues. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage and review assigned claims within daily work queues, focusing on accounts with the highest priority or balances.</p><p>• Investigate claims requiring follow-up due to denial reasons, claim aging, or outstanding balances.</p><p>• Make outbound calls to insurance providers to address non-payment issues and clarify reasons for denials.</p><p>• Document all claim activity, correspondence, and status updates thoroughly in the billing system.</p><p>• Conduct detailed research and problem-solving to overcome payment barriers, leveraging available resources and critical thinking.</p><p>• Organize and prioritize tasks to ensure timely follow-ups on all outstanding claims within departmental deadlines.</p><p>• Collaborate with colleagues and other teams to resolve complex cases requiring escalation or additional documentation.</p><p>• Maintain a high volume of calls and follow-ups while ensuring accuracy and organization.</p><p>• Utilize technical expertise with Office Suite applications and practice management software to support daily tasks.</p><p>• Stay current on payer guidelines, denial codes, and best practices for collections, adapting strategies as needed to resolve claims efficiently.</p>
<p>We are looking for a dedicated Medical Billing Specialist to join our team in Chattanooga, Tennessee. This Contract to permanent position offers the opportunity to work in a dynamic healthcare environment, supporting various services including primary care, pharmacy, infectious disease, and behavioral health. The ideal candidate will bring strong attention to detail, excellent organizational skills, and a willingness to interact with patients when necessary.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical billing for multiple healthcare services, ensuring accuracy and timeliness.</p><p>• Handle insurance claims, including Medicare and Medicaid, while addressing denials and resolving payment issues.</p><p>• Collaborate with team members to maintain efficient workflow and support organizational goals.</p><p>• Communicate with patients regarding billing inquiries in a detail-oriented and compassionate manner.</p><p>• Post payments and reconcile transactions using Excel spreadsheets.</p><p>• Conduct follow-ups on insurance claims and payments to ensure resolution.</p><p>• Adapt to a fast-paced environment while managing multiple tasks simultaneously.</p><p>• Stay informed about billing practices and regulations relevant to Medicare, Medicaid, and other insurance providers.</p><p>• Contribute to the growth and expansion of services by maintaining high-quality billing standards.</p><p>• Provide support for new services and providers as the organization grows.</p><p><br></p><p><strong>If interested in this role please apply, then call (423)237-7921.</strong></p>
<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement. </p>
We are looking for a dedicated Medicare Billing Specialist to join our team in Fort Wayne, Indiana. In this role, you will handle medical billing processes with a focus on Medicare, Medicaid, and commercial insurance claims. This is a Contract to permanent position, offering an excellent opportunity for growth within the non-profit sector.<br><br>Responsibilities:<br>• Prepare and submit accurate claims to Medicare, Medicaid, and third-party payers using both electronic and paper methods.<br>• Review all documentation to ensure compliance with payer regulations and completeness.<br>• Identify and resolve errors in claims prior to submission to reduce denials and rejections.<br>• Monitor claim statuses and follow up promptly to secure timely reimbursements.<br>• Investigate and resolve discrepancies, denials, and underpayments in claims.<br>• Handle claim adjustments, resubmissions, and appeals efficiently to ensure resolution.<br>• Collaborate with Accounts Receivable to reconcile payments and adjustments.<br>• Communicate effectively with internal teams to resolve billing-related concerns.<br>• Stay updated on Medicare, Medicaid, and insurance billing policies and regulations.<br>• Support audits and contribute to process improvements within the billing operations.
<p>This role focuses on resolving denied and non-paid insurance claims to ensure timely and accurate reimbursement. The representative will work insurance A/R accounts, communicate directly with payers, submit technical and clinical appeals, and identify root causes of underpayments, denials, and payment delays. Success in this role requires strong problem-solving skills, critical thinking, and the ability to work within federal, state, and payer-specific regulations.</p><p><br></p><p>Responsibilities:</p><ul><li>Examine denied and non-paid insurance claims to determine discrepancies</li><li>Contact insurance payers to follow up on outstanding claims</li><li>File technical and clinical appeals</li><li>Resolve underpayments, denials, and payment variances</li><li>Identify causes of payment delays and communicate trends to management</li><li>Document all account activity accurately in host and tracking systems</li><li>Maintain compliance with federal, state, and payer-specific regulations</li><li>Meet established productivity and quality standards</li></ul><p><br></p>
<p>The Medical Biller & Collections Specialist is responsible for managing the full revenue cycle process to ensure timely and accurate reimbursement for services rendered. This role supports the financial health of the organization by overseeing insurance billing, payment posting, and patient account follow-up while maintaining strict compliance with healthcare regulations.</p><p><br></p><p>The specialist prepares, submits, and monitors insurance claims to commercial payers, Medicaid, and other applicable programs, ensuring claims are accurate, complete, and compliant with payer requirements. They research and resolve denied or underpaid claims, submit appeals when necessary, and communicate effectively with insurance companies to secure proper reimbursement.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Submit, review, and track medical claims for timely reimbursement</li><li>Post insurance and patient payments accurately</li><li>Investigate and resolve claim denials, rejections, and underpayments</li><li>Submit appeals and supporting documentation as required</li><li>Manage patient balances, collections, and payment plans</li><li>Communicate with insurance carriers and patients regarding billing inquiries</li><li>Maintain accurate billing records and documentation</li><li>Ensure compliance with HIPAA and payer guidelines</li></ul>
<p>We are looking for a skilled Medical Billing Specialist to join our healthcare team in Fayetteville, North Carolina. This is a long-term contract opportunity, ideal for professionals who excel in managing billing processes and ensuring accuracy in financial documentation. The role plays a vital part in supporting the facility's operations and maintaining compliance with healthcare billing standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical claims to insurance providers in a timely manner.</p><p>• Verify patient billing information and ensure adherence to regulatory guidelines.</p><p>• Investigate and resolve claim discrepancies or denials to ensure proper reimbursement.</p><p>• Maintain detailed records of billing activities and payment statuses.</p><p>• Collaborate with healthcare staff to gather necessary documentation for billing purposes.</p><p>• Handle patient inquiries regarding billing issues and provide clear explanations.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Ensure compliance with healthcare billing regulations and policies.</p><p>• Analyze billing data to identify trends and areas for improvement.</p><p>• Support internal teams with necessary billing reports and documentation.</p>
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other 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.
