<p>A Healthcare Company is seeking a Medical Insurance Verification Specialist to join its team. The Medical Insurance Verification Specialist will help ensure timely and accurate verification of patient insurance coverage for our healthcare facility. We’re seeking Medical Insurance Verification Specialist with at least 2 years of relevant medical insurance verification experience. Bilingual Spanish skills are a plus. Familiarity with HMO, PPO, and government insurance plans is required; surgical scheduling or support is highly valued.</p><p>Responsibilities:</p><ul><li>Verify patient eligibility, coverage, and benefits for HMO, PPO, and government insurance plans</li><li>Communicate with insurance providers and patients to resolve coverage questions and discrepancies</li><li>Document all verification activities and update patient records accurately</li><li>Collaborate with clinical and administrative staff to ensure appropriate coverage for planned procedures, including surgery</li><li>Assist patients in understanding their insurance benefits and any out-of-pocket costs</li></ul><p>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement. </p>
<p>Our client in in the local government sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team!</p><p>Responsibilities:</p><ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Medical Administrator to join our team on a contract basis in San Mateo, California. This role requires proficiency in medical terminology and administrative tasks to ensure smooth operations in a healthcare setting. The ideal candidate will possess a strong ability to manage patient records, appointments, and insurance verification processes.</p><p><br></p><p>Responsibilities:</p><p>• Verify patient insurance coverage and eligibility to ensure smooth billing processes.</p><p>• Schedule patient appointments efficiently and maintain accurate records in electronic medical systems.</p><p>• Manage patient billing and payment documentation with attention to detail.</p><p>• Utilize electronic medical records, such as EpiCare Inpatient, to update and maintain patient data.</p><p>• Ensure patients are checked in and out seamlessly during appointments.</p><p>• Handle patient scheduling and communicate appointment details effectively.</p><p>• Provide support in maintaining compliance with healthcare regulations and standards.</p><p>• Collaborate with healthcare professionals to streamline administrative workflows.</p><p>• Assist in maintaining accurate patient records by applying knowledge of medical terminology.</p><p>• Address inquiries from patients and staff regarding scheduling and administrative procedures.</p><p><br></p><p>If you are interested in the role please apply and call us at (510) 470-7450</p>
We are looking for a detail-oriented Patient Access Specialist to join our team on a contract basis in New Orleans, Louisiana. In this role, you will be responsible for ensuring smooth patient registration, scheduling, and insurance verification processes within an outpatient medical clinic setting. This position offers an excellent opportunity to contribute to healthcare operations and may lead to a permanent position based on performance and availability of roles.<br><br>Responsibilities:<br>• Handle patient registration processes, ensuring accurate data entry and adherence to protocols.<br>• Coordinate patient scheduling to optimize clinic operations and reduce wait times.<br>• Verify medical insurance information and assist patients with understanding their coverage options.<br>• Utilize electronic health record (EHR) systems, particularly eClinicalWorks, to manage patient information efficiently.<br>• Deliver exceptional customer service by addressing patient inquiries and resolving issues promptly.<br>• Collaborate with healthcare staff to ensure seamless communication and workflow.<br>• Maintain confidentiality and comply with healthcare regulations to protect patient information.<br>• Float between clinic locations as needed to support operational demands.<br>• Monitor and report on patient flow metrics to identify areas for improvement.<br>• Provide administrative support to ensure the clinic operates efficiently.
