<p>We are looking for a skilled Revenue Cycle Analyst to join our team on a contract-to-hire basis in Tulsa, Oklahoma. This role involves ensuring the integrity of revenue processes and supporting organizational goals through detailed analysis and reporting. The ideal candidate will bring expertise in healthcare revenue cycle operations and a strong ability to communicate findings effectively.</p><p>This is a contract-to-hire position.</p><p>100% ONSITE in Tulsa, Oklahoma and requires some local travel. Must be able to work onsite 5 days a week in Tulsa, Oklahoma.</p><p><br></p><p><strong><u>Contract-to-hire Revenue Cycle Analyst in Tulsa, Oklahoma:</u></strong></p><p>Responsibilities:</p><p>• Conduct daily tasks related to maintaining revenue integrity, ensuring compliance with organizational standards.</p><p>• Research and develop educational content for training programs focused on revenue integrity.</p><p>• Analyze and review revenue processes, presenting findings and recommendations for corrective actions.</p><p>• Collaborate with management teams to oversee and update the charge description master.</p><p>• Provide ongoing support for charge capture activities, including maintaining workflows and reporting for clinical departments.</p><p>• Act as a subject matter expert on revenue integrity issues, offering guidance on operational and organizational concerns.</p><p>• Track and report on the progress of revenue integrity initiatives, including status updates and reimbursement analysis.</p><p>• Create and maintain detailed reports related to charge capture and revenue processes.</p><p>• Assist in the implementation of improvements to optimize revenue cycle efficiency.</p>
<p>Are you an experienced back office healthcare professional with a solid understanding of revenue cycle processes? If so, Robert Half may have the perfect opportunity for you. We are currently partnering with a Plymouth, MN based organization in the behavioral health space that will be hiring a Revenue Cycle Specialist to cover for an upcoming medical leave starting in late April. The ideal candidate will have 3+ years of prior experience with medical claims and medical billing, as well as an understanding of denials. Must be able to assist in an interim capacity for a minimum of 3+ months. </p><p> </p><p><strong><u>Key Responsibilities</u></strong></p><ul><li>Process patient and insurance claims accurately and efficiently using Procentive software.</li><li>Review and interpret explanation of benefits (EOBs), ensuring proper processing and payment allocation for behavioral health services.</li><li>Verify insurance eligibility, benefits coverage, and prior authorizations as required for behavioral health procedures.</li><li>Follow up on unpaid and denied claims, resolving discrepancies to facilitate timely reimbursement.</li><li>Communicate with insurance companies and patients to address billing-related inquiries.</li><li>Maintain up-to-date knowledge of medical billing codes, regulations, and policies specific to behavioral health services, including HIPAA compliance.</li><li>Generate and send out invoices to appropriate payers (patients or insurance companies).</li><li>Assist with maintaining accurate financial records, including daily, weekly, and monthly reporting.</li><li>Collaborate with therapists and administrative staff to ensure a seamless billing experience for our patients.</li></ul>
<p>We are looking for a skilled Revenue Cycle Manager for a Waukesha, WI area organization. This role is vital for ensuring the accurate and efficient management of revenue-related activities, including billing, collections, and accounts receivable. If you excel in driving operational excellence and enjoy working in a fast-paced environment, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Manage all aspects of the revenue cycle, including billing, collections, and accounts receivable processes.</p><p>• Implement strategies to optimize cash applications and ensure timely payments.</p><p>• Oversee the accuracy and efficiency of healthcare revenue cycle operations.</p><p>• Collaborate with various departments to streamline revenue accounting and reporting.</p><p>• Monitor key performance indicators and generate reports to assess the effectiveness of financial processes.</p><p>• Develop and enforce policies to ensure compliance with regulations and industry standards.</p><p>• Train and mentor staff to improve team performance and knowledge of revenue cycle management.</p><p>• Troubleshoot and resolve discrepancies in billing and payment processes.</p><p>• Identify areas for improvement and recommend innovative solutions to enhance revenue cycle operations.</p><p>• Maintain strong relationships with stakeholders and clients to ensure satisfaction and transparency.</p>
