<p>We are seeking a detail-oriented <strong>Medical Claims Resolution Specialist</strong> within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement.</p><p><br></p><p><strong>Hours:</strong> Monday - Friday 8am - 5pm *after hours work will be needed at times</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
<p>We are looking for a skilled Collections Specialist to join our team in Santa Barbara, California. This is a part-time contract position, offering an opportunity to contribute to the financial operations of the organization by managing collection processes effectively. The ideal candidate will have a strong background in accounting systems and claim administration, along with excellent communication and organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Monitor and manage outstanding accounts to ensure timely payments.</p><p>• Communicate with clients to resolve billing discrepancies and provide accurate account updates.</p><p>• Utilize accounting software systems, including Epic and ADP, to maintain accurate financial records.</p><p>• Prepare and analyze reports related to collections and account performance.</p><p>• Collaborate with internal teams to address and resolve payment issues.</p><p>• Implement effective strategies to reduce delinquent accounts and improve overall collection rates.</p><p>• Maintain compliance with company policies and relevant regulations.</p><p>• Use CRM tools to document interactions and track collection activities.</p><p>• Perform claim administration tasks to ensure proper handling of account-related claims.</p><p>• Continuously assess collection processes and recommend improvements to enhance efficiency.</p>
<p>We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation.</p><p>• Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement.</p><p>• Abstract required data elements from medical records in alignment with facility-specific guidelines.</p><p>• Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing.</p><p>• Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation.</p><p>• Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks.</p><p>• Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information.</p><p>• Analyze and ensure compliance with coding, billing, and data collection regulations.</p><p>• Address missing or unclear information by seeking clarification and ensuring proper documentation.</p><p>• Independently manage workload and prioritize tasks to meet departmental productivity standards.</p>
We are looking for a detail-oriented Medical Records Clerk to support healthcare record operations in Bloomington, Minnesota. This Contract position focuses on maintaining accurate patient documentation, protecting sensitive health information, and ensuring records are available to authorized users in a timely manner. The ideal candidate is organized, dependable, and comfortable working with electronic medical record systems in a regulated healthcare environment.<br><br>Responsibilities:<br>• Maintain and organize paper and electronic patient files to support accurate, complete, and secure medical documentation.<br>• Enter and update demographic details, diagnoses, treatment information, and related medical data within electronic record systems.<br>• Review charts and documents for missing or inconsistent information and resolve discrepancies through careful follow-up.<br>• Process requests for medical records from patients, providers, and approved third parties while following release procedures and authorization requirements.<br>• Retrieve, file, and track clinical documents such as lab results, reports, and correspondence with a high level of accuracy.<br>• Partner with clinical and administrative teams to promote consistent documentation practices across patient records.<br>• Monitor record request activity, maintain logs, and prepare routine tracking reports for documentation workflows.<br>• Handle incoming and outgoing communication related to medical records and support day-to-day administrative recordkeeping tasks.
<p>We are looking for a Medical Customer Service Rep to support a healthcare organization serving members in Minneapolis, Minnesota. This Long-term Contract opportunity is ideal for someone who is comfortable handling high-volume calls, resolving benefit and claims-related questions, and guiding members through available healthcare services. The person in this role will deliver attentive service, provide accurate information, and help members navigate coverage, authorizations, and transportation-related support. This role is remote but does require candidates to be local to MN for quarterly onsite meetings. </p><p><br></p><p>Responsibilities:</p><p>• Handle incoming calls from health plan members and provide clear answers related to coverage, claims activity, and amounts owed to providers.</p><p>• Review member benefit information and explain plan details in a way that is easy to understand and aligned with service standards.</p><p>• Assist callers with questions involving Medicaid programs, managed care services, and eligibility-related concerns.</p><p>• Help members understand prior authorization requirements and direct them through the appropriate next steps for care access.</p><p>• Use provider network resources to confirm participating providers and support members in locating appropriate care options.</p><p>• Guide members through transportation service coordination and appointment navigation when those services are part of their health plan benefits.</p><p>• Document interactions accurately and maintain complete records of inquiries, resolutions, and follow-up needs.</p><p>• Escalate complex issues when necessary while ensuring members receive timely and courteous support.</p>
We are looking for an Accounts Receivable Specialist to support financial operations for a healthcare organization in New York, New York. This Long-term Contract position focuses on maintaining accurate receivables, applying incoming payments, managing billing activity, and following up on outstanding commercial balances. The ideal candidate brings strong attention to detail, sound judgment in collections activities, and the ability to keep account records current and organized.<br><br>Responsibilities:<br>• Process and monitor accounts receivable transactions to help maintain accurate outstanding balances and timely account updates.<br>• Apply incoming cash receipts to the appropriate customer accounts and investigate discrepancies when payment details do not align.<br>• Manage commercial collections efforts by contacting customers regarding overdue balances and documenting follow-up activity.<br>• Prepare, review, and maintain billing records to support accurate invoicing and payment tracking.<br>• Reconcile daily cash activity and research variances to ensure financial records remain complete and reliable.<br>• Collaborate with internal teams to resolve billing questions, payment issues, and account exceptions efficiently.<br>• Maintain detailed documentation of receivable activity, collection status, and account adjustments for reporting purposes.
