208 results for Claims Processor Administrative And Customer Support
Account Specialist, Assoc<p>We are offering a permanent employment opportunity for an Account Specialist, Assoc in Houston, Texas. This role primarily involves managing accounts for our commercial, industrial, and government customers, addressing their requests and complaints, and collaborating with vendors and management to find solutions. </p><p><br></p><p>Responsibilities: </p><p><br></p><p>• Address customer complaints, including escalated calls from executive level, media, attorneys, and Public Service Commission (PSC) related issues</p><p>• Handle various customer support tasks such as claims processing and resolution, contractor invoices, enrollment, and billing fulfillment</p><p>• Ensure accurate and efficient processing of customer credit applications</p><p>• Maintain precise customer credit records</p><p>• Provide support in invoicing and purchase order (PO) process</p><p>• Contribute to the monthly close cycle, including managing accrivals</p><p>• Utilize strong analytical and problem-solving skills to drive business decisions</p><p>• Communicate effectively across all organizational levels</p><p>• Demonstrate strong time management and organization skills to meet deadlines</p><p>• Drive continuous improvement within the organization</p><p>• Undertake light office administration tasks as required</p><p>• Conduct research and look up invoices as necessary</p><p>• Extract, organize, analyze, and report data to support business decisions.</p>Claims Admin Support Spec IntWe are offering an exciting opportunity in the industry for a Claims Admin Support Specialist in Maitland, Florida. In this role, you will be performing a variety of clerical duties, interacting with multiple internal and external contacts, and providing support to our team.<br><br>Responsibilities:<br>• Interact professionally with customers, vendors, medical providers, attorneys, and law enforcement agencies over phone and mail.<br>• Provide diligent customer service and follow up on inquiries.<br>• Screen and direct telephone calls to appropriate departments or individuals.<br>• Maintain and update office supplies inventory.<br>• Operate and maintain office equipment including fax, printing, and copying machines.<br>• Coordinate document maintenance activities, such as creating, retrieving, and copying documents.<br>• Receive and direct visitors, resolving routine inquiries where possible.<br>• Distribute incoming mail from USPS, FedEx, and other delivery companies.<br>• Coordinate office shredding activities.<br>• Conduct research and reporting tasks as requested by leadership.<br>• Travel occasionally to support business needs.<br>• Perform various other support duties as needed, including setting up meetings and coordinating record retention.Claims Admin Support Spec IntWe are offering a contract for a permanent employment opportunity for a Claims Admin Support Specialist in Maitland, Florida. This role primarily involves performing standardized clerical duties under direct supervision. The job function is within the industry and requires a person skilled in customer service, office functions, and leadership. <br><br>Responsibilities:<br>• Engage in regular interaction with multiple internal and external contacts such as customers, vendors, medical providers, attorneys, and law enforcement agencies through phone and mail. <br>• Efficiently screen and direct telephone calls to appropriate departments or personnel. <br>• Responsible for maintaining and updating office supplies inventory. <br>• Operate and maintain office equipment, including fax, printing, and copying machines. <br>• Coordinate document shredding activities with the designated vendor. <br>• Handle document maintenance tasks such as creating, retrieving, and delivering files, and copying documents. <br>• Compose routine correspondence as required. <br>• Receive and direct visitors, resolving routine inquiries when possible. <br>• Open, sort, and distribute mail from USPS, FedEx, and other delivery companies. <br>• Perform various support duties, including setting up meetings and coordinating record retention. <br>• Occasional travel may be required as part of the role. <br>• Conduct research, reporting, and additional searches as requested by leadership.Administrative CoordinatorWe are offering a long-term contract employment opportunity for an Administrative Coordinator in Charlotte, North Carolina, 28269, United States. This role revolves around providing back-office support, managing operations, and handling various administrative tasks in an efficient and timely manner.<br><br>Responsibilities:<br><br>• Administer warranty registrations for newly installed equipment and handle the processing of warranty claims for both repairs and labor reimbursement.<br>• Coordinate contracts by ensuring all contracts are accurately entered into the system and are fully completed.