We are looking for a highly organized and detail-oriented Patient Care Coordinator to join our team on a contract basis in Phoenix, Arizona. In this role, you will handle administrative tasks related to insurance verification, payment processing, and patient support. Your ability to navigate complex insurance policies and financial processes will be crucial to ensuring smooth operations and positive patient experiences.<br><br>Responsibilities:<br>• Accurately document insurance verification details, including deductibles, copayments, coinsurance, and policy limitations within the organization’s system.<br>• Calculate payment amounts using basic mathematical skills to ensure accuracy in financial transactions.<br>• Process financial payments and manage related requests efficiently and professionally.<br>• Address and resolve complex insurance denials while maintaining a clear understanding of payer policies.<br>• Utilize intermediate to advanced computer skills to manage administrative tasks and patient information.<br>• Communicate effectively with patients, insurance providers, and team members to facilitate smooth coordination.<br>• Verify insurance coverage and benefits, ensuring compliance with organizational and payer requirements.<br>• Support the photocopying and scanning of documents for accurate record-keeping and accessibility.<br>• Collaborate with offshore teams or external providers as needed to streamline processes.<br>• Maintain detailed knowledge of insurance policies, procedures, and medical terminology to perform duties effectively.
<p>The Patient Access Specialist plays a critical role in ensuring patients have timely and accurate access to healthcare services. This position focuses on patient registration and insurance verification while minimizing barriers to care. The Patient Access Specialist ensures accuracy, compliance, and a positive patient experience from initial contact through service delivery.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Register patients and validate demographic and insurance information</li><li>Obtain prior authorizations and referrals</li><li>Coordinate with clinical departments to ensure accurate patient flow</li><li>Resolve registration or coverage discrepancies</li><li>Maintain compliance with healthcare regulations</li><li>Review and update patient accounts prior to service delivery</li><li>Monitor appointment readiness and resolve access barriers</li><li>Communicate coverage issues to patients with clarity and empathy</li><li>Promote accuracy and integrity by ensuring precise, comprehensive, and compliant documentation practices.</li></ul><p><br></p>
We are looking for a skilled Patient Access Specialist to join our team on a contract basis in New Orleans, Louisiana. In this role, you will play a vital part in ensuring smooth patient registration and scheduling processes within a healthcare setting. This position requires a strong understanding of electronic health record (EHR) systems and a commitment to providing exceptional service to patients.<br><br>Responsibilities:<br>• Facilitate patient registration by accurately collecting and verifying personal and insurance information.<br>• Schedule patient appointments efficiently while considering clinic availability and patient needs.<br>• Assist patients with understanding their medical insurance coverage and benefits.<br>• Ensure all patient data is entered and maintained accurately in the electronic health record (EHR) system.<br>• Provide excellent customer service by addressing patient inquiries and resolving any issues promptly.<br>• Collaborate with clinical and administrative staff to ensure seamless patient care and clinic operations.<br>• Perform insurance verification to confirm coverage and eligibility prior to appointments.<br>• Maintain confidentiality and compliance with healthcare regulations during all interactions.<br>• Adapt to different clinic locations as needed to meet operational demands.<br>• Support team members with additional administrative tasks as required.
<p>We are looking for a dedicated Medical Front Desk Coordinator to join our team in Seattle, Washington. This is a long-term contract position that involves ensuring a smooth and detail-oriented patient experience while managing administrative tasks in a fast-paced healthcare environment. The ideal candidate will possess strong organizational skills and a commitment to delivering exceptional service.</p><p><br></p><p>Responsibilities:</p><p>• Verify patients' insurance coverage and eligibility while reviewing their benefits.</p><p>• Accurately collect copays and process payments using established procedures.</p><p>• Resolve registration discrepancies and address front-end claim edits efficiently.</p><p>• Oversee patient flow and maintain precise documentation in Epic systems.</p><p>• Handle referrals and intake for specialty services, including managing virtual referrals from One Medical.</p><p>• Communicate effectively with both clinical and administrative staff to ensure coordinated patient care.</p><p>• Provide outstanding customer service to patients while addressing inquiries and concerns.</p><p>• Ensure the reception area operates smoothly, including managing multi-line phone systems and inbound calls.</p>