<p>Robert Half is partnering with a <strong>growing healthcare organization</strong> to hire a <strong>Revenue Cycle Manager</strong> for a high-impact leadership role based in <strong>Emmett, Idaho</strong>. This position offers a <strong>hybrid work environment</strong>, allowing for a blend of on-site collaboration and remote flexibility. <strong>Relocation assistance is available</strong> for the ideal candidate.</p><p>This is a unique opportunity to lead revenue cycle operations in a mission-driven organization while enjoying a balanced lifestyle in a scenic, close-knit community. With continued organizational growth, this role offers <strong>strong potential for future career advancement</strong>.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Lead strategic planning and day-to-day operations of the Revenue Cycle team</li><li>Oversee CPT and ICD-10 coding practices and prepare for ICD-11 transition</li><li>Manage the Chargemaster to ensure accurate and timely billing</li><li>Monitor billing accuracy using quality improvement tools and implement corrective actions</li><li>Train providers and staff on coding and billing updates, especially for Critical Access Hospitals</li><li>Ensure compliance with federal and state regulations, including the No Surprises Act and Hospital Price Transparency Rule</li><li>Build and maintain payer relationships to resolve issues impacting cash flow</li><li>Optimize charge capture, reimbursement, patient collections, and minimize bad debt</li><li>Analyze data to identify trends and improve operational efficiency</li><li>Leverage technology and automation to streamline revenue cycle processes</li><li>Evaluate team performance and provide coaching for continuous improvement</li><li>Advise leadership on payer relations and regulatory changes</li></ul><p><br></p><p>Please reach out to Lana Funkhouser with Robert Half to review this position. Job Order: 03590-0013292146</p>
<p>We are looking for a dedicated Revenue Cycle Analyst to join our team near Oak Brook, Illinois, on a contract-to-permanent basis. This role is critical in ensuring the accuracy and compliance of revenue operations within a healthcare setting. The ideal candidate will play a key part in optimizing financial processes, supporting charge capture, and collaborating across departments to enhance operational efficiency and transparency.</p><p><br></p><p>Responsibilities:</p><p>• Ensure daily revenue integrity activities, including accurate and compliant charge capture processes.</p><p>• Research and design training programs to educate staff on best practices for revenue integrity.</p><p>• Conduct detailed reviews of revenue processes, presenting findings and recommending actionable improvements to leadership.</p><p>• Collaborate with Charge Description Master teams to maintain and update charge master systems.</p><p>• Develop performance reports and analytics to monitor charge capture activities and departmental compliance.</p><p>• Stay informed on regulatory changes affecting reimbursement and adjust revenue integrity strategies accordingly.</p><p>• Partner with departments such as Supply Chain, Clinical Operations, and Finance to enhance charge capture and revenue recognition.</p><p>• Provide insights and recommendations for strategic pricing and reimbursement initiatives based on thorough data analysis.</p><p>• Maintain dashboards to track revenue integrity efforts, compliance trends, and financial performance.</p><p>• Act as a subject matter expert to support staff in navigating operational and financial challenges related to revenue processes.</p>
<p>Our client is looking for an experienced Revenue Cycle Reports Analyst to join their team in Houston, Texas. In this role, you will play a critical part in managing financial operations and ensuring the seamless flow of revenue processes. This is an excellent opportunity to contribute to a dynamic environment and make a meaningful impact within the organization.</p><p><br></p><p>Responsibilities:</p><p>• Analyze and interpret revenue cycle data to identify trends and recommend improvements.</p><p>• Manage billing, claims processing, and coding to ensure accurate and timely transactions.</p><p>• Oversee reimbursement procedures and address denials to optimize financial outcomes.</p><p>• Develop and present comprehensive reports using advanced tools such as Microsoft Excel and Power BI.</p><p>• Collaborate with various departments to align processes and enhance operational efficiency.</p><p>• Communicate findings and insights effectively to stakeholders across different levels.</p><p>• Monitor key performance indicators to track the effectiveness of revenue cycle operations.</p><p>• Implement strategies to streamline workflows and improve financial analytics.</p><p>• Ensure compliance with industry standards and regulations in all revenue cycle activities.</p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote. </p>
