<p>We are seeking a detail-oriented Insurance Authorization Specialist to support timely and accurate insurance verification and prior authorization processes. This role is responsible for reviewing patient and provider information, obtaining required authorizations, confirming coverage, and helping ensure claims are processed efficiently. The ideal candidate has strong knowledge of insurance guidelines, excellent communication skills, and the ability to manage multiple cases in a fast-paced environment.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Verify insurance eligibility, benefits, and coverage details</li><li>Obtain prior authorizations and pre-certifications for services, procedures, and medications</li><li>Communicate with insurance carriers, providers, patients, and internal teams regarding authorization requirements and status updates</li><li>Review documentation for completeness and accuracy before submission</li><li>Track authorization requests, approvals, denials, and expirations</li><li>Follow up on pending and denied authorizations and escalate issues as needed</li><li>Maintain accurate records in billing, practice management, or electronic health record systems</li><li>Ensure compliance with payer guidelines, healthcare regulations, and company policies</li><li>Assist with appeals and supporting documentation for denied requests</li><li>Collaborate with clinical, billing, and administrative teams to reduce delays in service and reimbursement</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Medical Denials Specialist</strong> to join our healthcare revenue cycle team. In this role, you will be responsible for reviewing, analyzing and resolving denied medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate will have experience working with insurance carriers, payer guidelines, appeals processes and healthcare billing systems.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5pm</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Review and investigate denied or underpaid medical claims</li><li>Identify denial trends and root causes to support process improvement</li><li>Prepare and submit claim corrections, reconsiderations and appeals</li><li>Follow up with insurance companies regarding claim status and payment resolution</li><li>Verify coding, billing and documentation accuracy to ensure compliance with payer requirements</li><li>Collaborate with billing, coding, collections and clinical teams to resolve claim issues</li><li>Maintain accurate records of denial activity, appeal outcomes and account updates</li><li>Monitor payer policy changes and reimbursement guidelines</li><li>Meet productivity and quality goals related to denial resolution and accounts receivable follow-up</li></ul><p><br></p>
<p>We are seeking an experienced Credentialing Specialist to assist with a credentialing backlog project. This is a short-term contract opportunity expected to last approximately two months, with the possibility of extension depending on workload and project progress.</p><p>Key Responsibilities</p><ul><li>Perform <strong>Primary Source Verification (PSV)</strong> for initial and recredentialing provider files.</li><li>Review, audit, and maintain provider credentialing files to ensure accuracy and completeness.</li><li>Verify provider licenses, certifications, education, training, work history, and other required credentials.</li><li>Ensure all credentialing documentation meets regulatory, accreditation, and organizational compliance standards.</li><li>Support the credentialing team in processing a high volume of backlog files.</li><li>Conduct outbound calls to providers, facilities, and verification sources as needed.</li><li>Perform accurate data entry and maintain credentialing records within designated systems.</li><li>Follow established credentialing policies, procedures, and turnaround time requirements.</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Medical Charge Entry Specialist</strong> to join our healthcare revenue cycle team. This role is responsible for reviewing, entering, and validating medical charges accurately and efficiently to support timely claims processing and reimbursement. The ideal candidate will have experience with medical billing workflows, strong knowledge of CPT/ICD coding basics, and the ability to work in a fast-paced environment. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Enter patient charges, procedures, and related billing information into the practice management or billing system.</li><li>Review charge tickets, encounter forms, and supporting documentation for completeness and accuracy.</li><li>Verify demographic, insurance, provider, and service information prior to charge submission.</li><li>Identify and resolve charge discrepancies, missing information, and data entry errors.</li><li>Work closely with coders, billers, front office staff, and clinical teams to ensure clean claim submission.</li><li>Maintain productivity and accuracy standards while meeting daily charge entry deadlines.</li><li>Assist with claim edits, denial follow-up support, and account research as needed.</li><li>Ensure compliance with HIPAA, payer guidelines, and internal billing procedures.</li></ul><p><br></p>
<p>Are you an experienced payment poster looking to join a thriving healthcare team? Our client is seeking a detail-oriented Medical Payment Poster with significant expertise in posting Electronic Remittance Advices (ERAs). This is an exciting opportunity to contribute to the revenue cycle function at a leading healthcare organization.</p><p><br></p><p><strong>Hours</strong>: Monday - Friday 8a - 5pm</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Post payments, adjustments, and denials from insurers and patients into the system with speed and accuracy</li><li>Reconcile Electronic Remittance Advices (ERAs) and paper Explanation of Benefits (EOBs) with outstanding claims</li><li>Identify and correct posting errors to ensure proper allocation of funds</li><li>Collaborate with billing, collections, and denials teams to resolve payment discrepancies</li><li>Maintain precise, up-to-date payment records and documentation</li><li>Assist with monthly reconciliations and other financial reporting as needed</li></ul><p><br></p>