<p>We are looking for a detail-oriented Medical Scribe to join our team on a contract basis in San Leandro, California. In this role, you will play a vital part in ensuring the accuracy and efficiency of patient documentation, supporting healthcare providers in delivering exceptional care. This position requires a focus on precision and confidentiality while working in a dynamic healthcare environment.</p><p><br></p><p>Responsibilities:</p><p>• Accurately record patient medical histories, physical exam findings, treatments, and procedures in real-time.</p><p>• Maintain and update electronic health records to ensure data integrity and compliance.</p><p>• Assist healthcare providers with administrative tasks to enhance workflow efficiency.</p><p>• Ensure all patient details are documented correctly and securely.</p><p>• Collaborate with the medical team to streamline patient scheduling and record management.</p><p>• Verify medical insurance information and update relevant records.</p><p>• Utilize electronic medical record (EMR) systems to organize and retrieve patient data.</p><p>• Transcribe provider notes and medical information accurately and promptly.</p><p>• Support the team by adhering to healthcare regulations and confidentiality standards.</p><p><br></p><p><br></p><p>If you are interested, please call us right away at (510)470-7450. You must have recent scribing experience in order to qualify for the role.</p>
<p>3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! </p><p><br></p><p>We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.</p><p>• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.</p><p>• Adhere to organizational policies while delivering exceptional customer service with compassion.</p><p>• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.</p><p>• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.</p><p>• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.</p><p>• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.</p><p>• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.</p><p>• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.</p>
We are looking for a skilled Commercial Lender - Support specialist to join our team in Golden, Colorado. This contract position offers an exciting opportunity to contribute to the success of our credit union by assisting with loan processing, analysis, and servicing tasks. The ideal candidate will bring expertise in commercial lending and a strong commitment to delivering exceptional service to our business members.<br><br>Responsibilities:<br>• Process and manage new commercial loans, ensuring accuracy and compliance.<br>• Perform detailed credit analysis to evaluate financial risks and opportunities.<br>• Verify insurance documentation for all relevant loans to maintain compliance.<br>• Conduct annual reviews of business members to assess performance and identify needs.<br>• Handle loan maturity processes, including restructuring and modifications as needed.<br>• Collaborate on the development and enhancement of the commercial lending platform.<br>• Provide consistent support for loan administration and origination processes.<br>• Ensure all documentation and servicing tasks meet regulatory requirements.<br>• Work closely with business members to address inquiries and provide tailored solutions.
A Hospital in Tustin is in the need of Patient Registration Specialist to its Emergency Department team. The Patient Registration Specialist will play a pivotal role in ensuring patients are registered efficiently and accurately during critical moments. The Patient Registration Specialist will be tasked with admitting patients, collecting demographics and insurance information. This role requires strong communication skills, empathy, and the ability to thrive in a fast-paced healthcare environment.<br><br>Responsibilities:<br>• Welcome patients and their families to the Emergency Department with professionalism and empathy.<br>• Collect and validate patient demographic and insurance information to ensure accuracy.<br>• Obtain and securely scan necessary documents, including identification and insurance cards.<br>• Explain financial responsibilities such as co-payments and assist patients with payment collection.<br>• Accurately input patient data into the electronic health record system.<br>• Collaborate with clinical staff to facilitate smooth patient flow and minimize delays.<br>• Address patient and visitor inquiries with a calm and supportive demeanor.<br>• Adhere to hospital policies and maintain compliance with organizational standards.<br>• Perform additional administrative tasks as required to support the department.<br><br>Schedule: 40 hours/week; rotating weekends<br>Shift 1: 6:00am – 2:30pm<br>Shift 2: 2:00pm – 10:30pm<br>Shift 3: 10:00pm – 6:30am
We are looking for a detail-oriented Program Assistant to join our team in Taunton, Massachusetts. In this Contract to permanent position, you will play a crucial part in supporting administrative operations, ensuring smooth scheduling, and maintaining accurate records. The ideal candidate will thrive in a dynamic environment and possess strong organizational skills.<br><br>Responsibilities:<br>• Manage billing tasks and liaise with relevant organizations to ensure timely and accurate processing.<br>• Handle front desk duties, including greeting visitors and managing inquiries.<br>• Coordinate weekly scheduling with clinicians to optimize workflow and client appointments.<br>• Maintain and organize medical records, ensuring compliance with protocols and privacy regulations.<br>• Process insurance verifications, specifically for Mass Medicaid and Department of Mental Health cases.<br>• Assist with learning and adapting to new systems as part of ongoing operational improvements.<br>• Answer inbound calls professionally and provide accurate information to inquiries.<br>• Perform data entry tasks to update and manage administrative records.<br>• Support general administrative office duties to maintain efficiency and organization.