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
<p>We are looking for a detail-oriented Medical Accounts Receivable Specialist for a client in Bellevue, Washington. This contract-to-permanent position involves managing the full insurance revenue lifecycle, ensuring accurate claim submissions, resolving denials, and maintaining compliance with payor contracts and regulations. The role also includes provider credentialing and re-credentialing responsibilities, as well as collaborating across departments to enhance operational efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Oversee insurance accounts receivable processes from initial charge posting to final resolution.</p><p>• Investigate and resolve unpaid, underpaid, or denied claims promptly and accurately.</p><p>• Ensure claims meet payor guidelines and adhere to clean-claim standards to prevent revenue loss.</p><p>• Post payments and adjustments with precision and reconcile explanation of benefits to maintain accuracy.</p><p>• Monitor credentialing timelines for providers, ensuring timely enrollment and re-credentialing with contracted payors.</p><p>• Identify and address root causes of claim denials, implementing corrective measures to mitigate recurring issues.</p><p>• Maintain compliance with state regulations, payor contracts, and internal revenue integrity standards.</p><p>• Track and report key revenue cycle metrics, such as denial rates, days in accounts receivable, and net collection ratios.</p><p>• Collaborate with operations leadership and care center teams to resolve reimbursement issues and streamline processes.</p><p>• Serve as the primary liaison for credentialing matters, audits, and compliance reviews related to provider enrollment.</p>
<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 seeking an experienced and detail-oriented individual to manage medical billing, claims, and collections tasks for a healthcare facility in Wakefield, Massachusetts. This role requires expertise in medical denials, appeals, and hospital billing processes to ensure efficient revenue cycle management. This is a long-term contract position offering stability and an opportunity to contribute to a fast-paced healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing for hospital services, ensuring accuracy and compliance with regulations.</p><p>• Manage claims submissions and follow up to secure timely reimbursements.</p><p>• Investigate and resolve medical denials by identifying causes and implementing corrective actions.</p><p>• Prepare and submit appeals for denied claims to achieve resolution.</p><p>• Maintain detailed records of billing activities and collections processes.</p><p>• Collaborate with insurance companies and healthcare providers to resolve outstanding claims.</p><p>• Monitor and report on accounts receivable to ensure timely payments.</p><p>• Implement strategies to improve billing efficiency and reduce claim denials.</p><p>• Provide support for audits and compliance reviews, ensuring all documentation is accurate.</p><p>• Stay updated on industry regulations and billing requirements to maintain adherence.</p>
<p>This contract part-time role provides critical support to help a non-profit organization in Spokane catch up on Medicaid billing. The specialist will assist with claim submission, corrections, and verification, using multiple billing platforms.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and in a timely manner to ensure prompt reimbursement.</p><p>• Investigate and resolve denied claims by identifying issues and submitting appeals as necessary.</p><p>• Manage collections efforts by contacting patients and insurance providers to secure outstanding payments.</p><p>• Review and analyze medical billing data to ensure compliance with hospital policies and regulatory requirements.</p><p>• Maintain detailed records of billing activities and communications for documentation purposes.</p><p>• Collaborate with healthcare providers and administrative teams to address billing discrepancies and improve workflows.</p><p>• Stay updated on industry changes and insurance regulations to ensure billing practices remain compliant.</p><p>• Handle inquiries related to billing and collections, providing clear explanations to patients and stakeholders.</p><p>• Utilize hospital billing systems effectively to perform tasks and generate reports as required.</p>
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.
