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9 results for Medical Reimbursement Specialist in Oakland Ca

Medical Billing Specialist <p>We are seeking a <strong>Medical Billing Specialist</strong> with proven expertise in <strong>Epic Resolute</strong> to support a short-term project for our healthcare client. This is an excellent opportunity to contribute your skills in medical billing and revenue cycle management within a dynamic and fast-paced environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform timely and accurate medical billing tasks using <strong>Epic Resolute</strong>.</li><li>Review and resolve billing errors, rejections, and denials through precise claim adjustments.</li><li>Ensure compliance with billing policies, payer requirements, and healthcare regulations.</li><li>Monitor accounts receivable and follow up with payers to expedite reimbursement.</li><li>Collaborate with other team members and departments to improve billing workflows and resolve discrepancies.</li></ul><p><br></p> Medical Biller <p>Are you looking for a career in Healthcare? Robert Half is hiring for a Medical Billing Specialist to join our client's team! The Medical Billing Specialist will be responsible for managing and overseeing the billing process for our client's healthcare services. This role requires a high level of accuracy, a deep understanding of medical billing procedures, and a commitment to maintaining compliance with healthcare regulations. The ideal candidate will have experience in medical billing, excellent communication skills, and the ability to work independently in a fast-paced environment.</p><p><br></p><p>Key Responsibilities:</p><p>·      Prepare and submit accurate medical claims to insurance companies and patients.</p><p>·      Verify patient insurance coverage and eligibility.</p><p>·      Review and process insurance claims to ensure proper coding and billing.</p><p>·      Follow up on unpaid or denied claims to ensure timely reimbursement.</p><p>·      Communicate with insurance companies and patients to resolve billing issues.</p><p>·      Maintain patient billing records and ensure their confidentiality.</p><p>·      Generate and distribute billing statements to patients.</p><p>·      Assist with financial reporting and analysis related to billing activities.</p><p>·      Stay updated on changes in billing regulations and practices.</p> Medical Billing Specialist We are looking for a meticulous and well-organized Medical Billing Specialist to join our team in San Francisco, California. As a Medical Billing Specialist, your primary role will be to manage our accounts receivable follow-up procedures, ensure the accuracy of medical billing, and handle customer inquiries promptly and professionally.<br><br>Responsibilities:<br><br>• Oversee the processing of medical claims via the EPIC system.<br>• Handle denied claims, identify the cause of denial, and execute the necessary measures.<br>• Correct and resubmit claims as required.<br>• Scrutinize insurance guidelines to guarantee precise billing and payment.<br>• Evaluate claims for underpayments and implement necessary actions.<br>• Provide support for various billing and accounting duties.<br>• Utilize Excel Formulas to maintain accurate customer credit records.<br>• Monitor customer accounts and take appropriate action based on Revenue Cycle Processes.<br>• Ensure efficient and accurate processing of customer credit applications.<br>• Resolve customer inquiries professionally and in a timely manner. Front Desk/Medical Billing Specialist <p>Robert Half Healthcare Group has a immediate opportunity for a Medical Biller/Front Desk Receptionist for a dynamic healthcare company in Emeryville. As the Medical Biller/Front Desk Receptionist, you will be responsible for medical billing, payment posting, and providing administrative support to the office. </p> Medical Front Desk Specialist <p>We are in the healthcare industry, specifically cosmetic dermatology, and are currently seeking a Medical Front Desk Specialist to join our team in San Francisco, California. In this role, you will be the first point of contact for our patients and play a crucial role in managing the day-to-day operations of our front desk. This includes scheduling appointments, managing patient interactions, and ensuring smooth office operations. </p><p><br></p><p>Responsibilities:</p><p>• Responding promptly to all incoming calls and managing a multi-line phone system</p><p>• Accurately scheduling appointments for multiple providers using Nextech software</p><p>• Handling cash transactions and patient pre-screening procedures</p><p>• Collaborating with medical providers to ensure accurate scheduling and billing</p><p>• Maintaining patient medical records in compliance with HIPAA regulations</p><p>• Juggling multiple tasks simultaneously while ensuring a positive patient experience</p><p>• Keeping office supplies stocked and managing administrative duties as required</p><p>• Utilizing various software systems including Allscripts, Cerner Technologies, Dentrix Dental Software, Eaglesoft, and EHR SYSTEM</p><p>• Answering inbound calls and performing billing functions as needed.