9 results for Claims Processor Healthcare

Medical Claims Specialist We are seeking a Medical Billing Specialist to join a healthcare organization in Glen Allen, Virginia. The role involves managing medical collections and billing, comprehending medical claims, and maintaining an understanding of the collections process. This role offers a contract employment opportunity. Responsibilities: • Understand the medical collections process and assist the collections team when needed• Familiarize yourself with medical billing and claims• Process and manage medical billing tasks• Maintain accurate records of customer credit and payments• Resolve customer credit inquiries in a timely and efficient manner• Monitor customer credit accounts and take necessary actions for delinquent payments• Stay updated with the latest industry practices and regulations related to medical billing and collections• Ensure compliance with healthcare industry regulations and standards in all tasks• Collaborate with the team to achieve set targets and goals• Handle sensitive information in a confidential manner.

Medical Billing/Claims/Collections Robert Half is supporting a healthcare client with an immediate need for a skilled full-time OR part-time Medical Claims Specialist. As a full-time OR part-time Medical Claims Specialist, you will be supporting the submittal of medical claims to both Government and Commercial insurance payers as well as following up on denials and submitting appeals. We are offering a role in the Medical Claims located west of downtown Cincinnati. After a period of onsite training, an option to work hybrid or fully remote may be offered. Responsibilities:• Accurate completion of medical claims and submittals using an EHR System such as EPIC or eClinicalWorks.• Understanding of EOB - Explanation of Benefits, Claim Denials, and Denial Codes• Handling of appeals in cases of denied claims• Ensuring adherence to medical billing/claims/collections industry standards and regulations• Regularly updating skills and knowledge in the field of medical billing/claims/collections.

Medical Biller/Collections Specialist Robert Half has partnered with a client seeking a Medical Biller/Collections Specialist in the non-profit industry. The role we are seeking is that of a Medical Biller/Collections Specialist, who will be an integral part of our team, providing essential services in maintaining the financial health of our organization. Located in New Orleans, Louisiana, this is a short-term contract to full time employment opportunity. Responsibilities: • Manage the billing and collection processes for medical services, ensuring accuracy and efficiency• Utilize medical software such as Allscripts, EHR SYSTEM, McKesson, and Medisoft to track and process billing information• Handle appeals in cases of disputed charges, working to resolve these cases in a timely manner• Oversee billing functions, ensuring all charges are correctly posted and all payments are accurately recorded• Administer claims, including the management of claim denials and rebills, as well as the posting of charges• Conduct Medicaid and Medicare claims and billing, along with hospital billing and coding• Participate in health care audits, particularly those related to Medicare and Medicaid• Familiarize oneself with and adhere to clinical processes, ensuring all billing and collection procedures align with these processes• Maintain up-to-date knowledge of collection processes and act as a collector when necessary• Regularly monitor the status of outstanding payments and take appropriate action to ensure timely collection

Administrative Assistant Robert Half has an immediate opening for one of our healthcare clients. In San Mateo. Our client focuses on restoring your quality of life through rehab-focused home health care. We help people who are recovering from surgery, an illness, injury or hospitalization. As a team, we strive to manage the effects of your disability or illness in order for you to reach the best outcome and highest possible level of independence and quality of life. If you are immediately available for work, can commute to San Mateo, and have a background in healthcare / medical, this could be a great opportunity for you. This role starts ASAP. Do not wait, apply now! Job Summary:The Office Administrator will oversee the daily administrative operations of our medical office. The ideal candidate will have excellent organizational skills, a friendly demeanor, and the ability to handle multiple tasks efficiently. This role is critical in supporting our medical staff and ensuring a positive experience for our patients.Key Responsibilities:<ul><li>Manage front desk operations, including greeting patients, answering phone calls, and handling correspondence.</li><li>Schedule and confirm patient appointments.</li><li>Maintain and update patient records in our electronic health record (EHR) system.</li><li>Handle billing and insurance claims, including verifying patient insurance coverage and processing payments.</li><li>Order and manage office supplies and equipment.</li><li>Coordinate with medical staff to ensure efficient workflow and patient care.</li><li>Assist with new patient registration and onboarding.</li><li>Prepare and distribute office communications, including emails and memos.</li><li>Ensure the office complies with healthcare regulations and standards.</li><li>Handle confidential information with discretion and professionalism.</li></ul>

Customer Service Representative We are offering a contract opportunity for a Customer Service Representative in Spokane, Washington. You will be joining our team as a Credit Clerk, tasked with handling customer credit applications and maintaining customer credit records in an organized and efficient manner. This role is based in the healthcare industry, specifically dealing with Consumer Driven Health Care (CDH) Clerical Services. Responsibilities:<ul><li>Adjudicate claims received via email, mail, fax, online, or in-person.</li><li>Review the claim in the system if received electronically, or on paper if received through manual submission for expenses to validate if they are IRS eligible expenses for reimbursement or not.</li><li>Answer client and participant inquiries received via phone, email, mail, fax, online, or in-person.</li><li>Consumer Correspondence</li><li>Print denial letters, repayments notifications, receipt reminders, follow-up letters.</li></ul>

