<p>We are seeking an Insurance Verification Specialist to join a dynamic healthcare team in Los Angeles, California. This position is ideal for professionals who excel in a fast-paced medical setting and are committed to ensuring accurate and efficient patient insurance processing. The Insurance Verification Specialist plays a vital role in supporting patient access to care and helping the clinic maintain smooth, compliant operations.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Verify patient insurance coverage and eligibility with carriers for medical services.</li><li>Obtain pre-authorizations or referrals as required by insurance providers.</li><li>Accurately document insurance details and update patient records in the system.</li><li>Communicate benefit information, coverage details, or out-of-pocket requirements to patients as needed.</li><li>Collaborate with clinical and administrative staff to resolve insurance issues and support timely patient scheduling.</li><li>Assist with claim submissions by ensuring all required information is documented and filed appropriately.</li><li>Maintain strict compliance with HIPAA regulations and office confidentiality standards.</li><li>Support the front office team by answering patient or carrier questions and handling related administrative tasks.</li></ul><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p><strong>Overview:</strong></p><p>Our team is seeking an Insurance Verification Specialist to join our healthcare operations. This role is responsible for verifying patient insurance coverage, ensuring accuracy in data entry, and supporting patient intake and billing processes. The ideal candidate has strong attention to detail and a customer-focused attitude.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Verify insurance eligibility, benefits, and authorizations through phone, online portals, and direct contact with payers</li><li>Update and maintain patient records with accurate insurance information</li><li>Communicate coverage details to patients, providers, and internal staff</li><li>Coordinate with billing department to ensure claims are submitted correctly and timely</li><li>Resolve insurance verification issues and follow up on pending cases</li><li>Ensure compliance with all relevant regulations and privacy standards</li></ul><p><br></p>
<p>Our client in the local government and healthcare 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>
We are looking for an Insurance Verification Coordinator to join our team in Bronx, New York. This is a contract position where you will play a key role in supporting patients within the Emergency Department. You will assist individuals by identifying their needs, documenting essential health information, and connecting them with available resources to enhance their care experience.<br><br>Responsibilities:<br>• Conduct one-on-one patient interactions within the Emergency Department to assess needs and provide support.<br>• Utilize the provided screening tools to evaluate social determinants of health and document findings accurately in the electronic medical record.<br>• Identify patients with positive screenings and coordinate referrals to social workers for further assistance.<br>• Provide patients with information about supportive services available through the Emergency Department.<br>• Access and navigate electronic medical record systems, including Altera, to document and retrieve necessary information.<br>• Collaborate with the Emergency Department team to ensure seamless patient care and effective communication.<br>• Maintain accurate and organized records of patient interactions and referrals.<br>• Work closely with the ED social worker to align schedules and enhance patient support during standard business hours.<br>• Ensure compliance with organizational policies and procedures while handling sensitive patient information securely.
We are looking for a detail-oriented and organized Insurance Authorization Coordinator to join our team on a contract basis in Minneapolis, Minnesota. In this role, you will play a critical part in ensuring timely insurance approvals by coordinating prior authorizations, verifying coverage, and maintaining accurate documentation. This position is ideal for someone with experience in healthcare administration who thrives in a fast-paced environment.<br><br>Responsibilities:<br>• Review provider orders, clinical records, and insurance guidelines to assess prior authorization requirements.<br>• Monitor pending authorizations and follow up to secure timely approvals.<br>• Communicate effectively with providers, clinical staff, patients, and insurance representatives to provide updates or request additional documentation.<br>• Accurately record all actions, communication, and outcomes related to authorizations within internal systems.<br>• Confirm patient insurance coverage and validate benefit eligibility.<br>• Identify and report authorization issues or payer-specific trends to management.<br>• Assist with appeals and reconsideration processes for denied authorizations.<br>• Stay informed about payer regulations, medical necessity standards, and insurance protocols.<br>• Collaborate with billing and revenue cycle teams to ensure accurate authorization data is included with claims.
