28 results for Insurance Claims Specialist in Newport Beach Ca
Collections SpecialistWe are in search for a Collections Specialist to join our team in Downey, California. In this role, you will be tasked with handling collections efficiently, maintaining communication channels with customers, and ensuring smooth operation of the collections process. This position offers a contract to permanent employment opportunity.<br><br>Responsibilities:<br>• Efficiently manage collections by utilizing accounting software systems and CRM tools.<br>• Communicate with customers via phone and email to address outstanding balances.<br>• Coordinate with Project Managers to gather missing information and review files as needed.<br>• Handle a significant number of accounts with a focus on those that have balances overdue for 90 or more days.<br>• Ensure proper documentation and engagement in relation to insurance claims associated with collections.<br>• Process payments efficiently, with a particular focus on insurance payments.<br>• Operate independently, yet in coordination with the AR Clerk, as a dedicated collections specialist.<br>• Maintain professionalism in collection efforts; no payment plans are offered.<br>• Handle third-party collections when necessary.<br>• Utilize Accurint, ADP - Financial Services, Epic Software, and other relevant tools in the performance of duties.Medical Front Desk Specialist<p>We are offering a contract to hire employment opportunity for a Medical Front Desk Specialist in the Irvine, California area. This role falls within the healthcare industry and will be located at a newly established clinic. As a Medical Front Desk Specialist, you will be responsible for coordinating patient care, managing check-in/out processes, and scheduling procedures. Your role will also involve liaising with billing and preauthorization departments and handling insurance benefit checks.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the check-in and check-out procedures for patients</p><p>• Schedule medical procedures and arrange follow-up appointments</p><p>• Liaise with billing and authorization departments to ensure seamless communication</p><p>• Process insurance benefit checks and handle related tasks</p><p>• Use the NextGen EHR system for data entry and patient record management</p><p>• Collaborate with the team to support the clinic's expansion efforts</p><p>• Provide exceptional patient care experiences</p><p>• Use Microsoft Office Suites and Microsoft Teams for administrative tasks</p><p>• Handle medical insurance billing and verification tasks</p><p>• Perform receptionist duties, including answering multi-line phone systems.</p>Medical Front Desk Specialist<p>We are offering a contract to permanent employment opportunity for a Medical Front Desk Specialist in the Irvine, California area. This role falls within the healthcare industry and will be located at a newly established clinic. As a Medical Front Desk Specialist, you will be responsible for coordinating patient care, managing check-in/out processes, and scheduling procedures. Your role will also involve liaising with billing and preauthorization departments and handling insurance benefit checks. </p><p> Responsibilities:</p><p>• Oversee the check-in and check-out procedures for patients • Schedule medical procedures and arrange follow-up appointments</p><p>• Liaise with billing and authorization departments to ensure seamless communication • Process insurance benefit checks and handle related tasks </p><p>• Use the NextGen EHR system for data entry and patient record management</p><p>• Collaborate with the team to support the clinic's expansion efforts • Provide exceptional patient care experiences </p><p>• Use Microsoft Office Suites and Microsoft Teams for administrative tasks • Handle medical insurance billing and verification tasks </p><p>• Perform receptionist duties, including answering multi-line phone systems.</p>Insurance Verification Specialist<p>We are looking for an organized and experienced I<strong>nsurance Eligibility Specialist </strong>to become part of our team. In this role, you will be essential in validating and ensuring the accuracy of insurance details, helping maintain seamless operations for our healthcare services. This position is ideal for individuals with extensive knowledge of insurance authorization procedures and proficiency in using EPIC software (Source: SG25 US Healthcare.docx).</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Confirm the accuracy of patient insurance information within the system.</li><li>Navigate authorization protocols for HMO, PPO, and Medicare Outpatient services, including capitation knowledge </li><li>Work collaboratively with departments to address insurance eligibility or authorization concerns.</li><li>Keep precise and well-organized records of insurance verifications and authorizations.</li><li>Comply with internal and external regulations, aligning all processes with compliance standards.