<p>Robert Half is partnering with a reputable healthcare organization seeking a professional and service-oriented Front Desk Coordinator to serve as the first point of contact for patients, providers, and visitors. This role is ideal for an individual who thrives in a fast-paced clinical environment and is passionate about delivering an exceptional patient experience while ensuring smooth front office operations.</p><p>Position Overview</p><p>The Front Desk Coordinator is responsible for managing daily front office functions, including patient intake, appointment scheduling, insurance verification, and administrative support. The ideal candidate is highly organized, detail-oriented, and comfortable handling confidential information in compliance with healthcare regulations.</p><p>Key Responsibilities</p><ul><li>Greet and check in patients in a courteous, professional manner</li><li>Schedule, confirm, and reschedule appointments using electronic medical records (EMR) systems</li><li>Verify patient insurance eligibility and collect co-pays and outstanding balances</li><li>Maintain accurate patient records and ensure proper documentation</li><li>Answer and route incoming phone calls; respond to patient inquiries</li><li>Coordinate communication between patients, providers, and clinical staff</li><li>Manage incoming/outgoing correspondence, faxes, and medical documentation</li><li>Ensure HIPAA compliance and maintain strict confidentiality of patient information</li><li>Support additional administrative projects as needed</li></ul><p><br></p>
<p>Nashua, NH - ON-SITE - Patient Access Specialist - 3rd Shift Position</p><p>Hours 11:00am-7:00pm - Multiple Openings </p><p><br></p><p>We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. This Contract to permanent position focuses on ensuring seamless patient admissions and delivering exceptional service while adhering to organizational policies and regulatory standards. As part of the healthcare industry, this role plays a vital part in supporting patients and maintaining efficient processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and verify medical necessity to ensure compliance with regulations.</p><p>• Deliver clear instructions to patients, collect insurance details, and process physician orders while maintaining a high level of customer service.</p><p>• Meet point-of-service collection targets and pre-register patient accounts by gathering demographic, insurance, and financial information through inbound and outbound calls.</p><p>• Explain and obtain signatures for consent and treatment forms, ensuring patients understand their rights and responsibilities.</p><p>• Verify insurance eligibility and input benefit data to support billing processes and enhance claims accuracy.</p><p>• Utilize software tools to identify potential non-payment issues for Medicare patients, distribute required forms, and provide necessary documentation.</p><p>• Conduct audits on patient accounts to ensure accuracy and compliance with quality standards, offering feedback to leadership as needed.</p><p>• Maintain a compassionate and detail-oriented approach in all patient interactions, aligning with organizational goals and customer service expectations.</p><p>• Provide patient education materials and ensure all required documentation is completed promptly and correctly.</p>
<p>We are looking for a dedicated Medical Billing Specialist. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient processing of medical claims, helping the organization maintain compliance and achieve timely reimbursements. This role requires a keen eye for detail and a strong understanding of medical billing processes and terminology.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit accurate medical claims to insurance providers for reimbursement.</p><p>• Verify patient information, including demographics and insurance details, to ensure claims are processed correctly.</p><p>• Review denied or unpaid claims, identify issues, and submit appeals to resolve discrepancies.</p><p>• Communicate effectively with insurance companies, patients, attorneys, and healthcare providers to address billing inquiries.</p><p>• Maintain compliance with patient confidentiality regulations and organizational standards.</p><p>• Monitor and manage accounts receivable, ensuring timely follow-up on outstanding balances.</p><p>• Collaborate with team members to improve billing procedures and enhance operational efficiency.</p><p>• Maintain accurate records of billing activities and updates within electronic medical systems.</p>