We are looking for a detail-oriented Insurance Follow Up Specialist/Charge Entry expert to join our team in Hoffman Estates, Illinois. In this role, you will play a key part in ensuring accurate data entry and charge processing for radiology services while maintaining a high standard of conduct. This is a long-term contract position designed for individuals with strong organizational skills and expertise in electronic medical records.<br><br>Responsibilities:<br>• Perform accurate data entry tasks, including patient registration, demographic updates, and insurance information input.<br>• Process radiology charge entries with precision and verify the accuracy of all submitted batches.<br>• Reconcile completed batches to ensure audit compliance before moving on to the next assignment.<br>• Post charges promptly and efficiently, adhering to established protocols.<br>• Coordinate with relevant teams to resolve discrepancies or errors in data entry.<br>• Utilize electronic medical records (EMR) systems to manage and update patient information.<br>• Demonstrate a high standard of conduct while interacting with patients and team members.<br>• Ensure compliance with organizational standards and procedures throughout the charge entry process.<br>• Identify opportunities for process improvements and contribute to operational efficiency.<br>• Handle sensitive patient information with utmost confidentiality and security.
<p>We are looking for a dedicated Medical Billing Specialist. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient processing of medical claims, helping the organization maintain compliance and achieve timely reimbursements. This role requires a keen eye for detail and a strong understanding of medical billing processes and terminology.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit accurate medical claims to insurance providers for reimbursement.</p><p>• Verify patient information, including demographics and insurance details, to ensure claims are processed correctly.</p><p>• Review denied or unpaid claims, identify issues, and submit appeals to resolve discrepancies.</p><p>• Communicate effectively with insurance companies, patients, attorneys, and healthcare providers to address billing inquiries.</p><p>• Maintain compliance with patient confidentiality regulations and organizational standards.</p><p>• Monitor and manage accounts receivable, ensuring timely follow-up on outstanding balances.</p><p>• Collaborate with team members to improve billing procedures and enhance operational efficiency.</p><p>• Maintain accurate records of billing activities and updates within electronic medical systems.</p>
<p>We are seeking a detail-oriented and experienced <strong>RCM Eligibility Specialist</strong> to join our team on a <strong>contract-to-hire</strong> basis. This <strong>fully remote</strong> position plays a critical role in ensuring the timely and accurate financial clearance of patient accounts.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has a strong background in eligibility verification, claim error resolution, and clean claim submission.</p><p><br></p><p><strong>Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><ul><li>Conduct thorough reviews of patient insurance coverage and benefit eligibility for laboratory services.</li><li>Communicate with teammates, clinics, patients, and insurance companies to verify coverage and resolve discrepancies.</li><li>Accurately document eligibility information within the revenue cycle management system.</li></ul><p><strong>2. Claim Error Processing</strong></p><ul><li>Analyze and resolve claim errors identified by the RCM system, including coding and billing discrepancies.</li><li>Collaborate with teammates to resolve errors and ensure compliance with internal policies and procedures.</li><li>Identify and resolve issues related to medical necessity.</li><li>Perform other duties as assigned.</li></ul>
<p>A Hospital in Los Angeles is in the need of a Medical Billing Support Services Associate to join its healthcare team in Los Angeles. In this role, the Medical Billing Support Services Associate will play a crucial part in ensuring the accurate processing of cash receipts, managing patient eligibility reviews, and resolving recoupment statuses. The Medical Billing Support Services Associate must have strong background in medical billing and a commitment to excellence.</p><p>(This position will be a hybrid/remote role) </p><p><br></p><p>Responsibilities:</p><p>• Process cash receipts from both automated and manual payers, ensuring compliance with established procedures.</p><p>• Research and analyze unposted or unapplied cash to facilitate timely resolution and posting.