<p>3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! </p><p><br></p><p>We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.</p><p>• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.</p><p>• Adhere to organizational policies while delivering exceptional customer service with compassion.</p><p>• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.</p><p>• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.</p><p>• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.</p><p>• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.</p><p>• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.</p><p>• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.</p>
We are looking for a dedicated Customer Service Representative to join our team in Kannapolis, North Carolina. This is a Contract to permanent position that provides an excellent opportunity to grow within the healthcare industry. The ideal candidate will have strong communication skills, a customer-focused mindset, and an attentive demeanor, with some knowledge of medical processes or terminology.<br><br>Responsibilities:<br>• Respond to inbound calls and provide attentive assistance to customers with inquiries or concerns.<br>• Manage email correspondence efficiently, ensuring timely responses and accurate information.<br>• Perform data entry tasks with precision to maintain accurate records.<br>• Handle order entry and billing processes while adhering to company procedures.<br>• Collaborate with internal staff and vendors to identify and address specific requirements.<br>• Utilize Microsoft Excel and Word to organize and present information effectively.<br>• Provide exceptional customer service in both inbound and outbound call scenarios.<br>• Support the call center by maintaining a high standard of attentiveness and customer care.<br>• Ensure compliance with healthcare-related protocols and standards.
<p>We are partnering with a longstanding & respected non-profit healthcare organization in the SW Metro that is looking to hire a Healthcare Counsel/Privacy Officer to lead healthcare contracting, privacy compliance, and regulatory guidance. This is a hybrid position (3 days in-office/2 days WFH).</p><p><br></p><p><em>The ideal candidate will have 4-7+ years of experience in healthcare law, with a strong background in healthcare contracts, regulatory compliance, and transactional work.</em></p><p><br></p><p>This is a fantastic opportunity to join a mission-driven organization. This person will play a key role in shaping the organization's legal and regulatory landscape while ensuring compliance and best practices in healthcare law.</p><p><br></p><p><u>Key Responsibilities:</u></p><ul><li>Contract Negotiation & Review: Draft, negotiate, and review healthcare contracts, such as provider agreements, service contracts, and medical director agreements.</li><li>Privacy Officer Duties: Oversee HIPAA compliance, conduct training, update policies and procedures, and investigate potential breaches.</li><li>Regulatory Compliance: Counsel the operations team on healthcare regulations and support the development of strategic solutions to ensure ongoing compliance.</li><li>Cross-functional collaboration: Work closely with the VP of Litigation, Risk Management, and Compliance to develop and implement policies; Advise senior management on the legal and business aspects of contracts and operations.</li><li>Litigation & Risk Management: Manage pre-litigation work, collaborate with outside counsel as needed, and advise on legal risks.</li><li>Training & Education: Provide ongoing training for the healthcare team on legal matters, including healthcare regulations and compliance updates.</li></ul><p><br></p>
<p>A well-established healthcare practice in Escondido is seeking a Business Office Assistant to support front and back-office operations. This role is ideal for someone who’s detail-oriented, compassionate, and bilingual in Spanish—ready to make a difference in patients’ lives while keeping the business side running smoothly.</p><p><br></p><p><strong><u>What You’ll Be Doing:</u></strong></p><ul><li>Assist with patient intake, billing, and insurance verification.</li><li>Maintain accurate records and support scheduling and follow-ups.</li><li>Handle phone calls, emails, and front desk inquiries.</li><li>Support medical staff with administrative tasks and documentation.</li><li>Translate and communicate with Spanish-speaking patients as needed.</li></ul>