<br>• Perform data entry tasks, including entering customer information, policies, and sales data into the system.<br>• Manage invoices, which includes uploading invoices, keying in web uploads, and generating invoices for customers.<br>• Facilitate invoice uploads to various customers’ web portals to ensure payment for services performed.<br>• Support with invoice delivery and billing by updating customer records to facilitate routing of invoices.<br>• Update customers’ pricing data for various services and product lines as part of the Customer Master pricing updates.<br>• Ensure processing of invoices is done in a timely and accurate manner.Medical Claims Representative<p>We are offering an employment opportunity for a Medical Claims Representative in the Financial Services industry, located in Bakersfield, California. The role involves processing and managing medical claims with a strong focus on customer service.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Operate computer systems to input claims data information accurately.</p><p>• Adhere to the established quality and production standards in claims processing.</p><p>• Handle inbound calls from healthcare providers and health plans, providing exceptional customer service.</p><p>• Adjudicate physician claims in a precise and timely manner.</p><p>• Ensure compliance with accuracy standards for claims, pends, and tasks.</p><p>• Conduct timely follow-ups on inquiries received and log all incoming calls and emails correctly.</p><p>• Effectively use software such as Allscripts, Cerner Technologies, EHR SYSTEM, Epic Clinical, Epic Software for claims administration.</p><p>• Apply knowledge of medical claims, ICD, CPT Codes, ICD Codes, Medical Insurance, and Medicare in daily tasks.</p><p>• Participate in other duties as required, maintaining the integrity of the overall claim administration process.</p><p>• Understand and implement billing functions, benefit functions, and collection processes as part of the role.</p>Billing Clerk<p>We are offering an exciting opportunity for an Accounting/Billing Clerk in the retail industry, situated in Bridgehampton, New York. As a Billing Clerk, you will be responsible for various tasks including managing customer accounts, processing credit applications, and handling customer inquiries. </p><p><br></p><p>Responsibilities:</p><p>• Oversee and manage customer accounts to ensure accuracy and efficiency</p><p>• Process and handle customer credit applications with precision</p><p>• Maintain comprehensive and up-to-date customer credit records</p><p>• Resolve customer inquiries in a timely and effective manner</p><p>• Utilize IBM AS/400 and Microsoft Excel for various accounting functions</p><p>• Manage billing functions with the help of ADP - Financial Services</p><p>• Perform claim administration tasks as per the company's guidelines</p><p>• Implement collection processes as needed</p><p>• Provide excellent customer service at all times </p><p>• Use Microsoft Office Suites for various administrative tasks.</p>Claims ProcessorWe are offering a long term contract employment opportunity for a Customer Service Representative in Valencia, California. As a part of our team, your main role will be to handle customer inquiries, maintain accurate data, and ensure efficient processing of customer applications. In this role, you will also monitor customer accounts and take necessary actions.<br><br>Responsibilities:<br>• Efficiently and accurately process customer credit applications<br>• Maintain detailed and organized records of all customer interactions and transactions<br>• Handle customer inquiries and resolve issues related to customer accounts<br>• Collaborate with team members to ensure seamless service delivery<br>• Communicate effectively with customers and colleagues to gather necessary information and provide updates <br>• Take on additional tasks and projects as required to support the team and clients<br>• Use Microsoft Office Suite and other relevant software for data entry and other tasks<br>• Coordinate with team members to schedule appointments and manage customer accounts<br>• Handle both inbound and outbound calls in a detail oriented and effective manner<br>• Use email correspondence as a means of communication with customers and colleagues, ensuring all information is conveyed accurately and promptly.Customer Service RepresentativeWe are in search of a Customer Service Representative to join our team within the Healthcare/NHS industry, located in Minneapolis, Minnesota. This role provides a unique opportunity to work from home while serving as a vital link between patients and healthcare providers. Your role will entail processing complex and sensitive information, advocating for patients, and ensuring high-quality service delivery. <br><br>Responsibilities:<br>• Accurately process patient appointments, authorizations, claims, invoices, eligibility benefits, and appeals.