<p>We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryville, California. In this role, you will handle medical coding and contribute to the efficient management of claims and denials. This is a long-term contract position offering an opportunity to make a significant impact in the healthcare sector.</p><p><br></p><p>Responsibilities:</p><p>• Accurately apply ICD-10 and CPT codes to medical records and claims.</p><p>• Review and analyze outpatient coding to ensure compliance with regulatory standards.</p><p>• Manage and resolve insurance denials and claim discrepancies effectively.</p><p>• Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries.</p><p>• Monitor claims for commercial insurance to ensure timely processing and reimbursement.</p><p>• Identify trends in claim denials and implement corrective actions to minimize future issues.</p><p>• Assist in maintaining updated coding certifications and staying informed about changes in coding practices.</p><p>• Communicate with insurance companies to negotiate resolutions for denied claims.</p><p>• Support the revenue cycle team in optimizing workflows and achieving financial goals.</p><p><br></p><p>If you are interested in this role please apply today and call us at (510) 470-7450. This role will require your in-person presence in Emeryville, CA, a couple times per week, please do not apply if you are only looking for remote.</p>
<p>We are looking for a skilled Revenue Integrity Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a strong understanding of billing functions, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy.</p><p>• Manage medical billing operations, ensuring timely and accurate processing.</p><p>• Handle medical claims by reviewing, validating, and resolving discrepancies.</p><p>• Collaborate with team members to streamline billing functions and improve workflows.</p><p>• Ensure compliance with healthcare regulations and standards in all revenue cycle activities.</p><p>• Utilize data analysis to identify trends and recommend improvements in revenue cycle operations.</p><p>• Support the transition of revenue processes back in-house, ensuring seamless integration.</p><p>• Provide detailed reporting on billing and claims metrics to stakeholders.</p><p>• Assist in supply chain-related tasks when applicable to revenue cycle management.</p><p>• Maintain up-to-date knowledge of industry practices and regulatory changes.</p>
<p>We are looking for a dynamic Director of Revenue Cycle to lead and optimize patient access operations across multiple facilities in the Twin Cities area. This role requires strong leadership skills to drive operational efficiency, enhance the patient experience, and ensure adherence to regulatory standards. The position is onsite and involves regional travel. Salary Range: up to $105,000 plus bonus. If you are interested, please reach out to Nicole Dooner on LinkedIn or call 612-249-0277</p><p><br></p><p>Responsibilities:</p><p>• Oversee patient access operations across multiple facilities to ensure seamless processes and high-quality service.</p><p>• Identify and implement innovative solutions to enhance operational efficiency and improve patient experiences.</p><p>• Develop and maintain strong relationships with facility leaders to align organizational goals and strategies.</p><p>• Lead and mentor patient access teams, supporting skill development and building a leadership pipeline.</p><p>• Manage recruitment, onboarding, and training for leadership and patient access staff.</p><p>• Monitor team performance using KPIs and implement strategies for continuous improvement.</p><p>• Ensure compliance with regulatory guidelines and organizational policies across all patient access points.</p><p>• Oversee budget management and resource allocation to optimize financial performance.</p><p>• Drive employee engagement through effective communication strategies and morale-boosting initiatives.</p><p>• Lead and manage projects from initiation to completion, ensuring timely delivery and adherence to budget constraints.</p>
We are looking for a skilled Revenue Cycle Analyst to join our team in San Francisco, California. This contract-to-permanent position offers an exciting opportunity to support revenue operations by analyzing financial data, ensuring accuracy in reporting, and improving processes within the revenue cycle. The ideal candidate will possess strong analytical capabilities and attention to detail, contributing to the integrity of our revenue-related activities.<br><br>Responsibilities:<br>• Analyze accounts receivable data to identify discrepancies and investigate variances across revenue sources.<br>• Prepare and maintain reconciliations for receivables, cash receipts, and associated revenue accounts.<br>• Validate and compare data from multiple systems, including case management tools and bank records, to ensure accuracy.<br>• Examine large datasets to identify trends, patterns, and inconsistencies to support accurate forecasting.<br>• Contribute to monthly closing activities by ensuring revenue and receivables data is correctly aligned.<br>• Collaborate with cross-functional teams to resolve inconsistencies and improve revenue reporting processes.<br>• Develop ad hoc reports to address specific business needs and contribute to ongoing process optimization.<br>• Assist with monitoring and enhancing the overall effectiveness of the revenue cycle.<br>• Ensure compliance with established procedures and work towards continuous improvement in financial operations.
