reimbursement specialist.

Randstad Strategic Accounts is looking for a business professional to provide support in our client's Accounts Receivable department.  If you are interested in becoming part of a team where you can contribute to drive both personal and organizational goals, this may be the right fit for you! Required Qualifications: Associates Degree highly preferred 3 Years minimum Billing and Collection experience in pharmacy and/or healthcare billing. Ability to work independently, prioritize, and be a dependable communicator Excellent understanding of AR billing and collection workflow, third party payer and CMS regulations Experience working with multi-state Medicaid Plans. Knowledge of general accounting principles and proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) Ability to establish and maintain effective working relationships with patients and coworker The ability to add value on day 1 Healthcare background salary: $49 - $50 per yearshift: Firstwork hours: 8 AM - 5 PMeducation: AssociateResponsibilities Analyzes and continually monitor AR accounts over 31 days for timely payment and/or follow up Research denials/underpayments/rejections and initiate claims appeals on a timely basis Submit corrected claims and process all claim appeals Maintain supporting and chronological notes that detail action taken to resolve billing edits Respond to requests/inquiries from insurance payers within standard billing cycle timeframe. Maintain productivity and quality results by following standard operating procedures Reconciles AR accounts, review account balance, adjustments, and overpayments. Refunds must be initiated in an efficient and timely manner in compliance with CMS, Federal and Commercial payer guidelines. Review and send patient statements. Process credit card payments received from patients Respond to detailed questions from patients and payers regarding claims and account status Other duties as assigned SkillsBillingQualificationsYears of experience: 3 yearsExperience level: ExperiencedRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.EOEDisclaime For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.

Seeking a Billing Specialist to support a local Sales team and to provide outstanding support to all areas of the business/all levels of management. This Administrative Biller will need to be very organized, able to multi task and shift focus quickly and ideally have experience with an ERP system and be proficient in Microsoft Excel. salary: $17 - $17 per hourshift: Firstwork hours: 8 AM - 4 PMeducation: No Degree RequiredResponsibilitiesBilling and invoicing customer sales orders Ensures all supporting documents and materials are on file for each sales order Communicates proactively regarding order status and missing documentation Resolves invoice/billing discrepancies Handles Accounts Receivables/soft collection calls, sending statements/invoices to customers Provide management and ad-hoc reports utilizing Microsoft Excel Maintain excellent customer relationshipsSkillsFront DeskBilling (2 years of experience is required)QualificationsYears of experience: 1 yearExperience level: Entry LevelRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.

Randstad has an excellent opportunity with a Major Healthcare client.  Minimum Requirements: At least 1 year of medical benefit verification experience Good communication skills, good business and analytical skills. For further information on the role, and job responsibilities, please read and apply below!salary: $19 - $22 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: No Degree RequiredResponsibilities Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives. Contact insurance companies to verify eligibility coverage for drug benefits. Function as a liaison between special drug program patients & their insurance companies. SkillsMedical ClaimsHealthcareQualificationsYears of experience: 1 yearExperience level: Entry LevelRandstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. For certain assignments, Covid-19 vaccination and/or testing may be required by Randstad's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Randstad representative for more information.