<br>• Maintain meticulous records of patient interactions and transactions, documenting details of inquiries, complaints, and comments.<br>• Utilize double monitors for efficient data entry and resource usage while adhering to guidelines.<br>• Support other team members with daily paperwork load to document and resolve patient issues.<br>• Recognize financial, medical, and legal risks based on data collected during customer interactions and follow appropriate procedures.<br>• Exhibit superior communication skills that demonstrate commitment to quality care and concern for both internal and external customers.<br>• Provide services to internal and external customers involving the exchange of complex and sensitive information, acting as a patient advocate.<br>• Utilize company systems to resolve customer needs and assist in the choice of Primary Care Providers (PCP).<br>• Assist Telehealth Nurses as necessary and provide general information about the medical group to new or potential members.<br>• Ensure adherence to company's Telecommuter Policy and meet department standards for attendance and performance metrics.Payroll AdministratorWe are seeking a Payroll Administrator to join our team on a contract to permanent basis in the automotive industry, located in North Charleston, South Carolina. As a Payroll Administrator, you will be responsible for various tasks related to payroll processing and human resources administration. You will be required to handle a variety of tasks, such as maintaining accurate records, processing customer applications, and resolving customer inquiries. This role offers a contract to permanent employment opportunity. <br> Responsibilities: • Handle payroll data, including working hours, sales volume, bonuses, and commissions, as well as withholdings for taxes and employee contributions to insurance and retirement plans • Verify and record changes affecting net wages in the master payroll records, such as federal and state tax exemptions, insurance coverage, and other data related to compensation increases, promotions, or employee transfers • Review wages and deductions for accuracy and post to payroll records • Issue paychecks upon request and prepare periodic reports of earnings, taxes, and deductions • Handle hiring and termination paperwork, including COBRA letters, and maintain records for vacation and sick-day eligibility • Maintain affirmative action program, file annual EEO-1/EEO logs, and keep other records such as ACA • Review and maintain data for store employees, including information on employee setup, benefit class, and payroll compliance • Assist with company benefit administration, including enrollment forms, plan questions, claims resolution, and open enrollment • Manage workers’ compensation injury claims, file reports with insurance provider, maintain accident information and monitor progress • Respond to various information requests from governmental agencies in a timely manner and answer questions regarding eligibility, salaries, benefits, and other pertinent information • Maintain confidentiality related to sensitive company and employee information.Medical Claims Representative<p>We are looking for a competent Medical Claims Representative to join our team in Los Angeles, California. The Medical Claims Representative will be primarily responsible for monitoring, investigating and analyzing relevant agreements, as well as handling claims payments and maintaining effective communication with various stakeholders.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Handle the filing and pursuit of claims payments meticulously and efficiently.</p><p>• Answering inquiries regarding EOBs as well as any other issues pertaining to medical claims</p><p>• Monitor and analyze healthcare industry trends and developments, and understand their implications on claims.</p><p>• Investigate potential violations of collective bargaining agreements and take necessary action.</p><p>• Maintain timely and effective communication with members, agents, attorneys, and company representatives.</p><p>• Manage workload independently, ensuring all tasks are completed accurately and on time.</p><p>• Work closely with the legal department to provide information/analysis of associated claims.</p><p>• Research and analyze various agreements, including member contracts, assumption agreements and distribution agreements.</p><p>• Handle appeals, benefit functions, billing functions, claim administration, and collection processes effectively.</p><p>• Maintain a strong focus on customer service, ensuring all queries and issues are resolved promptly and professionally.