<p>We are looking for a skilled Clinical Consultant to join our team on a long-term contract basis. This position offers an exciting opportunity to support a strategic benefit digitization initiative within the healthcare industry. You will play a key role in implementing standardized coding practices, ensuring regulatory compliance, and contributing to the success of digital transformation efforts.</p><p><br></p><p>Responsibilities:</p><p>• Apply standardized coding practices to accurately interpret and digitize benefit structures across diverse markets.</p><p>• Develop and maintain groupings of procedures and service codes to align with benefit plans.</p><p>• Manage quarterly and annual updates of industry-standard codes and ensure benefit plan codes are current.</p><p>• Execute coding solutions for both standard and nonstandard benefit requests, addressing stakeholder needs.</p><p>• Ensure compliance with regulatory mandates by updating coding practices as required.</p><p>• Provide expert consultation and respond to inquiries related to benefit coding from project teams and business partners.</p><p>• Collaborate with cross-functional teams to support successful implementation of benefit digitization projects.</p><p>• Offer guidance on coding methodologies and contribute to enhancing member and provider experiences.</p><p>• Support long-term cost management initiatives by leveraging coding expertise in digitization efforts.</p>
We are looking for a skilled Medical Accounts Receivable Specialist to join our healthcare team in Saint Paul, Minnesota. This long-term contract position offers an opportunity to contribute to the efficient management of medical claims and accounts receivable processes. The ideal candidate will demonstrate expertise in resolving denied claims, supporting billing functions, and improving overall A/R performance.<br><br>Responsibilities:<br>• Analyze and address denied or rejected claims, ensuring proper resolution through appeals, resubmissions, or corrections.<br>• Investigate the causes of claim denials and implement corrective actions to prevent recurring issues.<br>• Draft and submit appeal letters in accordance with specific payer guidelines to recover underpaid amounts.<br>• Monitor accounts receivable aging buckets and prioritize claims to meet monthly resolution goals.<br>• Communicate with payers to obtain claim statuses and escalate unresolved issues for further attention.<br>• Research discrepancies in billed charges versus payer adjudication and resolve errors in collaboration with billing and coding teams.<br>• Correct inaccuracies in claims related to authorizations, coding, or documentation, ensuring compliance with regulatory guidelines.<br>• Maintain comprehensive records of follow-up actions and resolutions for denied claims.<br>• Utilize NX (MyAvatar) and Aura – Sigmund systems to review claim histories, encounter data, and account workflows.<br>• Generate detailed reports on denial trends and payer patterns to support process improvement initiatives.
<p>We are looking for a dedicated Medicaid Prior Authorization Coordinator to join our team! This is a contract opportunity in the healthcare industry, where you will play a vital role in managing Medicaid billing and service authorizations to ensure seamless operations. If you are detail-oriented, experienced in Medicaid billing, and thrive in a collaborative environment, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><ul><li>Organize and maintain documentation and digital records for Medicaid service authorizations and billing rates.</li><li>Make real-time updates to the billing system when resident information, authorization details, or fee structures change.</li><li>Monitor expiring authorizations and initiate the renewal process to guarantee uninterrupted claims processing and reimbursement.</li><li>Track and record relevant Medicaid data, including resident rosters, authorization periods, billable services, and financial obligations.</li><li>Enter and reconcile incoming Medicaid payments within the billing platform.</li><li>Prepare and process patient billing statements for required contributions under Medicaid guidelines.</li><li>Communicate with Medicaid provider representatives to resolve billing issues, clarify authorization requirements, and obtain necessary documentation</li></ul><p><br></p>
<p>Overview</p><p>Our client is seeking a professional Medical Receptionist to join their team in Bloomington, MN. As the first point of contact for patients and visitors, this role is crucial in delivering exceptional customer service and supporting the smooth operation of the medical office.</p><p>Responsibilities</p><ul><li>Greet and check in patients, visitors, and vendors in a friendly and professional manner</li><li>Answer phone calls, schedule appointments, and manage calendars for providers</li><li>Verify patient information and ensure accurate data entry into medical records</li><li>Assist with insurance verification, co-pay collection, and other billing needs</li><li>Process incoming and outgoing mail, faxes, and documents</li><li>Maintain the cleanliness and organization of the reception area</li><li>Support other administrative tasks as needed, such as filing, scanning, and copying</li><li>Communicate effectively with all levels of staff, patients, and external partners</li></ul><p><br></p>
<p>We are looking for a dedicated Medical Receptionist to join our healthcare team in Coon Rapids, Minnesota. In this role, you will provide essential administrative and patient support services, ensuring smooth daily operations for the clinic. This position is ideal for individuals who are passionate about delivering excellent customer service in a healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Welcome patients, verify their identification, and assist with scheduling appointments as needed.</p><p>• Confirm patient information and validate insurance documentation.</p><p>• Digitize records by scanning documents into the Centricity system.</p><p>• Prepare charts for upcoming appointments and print necessary reports.</p><p>• Manage patient requests for medical records, ensuring proper authorization is obtained.</p><p>• Handle incoming mail and faxes, routing them appropriately.</p><p>• Respond promptly to emergency calls and coordinate necessary actions.</p><p>• Collaborate with radiologists, clinic staff, and patients to resolve scheduling concerns.</p><p>• Serve as a backup for other roles, including Scheduling, Tech Assistants, and Radiology Assistants.</p><p>• Maintain department supplies, assist in training new staff, and perform general clerical duties as required.</p>