<p><br></p><p>We are seeking a friendly and organized Medical Receptionist to join our healthcare team. In this role, you will be responsible for front-office tasks, including greeting patients, scheduling appointments, managing phone calls, and coordinating essential administrative duties. The ideal candidate will excel in customer service and have experience with electronic medical record (EMR) systems such as Cerner or Epic. Exceptional communication and multitasking skills are a must.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Welcome patients and visitors with a professional demeanor</li><li>Answer phones, schedule appointments, and handle inquiries</li><li>Maintain patient records and ensure accuracy in data entry using EMR systems</li><li>Provide support to medical staff and assist with office tasks as needed</li><li>Verify insurance information and assist with billing queries</li></ul>
<p>We are looking for a detail-oriented Billing Clerk to join our team in Forest Hills, New York. This is a long-term contract position within the healthcare sector, offering an opportunity to contribute to essential billing operations. The ideal candidate will possess strong organizational skills and a solid understanding of electronic medical records (EMR).</p><p><br></p><p>Responsibilities:</p><p>• Process billing statements and invoices with accuracy and efficiency.</p><p>• Ensure compliance with healthcare industry regulations and organizational guidelines.</p><p>• Maintain and update patient billing information in the electronic medical records (EMR) system.</p><p>• Collaborate with other departments to resolve billing discrepancies and ensure timely payments.</p><p>• Monitor accounts receivable and follow up on outstanding payments.</p><p>• Generate reports related to billing activities for internal review.</p><p>• Provide support in auditing and reconciling billing records.</p><p>• Respond to inquiries from patients and insurance providers regarding billing issues.</p>
<p>We are looking for several detail-oriented Revenue Cycle Clerks to join our team in Federal Way, Washington. This long-term contract position focuses on managing and analyzing credit balances within the healthcare revenue cycle. The role involves critical thinking, problem-solving, and a strong ability to investigate and resolve discrepancies in medical claims. After completing a two-week in-office training, the position transitions to a fully remote setup.</p><p><br></p><p>Responsibilities:</p><p>• Analyze credit balances and determine appropriate actions to address overpayments from insurance payers.</p><p>• Conduct thorough investigations into medical claims to identify discrepancies and root causes.</p><p>• Process refunds and adjustments accurately, ensuring compliance with healthcare billing standards.</p><p>• Utilize payer portals and electronic remittance systems to review and resolve claims issues.</p><p>• Collaborate with internal teams to ensure proper documentation and resolution of revenue cycle tasks.</p><p>• Apply critical thinking to identify patterns and suggest process improvements.</p><p>• Participate in a structured training program combining classroom learning and hands-on practice.</p><p>• Handle retractions and adjust financial records based on investigative findings.</p><p>• Manage data using internal tools, Outlook, Excel, and SharePoint.</p><p>• Communicate effectively with stakeholders to address queries and provide updates.</p>
We are looking for a meticulous Credentialing Specialist to join our team in Palm Springs, California, for a long-term contract position. In this role, you will play a vital part in ensuring healthcare providers meet all credentialing and compliance standards, with a focus on California-specific regulations and managed care requirements. This opportunity is ideal for detail-oriented professionals who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Oversee initial credentialing and recredentialing processes for healthcare providers in managed care networks.<br>• Verify licenses, certifications, education, and work history to ensure compliance with state and national regulations.<br>• Maintain up-to-date knowledge of managed care policies and credentialing requirements, including Medicare and Medicaid standards.<br>• Monitor adherence to California-specific licensing laws and guidelines from accrediting organizations such as The Joint Commission.<br>• Manage accurate databases for provider credentialing files, including tracking expiration dates and conducting audits.<br>• Act as a liaison between healthcare providers, managed care organizations, and regulatory agencies to facilitate clear communication.<br>• Handle renewals and appeals related to credentialing errors or provider denials in accordance with state laws.<br>• Identify and implement process improvements to streamline credentialing workflows and enhance efficiency.<br>• Stay informed about changes in healthcare regulations and adjust processes accordingly.
