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26 jobs found for pharmacist

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    • marietta, georgia (remote)
    • temporary
    • $19.32 per hour
    Are you looking to use your skills in a new Medical Billing postion? This client is Hiring Now!  The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid. Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. If this position interests you, apply today!   salary: $19.32 - $19.32 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities Obtain referrals and pre-authorizations as required for procedures Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount SkillsMedical BillingQualificationsYears of experience: 2 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. 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.
    Are you looking to use your skills in a new Medical Billing postion? This client is Hiring Now!  The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid. Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. If this position interests you, apply today!   salary: $19.32 - $19.32 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities Obtain referrals and pre-authorizations as required for procedures Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount SkillsMedical BillingQualificationsYears of experience: 2 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. 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.
    • atlanta, georgia
    • temp to perm
    • $25 - $27 per hour
    Don't MISS this Opportunity to work for one of the Worlds largest Staffing Agencies!! We are hiring an Internal Payroll Coordinator to join a Site Team in downtown Atlanta supporting one of Randstad's premier clients. What you Get to do: Ensures the integrity and confidentiality of the payroll system, time and attendance records, and reports. Follows established payroll policies and procedures to process an average of 200 clinical and non-clinical timesheets weekly. Communicates with agencies, customers and employees on payroll matters and escalate when needed. Answers routine inquiries from employees regarding payroll issues What You Need to bring: A high school diploma or equivalent. Three years of payroll experience. Skills in using various software- Kronos, Fieldglass, Microsoft Office What You will Get: Flexible hybrid schedule Monday - Friday 8AM - 6PM Excellent medical, dental and vision benefits Competitive pay rate Apply Now: www.randstad.com. A recuriter will schedule interviews  salary: $25 - $27 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities Ensures the integrity and confidentiality of the payroll system, time and attendance records, and reports. Follows established payroll policies and procedures to process, review, verify, correct, and enter information for weekly payroll processing. Communicates with agencies, customers and employees on payroll matters. Answers routine inquiries from employees regarding payroll issues Investigates time and attendance issues and provides updates to the appropriate Leaders as necessary. Manages and addresses inquiries of payments to vendors in a timely manner. Assists in preparing operational reports for management Performs related responsibilities as required. SkillsPayroll ProcessingVendor ManagementOrganizationWorking IndependentlyMulti-taskingOral CommunicationProblem SolvingWritten CommunicationKronos (2 years of experience is preferred)Fieldglass (1 year of experience is preferred)QualificationsYears 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. 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.
    Don't MISS this Opportunity to work for one of the Worlds largest Staffing Agencies!! We are hiring an Internal Payroll Coordinator to join a Site Team in downtown Atlanta supporting one of Randstad's premier clients. What you Get to do: Ensures the integrity and confidentiality of the payroll system, time and attendance records, and reports. Follows established payroll policies and procedures to process an average of 200 clinical and non-clinical timesheets weekly. Communicates with agencies, customers and employees on payroll matters and escalate when needed. Answers routine inquiries from employees regarding payroll issues What You Need to bring: A high school diploma or equivalent. Three years of payroll experience. Skills in using various software- Kronos, Fieldglass, Microsoft Office What You will Get: Flexible hybrid schedule Monday - Friday 8AM - 6PM Excellent medical, dental and vision benefits Competitive pay rate Apply Now: www.randstad.com. A recuriter will schedule interviews  salary: $25 - $27 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: High` SchoolResponsibilities Ensures the integrity and confidentiality of the payroll system, time and attendance records, and reports. Follows established payroll policies and procedures to process, review, verify, correct, and enter information for weekly payroll processing. Communicates with agencies, customers and employees on payroll matters. Answers routine inquiries from employees regarding payroll issues Investigates time and attendance issues and provides updates to the appropriate Leaders as necessary. Manages and addresses inquiries of payments to vendors in a timely manner. Assists in preparing operational reports for management Performs related responsibilities as required. SkillsPayroll ProcessingVendor ManagementOrganizationWorking IndependentlyMulti-taskingOral CommunicationProblem SolvingWritten CommunicationKronos (2 years of experience is preferred)Fieldglass (1 year of experience is preferred)QualificationsYears 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. 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.