</p><p>• Investigate unapplied cash receipts and escalate issues to supervisors when necessary.</p><p>• Reverse balances and adjust credits or debits to correct billing errors and payment applications.</p><p>• Review correspondence related to refunds or recoupments, taking appropriate actions such as issuing refund requests or submitting disputes.</p><p>• Evaluate credit balances and issue refunds to payers in an accurate and timely manner.</p><p>• Collaborate with Finance and other Revenue Cycle departments to streamline cash posting, balancing, and reconciliation processes.</p><p>• Address issues related to payment postings or refunds and communicate updates to management.</p><p>• Cross-train in billing processes, including charge entry, insurance eligibility verification, and resolving billing edits.</p><p>• Assist with special projects assigned by leadership, such as audits, payer compliance reviews, and case-specific billing and collections.</p>
We are looking for a dedicated Insurance Referral Coordinator to join our team in Kingsburg, California. This role focuses on supporting patients with referrals, pre-authorizations, and guiding them through the process to ensure high-quality care. As this is a long-term contract position, you will have the opportunity to make a meaningful impact on patient satisfaction and healthcare coordination.<br><br>Responsibilities:<br>• Facilitate the referral process by assisting patients with completing necessary documentation and addressing any related inquiries.<br>• Coordinate and verify insurance referrals to ensure proper authorization and compliance with healthcare policies.<br>• Schedule and confirm patient appointments while maintaining accurate records in the system.<br>• Educate patients on referral processes and pre-authorization requirements to provide clarity and enhance their experience.<br>• Collaborate with healthcare providers to process referrals efficiently and ensure timely patient care.<br>• Maintain up-to-date patient medical records and ensure the accurate documentation of referral details.<br>• Monitor referral statuses and follow up with patients and providers when necessary.<br>• Support patients by checking them in and addressing any concerns related to insurance or appointments.<br>• Review and verify referral authorization details to ensure alignment with healthcare standards.<br>• Assist in coordinating care between patients and providers to optimize service delivery.
<p>We are seeking a motivated Insurance Authorization Specialist to join our expanding healthcare team in Carmel, IN. In this position, you will verify patient insurance coverage, secure pre-authorizations for medical services, and act as a critical link between our office, patients, and insurance companies. Your attention to detail and communication skills will help facilitate efficient billing and timely patient care.</p><p><br></p><p><strong>Schedule</strong>: Monday – Friday, 8:00 a.m. – 5:00 p.m.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Confirm patient insurance eligibility and benefits before appointments and procedures.</li><li>Request, track, and follow up on prior authorizations for medical services.</li><li>Maintain accurate records of all communications with insurers, payers, and patients.</li><li>Provide timely status updates and coverage information to providers, billing staff, and patients.</li><li>Collaborate to resolve denied authorizations or address appeals quickly.</li><li>Stay current on insurance policies, pre-authorization rules, and payer guidelines.</li><li>Adhere to HIPAA regulations and protect patient privacy at every step.</li></ul><p><br></p>
We are looking for a dedicated Insurance Referral Coordinator to join our team on a contract basis in Oakland, California. This position offers an excellent opportunity for individuals passionate about healthcare and committed to supporting patients through efficient care coordination. The role requires strong organizational skills, attention to detail, and a customer-focused approach to ensure seamless referral processes.<br><br>Responsibilities:<br>• Coordinate referral appointments, ensuring timely scheduling and communication with patients.<br>• Maintain and update patient records with accuracy and confidentiality.<br>• Verify insurance eligibility and benefits to support smooth processing of referrals.<br>• Obtain prior authorizations for medical services as required.<br>• Handle high volumes of outbound calls to patients and healthcare providers.<br>• Provide administrative support to streamline referral operations.<br>• Deliver exceptional customer service while addressing patient inquiries and concerns.<br>• Collaborate with healthcare teams to ensure effective care coordination.