<p>We are looking for a detail-oriented Medical Biller/Collections Specialist to join our team in Eugene, Oregon. In this contract role, you will play a vital part in managing patient accounts, ensuring accurate billing, and maintaining compliance with healthcare regulations. This position offers an opportunity to work in a fast-paced environment while contributing to the smooth fiscal operations of the department.</p><p><br></p><p>Responsibilities:</p><p>• Process patient accounts diligently, including monitoring balances, issuing credits, and managing collections.</p><p>• Ensure the accuracy and accessibility of patient, staff, and departmental information.</p><p>• Assist with billing tasks across multiple programs and departments, adhering to established procedures.</p><p>• Perform data entry and clerical duties with precision and attention to detail.</p><p>• Operate standard office equipment efficiently and troubleshoot issues as needed.</p><p>• Maintain confidentiality of sensitive patient and client information.</p><p>• Communicate effectively with staff, patients, and visitors, using diplomacy and professionalism.</p><p>• Adapt to frequent interruptions while prioritizing tasks in a busy work environment.</p><p>• Comply with all accreditation and regulatory standards applicable to the role.</p><p>• Support miscellaneous office tasks, including cleaning work areas and light equipment movement.</p>
<p>Associate Attorney </p><p> </p><p>Robert Half has partnered with a well-established civil defense litigation firm, in Glendale, on the search for a 4+ years’ Litigation Associate Attorney to join their growing team. Ideal candidates interested in this position should have 4+ years of civil litigation, medical malpractice defense, professional malpractice, and/or liability experience. Responsibilities include, but are not limited to, the following: </p><p> </p><ul><li>Representing health care professionals and institutions in medical malpractice defense litigation</li><li>Conducting thorough case investigations and evaluations</li><li>Drafting and responding to legal pleadings and motions</li><li>Conducting and defending depositions on behalf of clients </li><li>Deposing witnesses, including medical experts</li><li>Conducting legal research and analysis to develop effective defense strategies</li><li>Participating in mediations and settlement agreements </li><li>Negotiating settlements and representing clients in court proceedings</li><li>Preparing for and potentially trying cases to verdict </li><li>Collaborating with Partners and paralegals to manage caseloads efficiently</li><li>Maintaining up-to-date knowledge of laws, regulations, and industry trends related to medical malpractice and healthcare</li><li>Managing a caseload under the supervision of the Firm’s Partners</li><li>Other responsibilities as assigned </li></ul><p> </p><p>If interested, please send your resume to corey.tasker@roberthalf[[dot]com for immediate consideration! </p>
<p>Our healthcare client is seeking a dynamic Project Manager – Strategic Initiatives to support the CEO and executive leadership team in advancing critical organizational priorities. This role is ideal for someone who thrives in a fast-paced, highly visible environment, working directly with executive leadership while driving meaningful operational improvements across multiple departments. </p><p><br></p><p>Role Overview: Reporting directly to the CEO (with a dotted-line to systemwide leadership), the Project Manager will provide structure, oversight, and execution support for strategic initiatives that strengthen compliance, streamline operations, and enhance member and provider experiences. Unlike traditional departmental management, this role focuses on special projects and cross-functional coordination, requiring a hands-on approach to both planning and execution. </p><p> </p><p>Key Responsibilities: Partner closely with the CEO to scope, plan, and execute high-impact initiatives. Assess current state processes and develop actionable project plans to ensure forward progress. Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with the executive leadership team and external oversight bodies. Stand up and coordinate new steering committees for emerging initiatives. Develop project tracking and reporting tools, leveraging systems such as Jira, Qlik, and data visualization platforms. Translate business and regulatory requirements into structured reporting, dashboards, and metrics to monitor progress. Ensure consistent project documentation, progress tracking, and alignment with organizational priorities. Focus Areas Regulatory Compliance: Map and standardize workflows, strengthen internal audit tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while partnering with IT to implement automation and payment integrity solutions. Utilization Management: Standardize UM processes, improve turnaround times, and support Medical Directors in consistent clinical decision-making.</p>