</p><p><br></p><p><br></p><p>** If you're interested in this position, please apply to this position and contact Georgia Cienkus at georgia.cienkus - at - roberthalf - .com with your word resume and reference job ID#00416-0013150161**</p><p><br></p><p><br></p> Medical Claims Examiner <p>Are you detail-oriented with in-depth claims knowledge and experience in Medicare/Medi-Cal processes? We’re looking for a <strong>Senior Claims Examiner</strong> to join our team! In this role, you will evaluate and process routine to moderately complex insurance claims while ensuring eligibility requirements are met and appropriate documentation is maintained. If you’re passionate about accuracy, providing excellent service, and managing multiple priorities, this might be the perfect opportunity for you!</p><ul><li>Strong knowledge of medical terminology, and proficiency in CPT, ICD-10-CM, and HCPCS coding systems, ensuring claims are accurately processed.</li><li>A minimum of <strong>3 years of claims processing experience in a Medicare/Medi-Cal environment</strong> is essential.</li><li>Proficient in commonly used computer applications such as Microsoft Outlook, Word, and Excel.</li><li>Demonstrated ability to work collaboratively within an interdisciplinary team.</li></ul><p><br></p><p><br></p> Associate Attorney We are searching for an Attorney/Lawyer to join our team in Walnut Creek, California. This role focuses on all aspects of case management, excluding trial and arbitration presentations, within the context of medical malpractice litigation. The position offers an exciting opportunity for those seeking to utilize their knowledge of medicine, law, and associated issues to develop effective case strategies.<br><br>Responsibilities:<br>• Actively participate in formulating discovery and investigation strategies alongside trial and arbitration attorneys.<br>• Obtain agreement with claims specialists on defense preparation to ensure cost-effective completion.<br>• Prepare pleadings and responses to discovery requests.<br>• Attend court appearances and prepare lawsuits for trial/arbitration.<br>• Prepare motions as needed and respond to inquiries from the Claims Department.<br>• Prepare reports for claims at all stages of litigation in a timely manner.<br>• Comply with Defense Attorney Guidelines.<br>• Represent Member physicians at deposition in "Depo-only" cases.<br>• Use legal software such as LexisNexis and 3M Case Management Software for case management.<br>• Handle complaint administration and documentation tasks.<br>• Utilize skills in civil litigation, briefing, and claim administration for effective case management. <br><br>Skills:<br>• Proficiency in 3M, Case Management Software, Legal software, LexisNexis, and Management System.<br>• Expertise in Briefing, Civil Litigation, Claim Administration, Complaint Handling, and Documentation.<br>• Knowledge and experience in handling Medical Malpractice cases. Case Manager <p>Robert Half is delighted to invite applications for the position of Case Manager with our client that focuses on mental and behavioral health. We are looking for a candidate who is passionate about mental health advocacy and will support the effective operations of our case management processes.</p><p><br></p><p>Responsibilities:</p><p>·      Assist in developing comprehensive case management plans for clients with mental and behavioral health issues.</p><p>·      Support lead case managers during client assessments.</p><p>·      Work alongside a multidisciplinary team, enhancing communication between healthcare professionals to ensure comprehensive patient care.</p><p>·      Contribute to client empowerment by assisting in delivery of appropriate educational materials and resources.</p><p>·      Aid in maintaining accurate documentation of case management activities</p><p>·      Adhere strictly to professional ethical standards and maintain client confidentiality.</p> Case Manager <p>Robert Half is currently seeking a highly motivated Mental and Behavioral Health Case Manager for a prestigious client in the healthcare industry. The ideal candidate will have comprehensive knowledge of case management principles and a genuine interest in helping individuals with mental health and behavioral issues reach their recovery goals.</p><p><br></p><p>Responsibilities:</p><p>·      Provides comprehensive case management services including intake, assessment, crisis intervention, advocacy, and linkage to community resources.</p><p>·      Collaborates with multidisciplinary team members to develop effective care plans and interventions.</p><p>·      Monitors client progress toward established goals and adjusts care plans as needed.</p><p>·      Provides client education on mental health, medications, coping mechanisms, and community resources.</p><p>·      Assists clients with transitioning back into the community after institutional care.</p><p>·      Maintains accurate and timely records conforming to regulatory standards.</p><p>·      Performs duties within professional standards and ethical guidelines.</p>