</li><li>Deliver outstanding customer service to both patients and internal stakeholders.</li></ul><p><br></p>Medical Collections Specialist<p>A Medical Group in Montebello is in the immediate of two strong Medical Collections Specialists who are bilingual in Spanish and English. This position works closely with the Manager while performing all components in the Insurance AR Follow Up Process for existing and new patients as well as working closely with staff. The Medical Collections Specialists supports the vision and mission of Healthcare Organization through providing excellent patient service throughout the entire Patient Services Process. <u>The Medical Collections Specialist MUST be bilingual in Spanish and English</u></p><p><br></p><p>The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned. </p><p><br></p><ul><li>Contacting insurance companies daily to resolve outstanding claims issues, using the collection connection.</li><li>Respond to emails in a timely manner and work reports daily.</li><li>Report all coding, denial issues and appeal requests to designated associates/management.</li><li>Resolve disputed balances.</li><li>Report any identified billing issues that result in non-collection to the manager. </li><li>Exhibit continual adherence to policies and regulations regarding HIPAA and Electronic Patient Health Information EPHI).</li><li>Attend education activities, in-services and staff meetings as required.</li><li>Consistent, regular attendance as scheduled in compliance with attendance policies.</li><li>Comply with company policies and procedures in accordance with state and federal regulations (CMS, HIPAA, OSHA or other governing agencies).</li><li>Other duties as assigned by Management.</li><li><u>MUST be bilingual in Spanish and English</u></li></ul><p><br></p>Collections Specialist<p>We are offering an employment opportunity for a Collections Specialist in the Real Estate & Property industry. Based in Tustin, California, you will be instrumental in maintaining the financial health of our organization by managing our collections process.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Taking charge of daily collections calls</p><p>• Handling and managing cash collections </p><p>• Ensuring the accurate posting of payments to client accounts</p><p>• Arranging payment schedules with clients</p><p>• Identifying and resolving billing discrepancies promptly</p><p>• Applying skills in various collections processes such as B2B collections, Commercial Collections, and Consumer Collections</p><p>• Managing collections for various entities including third party collections, site collections, and self-pay collections</p><p>• Utilizing knowledge of insurance collections and medical collections</p><p>• Maintaining and managing customer credit records</p><p>• Ensuring accurate processing of customer credit applications</p>Patient Registration Specialist<p><strong>Patient Registration Specialist in the Emergency Department!</strong></p><p><br></p><p>We are looking for a dedicated, detail-oriented professional to join our fast-paced healthcare team. If you excel under pressure and are passionate about delivering compassionate, high-quality service, this role is for you. As a key player in our Emergency Department, you will help ensure patients experience a seamless registration process that sets the tone for their care journey. This position offers a stable weekday schedule with occasional weekend shifts.</p><p><strong>Schedule:</strong></p><ul><li><strong>Monday through Friday: 7:30 AM - 4:30 PM</strong></li><li>Rotating Saturdays (as scheduled)</li></ul><p><strong>Core Responsibilities:</strong></p><ul><li>Warmly welcome patients and visitors to create a positive, supportive environment.</li><li>Accurately collect, verify, and input patient information, including demographics, insurance details, and consent documents.</li><li>Efficiently manage patient registration and check-in workflows to support smooth operations.</li><li>Provide clear information to patients regarding appointments, insurance, and billing inquiries.</li><li>Collaborate with Emergency Department staff to optimize patient flow and reduce wait times wherever possible.</li><li>Uphold strict confidentiality of patient data in compliance with HIPAA standards.</li><li>Communicate with insurance carriers to confirm coverage and handle pre-authorization needs.</li><li>Perform administrative tasks such as organizing patient records, scheduling follow-ups, and resolving billing discrepancies.</li><li>Support emergency triage by prioritizing registrations according to patient urgency.</li></ul><p><br></p>Patient Services Specialist<p>Join our dynamic Emergency Department team as a <strong>Patient Registration Specialist</strong>! We are seeking a detail-oriented, compassionate professional who thrives in a fast-paced healthcare environment and is dedicated to providing excellent patient service. This role plays a vital part in ensuring a smooth registration process and a positive patient experience. This position offers a regular weekday schedule with occasional weekend shifts.