<p>Are you an experienced Medical Collector with in-depth knowledge of Medicaid and Medicare reimbursements specific to Massachusetts? Our company is seeking a detail-oriented professional with strong hospital revenue cycle experience to join our team and help drive collections success.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform collections for Medicaid and Medicare accounts in accordance with Massachusetts regulations and payer requirements.</li><li>Work closely with hospital revenue cycle teams to resolve outstanding A/R and minimize denials.</li><li>Analyze patient accounts, secure accurate and timely reimbursements, and escalate complex cases as needed.</li><li>Review EOBs, payments, and remittance advices to ensure correct posting and balance resolution.</li><li>Communicate effectively with payers, internal departments, and patients to resolve issues.</li><li>Maintain detailed and accurate notes in billing systems, adhering to compliance and privacy regulations.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>Experience with revenue cycle management software.</li><li>Knowledge of Massachusetts-specific Medicaid (MassHealth) policies.</li><li>Related micro credentials or certifications in health data management or medical billing are a plus</li></ul><p><br></p>
<p>We are seeking an experienced <strong>Controller</strong> to lead accounting operations and oversee financial reporting for our organization for start-up Healthcare organization. This role is remote with a strong preference candidates local to the Los Angeles area for meetings and get to togethers.</p><p><br></p><p>Please email resume to Eric Herndon for consideration</p><p><br></p><p>Key Responsibilities</p><ul><li>Oversee all accounting operations in compliance with GAAP and regulatory requirements</li><li>Own and manage <strong>factoring arrangements</strong>, ensuring effective cash flow, reconciliations, and lender reporting</li><li>Lead and optimize revenue cycle processes</li><li>Prepare and review financial statements, forecasts, and management reports</li><li>Maintain accounting policies, procedures, and internal controls</li><li>Partner with leadership to support budgeting, planning, and financial strategy</li><li>Lead and develop the accounting team</li><li>Identify and implement process improvements to enhance financial efficiency</li></ul><p>Qualifications</p><ul><li>Bachelor’s degree in Accounting or Finance (CPA preferred)</li><li>7+ years of progressive accounting experience, including leadership within Healthcare sector</li><li><strong>Hands-on experience with factoring and cash flow management</strong></li><li>Strong GAAP, reporting, and revenue cycle expertise</li></ul><p><br></p>
<p>A privately owned, professionally run healthcare organization is seeking an early- to mid-career Controller to help drive innovation and growth in a dynamic, fast-moving environment. If you thrive in a healthy culture that values autonomy, modernizes processes, and rewards learning, this is a compelling opportunity to step into a critical leadership role.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Lead and develop a high-performing accounting team (Senior Staff Accountant, Accounting Specialist, AP Clerk), fostering an environment of emotional safety, professional growth, and collaboration.</li><li>Oversee all accounting operations, including process improvement and modernization as the organization transitions from cash-based to accrual-based accounting.</li><li>Deliver clear, concise financial analysis and insights to support C-Suite decision-making.</li><li>Take an active role in ERP system selection and future implementation (currently using QuickBooks).</li><li>Ensure compliance and oversight of the healthcare revenue cycle—prior experience is required.</li></ul><p>Candidate Profile:</p><ul><li>4-year degree in accounting required; CPA strongly preferred.</li><li>At least 5 years of accounting experience, including 3 years in a leadership capacity.</li><li>Direct healthcare industry experience and familiarity with revenue cycle and compliance components are required—no ramp-up period available.</li><li>Data-driven and comfortable supporting executive strategy and decision-making.</li><li>Early- to mid-career professional, eager to learn and grow; not a senior “manager of managers.”</li><li>Outstanding communication skills; able to provide concise answers and guidance with zero ambiguity.</li></ul><p>Organizational Culture:</p><ul><li>Fast-paced, innovative environment with entrepreneurial spirit.</li><li>Leadership fosters emotional safety, encourages risk-taking, and promotes honest professional growth.</li><li>Current focus includes process streamlining, accounting infrastructure modernization, and ERP system upgrades.</li></ul><p>If you are excited to play an integral role in modernizing accounting operations and building a collaborative, high-trust team, we want to connect with you. To apply, contact Victor Granados at 719-249-5153.</p>