<p>We are looking for a dedicated Patient Access Specialist to join our team in Bangor, Maine. In this role, you will handle critical admission processes for patients receiving services at the hospital while ensuring compliance with organizational policies and regulatory standards. This is a long-term contract position that requires exceptional attention to detail and strong communication skills to provide outstanding patient experiences. </p><p><br></p><p>WED/THU 7:00A-3:30P, FRI 4:30A-5P, SAT 7:00A-7:30P , Part of paid on-call rotations on weekends after training</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and perform medical necessity checks to ensure compliance with hospital policies.</p><p>• Provide clear instructions to patients, collect insurance details, and process physician orders while maintaining high customer service standards.</p><p>• Meet designated point-of-service goals and contribute to achieving organizational benchmarks.</p><p>• Conduct pre-registration tasks, including inbound and outbound calls, to gather demographic and insurance information and discuss financial responsibilities with patients.</p><p>• Explain and obtain signatures for general consent forms, treatment forms, and other required documentation, ensuring patients understand their rights and responsibilities.</p><p>• Verify insurance eligibility and input accurate benefit data into the system to support billing processes and ensure claims are processed efficiently.</p>
We are looking for a detail-oriented Administrative Assistant to join our team on a contract basis in Palo Alto, California. In this role, you will handle a variety of administrative tasks, including patient registration, document processing, and insurance verification, while ensuring compliance with organizational policies and procedures. This position requires a strong focus on customer service, organizational efficiency, and the ability to work collaboratively in a fast-paced environment.<br><br>Responsibilities:<br>• Register patients accurately and efficiently, obtaining demographic and insurance information as required.<br>• Collect patient signatures on legal and registration-related documents, ensuring compliance with regulations.<br>• Process payments such as co-pays, deductibles, and deposits, maintaining detailed records.<br>• Scan and upload relevant documentation into the system before the end of each shift.<br>• Utilize online platforms to verify insurance information and patient eligibility.<br>• Prioritize tasks effectively during high-volume periods to optimize operational efficiency and customer satisfaction.<br>• Collaborate with clinical staff, providing necessary materials such as wristbands and facesheets in a timely manner.<br>• Distribute privacy notices and maintain compliance with HIPAA regulations and organizational policies.<br>• Ensure office equipment is functional and follow downtime procedures when necessary.<br>• Attend departmental meetings, workshops, and training sessions to stay updated on policies and procedures.
We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<p>Our team is seeking a dedicated Medical Front Office Specialist to provide best-in-class service to patients and visitors in a fast-paced healthcare environment. This is a vital role within the clinic, supporting both our providers and patients through exceptional customer service and efficient administrative operations.</p><p><br></p><p><strong>Hours: </strong></p><p>Monday 12:30p – 5:30p</p><p>Tuesday 8:00a – 5:30p</p><p>Wednesday 8:00a – 5:30p</p><p>Thursday 7:30a – 5:30p</p><p>Friday 7:30 – 4:30p</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Greet patients and visitors, creating a professional and welcoming atmosphere </li><li>Answer incoming calls, schedule appointments, and manage the provider’s calendar.</li><li>Register new patients, verify insurance, and maintain electronic medical records.</li><li>Collect co-pays and process payments accurately.</li><li>Provide timely and courteous responses to patient inquiries and resolve issues as needed.</li><li>Coordinate patient flow, ensuring timely check-in and check-out.</li><li>Ensure confidentiality and compliance with HIPAA and all applicable regulations.</li><li>Assist with other front office duties as assigned.</li></ul><p><br></p>
<p>Overview</p><p>Our client is seeking a professional Medical Receptionist to join their team in Bloomington, MN. As the first point of contact for patients and visitors, this role is crucial in delivering exceptional customer service and supporting the smooth operation of the medical office.</p><p>Responsibilities</p><ul><li>Greet and check in patients, visitors, and vendors in a friendly and professional manner</li><li>Answer phone calls, schedule appointments, and manage calendars for providers</li><li>Verify patient information and ensure accurate data entry into medical records</li><li>Assist with insurance verification, co-pay collection, and other billing needs</li><li>Process incoming and outgoing mail, faxes, and documents</li><li>Maintain the cleanliness and organization of the reception area</li><li>Support other administrative tasks as needed, such as filing, scanning, and copying</li><li>Communicate effectively with all levels of staff, patients, and external partners</li></ul><p><br></p>