<p>We are looking for 10 dedicated Insurance Referral Coordinators to join our healthcare client in Oakland, California. In this is a 3–4-month contract role, you will play a vital part in ensuring seamless coordination of patient care by managing insurance referrals and related administrative tasks. This position offers an excellent opportunity to grow within the healthcare industry while working in a collaborative and dynamic environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Coordinate referral appointments for patients, ensuring all necessary details are accurately documented.</p><p>• Maintain and update patient records to reflect referral and insurance information.</p><p>• Verify insurance eligibility and benefits to support patient care processes.</p><p>• Obtain prior authorizations for referrals and procedures as required.</p><p>• Make outbound calls to patients and providers, with an average of 60+ calls daily.</p><p>• Provide administrative support to the healthcare team, ensuring efficient workflow.</p><p>• Deliver exceptional customer service to patients and providers, addressing inquiries promptly.</p><p>• Collaborate with colleagues to streamline referral generation and authorization processes.</p><p><br></p><p><strong>Scope of Assignment</strong></p><ul><li>Focus exclusively on scheduling external referrals currently pending (approximately 2,500 referrals).</li><li>Contact specialty offices to secure appointments.</li><li>Document scheduling activity accurately in the EMR system and Transportation Calendar.</li><li>Collaborate with internal teams to ensure referral progression.</li></ul><p><br></p><p><strong>Productivity Expectations</strong></p><ul><li>GOAL: Schedule of <strong>30 appointments per day</strong>.</li><li>Meet or exceed daily outreach and documentation targets.</li><li>Contribute to measurable reduction of referral backlog within the 90-day assignment period.</li><li>Maintain accuracy and timeliness in documentation to support regulatory compliance.</li></ul><p>If you are interested in this role please apply today and call us at (510) 470-7450</p>
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 crucial part in ensuring accurate billing processes, verifying insurance coverage, and supporting financial counselors in assessing patient financial responsibilities. This position is based in Nashville, Tennessee, and offers an opportunity to contribute to the healthcare industry.<br><br>Responsibilities:<br>• Confirm patient eligibility and collaborate closely with the front desk and authorization team to ensure billing accuracy.<br>• Distinguish between various insurance contracts and payer systems, including Medicare, Medicaid, and private insurance.<br>• Communicate effectively with insurance companies to determine coverage details and resolve discrepancies.<br>• Verify patient insurance information and relay necessary data to Patient Financial Counselors for financial responsibility assessments.<br>• Utilize tools such as Availity to process claims efficiently and maintain organized records.<br>• Handle medical claims, coding, and collections with precision to support revenue cycle processes.<br>• Ensure accurate processing of copays and deductions to minimize errors.<br>• Stay updated on healthcare billing regulations and compliance requirements.<br>• Provide support in resolving billing issues and addressing patient inquiries.<br>• Collaborate with team members to improve workflows and optimize billing practices.
<p>Our client has an <strong>immediate need for a Medical Billing and Payment Posting Specialist</strong> to support a busy healthcare billing team. This role will focus on payment posting, insurance claim processing, and account reconciliation while working within the <strong>Athena (athenaOne/athenaCollector) platform</strong>. The position offers a consistent <strong>Monday–Friday schedule from 8:00 AM – 5:00 PM</strong> and is a <strong>contract-to-hire opportunity</strong> for someone with strong medical billing and insurance claims experience.