<p>We are looking for an experienced Audit Manager to join our team on a long-term contract basis in New York, New York. </p><p>Reg W and Reg K experience is a must. </p><p>Does this sound like you? </p><ul><li>Develop and refine Reg W and Reg K control inventories, leveraging the company's provided documentation and audit evidence.</li><li>Draft and finalize audit program outlines and templates for Reg W and Reg K.</li><li>Integrate audit walkthroughs and fieldwork outputs into the refinement of inventories, audit programs, and gap/enhancement logs.</li><li>Capture and incorporate gaps and enhancements identified from audit observations into the coverage strategy.</li><li>Develop a multi-year coverage strategy, training modules, and a final handover package.</li><li>Deliver all outputs in accordance with the project phases</li></ul><p><br></p>
<p>We are looking for an Accounts Receivable Clerk to join our team in King of Prussia, Pennsylvania. This long-term contract position offers the opportunity to contribute to the financial operations of our organization by managing invoicing, collections, and payment processing. The ideal candidate will possess strong organizational skills and the ability to maintain accurate records while providing exceptional service to clients.</p><p><br></p><p>Responsibilities:</p><p>• Monitor and manage corporate accounts, ensuring timely follow-up on delinquent payments, including those over 180 days past due.</p><p>• Process client payments promptly and accurately, adhering to established Cash on Demand protocols.</p><p>• Prepare and distribute monthly account statements and reports to keep clients informed of their financial status.</p><p>• Manage a portfolio of clients, addressing inquiries and resolving escalations efficiently.</p><p>• Ensure compliance with company policies and ethical standards in all collection practices.</p><p>• Identify accounts requiring special attention and determine appropriate actions to resolve outstanding issues.</p><p>• Receive and process credit card payments to facilitate debt recovery.</p><p>• Explain complex billing charges to clients in a clear and precise manner.</p><p>• Maintain detailed records of all client interactions to support future reference and auditing requirements.</p>
We are looking for a motivated and detail-oriented Medical Accounts Receivable Specialist to join our team, working Monday through Friday from 8:00 AM to 4:30 PM. In this role, you will play a critical part in maintaining the financial health of our organization by handling Medicare billing, patient accounts, and insurance claims with precision and efficiency. Success in this position requires strong expertise in medical billing processes, exceptional customer service skills, and the ability to manage accounts through to their final resolution.<br>Responsibilities:<br>Process Medicare billing activities, ensuring accurate handling and management of patient accounts.<br>Submit both electronic and paper insurance claims in compliance with payer guidelines.<br>Bill patient claims promptly and manage associated patient accounts with attention to compliance and accuracy.<br>Perform timely payment follow-ups to resolve outstanding balances; communicate effectively with stakeholders as needed.<br>Review work list activities regularly to prioritize and address accounts requiring immediate attention.<br>Work all assigned accounts diligently until final resolution, documenting every step accurately.<br>Review remittances to verify charges processed or paid align with insurance contracts and fee schedules.<br>Interpret and understand the billing UB04 form and 1500 form.<br>Highlights of Required Skills/Knowledge:<br>Full understanding of Managed Care Collections and knowledge of Managed Care contracts, including their terms, language, and Federal/State requirements.<br>Familiarity with terms such as HMO, PPO, Medicare Advantage Plans, and Capitation, with a clear understanding of how payers process claims under these plans.<br>Proficiency in using electronic medical record (EMR) systems (e.g., Cerner, Epic) and billing software. For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
