We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance.<br><br>Responsibilities:<br>• Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication.<br>• Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability.<br>• Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution.<br>• Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities.<br>• Draft compelling appeals to challenge claim denials and secure appropriate reimbursements.<br>• Maintain a thorough understanding of various insurance products, including Medicare Advantage plans.<br>• Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals.<br>• Collaborate with team members to handle complex claims and develop effective solutions.<br>• Utilize analytical skills to make informed decisions on resolving claims and account discrepancies.<br>• Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
<p>Position Summary</p><p>We are seeking a detail-oriented and proactive <strong>Purchasing & Order Processing Specialist</strong> to support our pallet manufacturing and recycling operations. This role combines procurement of lumber and pallet materials with efficient client order processing to ensure smooth operations and excellent customer service.</p><p>Key Responsibilities</p><ul><li>Bid on and procure lumber, pallets, and related materials from suppliers, negotiating prices and terms to secure cost-effective supply.</li><li>Process customer orders, including entry, coordination, fulfillment tracking, and communication.</li><li>Manage inventory levels, supplier relationships, and delivery schedules.</li><li>Support sales and operations by responding to client inquiries and ensuring timely deliveries.</li><li>Maintain accurate records in our systems for purchases, orders, and inventory.</li></ul>