<p>Our client is looking for a preauthorization representative to join the team on a contract basis. This role will be at least 2 months and will be a hybrid work schedule. </p><p><br></p><p>Responsibilities:</p><p>• Verify patient insurance eligibility and benefits for office visits, diagnostic tests, surgeries, and inpatient admissions.</p><p>• Obtain and document referral information and modifications for specialty care and testing within the computer system.</p><p>• Secure precertification or preauthorization numbers from insurance providers ahead of procedures and diagnostic tests.</p><p>• Assist patients in scheduling new office visits with healthcare providers.</p><p>• Generate and distribute inpatient and outpatient service lists to surgeons and consultants.</p><p>• Accurately complete patient demographic and insurance fields in the system to process claims efficiently.</p><p>• Identify and correct account errors within specified deadlines.</p><p>• Collaborate with physicians, insurance companies, and internal staff to ensure proper authorization and status updates.</p><p>• Maintain a daily productivity average of at least 30 authorizations with high accuracy.</p><p>• Work mandatory overtime when business needs require.</p>
<p>A well-established healthcare provider in Solana Beach is seeking a Patient Services Representative to join their front office team. This role is ideal for someone with strong administrative skills and a background in medical office operations. The organization is known for its patient-centered care and supportive work environment. As the first point of contact for patients, you’ll be responsible for ensuring a smooth and welcoming experience while managing essential administrative tasks.</p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><ul><li>Greet and check in patients with professionalism and empathy.</li><li>Schedule appointments and manage provider calendars.</li><li>Verify insurance and collect co-pays.</li><li>Maintain accurate patient records and update EMR systems.</li><li>Answer phones and respond to patient inquiries.</li><li>Coordinate with clinical staff to ensure timely patient flow.</li></ul><p><br></p>
A Hospital located in the San Fernando Valley is looking to add a Hospital Patient Account Rep to the team. The Hospital Patient Account Rep will be responsible for overseeing billing and collection processes within a hospital setting. The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care.<br><br>Responsibilities:<br>• Conduct hospital billing and collection processes with accuracy and efficiency<br>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care<br>• Provide training for Collector I positions<br>• Appeals and denials management.<br>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role<br>• Oversee the management of insurance correspondence and maintain accurate records<br>• Monitor patient accounts and take appropriate action to collect insurance payments.
<p>Are you passionate about making a difference in healthcare? Join our team as a <strong>Patient Access Facilitator</strong> and play a vital role in supporting patients and healthcare professionals by ensuring a seamless check-in, check-out, registration, and scheduling process.</p><p><strong>Key Responsibilities</strong></p><p><strong>1. Registration</strong></p><ul><li>Gather and update patient demographic and insurance details as part of the registration process.</li><li>Accommodate walk-in/add-on patients efficiently and assist them with registration and scheduling.</li><li>Provide support for patients with unique needs (e.g., non-English speakers, hearing-impaired individuals).</li><li>Obtain necessary signatures and authorizations and document account details accurately in the system.</li><li>Ensure the completion of all EMR checklists to maintain accurate patient records.</li></ul><p><strong>2. Scheduling</strong></p><ul><li>Schedule patient appointments promptly and accurately, collaborating with clinical teams to meet patient and staff needs.</li><li>Record all pertinent visit details, such as visit type, provider, and duration, while documenting scheduling notes as needed.</li><li>Maintain waitlists and optimize scheduling to fill appointment slots.</li><li>Assist with rescheduling and other appointment-related tasks as required.</li></ul><p><strong>3. Insurance Management</strong></p><ul><li>Demonstrate proficiency in insurance processes, including understanding third-party payers and eligibility systems.</li><li>Verify patients' insurance benefits, identify patient responsibilities, and document financial information to ensure proper reimbursement.</li><li>Act as a representative of the hospital by protecting both the patients' and organization's financial integrity.</li></ul><p><strong>Qualifications</strong></p><ul><li>Exceptional attention to detail and the ability to multitask in a fast-paced, patient-focused environment.</li><li>Familiarity with healthcare registration systems, EMR platforms, and scheduling procedures is preferred.</li><li>Strong knowledge of insurance processes and third-party payers.</li><li>Outstanding communication and problem-solving skills.</li><li>Dedication to upholding patient safety and adhering to healthcare regulations.</li></ul><p><br></p>
