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3 results for Insurance Followup Specialist in Springfield, MA

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We are offering a long term contract employment opportunity for an Insurance Follow-Up Specialist in Springfield, Massachusetts. You will be joining an industry where you will primarily attend to provider appeals and resolution, and also address issues discovered during an appeal review. Working closely with other departments, you will contribute to the modification of policies and propose training opportunities for other departments on the provider appeals process.

Responsibilities:
• Efficiently review and resolve post claim review provider appeals
• Provide advice and assistance to Provider Relations Representatives on complex issues
• Identify and address business problems and issues that arise during an appeal review
• Collaborate with other departments to bring about changes to existing policies
• Suggest training opportunities for other departments regarding the provider appeals process
• Oversee the administration of claims and billing functions
• Carry out collection processes efficiently and effectively.

• Proficiency in handling appeals and understanding the intricacies of the insurance appeal process
• Extensive knowledge and experience in billing functions, with a focus on insurance billing
• Demonstrated expertise in claim administration, including processing, tracking, and managing insurance claims
• Familiarity with collection processes, with the ability to follow up on unpaid claims effectively and efficiently

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use.

3 results for Insurance Followup Specialist in Springfield, MA

Insurance Follow-Up Specialist We are offering a long term contract employment opportunity for an Insurance Follow-Up Specialist in Springfield, Massachusetts. You will be joining an industry where you will primarily attend to provider appeals and resolution, and also address issues discovered during an appeal review. Working closely with other departments, you will contribute to the modification of policies and propose training opportunities for other departments on the provider appeals process. Responsibilities: • Efficiently review and resolve post claim review provider appeals • Provide advice and assistance to Provider Relations Representatives on complex issues • Identify and address business problems and issues that arise during an appeal review • Collaborate with other departments to bring about changes to existing policies • Suggest training opportunities for other departments regarding the provider appeals process • Oversee the administration of claims and billing functions • Carry out collection processes efficiently and effectively.

Billing Clerk Are you an organized professional with strong administrative skills and a passion for financial operations? Robert Half is excited to work with a reputable organization in West Hartford, Connecticut, to find a Billing Clerk for a long-term contract opportunity. This position will allow you to put your expertise in accounting systems, computerized billing, and customer account management to work in an industry-leading environment.Key Responsibilities:<ul><li>Perform accounting functions, including Accounts Payable (AP) and Accounts Receivable (AR) management.</li><li>Utilize various accounting software systems to support billing and finance operations.</li><li>Work with ADP – Financial Services to optimize payroll and financial workflows.</li><li>Implement and manage computerized billing processes to maintain accuracy and efficiency.</li><li>Operate Electronic Health Records (EHR) systems to oversee client records while adhering to compliance standards.</li><li>Leverage Epic Software for administrative tasks and health record management.</li><li>Answer inbound calls, providing exceptional customer service and resolving inquiries.</li><li>Maintain and regularly update accurate customer credit records.</li><li>Monitor customer accounts and take necessary follow-up actions as needed.</li><li>Perform Microsoft Excel tasks such as data entry, reporting, and reconciliation procedures.</li></ul>Qualifications:<ul><li>Proven experience as a Billing Clerk or in a similar role.</li><li>Proficiency in Accounting Software Systems, ADP – Financial Services, and EHR Systems.</li><li>Familiarity with Epic Software and computerized billing systems preferred.</li><li>Strong command of Microsoft Excel, including formulas, pivot tables, and data analysis.</li><li>Excellent communication and interpersonal skills for handling inbound calls and customer relations.</li><li>Ability to manage tasks independently while adhering to deadlines.</li><li>Highly organized, detail-oriented, and adaptable to dynamic workflows.</li></ul>Why You'll Love This Opportunity:Working as a Billing Clerk in West Hartford, Connecticut, you’ll have the chance to:<ul><li>Grow your skillset through exposure to diverse software systems and financial processes.</li><li>Collaborate with a professional team in the healthcare and financial services industry.</li><li>Access Robert Half’s resources for career growth and development, including MyLearning for personal and professional growth.</li><li>Embrace a long-term contract opportunity, offering stability, recognition, and networking potential.</li></ul>

Claims Examiner-Lost Time We are offering a short term contract employment opportunity for a Claims Examiner-Lost Time in New Haven, Connecticut. This role primarily functions in the insurance industry and involves handling all aspects of workers compensation lost time claims. The successful candidate will be expected to maintain strong customer relations throughout the process, from setup to case closure. Responsibilities: • Handling all components of workers compensation lost time claims, from initiation to closure, maintaining strong customer relations throughout. • Thoroughly reviewing claim and policy information to establish a basis for investigation. • Conducting comprehensive investigations, obtaining facts and statements from insured claimants and medical providers. • Evaluating facts gathered through investigations to determine the compensability of the claim. • Informing insureds, claimants, and attorneys of claim denials, when applicable. • Preparing reports on investigations, settlements, denials of claims, and evaluations of involved parties. • Administering statutory medical and indemnity benefits in a timely manner throughout the life of the claim. • Setting reserves for medical, indemnity, and expenses within authority limits and recommending reserve changes to Team Leader. • Regularly reviewing claim status and making recommendations to Team Leader to discuss problems and remedial actions. • Working with attorneys to manage hearings and litigation. • Directing vendors, nurse case managers, and rehabilitation managers on medical management and return to work initiatives. • Complying with customer service requests, including special claims handling procedures, file status notes, and claim reviews. • Filing workers compensation forms and electronic data with states to ensure compliance with statutory regulations. • Maximizing recovery opportunities by referring appropriate claims to subrogation and securing necessary information. • Collaborating with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers, and Team Supervisors to exceed customer's expectations for exceptional claims handling service.