<p>Our client is seeking an experienced <strong>Medical Billing Specialist </strong>to join their healthcare team in <strong>Basking Ridge, New Jersey. </strong>In this role, you will handle <strong>Medicare billing processes </strong>for skilled nursing facilities, ensuring compliance and accuracy in claims and collections. This is a Contract to permanent position offering an opportunity to contribute to the financial operations of senior living communities.</p><p><br></p><p><strong>Medicaid Medical Biller Responsibilities:</strong></p><p>• Manage end-to-end accounts receivable processes and collections for skilled nursing facilities.</p><p>• Submit, monitor, and resolve Medicare Part A claims, including corrections, status checks, and eligibility verifications.</p><p>• Handle billing for Medicare Part B, hospice care, and outpatient services with attention to payer status.</p><p>• Investigate and follow up on unpaid, underpaid, or rejected claims, including appeals and reconsiderations.</p><p>• Maintain accurate coding and documentation to ensure compliance with Medicare regulations.</p><p>• Collaborate with clinical, business office, and revenue cycle teams across multiple facilities to optimize billing operations.</p><p>• Monitor accounts receivable aging and escalate high-risk accounts when necessary.</p><p>• Utilize systems such as PointClickCare, Inovalon, and MatrixCare to manage billing activities.</p><p>• Ensure timely and accurate submissions by verifying all claim data for completeness.</p><p>• Coordinate with nursing leadership and business offices to address discrepancies and improve processes.</p>
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a contract basis in Bridgeport, Connecticut. This role focuses on managing accounts receivable functions, ensuring accurate record-keeping, and overseeing payment processes. If you have strong organizational skills and experience in medical billing, this position offers an excellent opportunity to contribute to the financial operations of a healthcare setting.<br><br>Responsibilities:<br>• Oversee accounts receivable activities, including managing payment records and ensuring accuracy.<br>• Process and reconcile cash receipts efficiently while maintaining up-to-date financial records.<br>• Conduct follow-up inquiries on outstanding payments to ensure timely resolution.<br>• Prepare and review month-end financial reports to maintain balanced accounts.<br>• Perform data entry tasks with precision to update patient and billing information.<br>• Utilize Epic systems for hospital billing processes and data management.<br>• Apply medical terminology knowledge to ensure proper billing and coding.<br>• Provide exceptional customer care by addressing billing inquiries and resolving issues.<br>• Collaborate with other departments to streamline billing operations and optimize workflows.<br>• Maintain compliance with healthcare regulations and practices in all billing activities.
<p>We are looking for a dedicated Benefits Specialist to join our team on a long-term contract basis. This role is based in New York, New York, and offers an exciting opportunity to manage and enhance employee benefits programs while collaborating with vendors and internal teams. The ideal candidate will have a strong background in benefits administration, excellent communication skills, and the ability to handle complex cases and high-volume tasks efficiently.</p><p><br></p><p>Responsibilities:</p><p>• Handle daily benefits administration tasks, including managing a high-volume ticket queue and addressing employee inquiries through platforms such as Workday, Zoom, and Slack.</p><p>• Research and resolve complex benefits and leave-related issues, escalating to vendors or carriers as necessary.</p><p>• Validate and maintain accuracy in Workday file feed integrations and manually upload files when automated processes fail.</p><p>• Administer 401(k) and retirement plans, including correcting report errors, troubleshooting account setups, and managing loan files.</p><p>• Collaborate with vendors and brokers to ensure timely resolution of employee escalations and process vendor payments efficiently.</p><p>• Conduct monthly premium reconciliations, verify reimbursement eligibility, and ensure accuracy across payroll and benefits reporting systems.</p><p>• Create and distribute employee communications, such as newsletters and onboarding presentations, to enhance engagement and education.</p><p>• Coordinate and support financial wellness initiatives, vendor engagement events, and employee education programs.</p><p>• Partner with leadership to support special projects, including pilot programs, insurance RFPs, and office setup initiative</p>