<p>We are looking for a detail-oriented Administrative Assistant to join our team in Cincinnati, Ohio. This is a long-term contract position where you will play a crucial role in supporting the claims department by managing documentation, coordinating communications, and ensuring the smooth processing of insurance claims. The ideal candidate will possess strong organizational skills, proficiency in Microsoft Office tools, and a keen eye for accuracy.</p><p><br></p><p>Responsibilities:</p><p>• Assist in the review and verification of contracts and claims-related documentation.</p><p>• Accurately input claims data into internal systems while maintaining organized and up-to-date records.</p><p>• Draft and distribute correspondence, including claim status updates and denial letters.</p><p>• Support claims adjusters in conducting investigations and preparing reports.</p><p>• Ensure all documentation and processes comply with company policies and industry regulations.</p><p>• Perform administrative tasks such as data entry and audits to ensure accuracy in claims processing.</p><p>• Collaborate with team members to streamline workflows and enhance operational efficiency.</p>
<p>We are looking for a skilled Medical Payment Poster Specialist to join our client's team near Cincinnati, Ohio. In this long-term contract position, you will play a vital role in accurately managing patient account payments, including electronic remittance advice (ERAs), explanations of benefits (EOBs), and manual checks. This is an excellent opportunity for professionals with experience in medical billing and payment posting who thrive in a collaborative, fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately post payments, denials, and adjustments from ERAs, EOBs, and manual checks to patient accounts.</p><p>• Ensure daily claim batching and deposits are completed and reconciled with bank deposits.</p><p>• Verify and apply appropriate write-offs based on EOBs while making necessary adjustments to accounts.</p><p>• Assist in resolving cash application issues and support billing requests.</p><p>• Participate in month-end reconciliation processes to ensure accuracy.</p><p>• Respond to inquiries from patients, insurance companies, and clients regarding billing and insurance matters.</p><p>• Maintain detailed and accurate records while adhering to established procedures.</p><p>• Collaborate with team members to address and resolve any discrepancies.</p><p>• Handle other billing and finance-related tasks as required.</p>
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Cincinnati, Ohio. In this long-term contract role, you will play a vital part in ensuring that patients receive timely and appropriate healthcare services by managing prior authorization requests. This position is ideal for individuals passionate about streamlining healthcare processes and improving patient care.</p><p><br></p><p>Responsibilities:</p><p>• Review and collect necessary documentation, such as medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track prior authorization requests with insurance providers, focusing on prescription medications prescribed by primary care providers.</p><p>• Communicate with healthcare providers, patients, and insurance representatives to address and resolve authorization-related inquiries.</p><p>• Monitor the status of authorization requests and promptly inform healthcare teams of approvals, denials, or pending updates.</p><p>• Stay informed about current insurance policies, procedures, and regulations to ensure compliance and efficiency in authorization processes.</p><p>• Analyze trends in authorization denials and collaborate with teams to manage appeals, escalations, and resubmissions when necessary.</p><p>• Maintain accurate and secure records of all authorization activities and ensure adherence to organizational guidelines.</p>
We are looking for a meticulous Medical Billing Specialist to join our team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise.<br><br>Responsibilities:<br>• Prepare and submit medical claims to insurance providers using accurate coding practices.<br>• Verify and update patient insurance information within internal systems.<br>• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.<br>• Review insurance claim denials and initiate corrections or appeals to ensure payment.<br>• Coordinate with third-party payers for authorizations and eligibility verification.<br>• Accurately post payments to patient accounts, including deductibles and copay amounts.<br>• Generate and send patient statements for outstanding balances.<br>• Address patient inquiries regarding billing concerns with professionalism and clarity.<br>• Ensure compliance with federal, state, and insurance-specific regulations.<br>• Create detailed reports on billing activities and accounts receivable trends for management review.