<p>We are looking for a dedicated <strong>Medical Billing Specialist</strong> to join our clinic team. This is a fully onsite role. This isn't just a data entry job—this is a high-impact role where you will manage the full revenue cycle for our clinic and residential Medicaid patients.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 4:30pm</p><p><br></p><p><strong>Responsibilities</strong>:</p><ul><li><strong>Full Cycle Follow-Up:</strong> Proactively managing unpaid claims and navigating payer portals to resolve delays.</li><li><strong>Payment Posting:</strong> Accurately posting payments and reconciling accounts.</li><li><strong>Medicaid Expertise:</strong> Navigating the complexities of Medicaid and Managed Care plans.</li><li><strong>Issue Resolution:</strong> Investigating why claims were denied and escalating systemic problems to leadership.</li><li><strong>Revenue Stability:</strong> Working closely with the team to ensure consistent cash flow for our residential and clinic services.</li></ul>
<p>A well-established healthcare services organization in Solana Beach is seeking a highly organized and detail-driven <strong>Billing Specialist</strong> to oversee complex billing cycles and ensure accurate revenue capture. This role requires someone who understands compliance, documentation standards, and the importance of precision in a regulated environment.</p><p>You will serve as a key liaison between operations, accounting, and clients to ensure invoices are accurate, timely, and fully supported.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare, review, and submit detailed invoices based on service documentation</li><li>Verify billing accuracy against contracts and rate schedules</li><li>Research and resolve billing discrepancies and client inquiries</li><li>Post payments and reconcile accounts</li><li>Monitor aging reports and assist with light collections follow-up</li><li>Maintain accurate digital documentation and billing records</li><li>Support month-end revenue reporting and reconciliations</li><li>Collaborate with accounting and operations teams to improve billing workflows</li></ul>
<p>We are seeking a driven and hands-on Medical Collections Team Supervisor to lead and develop a team of Patient Care Representatives. This leader will play a critical role in driving performance, ensuring compliance, and delivering excellent customer service in a medical collections and billing environment. You’ll partner with management to refine workflows, meet client and regulatory standards, and champion continuous process improvement. Following a fully onsite training and initial 90 days, candidates will move to a hybrid schedule 2 days in Office/3 days home.</p><p><br></p><p>Must be local (45 minute radius of Lima).</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position:</p><ul><li>Lead the team by example, establishing high standards for performance, quality, and regulatory compliance.</li><li>Mentor, coach, and develop team members through real-time feedback, quality reviews, and ongoing training.</li><li>Manage daily workflow, monitoring and directing team productivity according to established metrics.</li><li>Address escalated patient/customer calls, resolve complex billing or insurance issues, and facilitate dispute resolutions as needed.</li><li>Review and analyze production and quality reports, identifying trends and improvement opportunities.</li><li>Conduct regular team meetings, stand-ups, and training sessions to maintain communication and engagement.</li><li>Act as a subject matter expert on internal technology, systems, and medical collections processes.</li><li>Support recruitment, scheduling, performance reviews, and participate in special projects as assigned.</li></ul><p><br></p>