</p>Platform Specialist<p>Job Overview:</p><p>We are seeking a detail-oriented and task-focused Platform Specialist to join our team. In this role, you will be responsible for managing data entry, building quotes into our CRM system, checking pricing for errors, and handling unique or complex transactions outside of our platform. The ideal candidate will have strong data management skills and the ability to work in a high-volume, fast-paced environment while maintaining accuracy. This position offers an opportunity for career growth, with potential transition into other roles based on performance.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Maintain data integrity and optimize business processes.</li><li>Process customer transactions accurately and efficiently.</li><li>Identify opportunities to increase platform usage and support platform adoption on Xvantage.</li><li>Work closely with Account Managers and Business Owners to convert opportunities into actionable outcomes.</li><li>Generate data quality reports and metrics, providing insights to improve processes.</li><li>Work through a queue of 20-30 tickets daily with high accuracy.</li><li>Support cross-functional teams by collaborating and communicating effectively.</li></ul><p><br></p><p><br></p>Remote Patient Services Representative<p>We are seeking a dedicated remote Patient Services Representative to join our team. This position requires a high school diploma or GED, at least one year of healthcare experience, and two years in a call center environment. Candidates must have proficiency in Microsoft Office and the ability to manage multiple tasks in a digital setting. A secure and private workspace with a high-speed internet connection (minimum 100 Mbps download and 10 Mbps upload) and an Ethernet cord is essential. Applicants must be located in CST, MST, or PST time zones but cannot reside in California or Illinois.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Achieve performance goals in patient satisfaction, accuracy, quality, and attendance.</li><li>Provide exceptional customer service, ensuring quality care and addressing every internal and external customer's needs.</li><li>Utilize dual monitors for multitasking across data entry, phone handling, and resource management.</li><li>Support team members and supervisors with patient documentation and issue resolution.</li><li>Manage sensitive information responsibly, adhering to company guidelines and policies.</li><li>Use internal systems for customer needs such as appointments, claims, benefits, and more.</li><li>Assist new members with PCP selection and provide general information about the medical group.</li><li>Support Telehealth services and other administrative tasks as needed.</li></ul><p><br></p>Customer Service and Sales Representative<p>We are offering a contract-to-permanent employment opportunity for an Insurance Agent, located in Overland Park, Kansas, United States. This role involves serving as a subject matter expert for life insurance products, interacting with customers, and collaborating with internal teams. This role offers advancement opportunities to leadership. </p><p><br></p><p>Responsibilities</p><p>• Providing expert knowledge on life insurance products to both customers and internal teams.</p><p>• Engaging with potential and existing customers, explaining services or products offered to build their interest.</p><p>• Dispatching products, information packages, brochures, etc., to clients and other interested parties.</p><p>• Collaborating closely with underwriting, actuarial, compliance, and marketing teams to ensure seamless product implementation.</p><p>• Safeguarding all company and customer information, maintaining strict confidentiality.</p><p>• Ensuring compliance with all state and federal insurance regulations.</p><p>• Contributing to strategic planning and business growth initiatives.</p><p>• Utilizing CRM, Data Processing, and ERP - Enterprise Resource Planning skills to manage customer interactions and respond to inquiries.</p><p>• Handling inbound calls and administering claims as part of the role.</p><p>• Leveraging knowledge of basic life insurance and benefit functions in daily tasks.</p>Part Time Administrative Assistant<p>Robert Half's client is seeking a proficient Part Time Administrative Assistant to join their team based in Chantilly, Virginia. As an Administrative Assistant, your main responsibility will be to carry out a range of clerical support tasks, manage customer interactions, and ensure seamless office operations. This position is fully on-site.</p><p><br></p><p>Responsibilities: </p><p>• Filing and organizing patient charts to ensure easy accessibility and accuracy</p><p>• Manage front office reception and efficiently handle incoming telephone calls.</p><p>• Assist in the processing and assigning of worker comp claims to the appropriate claims staff. </p><p>• Oversee the processing of incoming U.S. Mail and inter-office mail.</p><p>• Keep an organized filing system and perform photocopying, faxing, and scanning of documents.</p><p>• Use Microsoft Excel, Microsoft Word, and Microsoft Outlook to maintain records and manage scheduling appointments.