    • oak brook, illinois
    • temp to perm
    • $16 - $20 per hour
    Are you intersted in joining a company who helps thousands of patients live happier, healthier lives through a unique model of care? This entry level position in the Revenue Cycle Management department, supports the organization’s revenue cycle processes by entering, updating, and maintaining patient account information in clinical the EHR software system. salary: $16 - $20 per hourshift: Firstwork hours: 8 AM - 4 PMeducation: BachelorResponsibilities Complete data entry of patient EHR profile entry including demographic, clinical and insurance/billing information accordingly with team protocols and procedures. Post insurance payments and remittances to correct patient accounts in EHR system. Review reports to ensure all patient information is received and entered correctly. Run and review insurance accounts receivable reports to identify incomplete patient profiles. Work with other teams to ensure accurate and up-to-date information posted into EHR system. Communicate with clinic teams to obtain necessary information. Maintain clear, professional, and branded communication. Perform duties accordingly with the standards and metrics of the department. Notify management of any strange scenarios, possible compliance concerns or recurring issues. Maintain a positive and professional work environment. SkillsBilling (1 year of experience is required)AR BillingInsuranceMedical BillingInvoicesFilingResponsivenessEHR/Epic (1 year 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.
    Are you intersted in joining a company who helps thousands of patients live happier, healthier lives through a unique model of care? This entry level position in the Revenue Cycle Management department, supports the organization’s revenue cycle processes by entering, updating, and maintaining patient account information in clinical the EHR software system. salary: $16 - $20 per hourshift: Firstwork hours: 8 AM - 4 PMeducation: BachelorResponsibilities Complete data entry of patient EHR profile entry including demographic, clinical and insurance/billing information accordingly with team protocols and procedures. Post insurance payments and remittances to correct patient accounts in EHR system. Review reports to ensure all patient information is received and entered correctly. Run and review insurance accounts receivable reports to identify incomplete patient profiles. Work with other teams to ensure accurate and up-to-date information posted into EHR system. Communicate with clinic teams to obtain necessary information. Maintain clear, professional, and branded communication. Perform duties accordingly with the standards and metrics of the department. Notify management of any strange scenarios, possible compliance concerns or recurring issues. Maintain a positive and professional work environment. SkillsBilling (1 year of experience is required)AR BillingInsuranceMedical BillingInvoicesFilingResponsivenessEHR/Epic (1 year 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.
    • west des moines, iowa (remote)
    • temporary
    • $20 per hour
    Are you looking to use your skills in a new Program Coordinator position? This client is Hiring Now!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position must have thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.If this position interests you, apply today! MUST BE LOCATED IN IA!  salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Data enter assessments and authorizations into the system.SkillsProgram CoordinatorQualificationsYears of experience: 2 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. 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.
    Are you looking to use your skills in a new Program Coordinator position? This client is Hiring Now!  The client is looking for a candidate that is able to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. The ideal candidate for this position must have thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer.If this position interests you, apply today! MUST BE LOCATED IN IA!  salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities• Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. • Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. • Data enter assessments and authorizations into the system.SkillsProgram CoordinatorQualificationsYears of experience: 2 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. 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.
    • pittsburgh, pennsylvania
    • temporary
    • $45.65 per hour
    Our Client is Hiring a remote Senior Remote Proposal Writer! Possibility for conversion to a full-time employee based on performance and business needs.                                                                                                                                                                                                                                                                          salary: $45.65 - $45.65 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilitiesThe Senior Proposal Writer is responsible for managing (leading) and writing RFP and RFI responses, unsolicited proposals, and other RFx-related material for multiple solution areas. This individual: Maintains proposal readiness in multiple solution areas Leads all levels of RFP and RFI responses and proactive proposals in solution areas, including complex proposals Provides additional proposal support and leadership as needed Leads ad hoc projects as assigned The Senior Proposal Writer will work with sales, account management, technical, clinical, production, and management personnel, as well as other proposal team members. This individual will act as a role model, mentor, and coach to other proposal team members.SkillsBusiness Analyst QualificationsYears of experience: 2 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. 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.
