<p>This role focuses on resolving denied and non-paid insurance claims to ensure timely and accurate reimbursement. The representative will work insurance A/R accounts, communicate directly with payers, submit technical and clinical appeals, and identify root causes of underpayments, denials, and payment delays. Success in this role requires strong problem-solving skills, critical thinking, and the ability to work within federal, state, and payer-specific regulations.</p><p><br></p><p>Responsibilities:</p><ul><li>Examine denied and non-paid insurance claims to determine discrepancies</li><li>Contact insurance payers to follow up on outstanding claims</li><li>File technical and clinical appeals</li><li>Resolve underpayments, denials, and payment variances</li><li>Identify causes of payment delays and communicate trends to management</li><li>Document all account activity accurately in host and tracking systems</li><li>Maintain compliance with federal, state, and payer-specific regulations</li><li>Meet established productivity and quality standards</li></ul><p><br></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><strong>Position Summary</strong></p><p>The Collections/Cash Applications Administrator is responsible for managing the accurate and timely application of payments, resolving payment discrepancies, and overseeing collection activities to ensure optimal cash flow. This role plays a critical part in maintaining the financial health of the organization by ensuring patient accounts and insurance payments are processed efficiently and in compliance with healthcare regulations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Cash Applications:</strong></li><li>Accurately post patient and insurance payments to the appropriate accounts in the billing system.</li><li>Reconcile daily deposits and electronic remittance advice (ERA) with bank statements.</li><li>Research and resolve unapplied or misapplied payments promptly.</li><li><strong>Collections:</strong></li><li>Monitor aging reports and follow up on outstanding balances with patients and insurance carriers.</li><li>Initiate collection calls, send statements, and manage payment plans in accordance with company policies.</li><li>Escalate delinquent accounts for further action or third-party collections when necessary.</li><li><strong>Dispute Resolution:</strong></li><li>Investigate and resolve payment discrepancies, denials, and underpayments.</li><li>Collaborate with billing and coding teams to correct claim errors and resubmit as needed.</li><li><strong>Compliance & Reporting:</strong></li><li>Ensure adherence to HIPAA and healthcare compliance standards.</li><li>Prepare and maintain accurate reports on cash posting, collections activity, and account status for management review.</li><li><strong>Customer Service:</strong></li><li>Provide professional and empathetic communication with patients regarding account balances and payment options.</li><li>Respond to inquiries from insurance companies and internal departments promptly.</li></ul><p><br></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 Legal Billing Specialist to join our team. In this long-term contract position, you will play a pivotal role in managing billing operations, ensuring accuracy, and supporting attorneys and paralegals with client billing needs. This opportunity is ideal for professionals with a strong background in legal billing and a commitment to excellence in client services.</p><p><br></p><p>Responsibilities:</p><p>• Manage client billing processes for assigned attorneys, including quarterly administrative invoices, while ensuring compliance with billing guidelines and e-billing standards.</p><p>• Generate and revise proformas, draft bills upon request, and finalize centralized bills with precision.</p><p>• Oversee manual billing procedures, including uploading finalized bills and ensuring all manual bills are completed accurately.</p><p>• Monitor and approve write-offs for unbilled time and expenses, ensuring proper authorization and follow-up on deferred or unreturned bills.</p><p>• Collaborate with Legal Administrative Assistants and billing attorneys to address inquiries, fulfill requests, and support various billing projects.</p><p>• Provide assistance to the accounting team during peak workloads and serve as a backup for other accounting roles as needed.</p><p>• Track and manage specialized billing tasks, including pro bono hours and organizational billing requirements.</p><p>• Ensure adherence to commonly accepted best practices within the firm’s billing protocols.</p>
Responsibilities<br>Verify three-way match, compare purchase orders, prices, receipts, and line items to pay our suppliers correctly<br>Troubleshoot problems throughout the procure-to-pay process; collaborate with buyers, receivers, operation teams and suppliers for resolution<br>Assist in month-end by ensuring that all invoices received have been processed and accounted for the each period<br>P-Card Administration<br>Coupa GRNI review and resolution<br>Concur expense report audits<br>Month-end activities <br> <br>Education & Experience<br> <br> <br>Required: High School or five years of accounts payable experience or associate degree in business or accounting. Experience in Concur and Coupa.<br> <br>Preferred: Five years of accounts payable experience with an associate degree in business or accounting. Have experience with Concur and Coupa as well as P-card administration.<br> <br>Work Environment<br>This position is located at our corporate headquarters in Bloomington, Minnesota. Work is “hybrid” and defined by the manager. The core working hours are from 8 am – 5 pm. <br> <br> · Triage emails in shared purchasing inbox<br>· Load legacy contracts into repository (Coupa)<br>· Order confirmations and tracking<br>· Assist with resolving invoice discrepancies related to purchasing<br>· Pull VMI e-quotes into the system<br>Review and assist with requisitions in Coupa waiting supplier form
<p>The Acute Coding Appeals Specialist reviews and writes appeals for inpatient DRG denials to support accurate code assignment and reimbursement. This role applies advanced ICD-10, DRG, CMS, and payer-specific knowledge to defend coding decisions, ensure compliance, and address billing and documentation concerns.</p><p><br></p><p>Key Responsibilities</p><ul><li>Review inpatient DRG denials and draft well-supported appeal letters using ICD-10-CM/PCS, HCPCS, NCCI, CMS, and CMG guidelines.</li><li>Analyze clinical documentation to validate the originally assigned DRG and ensure compliance with regulatory standards.</li><li>Research payer policies, government regulations, and industry guidelines to strengthen appeal arguments.</li><li>Maintain detailed documentation, tracking spreadsheets, and root cause analyses for denial trends.</li><li>Collaborate with client coding and CDI teams to provide education based on appeal outcomes.</li><li>Meet established productivity and quality standards while maintaining coding certification requirements.</li><li>Stay current on coding updates, regulatory changes, and reimbursement rules.</li><li>Deliver professional, organized, and customer-focused communication with clients.</li></ul>