<p>Our client in in the local government sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team!</p><p><br></p><p>Responsibilities:</p><ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul><p><br></p>
<p>Litigation Legal Assistant </p><p><br></p><p>Our client a leading law firm in Cherry Creek has an opening for a full-time legal assistant. We’re looking for a litigation legal assistant al who wants to make a difference in the lives of clients whose experiences are catastrophic and life-altering. You will be part of a litigation team working on complex medical malpractice and personal injury cases from start to finish. You will be responsible for your separate portions of case management and will participate in day-to-day case collaboration. The firm's work has resulted in numerous safety changes throughout Colorado and nationwide. You can take pride in knowing that you play a part in those changes.</p><p>Requirements and Responsibilities:</p><p>• A minimum of 3 years *of current complex personal injury/medical malpractice litigation experience</p><p>• *Prioritize tasks/deadlines for multiple cases</p><p>• *Legal and medical terminology</p><p>• *Document preparation, including, but not limited to, properly formatted pleadings, motions, briefs, correspondence, memos, outlines, and summaries</p><p>• *Transcribe from oral dictation and written drafts</p><p>• *Strategize with team</p><p>• *Trial preparation</p><p>• *Proficient with Microsoft Office Suite</p><p>• *Schedule travel, including air, hotels, and vehicles</p><p>• *Familiar with State and Federal Rules of Civil Procedure</p><p>• *Proficient in E-Filing requirements for state, federal, and appellate procedures</p><p>• *Docket and calendar, using electronic database</p><p>Benefits:</p><p>• *Firm paid health insurance</p><p>• *Firm paid dental insurance</p><p>• *Firm paid life insurance</p><p>• *Firm paid covered parking</p><p>• *Paid vacation and sick time</p><p>• *401k with Firm contribution</p><p>• *Retirement plans</p><p>Salary depends on skill level.</p><p>If you are qualified for this position, please email your resume to Director, mala.saraogi@roberthalf[dot][com] for immediate consideration!</p>
<p>We are looking for a dedicated medical malpractice Litigation Associate to join a boutique law firm located in New York, New York. This role is ideal for someone with strong courtroom presence, exceptional writing skills, and a passion for advocacy. Candidates should have a proven track record in litigation and the ability to manage multiple deadlines in a dynamic environment.</p><p><br></p><p>Responsibilities:</p><p>• Draft compelling legal documents, including motions and briefs, with exceptional attention to detail.</p><p>• Represent clients in court proceedings, including arguing motions and attending hearings.</p><p>• Conduct depositions effectively to gather critical information for cases.</p><p>• Prepare for trials by organizing evidence, coordinating witnesses, and developing case strategies.</p><p>• Collaborate with colleagues to ensure successful outcomes for clients in personal injury or medical malpractice cases.</p><p>• Analyze case details and develop innovative legal strategies to address client needs.</p><p>• Maintain organized case files and manage deadlines in a fast-paced environment.</p><p>• Communicate effectively with clients, providing updates and addressing concerns throughout the litigation process.</p><p>• Stay up-to-date with legal developments and best practices in personal injury and medical malpractice law.</p>