</p><p><br></p><p><strong>Schedule:</strong></p><ul><li>Monday through Friday: 7:30 AM - 4:30 PM</li><li>Rotating Saturdays (as scheduled)</li></ul><p><strong>Key Responsibilities:</strong></p><ul><li>Greet patients and visitors warmly, ensuring a welcoming atmosphere.</li><li>Accurately collect, verify, and enter patient information into the system (e.g., demographic details, insurance verification, and consent forms).</li><li>Coordinate patient check-in and registration processes in an efficient manner.</li><li>Provide patients with clear instructions and respond promptly to inquiries regarding their appointments, insurance, or billing.</li><li>Collaborate with the Emergency Department team to streamline patient flow and minimize wait times.</li><li>Maintain strict confidentiality of patient information in accordance with HIPAA regulations.</li><li>Communicate effectively with insurance companies to verify coverage and address pre-authorization requirements.</li><li>Handle administrative tasks, including managing patient documentation, scheduling follow-ups, and resolving billing discrepancies.</li><li>Assist in triage situations by prioritizing registration based on patient urgency.</li></ul>Hospital Medical Collections SpecialistWe are offering a permanent employment opportunity for a Hospital Medical Collections Specialist in the healthcare industry, located in Van Nuys, California. The primary functions of this role will be to manage billing and collection processes within a hospital environment, including managing Medicare managed care and other health insurance types. <br><br>Responsibilities:<br>• Efficiently administer appeals and denial management processes.<br>• Oversee claim administration, billing functions, and collection processes.<br>• Handle various forms of managed care including Medicare, commercial, PPO/HMO, and Medical.<br>• Conduct comprehensive hospital billing and collection procedures with precision.<br>• Monitor patient accounts and initiate necessary actions to facilitate insurance payments.<br>• Ensure accurate management of insurance correspondence and record maintenance.<br>• Provide necessary training and support for Collector I positions.<br>• Engage in both hospital outpatient and inpatient billing processes and revenue cycle management.Lead Medical Insurance Biller CollectorA Hospital in Arcadia that is a leading healthcare system dedicated to providing exceptional patient care through cutting-edge technology, compassionate service is seeking to add highly skilled revenue cycle professional. We are seeking a highly motivated and experienced Lead Medical Insurance Biller Collector to join our team and contribute to the efficient processing of medical claims for our large hospital system.<br>The Lead Medical Insurance Biller Collector will oversee and coordinate the medical billing process to ensure timely and accurate submission of claims, collections, and reimbursements. This role requires a deep understanding of insurance contracts, UB04 claim forms, and medical billing processes. With a hands-on approach, the Lead Medical Insurance Biller Collector will also serve as a subject-matter expert and guide a team of billing professionals to achieve revenue cycle goals.<br>Responsibilities:<br>• Supervise the daily operations of medical billing, including insurance verifications, claim submissions, and collections for hospital inpatient and outpatient services.<br>• Process and review UB04 claim forms for accuracy and compliance with payer requirements.<br>• Analyze insurance contracts to ensure proper application of reimbursement guidelines.<br>• Lead efforts in insurance collections, follow-ups, and resolving denied or underpaid claims.<br>• Serve as a mentor and resource for billing team members, providing training and guidance as needed.<br>• Monitor key performance indicators (KPIs) for billing efficiency and address process improvements.<br>• Collaborate with revenue cycle, coding, and finance departments to streamline workflows and escalate payment issues.<br>• Stay current on industry best practices, payer regulations, and coding updates to ensure compliance.<br>• Insurance experience in HMO, PPO and Government insuranceDesktop Support Specialist<p><strong>Job Title:</strong> Desktop Support Specialist with Adobe Premiere Expertise</p><p><strong>Location:</strong> Mid-City Los Angeles, CA (Onsite, Monday - Friday, 10 AM - 7 PM)</p><p><strong>Salary:</strong> $60,000 - $75,000 per year, plus benefits</p><p><strong>Job Description:</strong></p><p>We are seeking a <em>Desktop Support Specialist</em> with exceptional Adobe Premiere Pro troubleshooting skills and a strong background in the Media and Entertainment industry. An ideal candidate is not only a tech enthusiast but also a creative individual with personal experience in video editing, either professionally or as a hobby. This onsite role will require you to work at our Mid-City Los Angeles office, Monday through Friday, from 10 AM to 7 PM.