</p><p>• Assist in the preparation and processing of purchase orders.</p><p>• Implement inventory control procedures to ensure adequate supplies and materials are available to meet the staff's needs.</p><p>• Professionally and promptly handle email communications.</p><p>• Provide support to other departments as needed, ensuring a coordinated approach to office management.</p><p>• Handle multiple lines, transferring calls as necessary</p><p><br></p>Property Damage Claims SpecialistWe are seeking a Property Damage Claims Specialist to join our team in Allentown, Pennsylvania. In this role, you will handle customer property damage claims related to our electric service operations. You will oversee the claim from initial receipt to final determination and settlement, ensuring all actions comply with state regulations and company policy. This role offers a long term contract employment opportunity and operates in a hybrid mode, with three days on-site and two days working from home.<br><br>Responsibilities:<br>• Handle customer property damage claims resulting from our service operations<br>• Oversee the entire claims process, from receipt to final determination and settlement<br>• Ensure all actions comply with state regulations and our company's policy<br>• Maintain accurate and timely records of all claims<br>• Provide quality customer service and handle escalated calls when necessary<br>• Maintain confidentiality regarding claims decisions and rationale<br>• Analyze claims to ensure appropriate losses are paid for each event<br>• Assist in determining liability for damage claims<br>• Maintain tracking records of all accepted and denied claims<br>• Handle other duties and projects as assigned.Call Center Representative - EXPManage large amounts of incoming calls Generate sales leads Identify and assess customers needs to achieve satisfaction Build sustainable relationships and trust with customer accounts through open and interactive communication Provide accurate valid and complete information by using the right methods/tools Meet personal/customer service team sales targets and call handling quotas Handle customer complaints provide appropriate solutions and alternatives within the time limits follow up to ensure resolution Keep records of customer interactions process customer accounts and file documents Follow communication procedures guidelines and policies Take the extra mile to engage customers Education: HS Diploma/GEDMedicaid Healthcare Customer Service Representative<p>We are seeking a Customer Service Representative Senior to join our team in the Healthcare/NHS industry!. This role offers a long-term contract employment opportunity, where you will be responsible for processing customer inquiries and maintaining precise records. </p><p><br></p><p>Hiring in Central, Mountain and Pacific time zones only. </p><p>Medicaid experience is required. </p><p><br></p><p>Responsibilities:</p><p>• Efficiently handle and respond to 50-70 inbound calls every day </p><p>• Tackle inquiries from both members and providers with utmost professionalism </p><p>• Ensure prompt and accurate disposition of claims </p><p>• Keep track and provide updates on authorization status </p><p>• Master and adhere to internal workflow processes within the department </p><p>• Display empathy and compassion while interacting with customers </p><p>• Maintain punctuality and reliability for smooth operations </p><p>• Cater to customers by providing service in different languages such as Spanish, Vietnamese, Farsi, Korean, Chinese whenever necessary </p><p>• Utilize your knowledge in healthcare and call center environment to deliver quality service.</p>HR Specialist<p>Essential Responsibilities: </p><p><br></p><p>Process bi-weekly payroll and maintain payroll reports and reconciliations. </p><p>• Prepare and administrate annual employee rate sheets documenting annual increases and status changes. </p><p>• Assist Administrative Specialist with monitoring/managing time off tracking system and workflows. </p><p>• Facilitate payroll and workman’s comp related audit requests. </p><p>• Assist Administrative Specialist with benefits administration; processing updates as needed. </p><p>• Coordinate Workshops with our benefits and service providers to enhance employee awareness and knowledge of benefits offered. </p><p>• Assist with drafting employment related contracts. </p><p>• Maintain our HR Handbook and other HR Document updates and distribute changes. </p><p>• Manage Immigration related Visas (new and renewals) </p><p>• Assist with Executive and visitor agendas and meeting coordination. </p><p>• Work closely with Managers, Team Leads, and Administrative Specialist to assist with planning and coordination of employee events. </p><p>• Manage employee recognition programs and activities. </p><p>• Establish and maintain new hire files, confirming completeness, accuracy, and compliance with employment laws and company