<p>Are you looking to make a direct impact in patient care and healthcare operations? We are currently seeking a <strong>Radiology Scheduler</strong> to support our Perioperative and Interventional regions. As a <strong>Radiology Scheduler</strong>, you will be the first point of contact for patients and play a key role in managing a smooth and efficient scheduling process. The ideal <strong>Radiology Scheduler</strong> thrives in a fast-paced environment, excels in communication, and is passionate about patient service.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Schedule pre-operative appointments in APEC and IR grids.</li><li>Scan and upload radiology records to PACS and Life Image.</li><li>Coordinate new and return patient scheduling, including imaging studies and clinic visits.</li><li>Manage a high volume of incoming and outgoing patient calls.</li><li>Maintain follow-up communication with patients after procedures.</li><li>Work directly with Nurse Practitioners to ensure smooth scheduling processes.</li><li>Support managers with patient openings and schedule blocks (Super User duties).</li><li>Perform case intake and scheduling.</li><li>Retrieve and view medical records via RightFax.</li><li>Scan and distribute external medical documentation.</li><li>Run location-specific reports for various medical facilities.</li><li>Attend weekly staff meetings and contribute to team discussions.</li><li>Cross-train in all scheduling functions to allow departmental rotations.</li></ul>
<p>We are partnering with a healthcare client in the Lombard area to find a motivated Clinic Manager to join their team. This is a permanent, onsite role offering competitive pay and comprehensive benefits.</p><p><br></p><p>About the Role</p><p>The Clinic Manager will oversee daily operations, ensure smooth patient flow, and support both clinical and administrative staff. This role is ideal for someone who enjoys problem-solving, people leadership, and ensuring the highest quality of patient care.</p><p><br></p><p>Responsibilities</p><ul><li>Manage daily clinic operations and staff schedules</li><li>Supervise and support administrative and clinical teams</li><li>Ensure compliance with healthcare regulations and company policies</li><li>Oversee patient experience, addressing escalated concerns as needed</li><li>Partner with leadership on workflow improvements and efficiency initiatives</li><li>Monitor clinic performance metrics and prepare reports</li></ul><p><br></p>
<p>Advance possibility with a rewarding role as a <strong>Chart Retrieval Specialist</strong> in South Plainfield, NJ. Join a dynamic team dedicated to supporting health plans and medical groups through efficient risk-adjustment services and data collection. As a <strong>Chart Retrieval Specialist</strong>, you’ll use your tech skills and attention to detail to make a direct impact in the healthcare industry. Whether you’re already experienced or new to risk adjustment, this <strong>Chart Retrieval Specialist</strong> position offers full support, hands-on experience, and meaningful fieldwork.</p><p><br></p><p>Responsibilities:</p><ul><li>Travel up to 60 miles one way to healthcare provider offices to retrieve electronic and paper medical charts.</li><li>Use company-provided equipment to scan and securely upload medical records.</li><li>Coordinate access to records with office staff while maintaining professionalism and HIPAA compliance.</li><li>Accurately document completed retrievals and submit records via a secure system.</li><li>Complete all work submissions and communication from home – no reporting to an office required.</li><li>Participate in two days of paid remote training to get up to speed on processes and tools.</li><li>Collaborate with Team Leads and fellow Chart Retrieval Specialists as needed.</li></ul>
We are looking for a dedicated Patient Service Representative to join our team on a contract basis in Clayton, North Carolina. In this role, you will play a vital part in ensuring a seamless experience for patients by managing scheduling, registration, and addressing inquiries with professionalism. This is an excellent opportunity to contribute to a healthcare environment where patient care and satisfaction are the top priorities.<br><br>Responsibilities:<br>• Coordinate patient scheduling to optimize appointment availability and minimize wait times.<br>• Assist patients with inquiries, providing clear and compassionate communication to address their needs.<br>• Handle patient registration, ensuring accurate entry of personal and medical information into the system.<br>• Deliver exceptional customer service in a call center environment, responding to calls promptly and effectively.<br>• Support patients in navigating healthcare processes, including appointments and services.<br>• Maintain confidentiality and adhere to all healthcare regulations and standards.<br>• Work collaboratively with medical and administrative staff to ensure a positive patient experience.<br>• Troubleshoot scheduling conflicts and resolve issues with efficiency and care.<br>• Provide patients with information about available services, appointments, and follow-up procedures.