</p><p>This position offers you the opportunity to combine your technical expertise with your passion for video editing, playing a vital role in supporting creative professionals within a fast-paced, dynamic environment.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Provide technical troubleshooting and hands-on support for Adobe Premiere Pro and related Creative Cloud applications, ensuring minimal downtime for end users.</li><li>Offer remote and in-person desktop support for Windows and Mac systems, including software installation, hardware configuration, and network troubleshooting.</li><li>Act as a liaison between technical teams and creative teams, translating technical jargon into actionable solutions for time-sensitive production workflows.</li><li>Troubleshoot video editing hardware (e.g., RAID storage, GPUs, high-speed drives) and software issues tied to rendering, exporting, and file compatibility.</li><li>Maintain and support editing suites, ensuring all systems are optimized for high-performance workflows.</li><li>Offer best practices around media management, file storage, and export settings to ensure smooth collaboration.</li><li>Document technical resolutions and provide ongoing training/resource materials for end users to empower increased self-sufficiency.</li><li>Stay current on updates and trends within the Creative Cloud ecosystem, particularly for Premiere Pro, and recommend upgrade strategies.</li></ul><p><br></p>Patient Account Rep<p>Under the direction of the department manager, the Patient Account Representative is responsible for the timely resolution of outstanding accounts due from third party carriers, individual patients and refunds. This includes account analysis, insurance contact, written correspondence and denied claims</p><p> </p><p>Job Duties: </p><p>•Insurance follow up via phone and through insurance portal </p><p>•This includes account analysis, telephone contact, written correspondence, financial arrangements for payments and recommendations for account write-off or agency assignment</p><p>• Complete inquiry forms accurately and completely to expedite account resolution</p><p>• Displays professional commitment and supports the unit team by promoting unity and teamwork among coworkers by maintaining a positive attitude and positive working relationships</p><p>• Handle incoming correspondence and returned mail on a timely basis</p><p>• Identify late charges, obtain supporting documentation, update contractual adjustment on the account and have a corrected claim submitted to the insurance carrier in a timely manner</p><p>• Maintain accurate and complete notes on the patient account note area within the current computer system</p><p>• Maintain productivity report for accounts within assigned responsibility and </p><p>• Meet or exceed productivity and monthly insurance collection goals as assigned by Manager</p><p>•Obtain all necessary documentation from patient, insurance company, or third payer intermediary to ensure all accounts are being resolved according to established hospital guidelines</p><p>• Obtain approvals per procedure guidelines for any adjustments</p><p>• Prepare refund request and obtain supporting documentation for credit balance resolution per established guidelines</p><p><br></p>Hospital Medical Biller Collector<p>We are looking for a detail-oriented and experienced Hospital Medical Biller with proven experience in UB04 forms and insurance denials procedures. The ideal candidate will have a strong understanding of medical billing, claims submission, and insurance rules and regulations with a track record of resolving complex billing issues.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Review and ensure accuracy of hospital UB04 forms before submission to insurance companies.</li><li>Handle insurance denials, appeals, and ensure timely resubmission of claims.</li><li>Collaborate with patients and insurance companies to streamline operations and minimize denials.</li><li>Maintain updated records of billing activity in system with complete patient information.</li><li>Follow-up on outstanding account balances.</li><li>Oversee the entire billing process, from patient admission to discharge.</li><li>Develop and implement strategies to increase the number of successful claims.