</p><p><br></p><p>Key Responsibilities</p><ul><li>Post <strong>insurance payments and adjustments</strong> from Explanation of Benefits (EOBs) into Athena, including denial codes, notes, and supporting documentation</li><li>Reconcile <strong>daily payment activity</strong> by preparing spreadsheets and validating totals against transactions recorded in Athena</li><li>Verify <strong>electronic claim transmissions</strong> through Athena and ensure successful submission to insurance carriers</li><li>Enter and post <strong>charge tickets, cash receipts, and program payments</strong> within Athena and route deposits and documentation to bookkeeping as needed</li><li>Review medical bills for <strong>covered services and claim accuracy</strong> prior to submission to private insurers, government programs, and third-party payers</li><li>Monitor <strong>unpaid or denied claims</strong> within Athena work queues and follow up appropriately, including rebilling when necessary</li><li>Research discrepancies and assist with <strong>claim corrections and appeals</strong> for denied or underpaid claims</li><li>Maintain and update <strong>patient account information</strong>, including address changes and program coverage verification</li><li>Respond to <strong>patient and provider inquiries</strong> regarding charges, statements, and medical billing questions</li><li>Conduct <strong>outbound calls to patients, providers, and insurance carriers</strong> to resolve billing issues and confirm claim status</li><li>Organize documentation and submit <strong>appeals for denied or underpaid claims</strong></li></ul><p><br></p>
<p><strong>Salary: </strong>$55,000 - $65,000 + Annual Bonus</p><p><strong>Location:</strong> Lansing, MI (Hybrid)</p><p><strong>Unlimited PTO, Flexible Schedule, Career Growth Opportunities</strong></p><p><br></p><p>Our client is looking for a Project Accounting Specialist to join their team. In this role, you will handle essential accounting tasks, including managing contracts, processing payments, and ensuring accurate billing for construction projects. This position is ideal for an individual who thrives in a collaborative environment, has a love for numbers, technologically savvy, and embraces AI and the process improvements it's capable of making.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and process monthly invoices for construction projects while ensuring accuracy and timeliness.</p><p>• Enter accounts receivable contracts, change orders, and project details into accounting systems.</p><p>• Reconcile accounts receivable billings with project budgets and ensure alignment with the general ledger.</p><p>• Monitor bank accounts daily for deposits and irregular transactions, taking appropriate action as needed.</p><p>• Post cash receipts, process payments to trade partners, and manage payment releases in relevant systems.</p><p>• Issue trade contracts and change orders, ensuring proper documentation and tracking execution.</p><p>• Track and verify insurance certificates and other required documentation for trade contracts.</p><p>• Order bonds and insurance for company projects, ensuring compliance with requirements.</p><p>• Collaborate with cross-functional teams to streamline processes and support the accounting department.</p><p>• Maintain a proactive approach to learning and contributing to departmental improvements.</p>
<p>Robert Half is seeking an organzied and proactive Verification Specialist to join our team in San Ramon, CA. In this contract-to-permanent position, you will play a vital role in providing comprehensive support for verification processes, collaborating closely with internal teams and external clients. Your expertise will be essential in maintaining high service standards, developing training resources, and troubleshooting system issues. You must be local to California to be considered.</p><p><br></p><p>Verification Specialist Responsibilities:</p><p>• Utilize customer service reports to enhance verification processes, including creating new procedures, improving communication, and elevating service levels.</p><p>• Develop and maintain documentation related to customer service tasks, such as processes and policies.</p><p>• Design and deliver training for internal teams on compliance, operational, and technical aspects of verification.</p><p>• Manage and update training materials on internal platforms to ensure accessibility and relevance.</p><p>• Facilitate training sessions for end users, both individually and through group calls, on systems and procedures.</p><p>• Respond to verification inquiries, conducting research, tracking actions, and maintaining documentation in case management systems.</p><p>• Act as the primary troubleshooter, monitoring and resolving system or vendor-related issues promptly and professionally.</p><p>• Collaborate with verification team members and corporate departments to ensure adherence to best practices and compliance with regulations.</p><p>• Ensure accurate and timely processing of verifications to meet business objectives and exceed expectations.</p><p><br></p><p>If you are interested in this Verification Specialist position, please submit your resume ASAP!</p>
<p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
