<p>We are looking for a detail-oriented Credentialing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring healthcare practitioners meet all credentialing and privileging requirements according to state, federal, and accreditation guidelines. This is an excellent opportunity to showcase your organizational skills and contribute to maintaining compliance and efficiency within the credentialing process.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Conduct thorough primary source verification to confirm education, licenses, and training credentials of healthcare practitioners.</li><li>Review and audit applications for accuracy and completeness, ensuring all required information is provided.</li><li>Manage and maintain credentialing records, privileging documentation, and enrollment files with precision.</li><li>Oversee provider enrollment processes for Medicaid, CAQH, and other healthcare systems, ensuring compliance with established procedures.</li><li>Upload and link critical documents in credentialing systems while maintaining accurate data entry.</li><li>Regularly update and audit on-call schedules to ensure accuracy and reliability.</li><li>Collaborate with physicians, advanced practice providers, hospital staff, and external organizations to address credentialing matters.</li><li>Ensure databases are consistently updated and maintained for seamless access and reporting.</li><li>Handle confidential information with discretion and professionalism, addressing urgent matters promptly.</li></ul><p><br></p>
<p>Robert Half has partnered with a thriving manufacturing company on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed.</p><p><br></p><p>Primary Duties</p><p>· Create and maintain credit history records</p><p>· Set up new client accounts</p><p>· Document daily collection activity</p><p>· Complete collection effort calls</p><p>· Reviewing and approving credit holds</p><p>· Generate legal collections documents</p><p>· Spreadsheet Maintenance</p><p>· Perform payment reconciliations</p><p>· Assist customer service department</p><p>· Develop and schedule payment plans</p>
<p>We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.</p><p>• Handle accounts receivable tasks, including tracking and resolving outstanding balances.</p><p>• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.</p><p>• Prepare and submit medical appeals to recover denied or underpaid claims.</p><p>• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.</p><p>• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.</p><p>• Maintain detailed records of billing and collection activities for auditing purposes.</p><p>• Collaborate with healthcare providers and administrative teams to streamline billing processes.</p><p>• Identify opportunities to improve efficiency within the billing and collections workflow.</p><p>• Provide regular updates on accounts and collections to management.</p>
We are looking for a dedicated Client Intake Specialist to join our team in Wilmington, Delaware. This role requires exceptional organizational and communication skills to handle client interactions, manage critical deadlines, and support legal processes. As a vital member of the team, you will collaborate closely with both the client service and litigation teams to ensure efficient case management. This is a long-term contract position offering a dynamic opportunity to contribute to meaningful legal work.<br><br>Responsibilities:<br>• Respond promptly to client inquiries and provide exceptional service.<br>• Oversee incoming and outgoing correspondence with clients, ensuring timely communication.<br>• Order, track, and review client medical records to gather evidence for cases, including follow-ups as necessary.<br>• Manage and maintain deadlines related to statutes of limitations and client discovery processes.<br>• Prepare and submit answers to interrogatories, Plaintiff Fact Sheets, Profile Forms, and Census Forms while addressing any deficiencies.<br>• Collaborate with the Client Service Specialist team to streamline client management processes.<br>• Work closely with the litigation team to ensure files are complete, discovery deadlines are met, and trial preparations are thorough.<br>• Conduct legal research using tools like Westlaw, LexisNexis, and public-access websites.<br>• Utilize Microsoft Word and Excel to organize and manage projects effectively.<br>• Ensure seamless integration of case management tools to fulfill legal obligations.