</li></ul>Medical Biller<p>Come join a highly recognized Revenue Cycle Operations team as a Medical Billing and Collections Specialist. This Healthcare Organization is seeking a strong individual who is looking to grow his or her career. </p><p> </p><p>RESPONSIBILITIES: </p><p>• Reaching out to insurance companies via phone and online to check claims status</p><p>• Appealing denied claims</p><p>• Analyzing accounts receivable reports to identify problems on accounts, research accounts/trends, and taking appropriate actions to promote reimbursement. </p><p>• Researching accounts: request additional information such as referrals, scripts, medical reports, and/or call hospitals. </p><p>• Participating in meetings, projects, and/or trainings. </p><p>• Completing other tasks as assigned by management.</p>100% Remote CA Barred Insurance Coverage Opinion Atty<p><strong>Firm seeks Coverage Opinion Writing Attorney (No Litigation)</strong></p><p><br></p><p>This Attorney opening involves working closely with insurers to provide expert advice and analysis on insurance coverage matters. The ideal attorney will have a deep understanding of various insurance policies and be adept at drafting comprehensive coverage opinions.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Collaborate with insurers to provide advice on insurance coverage and interpret policies.</li><li>Analyze various types of insurance policies across an array of industries.</li><li>Draft detailed coverage opinions based on policy analysis and contract interpretation.</li><li>Maintain effective communication with clients and internal team members.</li></ul><p><br></p><p>Billable hour target: 1850/year</p><p><br></p><p>Can work 100% remote in US (PST work hours)</p><p><br></p><p><u>Perks of Firm</u>:</p><ol><li>Established for over 30 years</li><li>Multiple offices with large firm resources</li><li>Women-owned firm</li></ol><p><br></p>Insurance Verifier<p>We are seeking a detail-oriented and experienced <strong>Insurance Verifier</strong> to join our team. In this position, you will play a key role in ensuring the accuracy and completeness of insurance information, facilitating smooth operations for our healthcare services. This is an excellent opportunity for professionals familiar with insurance authorization processes and proficient in using EPIC software.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Verify patient insurance information and ensure accuracy in the system.</li><li>Understand and navigate procedures for HMO, PPO, and Medicare Outpatient services requiring prior authorizations, including knowledge of capitation requirements.</li><li>Collaborate with various departments to resolve insurance eligibility and authorization issues.</li><li>Maintain accurate and organized records of verifications and authorizations.</li><li>Adhere to compliance policies and ensure all work aligns with applicable regulations.</li><li>Provide excellent customer service to patients and internal stakeholders.</li></ul>Behavioral Health Medical Biller<p>Our organization is looking for a diligent and competent Behavioral Health Medical Biller with DMH (Department of Mental Health) experience. The candidate will be responsible for helping us deal effectively and efficiently with all billing procedures associated with behavioral health services.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Accurately bill client services to various insurance companies, both electronically and on paper.</li><li>Ensure the timely submission of claims and follow up on unpaid claims.</li><li>Understand and apply behavioral health coding and identify errors.</li><li>Review and monitor unpaid claims.</li><li>Prepare, review, and send patient statements.</li><li>Resolve patient complaints or explain charges to patients' families.</li><li>Ensure compliance with current healthcare regulations, medical laws, and high ethical standards.</li><li>Communicate with clinicians and other healthcare providers on billing issues.</li><li>Evaluate client's financial status and establish budget payment plans.</li><li>DMH is a PLUS</li></ul>Benefits Specialist<p>Role: Benefits Specialist</p><p>Responsibilities:</p><p>o Comfortable supporting a small to mid-sized organization (200+ employees) and being the point person for critical questions</p><p>o Assisting with new hire/open health insurance enrollment and terminations (including COBRA)</p><p>o Working knowledge of FSA process</p><p>o Will work closely with Payroll Specialist and helping to reconcile related invoices</p><p>o Software: ADP Workforce Now and Ease</p><p>Duration: Open-ended; opportunity for Temp-to-Hire if mutually a great fit</p><p>Hours: 8am-5pm (some flexibility on start time if needed)</p>Medical Compliance Specialist<p>A Healthcare Organization is in the need of a remote Medical Compliance Specialist. The Compliance Specialist must have at least 2 years of experience in medical compliance.