<p>We are looking for a dedicated Admissions Associate to join our team in New York, New York. In this long-term contract position, you will play a vital role in supporting the admissions process by managing administrative tasks, coordinating applicant visits, and ensuring a smooth experience for prospective students and their families. This role offers an opportunity to contribute to the mission of providing transformative educational experiences.</p><p><br></p><p>Responsibilities:</p><p>• Welcome and assist admission visitors during their time on campus, ensuring a positive and attentive experience.</p><p>• Coordinate and manage the office interview schedule, including organizing kindergarten applicant visits.</p><p>• Process and maintain all admission application components within the admissions database.</p><p>• Monitor and replenish office supplies to ensure smooth day-to-day operations.</p><p>• Handle administrative tasks for planning and executing admission events, such as preparing name tags, managing attendance lists, and checking in families.</p><p>• Communicate effectively and courteously with prospective families and other stakeholders.</p><p>• Provide support for evening events as needed, including occasional overtime.</p><p>• Collaborate with the Director of Enrollment Management on additional duties as assigned.</p>
<p>Our client is seeking an experienced <strong>Medicaid Compliance Specialist</strong> to join their healthcare team. This role focuses on Medicaid billing operations, compliance audits, and reimbursement optimization, with an emphasis on Brightree software. The ideal candidate will bring strong expertise in Medicaid billing processes, cash applications, adjudications, denials, and write-offs, ensuring compliance and operational efficiency across programs.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Process Medicaid billing using <strong>Brightree software</strong>, including cash applications, denials, adjudications, and write-offs.</li><li>Conduct internal and external Medicaid audits to ensure accuracy, compliance, and optimized reimbursement.</li><li>Develop and maintain systems for tracking administrative reviews, compliance metrics, and corrective action plans.</li><li>Ensure adherence to state contracts, Medicaid regulations, and accreditation standards.</li><li>Support standardized program practices and organizational compliance initiatives.</li><li>Prepare performance and compliance reports for leadership.</li><li>Lead or assist in special projects related to compliance, budgeting, and staffing as needed.</li></ul><p><br></p>
<p><b>One of the NICEST law firms seeks Bilingual Spanish Case Manager!</b></p><p><br></p><p>Law firm with multiple offices seeks Law Firm Case Manager to handle intake, case management, scheduling, etc. 40 hours per week and onsite in Downtown LA.</p><p><br></p><p>Salary up to $37/hour + STRONG benefits' package!</p><p><br></p><p><strong>Placed a candidate 6 years ago that is still there and been promoted!</strong></p><p><br></p><p>TO APPLY, ONLY send resume directly to Vice President of Direct Hire, Samantha Graham at Samantha [dot] Graham [at] RobertHalf [dot] [com]</p>
<p>We are looking for a dedicated Case Manager Admin to join our team in San Francisco, California, on a contract basis. In this role, you will provide comprehensive case management services to a diverse population of formerly homeless adults, many of whom face challenges related to mental health, substance use, or medical issues. This position requires strong organizational skills, compassion, and the ability to collaborate with tenants and various stakeholders to promote housing stability and community engagement.</p><p><br></p><p>Responsibilities:</p><p>• Conduct initial and ongoing needs assessments, outreach visits, and follow-ups to ensure tenants receive appropriate services.</p><p>• Build rapport with tenants and intervene effectively to address housing and life challenges.</p><p>• Assist tenants with securing and maintaining benefits and meeting rent payment obligations.</p><p>• Address unit habitability concerns and collaborate with hotel staff during inspections and pest control visits.</p><p>• Organize community-building events, tenant groups, and social activities to foster a supportive environment.</p><p>• Refer tenants to suitable job placement programs and other resources based on individual needs.</p><p>• Respond to tenant crises, offering de-escalation support and working with relevant departments and providers.</p><p>• Maintain accurate and organized tenant case files, ensuring confidentiality and compliance with regulations.</p><p>• Participate in agency-wide initiatives, such as energy program and income recertification efforts.</p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Allison Jacques at Allison.jacques - at - roberthalf - .com with your word resume and reference job ID#*00410-0013301322*</p>