policies. </p><p>• Efficiently process background checks, requests for verification of employment, unemployment claims, and other employee or manager inquiries, ensuring timely and accurate responses. </p><p>• Maintains location “bulletin boards” with required labor posters, employee postings and general information. </p><p>• Assist Administrative Specialist with fleet vehicle management as needed. </p>Legal Assistant<p>We are offering a short term contract employment opportunity for a Legal Assistant in our Leesburg, Virginia office. As a Legal Assistant, you will play a crucial role in our legal team, managing office functions, maintaining legal documentation, and providing comprehensive administrative support. Apply today and contact Grace Nowlin at (202) 998-8423 for additional information.</p><p><br></p><p>Responsibilities:</p><p>• Efficiently process and manage legal documents and client information.</p><p>• Utilize legal software such as Aderant, Adobe Acrobat, Automated City Register Information System (ACRIS), and Case Management Software to facilitate work processes.</p><p>• Oversee all billing functions to ensure accurate and timely invoicing.</p><p>• Manage the office calendar, coordinating appointments and meetings.</p><p>• Administer claims and provide necessary support in claim-related issues.</p><p>• Foster strong client relations, addressing inquiries, and resolving any issues.</p><p>• Ensure clear and effective communication across all levels of the organization.</p><p>• Assist in maintaining an organized and efficient work environment.</p><p>• Use CompuLaw for legal calendar management and deadline tracking.</p>Benefits Analyst<p>We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the financial services industry, utilizing your skills in a diverse set of roles including processing claims, maintaining customer records, and resolving inquiries.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Manages and maintains assigned book of business. Has a good understanding of relevant compliance regulations and stays up to date on changes and new legislation. Works within the guidelines, ensures compliance.</li><li>Develop and maintain key relationships critical to the sales process and negotiate with carrier contacts to seek competitive options for clients.</li><li>Coordinates with account team to understand client’s strategy, and to define roles and responsibilities including deadlines.</li><li>Prepares requests for proposals (RFP’s) for all submissions to market. Responds to all carrier and client requests.</li><li>Responsible for ensuring timely target renewal delivery. Collaborates with insurance carriers and vendors to obtain preliminary and/or firm renewals.</li><li>Analyze current benefits, evaluating coverage, effectiveness, cost, plan utilization and trends.</li><li>Analyze all marketing and plan option responses, evaluates for accuracy and completeness, and requests clarifications and revisions, as needed. Develops plan options to best meet client’s strategy.</li><li>Presents all final results to account team. Determines content and structure of renewal presentation and identifies what to include (i.e; marketing results, utilization review, contribution strategy, benchmarking, financial reporting, etc.). Prepares renewal presentation.</li><li>Gather, review and validate all information related to assigned clients for renewal analysis and marketing purposes to include cost and contract terms</li><li>Provide analysis of benchmarking, contributions, data analytics, network disruption, as applicable</li><li>Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc.</li><li>Monitor administrative costs of benefit plans and programs. Recommend cost containment strategies, including alternative methods for administration and funding.</li><li>Work with internal team regarding negotiations with carriers</li><li>Manage outsourcing of vendors and ensure reporting and other service needs are met</li><li>Build custom financial/utilization reports as needed and update monthly or as needed. Provide written and oral summary of findings.</li><li>Stays abreast of market competitiveness, carrier products and services, rate trends as well as State and Federal laws and regulations.</li><li>Supports data audits.</li><li>Updates financial summary and benefit highlight comparisons with all final renewal negotiation results</li><li>Complies with agency management system CRM standards. Saves and documents work product.</li><li>Will work primarily with medium to large clients who are fully insured and self-funded. Will also assist with the small group book of business on an as needed basis.</li></ul>Billing ClerkWe are in search of a Billing Clerk to join our team in the non-profit sector, located in Kalamazoo, Michigan. In this role, you will be handling a variety of tasks that involve customer service, accounting, and administrative duties. You will be utilizing your skills to ensure the smooth functioning of our financial operations.