</p><p><br></p><p>Duties:</p><p>• Coordinate client grievances and responses to funding sources with regards to all client facing grievances, working closely with Director of Compliance, Regional Leadership, Insurance providers/funding sources, and HR to ensure complete investigation of all client complaints and employee/client compliance concerns</p><p>• Work closely with Director of Compliance with regards to the compilation of company-wide incident reports; as well as interpreting the data to understand areas of risk for the company</p><p>• Review Internal Incident report trends quarterly to work with Compliance Director and various stakeholders on improvement plan and organizational trainings</p><p>• Support general Compliance department requests through management of ticketing system</p><p>• Oversee all external audit requests, tracking completion and responses from funding sources</p><p>• Compile internal audits from various department into tracking grid and analyze for areas of risk to discuss with the Compliance Director</p><p>• Update and conduct data integrity checks within the Electronic Health Records system</p><p>• Run routine system audits to assess company compliance with regulatory initiatives and evaluate areas of risk</p><p>• Collaborate with various stakeholders on regulatory compliance policies, updates to procedures, and training development</p><p>• Supports overall health and safety by researching state specific Covid-related guidelines and employer obligations</p><p>• Support the Director of Compliance with various projects as needed</p>HR Benefits Specialist<p>We are currently seeking a seasoned Benefits Specialist to work with one of our clients in the Woodland Hills, CA area. As a Benefits Specialist, you will play a crucial role in managing and administering the employee benefits programs. Your expertise in benefits administration will contribute to the overall satisfaction and well-being of the team members. This is an exciting opportunity to make a real difference in the lives of the employees. Key responsibilities include but are not limited to: administer and manage employee benefits programs, including health, dental, vision, and retirement plans; act as the primary point of contact for employees regarding benefits-related inquiries and concerns; ensure compliance with relevant laws and regulations in benefits administration; collaborate with external vendors and insurance providers to optimize benefits offerings; coordinate benefits open enrollment processes and communicate changes to employees; and provide guidance and support to employees in understanding and maximizing their benefits. To find out more details about the position and how to apply, please call our office at 818-703-8818.</p>CBO Medical Biller<p>A Hospital Central Business Office is hiring a Medical Insurance Collector. The right person for this role must have three plus years of experience in medical revenue cycle. The Medical Insurance Collector will be tasked with working with various insurance carriers as well as government programs. The Medical Insurance Collector will be groomed for a leadership role if successful in current position.</p><p>Responsibilities</p><p>• Under the general supervision and direction of the Billing Manager, the candidate is responsible for performing a critical function for the Central Business Office and its clientele by taking the appropriate billing, collections or Customer Service actions to resolve an account</p><p>• This requires an understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance and various other insurance carriers</p><p>• Depending on the unit the Collections Representative is assigned to, the incumbent may be required to perform any or all of the following duties: work billing editing error report(s) prior to the submittal of claims to ensure that claims are billed cleanly and free of errors, leading to prompt and maximum pro-fee reimbursement; collecting on insurance and self-pay invoices/accounts with balances as generated and outlined on assigned account receivable worklists, aging reports, system target files and correspondence received and assigned</p><p>• Possess effective collections techniques and skills</p><p>• Denials management </p><p><br></p>Entry-Level Litigation Associate<p>A dynamic law firm seeking a highly motivated and eager entry-level attorney to join their growing practice. This firm offers a unique opportunity to gain experience in both complex securities litigation and insurance defense matters. This collaborative team environment fosters learning and professional development, providing you with the support and guidance to excel in your legal career.</p><p><br></p><p><strong>Are You Interested In?</strong></p><ul><li>The fast-paced world of financial markets and regulations?</li><li>Protecting clients' rights in securities disputes?</li><li>Representing insurance companies in complex coverage issues?</li></ul><p>If you answered yes, then this is the perfect opportunity for you!</p><p><strong>Responsibilities</strong></p><ul><li>Conduct in-depth legal research on a variety of securities law and insurance coverage issues.</li><li>Assist senior attorneys with drafting pleadings, motions, discovery requests, and other legal documents.</li><li>Participate in client interviews, fact-gathering, and case preparation.