<p>Nashua, NH - ON-SITE - Patient Access Specialist - 3rd Shift Position</p><p>Hours 11:00am-7:00pm - Multiple Openings </p><p><br></p><p>We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. This Contract to permanent position focuses on ensuring seamless patient admissions and delivering exceptional service while adhering to organizational policies and regulatory standards. As part of the healthcare industry, this role plays a vital part in supporting patients and maintaining efficient processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and verify medical necessity to ensure compliance with regulations.</p><p>• Deliver clear instructions to patients, collect insurance details, and process physician orders while maintaining a high level of customer service.</p><p>• Meet point-of-service collection targets and pre-register patient accounts by gathering demographic, insurance, and financial information through inbound and outbound calls.</p><p>• Explain and obtain signatures for consent and treatment forms, ensuring patients understand their rights and responsibilities.</p><p>• Verify insurance eligibility and input benefit data to support billing processes and enhance claims accuracy.</p><p>• Utilize software tools to identify potential non-payment issues for Medicare patients, distribute required forms, and provide necessary documentation.</p><p>• Conduct audits on patient accounts to ensure accuracy and compliance with quality standards, offering feedback to leadership as needed.</p><p>• Maintain a compassionate and detail-oriented approach in all patient interactions, aligning with organizational goals and customer service expectations.</p><p>• Provide patient education materials and ensure all required documentation is completed promptly and correctly.</p>
We are looking for a highly organized and proactive Logistics Coordinator to join our team on a Contract to permanent basis in Phoenix, Arizona. In this role, you will play a critical part in ensuring seamless patient placement and transfer processes within the healthcare setting. This position requires excellent communication skills, a customer-focused mindset, and the ability to work independently while collaborating with diverse teams.<br><br>Responsibilities:<br>• Coordinate the placement of patients by following physician orders and the guidance of the Patient Logistics Manager and RN.<br>• Manage patient transfers to appropriate facilities and units while ensuring accuracy and timeliness.<br>• Identify and escalate potential issues to supervisors or leadership to address and resolve barriers to efficient patient placement.<br>• Maintain clear and accurate documentation of all activities to support effective communication across care teams and facilities.<br>• Communicate effectively with staff from referring and receiving facilities to ensure smooth patient transitions.<br>• Foster collaborative relationships with colleagues, physicians, and care team members to facilitate timely and effective patient placement.<br>• Provide and accept constructive feedback in a thoughtful and precise manner to support continuous improvement.<br>• Demonstrate commitment to the organization’s mission and vision by maintaining a customer-oriented approach.<br>• Encourage innovative and creative solutions to enhance operational efficiency.<br>• Perform responsibilities independently with minimal supervision, ensuring high standards of quality and accountability.
<p>Are you a detail-oriented professional with excellent communication skills and a knack for problem-solving? Robert Half is seeking a dedicated Collections Specialist to join our dynamic healthcare client’s team. As a Collections Specialist, you will play a critical role in ensuring accounts receivable are accurate and properly managed, while maintaining positive relationships with customers and clients. This is an exciting opportunity for someone who thrives in fast-paced environments and enjoys delivering top-notch service.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Follow up on overdue accounts and assist in resolving billing discrepancies in a timely and professional manner.</li><li>Utilize both inbound and outbound communication to collect outstanding balances while embodying empathy and professionalism.</li><li>Investigate and address payment disputes, misapplied payments, or other billing-related concerns to identify a resolution.</li><li>Maintain thorough records of all collection efforts and communications, updating the system with accurate and timely notes.</li><li>Partner with internal departments, such as billing or customer service, to ensure customer experience and account accuracy are priorities.</li><li>Assist with achieving financial targets by effectively reducing aged receivables in accordance with department policies.</li></ul><p><br></p>
<p>We are looking for a skilled Claims Adjuster to join our team in Spokane, Washington. This is a long-term contract position that requires expertise in medical claims, billing, and insurance processes. The ideal candidate will play a key role in ensuring the accurate and efficient handling of claims while adhering to industry standards and regulations.</p><p><br></p><p>Responsibilities:</p><p><br></p><p> Review, analyze, and adjudicate medical and vision claims in accordance with plan</p><p>documents, policies, and industry standards.</p><p> Interpret complex benefit language and apply judgment in determining appropriate claim</p><p>outcomes.</p><p> Enter and verify claim information in the system with a high degree of accuracy.</p><p> Respond to telephone and written inquiries from providers, members, and internal</p><p>departments in a timely and professional manner.