<p><strong>Director of Operations – Healthcare Practice</strong></p><p> Location: Southington, CT area (Onsite, brand new office)</p><p> </p><p>Join a growing, privately held medical practice with over 25 years of service to the community. Our dedicated team of over 100 employees and is committed to providing compassionate, patient-centered care.</p><p><strong> </strong></p><p> The Director of Operations leads practice operations, focused on process improvement, workflow efficiency, and effective staff management during a period of rapid growth. This role will execute strategic goals, optimize workflows, and drive financial and quality outcomes.</p><p> </p><p><strong>Key Responsibilities:</strong></p><ul><li>Oversee and develop four department managers: Billing, Patient Services, Clinical, Administration </li><li>Streamline processes across patient services and clinical functions.</li><li>Standardize and implement workflows and policies for efficiency and consistent patient experience.</li><li>Manage budgets, monitor performance, and drive revenue cycle outcomes with finance and billing teams.</li><li>Optimize clinic flow, staffing, scheduling, and patient satisfaction with clinical leaders.</li><li>Lead, mentor, and develop managers and support staff; manage hiring, onboarding, and retention.</li><li>Prepare and present operational reports and recommendations to leadership.</li><li>Collaborate closely with the CFO and Practice Manager to ensure smooth integration as the organization expands.</li><li>Identify and implement operational best practices to enhance patient experience, compliance, and staff engagement.</li></ul><p><strong> </strong></p><p><strong>Required Experience:</strong></p><ul><li>Proven operations leadership experience in a fast-paced business or healthcare environment.</li><li>Strong skills in process optimization, people management, and organizational strategy.</li><li>Healthcare practice experience highly preferred</li></ul><p> </p><p><strong>Why Join Us?</strong></p><ul><li>Lead operations in a modern, high-impact medical practice.</li><li>Directly influence practice growth and patient care excellence.</li><li>Competitive compensation package including bonus potential.</li></ul><p><strong> </strong></p><p>Ready to take the next step in your career? Please apply today or send your resume to Kelsey.Ryan@roberthalf(.com)</p>
<p>We are currently seeking an experienced and dynamic <strong>Director of Patient Access</strong> to join a healthcare organization in Appleton, WI. This critical leadership role offers you the opportunity to oversee all patient access operations, drive process improvements, and provide strategic direction to ensure exceptional service for patients and their families.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead and manage all functions related to patient registration, scheduling, insurance verification, pre-authorization, and admissions</li><li>Develop and implement policies and procedures to maximize efficiency, patient satisfaction, and regulatory compliance</li><li>Mentor, train, and supervise a team of patient access managers and staff</li><li>Utilize data-driven insights to identify areas for process improvement and implement best practices</li><li>Partner with other departments, including revenue cycle, finance, and clinical teams, to ensure smooth patient flow and positive patient experiences</li><li>Monitor key performance indicators and ensure department goals are met</li></ul><p><br></p>
<p>Join our hospital team as a Medical Collections Specialist—a critical role in our revenue cycle management department. You do not need prior experience; comprehensive training is provided to ensure your success in this position.</p><p>Responsibilities:</p><ul><li>Manage and resolve patient accounts, including billing and collections</li><li>Contact patients and insurance companies to follow up on outstanding balances</li><li>Maintain accurate records and documentation in our collection systems</li><li>Communicate professionally with patients, insurers, and internal teams</li><li>Ensure compliance with privacy regulations and hospital policies</li><li>Support strategic initiatives to improve collections processes</li></ul><p><br></p>
<p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>
<p>Our client in Springfield, MA is seeking an experienced Insurance Follow-Up Specialist for a contract position. This is an excellent opportunity to contribute your expertise with a respected organization, ensuring the timely and accurate management of insurance claims and reimbursement processes.</p><p>Key Responsibilities:</p><ul><li>Investigate and resolve unpaid or delayed insurance claims</li><li>Communicate effectively with insurance carriers to obtain status updates, claim resolutions, and clarification of denials</li><li>Review and analyze explanation of benefits (EOBs) and remittance advice to determine appropriate follow-up</li><li>Appeal denied claims in accordance with payer-specific guidelines</li><li>Document all interactions and claim actions in the billing system accurately</li><li>Collaborate with internal teams, such as billing and collections, to ensure coordinated efforts</li><li>Maintain up-to-date knowledge of insurance regulations and payer requirements</li></ul><p><br></p>
We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<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>