<p>We are looking for a dedicated Case Manager Admin to join our team in San Francisco, California, on a contract basis. In this role, you will provide comprehensive case management services to a diverse population of formerly homeless adults, many of whom face challenges related to mental health, substance use, or medical issues. This position requires strong organizational skills, compassion, and the ability to collaborate with tenants and various stakeholders to promote housing stability and community engagement.</p><p><br></p><p>Responsibilities:</p><p>• Conduct initial and ongoing needs assessments, outreach visits, and follow-ups to ensure tenants receive appropriate services.</p><p>• Build rapport with tenants and intervene effectively to address housing and life challenges.</p><p>• Assist tenants with securing and maintaining benefits and meeting rent payment obligations.</p><p>• Address unit habitability concerns and collaborate with hotel staff during inspections and pest control visits.</p><p>• Organize community-building events, tenant groups, and social activities to foster a supportive environment.</p><p>• Refer tenants to suitable job placement programs and other resources based on individual needs.</p><p>• Respond to tenant crises, offering de-escalation support and working with relevant departments and providers.</p><p>• Maintain accurate and organized tenant case files, ensuring confidentiality and compliance with regulations.</p><p>• Participate in agency-wide initiatives, such as energy program and income recertification efforts.</p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Allison Jacques at Allison.jacques - at - roberthalf - .com with your word resume and reference job ID#*00410-0013301319*</p>
<p>We are looking for a dedicated Case Manager to join a stable team in Sherman Oaks looking to add a new member of the team. This firm specializes in personal injury cases, and this role is crucial to ensuring clients receive the support and advocacy they need throughout the claims process. The ideal candidate will thrive in a collaborative and focused environment while demonstrating exceptional organizational and communication skills.</p><p><br></p><p>Responsibilities:</p><p>• Manage claims processing with various insurance carriers, including health insurance providers, Medicare, and MediCal.</p><p>• Resolve property damage and loss of use claims efficiently and effectively.</p><p>• Coordinate with healthcare providers to schedule medical appointments for injury treatment.</p><p>• Advocate for clients by monitoring medical treatments and organizing care based on provider recommendations.</p><p>• Review, analyze, and interpret medical records, surgical reports, and medical bills.</p><p>• Prepare comprehensive case files for submission to the demands department.</p><p>• Maintain clear and precise communication with clients, healthcare providers, and internal staff.</p><p>• Collaborate with team members to ensure seamless case management and support.</p><p>• Utilize case management software and tools to maintain accurate and organized documentation.</p>
<p>We are looking for a detail-oriented Personal Injury Plaintiff Case Manager to join our team in Los Angeles, California. In this role, you will oversee personal injury cases, ensuring efficient claim processing, effective communication, and timely management of client needs. The ideal candidate will have a strong background in case management and a commitment to delivering exceptional client service.</p><p><br></p><p>Responsibilities:</p><p>• Process and open health insurance claims with accuracy and attention to detail.</p><p>• Upload and organize critical documents into the company’s case management software.</p><p>• Schedule and coordinate medical appointments while maintaining an up-to-date calendar.</p><p>• Serve as the primary point of contact for clients, addressing their concerns promptly and professionally.</p><p>• Ensure proper documentation and tracking of case details to support smooth claim administration.</p><p>• Collaborate with internal teams to streamline workflows and maintain case progress.</p><p>• Utilize CRM tools to manage client interactions and maintain detailed records.</p><p>• Monitor case timelines and ensure all deadlines are met.</p><p>• Stay informed about personal injury law and regulations to provide informed support.</p><p>• Maintain confidentiality and adhere to legal compliance standards.</p>