<br><br>Responsibilities:<br>• Accurately processing customer credit applications<br>• Maintaining precise records of customer credit<br>• Addressing and resolving customer inquiries in a timely manner<br>• Regularly monitoring customer accounts and taking necessary actions<br>• Proficiently utilizing accounting software systems for various tasks<br>• Handling computerized billing processes efficiently<br>• Managing accounting functions including accounts payable and receivable<br>• Answering inbound calls and providing excellent customer service<br>• Handling Medicaid billing processes as per the guidelines<br>• Providing support to our childcare initiatives with your expertise in Blackbaud software.Billing Specialist<p>Robert Half is partnering with a healthcare client in the recruiting for a <strong>Billing Specialist</strong> to oversee their billing operations, ensuring smooth, accurate, and efficient processes. The ideal candidate will have a strong understanding of billing systems, healthcare revenue cycles, and customer service. The Billing Specialist will work collaboratively with our accounting, administrative, and resident services teams to maintain compliance, resolve discrepancies, and support the financial health of the organization.</p><p><br></p><p>This is a permanent placement opportunity offering full benefits package including 403b retirement planning, FSA, tuition assistance, paid time off and paid holidays. </p><p><br></p><p><strong><u>Key Responsibilities:</u></strong></p><p><strong>Billing and Invoicing Operations:</strong></p><ul><li>Prepare and process monthly resident billing statements for services, housing, and additional care.</li><li>Ensure accurate calculation of fees, expenses, and adjustments based on contracts and service changes.</li><li>Manage third-party billing, including Medicare, Medicaid, private insurance, and long-term care providers.</li></ul><p><strong>Collections and Payments:</strong></p><ul><li>Monitor accounts receivable and follow up on outstanding balances to ensure timely payments.</li><li>Process incoming payments via check, electronic transfer, and credit card, applying them correctly to resident accounts.</li><li>Work with residents and families to address billing questions, payment plans, and financial discrepancies.</li></ul><p><strong>Compliance and Documentation:</strong></p><ul><li>Maintain billing records that comply with federal, state, and local regulations, including HIPAA requirements.</li><li>Stay updated on relevant Medicare and Medicaid billing guidelines to ensure compliance.</li><li>Prepare and submit reports for audits and regulatory purposes as needed.</li></ul><p><strong>Account Reconciliation:</strong></p><ul><li>Reconcile charges, payments, and account balances on a routine basis to ensure the accuracy of resident accounts.</li><li>Identify, investigate, and resolve discrepancies in billing and payment records efficiently.</li></ul><p><strong>Collaborative Duties:</strong></p><ul><li>Partner with admissions staff to ensure seamless onboarding of residents, including setup of billing details.</li><li>Communicate with accounting or finance teams regarding account status and revenue projections.</li><li>Serve as the primary point of contact for billing-related inquiries from residents, families, and staff.</li></ul>Benefits Administrator<p>We have a superb opportunity for a <strong>Benefits Specialist/Leave of Absence </strong>with a client of ours in Dallas, TX.</p><p> </p><p>This individual will play a key role in supporting the planning, development, implementation, communication, and administration of the Benefit Programs, specifically the Leave of Absence plans, for our client. In addition, you will foster a team environment and a strong service culture that ensures delivery of timely, quality driven service to internal customers and meets service level agreements.</p><p> </p><p><strong><u>Responsibilities</u></strong></p><ul><li>Benefit Administration: In conjunction with Benefits Shared Services, support the administration of Leave of Absence plans including FMLA, Short-Term and Long-Term Disability, Paid Family Leave, ADAAA, as well as state and local leave plans. Responsible for preparation of Leave of Absence payroll file. In addition, provide support to all health and welfare programs, retiree benefit program, COBRA, flexible spending, stop loss, retirement plans, voluntary benefits, etc. Respond to escalated benefit issues from internal HR Shared Services; collaborate and provide direction on policy and process to Shared Services. Provide high level support to Regional HR and benefits staff. Duties may include explaining and interpreting more complex aspects of benefit programs to employees and Benefits Shared Services team.</li><li>Vendor liaison: Work closely with all benefit vendors; includes handling escalated issues from Shared Services related to billing, eligibility and claims issues.