salary: $25 - $30 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
- Clean Claim & Care Reconciliation: Audit high-balance inpatient cases, verify eligibility and authorization, and collaborate with Clinical Resource Management to align clinical levels of care prior to billing.
- Denial Mitigation & Appeals: Manage, prioritize, and craft clear, effective written appeals for high-dollar claim denials and underpayments within strict carrier deadlines.
- Proactive Collections & Follow-Up: Monitor unpaid accounts via web portals and phone inquiries to resolve payment delays, secure necessary carrier documentation, and handle complex payer escalations.
- Root-Cause Analysis & Reporting: Analyze billing trends and denial drivers to recommend process improvements, update tracking systems, and educate internal teams to prevent future revenue loss.
Skills
Qualifications
Randstad 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.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.