<p>We are seeking an experienced (Remote) Medical Billing Specialist to manage end‑to‑end billing functions using eClinicalWorks. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. eClinicalWorks is a MUST,</p><p><br></p><p>Key Responsibilities:</p><p><br></p><ul><li>Using eClinicalWorks for a medical billing and collections functions. </li><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul><p><br></p><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
We are looking for a detail-oriented Medical Scheduler to support patient access and appointment coordination in Shelby Township, Michigan. This contract opportunity with potential for a permanent role is ideal for someone who can balance accuracy, professionalism, and a patient-focused approach in a fast-paced healthcare environment. In this role, you will help patients navigate scheduling, insurance verification, and pre-registration while ensuring records are complete and up to date. The right candidate will be comfortable communicating clearly with patients and working efficiently across multiple systems and priorities.<br><br>Responsibilities:<br>• Gather and confirm patient demographic, insurance, and financial details to support registration, billing, and payer requirements.<br>• Schedule, move, or cancel appointments in the healthcare scheduling platform while maintaining a high level of accuracy.<br>• Complete pre-registration tasks by entering, reviewing, and organizing required documentation in a timely manner.<br>• Verify insurance coverage in real time and explain coverage-related needs such as referrals, prior authorizations, or pre-certifications to patients.<br>• Contact patients to confirm upcoming visits and provide clear instructions about appointment readiness or service preparation.<br>• Manage inbound and outbound calls with a service-focused approach that supports patient satisfaction and access to care.<br>• Maintain accurate records by documenting interactions and updating patient information as needed.<br>• Demonstrate professionalism and tact in all communications while following departmental service standards.<br>• Assist with additional scheduling and patient access duties as assigned to support daily operations.
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position will focus on coding accuracy, billing compliance, and reimbursement optimization while partnering with providers and revenue cycle teams. The ideal candidate brings strong experience in E/M coding, medical record auditing, and payer guideline interpretation within a regulated clinical environment.<br><br>Responsibilities:<br>• Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.<br>• Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities.<br>• Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims.<br>• Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management.<br>• Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance.<br>• Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance.<br>• Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards.<br>• Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations.<br>• Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements.<br>• Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.