<p>We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care.</p><p><br></p><p>Responsibilities:</p><p>• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.</p><p>• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.</p><p>• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.</p><p>• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.</p><p>• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.</p><p>• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.</p><p>• Provide support in identifying process improvements to streamline prior authorization workflows.</p>
<p>We are seeking a detail-oriented and experienced <strong>RCM Eligibility Specialist</strong> to join our team on a <strong>contract-to-hire</strong> basis. This <strong>fully remote</strong> position plays a critical role in ensuring the timely and accurate financial clearance of patient accounts.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has a strong background in eligibility verification, claim error resolution, and clean claim submission.</p><p><br></p><p><strong>Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><ul><li>Conduct thorough reviews of patient insurance coverage and benefit eligibility for laboratory services.</li><li>Communicate with teammates, clinics, patients, and insurance companies to verify coverage and resolve discrepancies.</li><li>Accurately document eligibility information within the revenue cycle management system.</li></ul><p><strong>2. Claim Error Processing</strong></p><ul><li>Analyze and resolve claim errors identified by the RCM system, including coding and billing discrepancies.</li><li>Collaborate with teammates to resolve errors and ensure compliance with internal policies and procedures.</li><li>Identify and resolve issues related to medical necessity.</li><li>Perform other duties as assigned.</li></ul>
<p>Robert Half is currently seeking an experienced and highly organized Medical Administrator to support a busy healthcare organization in Fresno. This contract role is responsible for overseeing daily administrative operations, coordinating patient services, supporting compliance efforts, and ensuring efficient workflow across clinical and front-office teams. The ideal candidate thrives in a fast-paced medical environment and is committed to delivering exceptional patient and provider support.</p><p><br></p><p><strong>Office & Team Coordination</strong></p><ul><li>Serve as a liaison between patients, providers, insurance companies, and internal departments</li><li>Order and manage medical and office supplies</li><li>Assist with onboarding of new staff and training on administrative procedures</li><li>Support special projects and process improvement initiatives</li></ul><p><strong>Compliance & Reporting</strong></p><ul><li>Ensure compliance with HIPAA and healthcare regulatory standards</li><li>Track required certifications, licenses, and compliance documentation</li><li>Assist with audits, quality assurance initiatives, and policy updates</li><li>Generate reports related to patient volume, scheduling, and administrative metrics</li></ul><p><br></p>
<p>We are currently seeking an experienced and dynamic <strong>Director of Patient Access</strong> to join a healthcare organization in Appleton, WI. This critical leadership role offers you the opportunity to oversee all patient access operations, drive process improvements, and provide strategic direction to ensure exceptional service for patients and their families.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead and manage all functions related to patient registration, scheduling, insurance verification, pre-authorization, and admissions</li><li>Develop and implement policies and procedures to maximize efficiency, patient satisfaction, and regulatory compliance</li><li>Mentor, train, and supervise a team of patient access managers and staff</li><li>Utilize data-driven insights to identify areas for process improvement and implement best practices</li><li>Partner with other departments, including revenue cycle, finance, and clinical teams, to ensure smooth patient flow and positive patient experiences</li><li>Monitor key performance indicators and ensure department goals are met</li></ul><p><br></p>