</li><li>Systems: Workday HRIS benefits and timekeeping modules. Includes troubleshooting and resolving error reports and open events in Workday HRIS; following up with staff; monitoring and manually processing catch up deductions as needed by payroll deadlines.</li><li>Analysis: Excel analysis and reporting, including census files, billing analysis and processing and reconciliations with Finance.</li><li>Regulatory/Compliance: Maintain current knowledge of benefit compliance requirements.</li><li>Communications: Assist in developing and implementing employee communications and updating and maintaining SharePoint site; hold informational calls with employees regarding leave of absence process, maintain schedules and conduct benefit orientations for staff by webinar.</li><li>Provide general administrative support and project support as needed.</li></ul><p><br></p>Trusts & Estates Legal Assistant (Essex County, NJ)<p>We are searching for an experienced and detail-oriented Legal Assistant to provide administrative support to the Trusts & Estates team for a regional full powered and well structured law firm in Roseland, NJ.</p><p><br></p><p>Start Date: March 2025</p><p>Location: Roseland, NJ (on-site)</p><p>Hours: 9am-5pm EST (35 hours per week total)</p><p>Pay: $30+/hour</p><p><br></p><p>Qualifications:</p><ul><li>Prior experience as a Legal Assistant, preferably within a Trusts & Estates department.</li><li>Strong interpersonal skills with a client-oriented demeanor.</li><li>Excellent communication skills, both written and verbal.</li><li>Proficient in Netdocs, Microsoft Office and billing/invoicing procedures.</li><li>Exceptional attention to detail and capable of handling multiple tasks concurrently.</li><li>Effective organizational skills and experience with handling legal documents.</li><li>Ability to work in a fast-paced, deadline-oriented environment.</li></ul><p>Education:</p><ul><li>A bachelor’s degree, or equivalent education and experience.</li></ul><p><br></p><p><br></p><p>This is an excellent opportunity for a detail-oriented and personable individual to provide vital support in a dynamic legal environment. If you meet the above qualifications, we invite you to apply for this contract assignment starting next week</p>Medical ReceptionistWe are offering a contract to permanent employment opportunity in the Healthcare/NHS industry, specifically looking for an Assc Patient Care Coord/22/HCD120 to be based in Latrobe, Pennsylvania, 15650, United States. In this role, you will be entrusted with managing patient medical records, scheduling appointments, and addressing billing queries in a clinic setting.<br><br>Responsibilities: <br>• Coordinate and maintain a positive customer experience during pre-registration, registration, scheduling, and business office functions, ensuring excellent customer service.<br>• Interact in a detail-oriented manner with a broad range of patients, operations staff, physicians, and other departments within the healthcare system.<br>• Demonstrate attention to detail and the ability to work well under pressure, effectively managing several tasks simultaneously in an environment with frequent interruptions.<br>• Schedule patient appointments for designated departments using scheduling software tools and provide testing instructions to assure smooth services.<br>• Secure authorizations and referrals when applicable and assess customers' needs, considering them in all decision-making processes to ensure a positive customer experience.<br>• Respond appropriately and courteously, whether face-to-face or on the phone, to customer issues, both intra-departmental and inter-departmental, and to the public in a timely manner and to the satisfaction of the customer.<br>• Identify and perform appropriate action in situations where it is necessary to obtain appropriate documentation for proper advancement through the revenue cycle.<br>• Interview patients and/or their representatives to obtain accurate demographic, insurance, and claim adjudication information in a timely, courteous, detail-oriented manner.<br>• Update the system appropriately and accurately, ensuring appropriate signatures are obtained and required authorizations/certifications/medical necessity guidelines are met.<br>• Communicate all issues that impact the accurate, timely, and complete accomplishment of all assigned tasks to management, and make recommendations for process improvement.<br>• Demonstrate dignity and respect in all interactions, readily accepting and incorporating changes into daily activities.<br>• Conform consistently to all system changes, including insurance payer regulations, and possess functional knowledge of systems and the revenue cycle to adequately assist customers and reduce the unnecessary transfer of workflows.<br>• Follow all department processes and policies as required and updated.