<p>Join our client's team as a <strong>Remote Inpatient Coding Specialist</strong> and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul><p><br></p>
<p>Join our team as a <strong>Remote Inpatient Coding Specialist</strong> and play an essential role in ensuring accurate medical coding and billing processes. As a subject matter expert, you will use your knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG coding standards to review appeals and denials. Your expertise will help substantiate coding principles, address potential billing and coding concerns, and maintain high-quality standards in documentation. This is a fully remote position.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am -5p EST with flexibility</p><p><br></p><p>Responsibilities:</p><ul><li>Apply medical coding principles and industry guidelines objectively during appeals and denial review processes.</li><li>Leverage knowledge of ICD-10-CM, ICD-10-PCS, HCPCS, NCCI, CMS, and CMG to identify, analyze, and resolve billing and coding issues.</li><li>Assess quality concerns by verifying adherence to regulatory requirements and best practices.</li><li>Participate in client system education to gain familiarity with specific platforms and workflows.</li><li>Ensure all appeals are accurately supported by clinical documentation, coding/CDI guidelines, and regulatory standards.</li><li>Collaborate with clients and internal stakeholders to clarify documentation and coding requirements.</li></ul>
<p>Establish tech company with an AI flare has an immediate opening for a detail-oriented Legal Operations Specialist to join the legal team! In this role, you will oversee critical processes focused on e-billing and invoice review while driving operational efficiency within the legal department. This position offers an excellent opportunity to contribute to process improvement initiatives and support the overall success of corporate legal operations. This position is part-time, offering a minimum of 20 hours per week, and is 100% remote.</p><p><br></p><p><u>Key Responsibilities:</u></p><ul><li>Manage and optimize the legal e-billing platform, including invoice review workflows, vendor compliance, matter budgeting, reporting, and continuous process improvements.</li><li>Manage day-to-day operations of Brightflag billing platform, including matter setup, user management, and billing workflow optimization</li><li>Partner with tax, AP, and procurement teams to establish proper billing and payment procedures.</li><li>Serve as primary liaison with outside counsel on billing inquiries, invoice processing, and administrative coordination across all practice areas</li></ul><p><br></p>
<p><br></p><p>We are seeking a detail-oriented and customer-focused <strong>French Bilingual Remote Collections Specialist</strong> to manage outstanding accounts receivable balances and support timely payment resolution. This role is responsible for communicating with customers in both <strong>French and English</strong>, following up on overdue accounts, resolving billing issues, and maintaining accurate collection records. The ideal candidate is skilled in negotiation, highly organized, and comfortable working independently in a remote environment.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Contact customers by phone, email, and written correspondence to follow up on past-due invoices</li><li>Communicate professionally in <strong>French and English</strong> with clients regarding account balances and payment arrangements</li><li>Review aging reports and prioritize collection efforts based on account status</li><li>Investigate and resolve customer billing disputes, payment discrepancies, and account issues</li><li>Document all collection activity, customer communications, and payment commitments in the appropriate system</li><li>Collaborate with internal teams such as accounts receivable, billing, customer service, and sales to resolve account concerns</li><li>Negotiate payment plans when appropriate and monitor adherence to agreed terms</li><li>Maintain a high level of professionalism and customer service while meeting collection targets</li><li>Reconcile customer accounts and ensure account information is accurate and up to date</li><li>Escalate high-risk or severely delinquent accounts as needed</li><li>Support month-end reporting and other administrative tasks related to collections</li></ul><p><br></p>
<p>Our company is searching for a<strong> Remote DRG Coding Auditor </strong>to join our client's team, performing in-depth documentation and coding audits for our healthcare clients. In this audit-focused role, you’ll conduct independent reviews of inpatient medical records, evaluating the accuracy of diagnosis and procedure codes to ensure optimal reimbursement and compliance with official guidelines, regulatory requirements, and ethical standards. Leveraging your deep knowledge of DRG payment systems (such as MS, APR, and Tricare), you’ll assess coding accuracy, documentation integrity, and identify opportunities for coder education and documentation improvement. This is a fully remote position and you can live anywhere within the US.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm EST with some flexibility within the daily hours by about 2-3 hours</p><p><br></p><p><strong>Responsibilities for the position include the following:</strong></p><ul><li>Perform comprehensive audits of all acute inpatient medical records to identify coding errors, compliance concerns, and educational opportunities.</li><li>Interpret, evaluate, and apply ICD-10-CM/PCS coding principles and guidelines to ensure documentation adequately supports the coded diagnoses and procedures.</li><li>Verify that assigned DRGs accurately reflect patient severity and resource utilization according to MS, APR, Tricare, and related payment methodologies.</li><li>Research regulatory requirements and provide clear, well-supported recommendations in audit reports.</li><li>Collaborate with Clinical Documentation Integrity (CDI) specialists to pinpoint and communicate documentation and/or physician query opportunities.</li><li>Write concise, constructive feedback and educational notes for coders, referencing the latest official coding guidelines and AHA Coding Clinics.</li><li>Maintain established productivity and quality standards as measured by audit leadership.</li></ul><p><br></p>