</p><p>Identify discrepancies, research data issues, and make necessary adjustments or referrals</p><p>for resolution.</p><p> Process electronic and paper claims and maintain data integrity across systems.</p><p> Generate and review provider correspondence, including system-generated letters and</p><p>explanation of benefits (EOBs).</p><p> Collaborate with internal teams to support compliance, audit readiness, and customer</p><p>satisfaction goals.</p><p> Support continuous improvement by identifying process inefficiencies and contributing</p><p>to best practice discussions.</p><p><br></p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine.<strong> Scheduled Shift: Monday – Friday, 7:00 a.m. - 3:30 p.m., rotating Saturdays, 7a.m. - 12 p.m</strong>. In this long-term contract position, you will play a crucial role in ensuring smooth patient admissions and maintaining compliance with organizational and regulatory standards. This role offers the opportunity to make a meaningful impact by delivering exceptional service and accuracy in a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform medical necessity checks while ensuring compliance with policies and procedures.</p><p>• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining a high level of customer service.</p><p>• Conduct pre-registration for patients, including obtaining demographic and insurance information, explaining financial responsibilities, and managing payment collections.</p><p>• Explain and distribute consent forms, Medicare-related documents, and other patient education materials, ensuring all necessary signatures are obtained.</p><p>• Review insurance eligibility responses, select appropriate plan codes, and input benefit information to support billing and collections processes.</p><p>• Screen medical necessity using designated software and inform patients of potential non-payment risks, distributing relevant forms and documentation.</p><p>• Utilize auditing systems to review accounts for accuracy, correct errors, and provide statistical data to leadership.</p><p>• Conduct inbound and outbound calls to gather patient information and address outstanding balances, offering payment plan options as needed.</p><p>• Meet assigned point-of-service goals while consistently delivering compassionate and attentive interactions.</p>
<p>We are seeking a highly organized and detail-oriented <strong>Insurance Authorization Specialist</strong> with proven <strong>Microsoft Excel expertise</strong> to join our team. In this critical role, you will be responsible for securing insurance authorizations and ensuring compliance with pre-approval requirements for medical services and procedures. If you thrive in fast-paced environments and are motivated by efficiency and accuracy, we want to hear from you!</p><p><strong>Key Responsibilities</strong></p><ul><li>Obtain and manage authorizations from insurance providers for medical services and procedures.</li><li>Track and document authorization statuses in systems, spreadsheets, and other databases.</li><li>Maintain organized records in <strong>Microsoft Excel</strong> for tracking deadlines, approvals, and patient-specific insurance requirements.</li><li>Collaborate with medical staff and billing departments to ensure insurance approvals align with patient care plans.</li><li>Communicate with patients and insurance companies to address issues, verify coverage requirements, or request additional documentation.</li><li>Proactively follow up on pending authorizations to avoid delays in medical services.</li><li>Ensure compliance with HIPAA regulations and insurance provider-specific policies.</li></ul><p><br></p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine. Scheduled Shift: Week 1: Tuesday, Wednesday (10:30 a.m. - 11:00 p.m.), Saturday (6:30 a.m. - 7:00 p.m.) Week 2: Sunday (6:30 a.m. - 7:00 p.m.), Tuesday, Friday (10:30 a.m. - 11:00 p.m.) offering the opportunity to provide exceptional support and service to patients while ensuring compliance with organizational policies and regulatory requirements. In this role, you will play a vital part in facilitating smooth admission processes and maintaining accurate patient information.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform medical necessity and compliance checks for patient admissions.</p><p>• Collect and verify insurance details, process physician orders, and provide clear patient instructions while maintaining exceptional customer service standards.</p><p>• Conduct pre-registration activities, including inbound and outbound calls to gather demographic and insurance information, as well as inform patients of financial liabilities and payment options.</p><p>• Explain and obtain signatures for treatment consent forms and distribute patient education materials such as Medicare and Tricare messages, observation forms, and other relevant documents.</p><p>• Utilize insurance verification systems to review eligibility responses, select appropriate insurance codes, and input benefit data to facilitate billing and clean claim processes.</p><p>• Screen medical necessity using Advance Beneficiary Notice software to inform Medicare patients of potential coverage issues and distribute required documentation.</p><p>• Perform audits on patient accounts to ensure accuracy, completing forms in compliance with audit standards, and provide statistical data to leadership.</p><p>• Meet assigned point-of-service goals and ensure quality standards are upheld through the use of reporting and auditing systems.</p><p>• Maintain a compassionate approach when interacting with patients, guardians, and healthcare providers, adhering to organizational policies and customer service expectations.</p>