<p><em>The salary for this position is $85,000 to $86,000 plus bonus, and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Coordinate Treasury data retrieval. Retrieve and process electronic bank statements and coordinate information flow into SAP. Resolve issues related to obtaining electronic banking information. Ensure that inflows and outflows have proper G/L coding.</li><li>Payment processing. Run daily payment programs, process wires that need to be uploaded into bank websites, process Federal/State/Canadian tax payments, process ACH drawdowns, and troubleshoot any payment-related problems.</li><li>Various banking-related activities. Online banking user maintenance, signatory updates, process remote check deposits, handle auditor information requests, and maintain a list of all bank accounts.</li><li>Assist with month-end activities, such as interest accrual reports, letter of credit reporting, and distribution of various reports. Verification of interest payment calculations with third parties.</li><li>International activities. Review and initiate/approve international payments, work with the Cash Manager to place international investments, and assist with intercompany transactions.</li></ul><p><br></p>
<p><strong>Logistics Analyst (Remote – Pacific Time)</strong></p><p><strong>Contract through August 2026 | Possible extension or long-term</strong></p><p><strong>40 hours per week</strong></p><p><br></p><p>Join a growing operations team supporting end‑to‑end shipping, receiving, and material movement across multiple warehouse locations. This role ensures smooth transportation workflows, accurate documentation, and on‑time movement of materials and finished goods. This position is ideal for someone procative, responsive and with superb attention to detail who can work in a fast paced environment and respond to and resolve urgent logistics challenges.</p><p><br></p><p><strong>What You’ll Do</strong></p><p><strong>Shipping & Receiving Coordination</strong></p><ul><li>Schedule and coordinate inbound/outbound shipments across warehouse locations.</li><li>Maintain accurate receiving, transfer, and shipment records.</li><li>Provide daily shipment and inventory updates to Logistics, Warehouse, and Purchasing teams.</li><li>Verify inventory availability and prepare shipping documentation.</li></ul><p><strong>Material Movement & Inventory Support</strong></p><ul><li>Coordinate transfers between internal and 3PL warehouse locations.</li><li>Partner with Inventory Control on local transfers and production needs.</li><li>Investigate and update missing entries, support data accuracy and reporting.</li><li>Recommend process improvements to enhance flow and service levels.</li></ul><p><strong>Scheduling & Documentation Management</strong></p><ul><li>Manage the scheduling platform (appointments, rules, carrier requirements).</li><li>Review schedule updates for inbound, outbound, and transfer activity.</li><li>Consolidate BOLs, COAs, packing lists, and related documents in cloud storage.</li></ul><p><strong>General Support</strong></p><ul><li>Submit equipment repair work orders.</li><li>Assist with special shipping arrangements.</li><li>Support reconciliation of inventory discrepancies as needed.</li><li>Perform additional logistics tasks to support fluctuating workload.</li></ul><p><br></p>
We are looking for a dedicated Insurance Authorization Coordinator to join our team in Pewaukee, Wisconsin. In this Contract to permanent position, you will play a critical role in managing insurance-related tasks and ensuring accurate billing practices for ambulance services. This role requires a detail-oriented individual with strong communication skills and a solid understanding of medical insurance processes.<br><br>Responsibilities:<br>• Analyze denied or underpaid claims and prepare detailed appeals with supporting documentation to secure proper reimbursement.<br>• Verify patient insurance coverage, benefits, and authorization requirements before or after transport to ensure claims are submitted accurately.<br>• Handle inbound calls from patients to address account balances, explain charges, and provide guidance on payment options or necessary corrections.<br>• Document all actions, conversations, and next steps thoroughly in the billing system to maintain accurate account records.<br>• Collaborate with team members and supervisors to gather required information, clarify service details, and resolve payer concerns.<br>• Ensure compliance with industry regulations and internal procedures to maintain adherence to billing standards.<br>• Utilize billing software and payer portals effectively to process claims and manage account information.<br>• Conduct additional tasks as needed to support the billing department and overall operations.