<p>Robet Half is looking for a skilled Medical Billing Specialist to join a team based in Philadelphia, Pennsylvania. In this Contract to permanent Medical Billing Specialist role, you will play a crucial part in ensuring accurate and efficient management of patient billing and insurance claims. The ideal Medical Billing Specialist candidate is detail-oriented, well-versed in medical billing processes, and capable of maintaining data integrity across systems. If you are looking for an opportunity to get your career moving in the right direction, then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013366684.</p><p><br></p><p><br></p><p>As a Medical Billing Specialist Your Responsibilities will include but are not limited to:</p><p>• Accurately input patient demographics, insurance details, and billing data into electronic medical records and billing systems.</p><p><br></p><p>• Examine documents such as charge tickets, encounter forms, and referrals to confirm completeness and accuracy before data entry.</p><p><br></p><p>• Utilize knowledge of medical codes to validate and ensure the accuracy of entered data.</p><p><br></p><p>• Investigate and resolve discrepancies in patient accounts, insurance details, or claims information.</p><p><br></p><p>• Prepare billing data for submission to insurance providers while adhering to established processes.</p><p><br></p><p>• Ensure compliance with privacy policies and regulatory guidelines in all billing operations.</p><p><br></p><p>• Collaborate with clinical teams and administrative staff to address and clarify documentation issues.</p><p><br></p><p>• Contribute to audits, report generation, and data clean-up tasks as assigned.</p><p><br></p><p>• Support the billing department by maintaining organized and accurate records for efficient workflows.</p>
<p>Our team is seeking a detail-oriented Medical AR Specialist who is experienced in medical billing and collections. This position is <strong><u>hybrid </u></strong>— you will work 2–3 days onsite each week, collaborating with our healthcare billing teams and supporting physicians and patients. <strong>Candidates must live local to the Fishers, Indiana area; </strong>remote-only applicants will not be considered.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 5pm (with some flexibility) </p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li>Manage the full revenue cycle process, including posting payments, following up on outstanding claims, and addressing denied or rejected claims</li><li>Reconcile patient accounts and resolve account discrepancies</li><li>Communicate with insurance providers, patients, and internal departments to obtain proper documentation and ensure timely reimbursements</li><li>Prepare and submit insurance claims, appeals, and adjustments promptly</li><li>Support month-end close processes for AR-related functions</li><li>Adhere to HIPAA regulations and maintain patient confidentiality at all times</li></ul>
<p>We are looking for a Contracts Coordinator to join our team in Orlando, Florida. In this role, you will manage essential healthcare operations, including credentialing, contract processing, insurance billing, and resolving claims-related issues. This is a contract-to-hire position offering the opportunity to contribute to a dynamic healthcare environment while ensuring compliance and efficiency in provider and program management.</p><p><br></p><p>Responsibilities:</p><p>• Distribute monthly rosters to programs and ensure updates regarding new team members, changes, and terminations are accurately reflected.</p><p>• Prepare and audit specific roster templates for Managed Medical Assistance (MMA) programs.</p><p>• Collaborate with contract representatives and network providers to address and resolve claims-related concerns.</p><p>• Facilitate the credentialing process for new programs joining MMAs or insurance companies.</p><p>• Manage re-credentialing processes for existing programs and providers as required.</p><p>• Update organizational accounts for medical professionals to ensure accuracy and compliance.</p><p>• Process contracts received from MMAs and create comprehensive summaries for amendments and agreements.</p><p>• Demonstrate cultural and age-specific competencies when interacting with clients, coworkers, and customers.</p><p>• Complete credentialing for new medical professionals joining organizational plans, including applying for Florida Medicaid numbers.</p><p>• Handle special projects within assigned deadlines, ensuring thorough execution and timely completion.</p>
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in hospital billing and appeals, we encourage you to apply.<br><br>Responsibilities:<br>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.<br>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.<br>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.<br>• Prepare and submit medical appeals to recover denied or underpaid claims.<br>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.<br>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.<br>• Maintain detailed records of billing and collection activities for auditing purposes.<br>• Collaborate with healthcare providers and administrative teams to streamline billing processes.<br>• Identify opportunities to improve efficiency within the billing and collections workflow.<br>• Provide regular updates on accounts and collections to management.
We are looking for a skilled Paralegal to join our team on a contract basis in West Hartford, Connecticut. This position requires expertise in personal injury cases, with a focus on either pre-litigation or litigation processes. The ideal candidate will bring a detail-oriented approach and strong organizational skills to support case management and legal proceedings.<br><br>Responsibilities:<br>• Communicate with insurance companies to gather case details, submit claims, and facilitate resolutions.<br>• Request, organize, and analyze medical records and billing information for case preparation.<br>• Maintain comprehensive and accurate case files using case management software.<br>• Collaborate with attorneys to prepare for settlements, negotiations, or trial proceedings.<br>• Ensure deadlines are met and critical case details are tracked efficiently.<br>• Provide administrative support to the legal team in managing personal injury claims.<br>• Keep clients updated on case progress and address any inquiries.<br>• Conduct research and compile information relevant to case proceedings.<br>• Assist in drafting legal documents and correspondence as needed.
<p>Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care. </p>