Medical Billing Specialist We are offering a contract to permanent employment opportunity for a Medical Billing Accounts Receivable Specialist in Wilmington, DE, United States. This role is crucial to maintaining the financial health of our orthopedic practice. The successful candidate will be responsible for processing and managing medical billing claims and accounts receivable to ensure revenue maximization and minimize denials. Responsibilities:• Review and analyze medical claims for accuracy and completeness.• Prepare and submit electronic and paper claims to insurance companies.• Follow up on outstanding claims and denials in a timely manner.• Investigate and resolve billing discrepancies and unpaid claims.• Verify insurance coverage and eligibility for patients.• Process patient payments and reconcile accounts receivable.• Communicate effectively with patients, insurance companies, and internal staff regarding billing and payment inquiries.• Stay current with insurance regulations and billing guidelines.• Use skills in Medical Billing, Accounts Receivable (AR), Insurance Claims, and Claim Denials to perform job duties efficiently.P

Claims Admin Support Spec Int <ul><li>Position: Customer Claims and Office Administration Support (6 weeks CONTRACT ROLE ONLY)</li><li>Location: Greengate#210 B92B Covington Louisiana 70433</li><li>Type: 100% ONSITE </li><li>Hourly Pay Range: $20-21/Hourly</li><li>Experience: REQUIRED face to face customer service experience, office administration, and HSD or GED or equivalent </li></ul> JOB DESCRIPTION:Performs routine but varied clerical duties in accordance with standard procedures under direct supervision. Duties and tasks are standardized. Resolves routine questions and problems and refers more complex issues to higher levels. ESSENTIAL DUTIES RESPONSIBILITIES:The essential duties and responsibilities listed below are representative of those required on the job. Incumbents may perform other duties and responsibilities as assigned. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties and responsibilities. - Interacts by phone and mail with multiple internal and external contacts such as customers vendors medical providers attorneys plaintiff and defendant law enforcement agencies etc.- Screens and directs telephone calls- Maintains and updates office supplies- Operates and maintains office equipment such as fax printing and copying machines- Coordinates office shredding with Progressive vendor.- Conducts document maintenance - creates retrieves and delivers files and copies documents.- May compose routine correspondence.- Receives and directs visitors and may resolve routine inquiries.- Opens sorts and distributes mail including USPS Fedex and other delivery companies.- Other various support duties may set up meetings may coordinate record retention etc.- May be asked to other duties as needed not represented on this list including additional searches researching and reporting as requested by leadership- Occasional travel Day-to-day responsibilities:<ul><li>Liaison between customer and Progressive filer</li><li>Total loss of paperwork titles</li><li>Give payment checks to customers</li><li>Order Police reports</li><li>Draft letters to be sent out to the customers</li><li>Send and accept Fed Ex</li><li>Call claim carriers - verify insurance to make sure the policy is active</li><li>Order supplies in the office</li><li>Scan total loss paperwork into files</li><li>Maintain Office Needs- order supplies coffee, etc.</li></ul>Who is this worker's main interaction going to be with?<ul><li>The customer</li><li>The Progressive team mostly online</li><li>Leaders will be in the office</li></ul>

Billing Specialist We are inviting applications for the role of a Billing Clerk based in Scottsdale, Arizona. This role is a contract position within the telecom industry, offering a fully remote work option. The successful candidate will be expected to handle tasks related to billing, collections, and credit processing, leveraging their skills in Accounting Software Systems, Microsoft Excel, Microsoft Office Suites, Billing Functions, Claim Administration, Collection Processes, Billing, Salesforce Platform, and MS Dynamics 365 Finance & Operations. Responsibilities: • Accurate and efficient processing of customer credit applications. • Maintenance of precise customer credit records. • Resolution of customer credit inquiries in a timely manner. • Monitoring of customer credit accounts and taking required action to collect overdue payments. • Utilization of accounting software systems to manage and organize data. • Proficiency in utilizing Microsoft Excel and Office Suites for various accounting functions. • Administration of billing functions and claim administration processes. • Execution of collection processes to ensure timely payment of dues. • Operation of Salesforce Platform and MS Dynamics 365 Finance & Operations for billing and other related tasks.

Billing Clerk We are offering an exciting, contract-based opportunity for a Billing Clerk in Washington, District of Columbia. The role involves processing customer credit applications, maintaining customer credit records, and resolving customer credit inquiries. This position is instrumental in managing customer credit accounts and handling delinquent payments. Responsibilities: • Accurately and efficiently process customer credit applications. • Maintain accurate records of customer credit. • Resolve customer inquiries related to credit. • Monitor customer credit accounts and take appropriate action on delinquent payments. • Issue monthly statements of account. • Respond promptly to requests for invoices or other financial information. • Assist in generating financial reports such as Ebilling reconciliation reports and A/R reports. • Assist with the recording of checks received. • Draft Write Off Authorization Forms. • Utilize Accounting Software Systems and Microsoft Office Suites, particularly Excel, to perform billing functions. • Provide exceptional customer service and communicate effectively with customers.