<p>Robert Half is partnering with a Wisconsin headquartered healthcare organization in the recruiting for a Credentialing Manager to lead their credentialing operations within their facilities and external provider enrollment and credentialing. This role is responsible for overseeing the full credentialing process for medical staff, ensuring compliance with regulatory and accreditation requirements, and optimizing workflow for timely and accurate provider enrollment. The ideal candidate will bring years of progressive credentialing experience in healthcare, strong leadership skills, and deep knowledge of industry regulations and standards.</p><p><br></p><p>This is a permanent placement opportunity offering competitive salary, benefits, generous paid time off, and flexible schedule with fully remote option. </p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Lead the credentialing team to process provider applications, verifications, and re-credentialing activities in accordance with regulatory, payer, and facility requirements </li><li>Develop, implement, and maintain policies, procedures, and workflow improvements to ensure efficient, compliant credentialing operations </li><li>Oversee initial and ongoing verification of practitioner credentials (education, licensure, certifications, work history, malpractice history, etc.) </li><li>Stay current with state, federal, and accrediting body requirements (e.g., NCQA, Joint Commission) and serve as internal subject matter expert for compliance </li><li>Manage relationships and communications with providers, insurance payers, and internal stakeholders to resolve credentialing issues and expedite enrollment</li><li>Prepare for and participate in audits, surveys, and quality assurance reviews; ensure proper documentation and recordkeeping </li><li>Provide regular reporting and analytics to senior leadership regarding credentialing metrics, provider enrollment status, and workflow efficiency </li><li>Hire, train, and mentor credentialing staff; foster a culture of accountability and continuous improvement </li></ul>
<p>A growing Behavioral Health Company is hiring a Lead Medical Billing Specialist with strong behavioral health skills. The Medical Billing Specialist will be tasked with submitting claims to insurance companies for services rendered. The Medical Billing Specialist must be well versed with HMO, PPO and Government insurance. The right person for this role must have at least 3 years of medical billing and insurance collections experience. .</p><p> </p><p>Your responsibilities in this role</p><p> - EOB review and claims submission</p><p>- Send notices to insurance companies and patients for request for payment</p><p>- Manage elements of specific patient accounts, such as billing and reimbursement</p><p>- Coordinate with numerous working teams to guarantee quality of data and uniformity</p><p>- Behavioral Health or DMH is a big plus but not a must </p>
<p>A growing Behavioral Health Company is hiring a Lead Medical Billing Specialist with strong behavioral health skills. The Medical Billing Specialist will be tasked with submitting claims to insurance companies for services rendered. The Medical Billing Specialist must be well versed with HMO, PPO and Government insurance. The right person for this role must have at least 3 years of medical billing and insurance collections experience. .</p><p> </p><p>Your responsibilities in this role</p><p> - EOB review and claims submission</p><p>- Send notices to insurance companies and patients for request for payment</p><p>- Manage elements of specific patient accounts, such as billing and reimbursement</p><p>- Coordinate with numerous working teams to guarantee quality of data and uniformity</p><p>- Behavioral Health or DMH is a big plus but not a must </p>
<p>Are you detail‑driven, organized, and thrive in a “heads‑down” workflow? Robert Half is partnering with a long‑standing, community‑focused life insurance organization to add a <strong>Member Services Processing Representative</strong> to their Customer Support Center Processing team. This is a great fit for someone who enjoys structured tasks, data accuracy, and navigating multiple systems throughout the day.</p><p> </p><p><strong>Why Candidates Love This Opportunity</strong></p><ul><li>Clear, structured work with predictable workflows</li><li>A respected organization with a long history and strong community impact</li><li>Supportive team culture—not a call center role, but a processing environment</li><li>The ability to stay “in the zone” and feel accomplished each day</li><li>Hybrid/remote flexibility</li></ul><p><strong>What You’ll Do</strong></p><p>You’ll work inside the Customer Support Center’s digital worklists—processing tasks submitted by phone representatives, such as:</p><ul><li>Beneficiary changes</li><li>Reinstatements</li><li>Loan processing and cash surrenders</li><li>Reviewing, tracking, and processing annuity applications (secondary workflow)</li><li>Entering application data into internal trackers</li><li>Sending follow‑up emails and occasional calls to other carriers to confirm receipt or request needed info</li><li>Navigating multiple internal systems to complete back‑office processing tasks</li><li>Partnering with trainers or teammates when you need support</li><li>Maintaining accuracy, speed, and productivity throughout the day </li></ul><p>This role is minimal phone work—most of your day is spent processing, reviewing, and updating member information in a structured queue.</p><p> </p><p>Interested? Apply today!</p><p>Reach out to us at 📞 (563) 359‑7535</p><p> </p><p>We’d love to connect and share more about how this role aligns with your experience and goals.</p>