</li><li>Assist with pre-trial matters, including depositions and expert witness coordination (as applicable).</li><li>Manage and maintain assigned case files electronically and ensure adherence to deadlines.</li><li>Develop strong legal writing and oral communication skills.</li></ul><p><br></p><p>To apply, submit resumes to Vice President, Quidana Dove at Quidana.Dove < at > RobertHalf. < com > </p><p><br></p><p>#SoCalRHL </p>Medical Biller<p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Medical Biller to join its growing team. The ideal Hospital Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medical appeals and denials experience is plus. </p><p>Responsibilities:</p><ul><li>Ensure timely submission of medical bills to different insurance companies.</li><li>Conduct verification of patients' insurance coverage.</li><li>Insurance follow up, appeals and denials. </li><li>Determine the patient's financial status and capability to pay their bills.</li><li>Apply appropriate codes to billable goods and services.</li><li>Address and resolve patient complaints regarding bills.</li><li>Maintain confidentiality and comply with all federal and state health information privacy laws.</li><li>Monitor and record late payments.</li><li>Regularly report to the Billing Manager.</li></ul><p><br></p>Manager of Benefits<p>Robert Half Management Resources is seeking a Global Benefits Manager for our gaming client with a multi-national presence. This engagement will be 3+ months in duration and will be reporting directly to the Sr. Director, People Ops & HRIS with a position of high visibility. Our client has grown exponentially throughout the last 3-years, and they need a Global Benefits expert who has exposure to countries such as US, UK, Canada, Spain, Mexico, Ireland, Israel, India, China, and or Korea. The right person for this role will be a highly accomplished, dynamic individual who can design, implement, and operate global employee benefit programs that are meaningful, impactful, and cost-effective.</p><p><br></p><p>Key responsibilities</p><p>- Manage a team of 6 (2 benefit analysts | 2 benefit partners | 1 Global Mobility Manager | 1 Global Mobility Analyst)</p><p>- Oversee Medical, Dental, Vision, STD, LTD, Life Insurance, HSA/FSAs, 401(k)</p><p>- Collaborate with the Brokers to assess best approach - fully insured or self-insured</p><p>- Oversee FMLA, Paid Family & Medical Leave, and LOA administration</p><p>- Analyze LOA process and evaluate the benefit of managing this internally or externally</p><p>- Partner with other leaders to ensure benefits help attract and retain talent</p>Medical Staff Coordinator<p><strong>About Us:</strong></p><p>Our large hospital system is recognized as an industry leader in patient care, innovation, and medical excellence. With multiple hospitals and outpatient facilities across the region, we're committed to building healthier communities and making a lasting impact on the lives of those we serve. We are seeking a dedicated <strong>Medical Staff Coordinator</strong> to join our team, with a primary focus on the <strong>reappointment process for our growing network of medical professionals</strong>.</p><p>If you’re someone who thrives in a fast-paced, detail-oriented environment, has a knack for process optimization, and excels in managing credentialing workflows, we want to hear from you!</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li><strong>Reappointment Coordination:</strong> Oversee and manage the reappointment process for medical staff, ensuring compliance with hospital bylaws, credentialing standards, and regulatory requirements (e.g., Joint Commission, NCQA).</li><li><strong>Data Management:</strong> Maintain and update credentialing databases with timely and accurate records for all reappointments. This includes review and verification of licenses, certifications, CME credits, and ongoing training/documentation as required.</li><li><strong>Compliance Oversight:</strong> Work closely with compliance officers and other regulatory bodies to ensure all practitioners meet internal and external reappointment deadlines and standards.</li><li><strong>Communication Facilitation:</strong> Act as a liaison between the medical staff, credentialing team, department heads, and external auditors. Regularly communicate updates, gaps, and next steps to stakeholders.</li><li><strong>Process Optimization:</strong> Identify improvement opportunities in the reappointment process, propose solutions, and implement changes to streamline operations and reduce turnaround times.</li><li><strong>Record Auditing:</strong> Conduct periodic audits of credentialing files and reappointments to ensure regulatory compliance and readiness for accreditation inspections.</li><li><strong>Collaboration:</strong> Support cross-functional teams in credentialing and privileging activities, including initial appointments and special reviews.</li></ul>