5 results for Medical Reimbursement Specialist in Princeton, NJ

Medical Reimbursement Specialist We are in search of a Medical Reimbursement Specialist to join our team. Stationed in Princeton, New Jersey, you will be instrumental in tackling a backlog of aged medical claims and refining our reimbursement process. This role offers a long-term contract employment opportunity in the medical industry, where you will be tasked with tasks such as claims processing, denial management, payer follow-ups, and appeals. Responsibilities: • Analyze and categorize outstanding claims based on payer, denial reason, and claim value. • Investigate and take corrective action on unpaid, denied, or underpaid claims. • Collaborate with internal teams to obtain missing documentation and expedite claim resubmission. • Evaluate common denial reasons and address them accordingly, such as coding errors, medical necessity, and prior authorization. • Submit corrected claims and formal appeals as required. • Communicate with insurance payers to resolve aged claims and escalate unresolved claims as necessary. • Maintain comprehensive records of all payer interactions. • Identify the root causes of denials and implement best practices to prevent future issues. • Suggest changes to workflow to enhance claim submission accuracy and speed. • Conduct training for in-house billing teams on claim recovery strategies.

Medical Billing Specialist Robert Half is seeking Medical Billing Specialist in the Somerset County, NJ area. As a Medical Billing Specialist, you will handle billing procedures for home, health, and hospice care, and work closely with the central scheduling department. If you have 1+ years of Medical Billing experience and are looking to grow your career, this might be the opportunity for you! Responsibilities:• Execute billing operations for home, health, and hospice care services.• Collaborate with the central scheduling department to ensure seamless billing processes.• Utilize software to manage and update billing information.• Handle authorizations related to billing efficiently.• Monitor customer accounts and take necessary action as needed.• Maintain accurate and up-to-date records of customer credit applications.• Process customer credit applications accurately and efficiently.• Resolve customer inquiries related to billing in a timely manner.

Medical Collections Specialist Medical Collections Working with insurance companies and patient to rectify past due payments Resolve any billing issues contact customers to set up payment plans • Speaking with patients • Out of network processes • Request medical records and read denials • Understanding the EOBs vs ERA • Good customer service skills Working with patients and insurance companies

Property Damage Claims Specialist We are seeking a Property Damage Claims Specialist to join our team in Allentown, Pennsylvania. In this role, you will handle customer property damage claims related to our electric service operations. You will oversee the claim from initial receipt to final determination and settlement, ensuring all actions comply with state regulations and company policy. This role offers a long term contract employment opportunity and operates in a hybrid mode, with three days on-site and two days working from home. Responsibilities: • Handle customer property damage claims resulting from our service operations • Oversee the entire claims process, from receipt to final determination and settlement • Ensure all actions comply with state regulations and our company's policy • Maintain accurate and timely records of all claims • Provide quality customer service and handle escalated calls when necessary • Maintain confidentiality regarding claims decisions and rationale • Analyze claims to ensure appropriate losses are paid for each event • Assist in determining liability for damage claims • Maintain tracking records of all accepted and denied claims • Handle other duties and projects as assigned.

UT-LGR-9113-Contract Administrator II-MST We are offering a contract to hire employment opportunity for a REMOTE Contract Administrator II role in the Aerospace industry. This remote position involves working closely with the Supply Chain Contracts team, managing a comprehensive portfolio of allocated supplier contracts, and coordinating with business partners on contract matters. Responsibilities:• Coordinate with business partners on supply chain contract matters• Manage a comprehensive portfolio of allocated supplier contracts• Communicate with supply chain leadership to develop and execute contracts• Provide guidance to stakeholders on allocated projects• Draft, generate, negotiate, interpret, and manage complex contract documents for allocated suppliers• Perform analysis and prepare reports to ensure contracts are within negotiated and agreed-upon parameters• Negotiate supplier contracts with stakeholders to achieve business favorable terms• Review contractual terms and conditions for their acceptability and assess the risk and impact• Utilize legal resources and other subject matter experts to recognize and address all levels of risk through the development of unique contract terms• Monitor contract status, risk mitigation, and contingency plans, and brief management and other functional areas• Identify opportunities to streamline workflow and improve quality of work product• Track and report key functional metrics• Represent the organization on legal issues related to allocated contracts• Maintain historical legal records.