    Our Client is Hiring a remote Senior Remote Proposal Writer! Possibility for conversion to a full-time employee based on performance and business needs.                                                                                                                                                                                                                                                                          salary: $45.65 - $45.65 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilitiesThe Senior Proposal Writer is responsible for managing (leading) and writing RFP and RFI responses, unsolicited proposals, and other RFx-related material for multiple solution areas. This individual: Maintains proposal readiness in multiple solution areas Leads all levels of RFP and RFI responses and proactive proposals in solution areas, including complex proposals Provides additional proposal support and leadership as needed Leads ad hoc projects as assigned The Senior Proposal Writer will work with sales, account management, technical, clinical, production, and management personnel, as well as other proposal team members. This individual will act as a role model, mentor, and coach to other proposal team members.SkillsBusiness Analyst QualificationsYears of experience: 2 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. 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.
    • concord, north carolina (remote)
    • temporary
    • $20 per hour
    Are you looking to use your skills in a new Care Coordinator position? This client is Hiring Now!  The client is looking for a candidate that has Outstanding communication and customer service skills, flexibility in the work enviornment and extensive problem solving skills.  If this position interests you, apply today! salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services. Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules. SkillsDecision MakingMicrosoft OfficePatient Care CoordinationMulti-taskingScheduling AppointmentsManaged CareBenefits AdministrationQualificationsYears of experience: 2 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. 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.
    Are you looking to use your skills in a new Care Coordinator position? This client is Hiring Now!  The client is looking for a candidate that has Outstanding communication and customer service skills, flexibility in the work enviornment and extensive problem solving skills.  If this position interests you, apply today! salary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services. Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules. SkillsDecision MakingMicrosoft OfficePatient Care CoordinationMulti-taskingScheduling AppointmentsManaged CareBenefits AdministrationQualificationsYears of experience: 2 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. 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.
    • rancho cordova, california (remote)
    • temporary
    • $17.50 per hour
    Are you looking to use your skills in a new Claims Analyst position? This client is Hiring Now!  The main purpose of a Claims analyst is to process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures. This position will start remote but must be local for possible onsite in the future.  If this position interests you, apply today! salary: $17.5 - $17.5 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities Organize and work with detailed office or warehouse records, using computer to enter, access, search and retrieve data. Prepare and review insurance claim forms and related documents for completeness. Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors. Review claims to determine whether or not claimant is covered under a policy, review policy to determine coverage, and evaluate the extent of a settlement. Authorize claim payments, set reserves on payments, ensure timely disbursement of funds, coordinate or conduct investigations on claims, identify claims with possible recovery from third parties, and consult with attorneys, doctors, and agents in regards to the disposition of complex claims. SkillsClaims Analyst QualificationsYears of experience: 2 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.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. 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.
    Are you looking to use your skills in a new Claims Analyst position? This client is Hiring Now!  The main purpose of a Claims analyst is to process pended medical claims, verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures. This position will start remote but must be local for possible onsite in the future.  If this position interests you, apply today! salary: $17.5 - $17.5 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: BachelorResponsibilities Organize and work with detailed office or warehouse records, using computer to enter, access, search and retrieve data. Prepare and review insurance claim forms and related documents for completeness. Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors. Review claims to determine whether or not claimant is covered under a policy, review policy to determine coverage, and evaluate the extent of a settlement. Authorize claim payments, set reserves on payments, ensure timely disbursement of funds, coordinate or conduct investigations on claims, identify claims with possible recovery from third parties, and consult with attorneys, doctors, and agents in regards to the disposition of complex claims. SkillsClaims Analyst QualificationsYears of experience: 2 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.Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. 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.
    • tempe, arizona (remote)
    • temporary
    • $20 per hour
    Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mailsalary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: AssociateResponsibilities 40% of their time is on the phone queue taking complaints/appeals/grievances directly from the member. The other 60% of their time is spent working their caseload. This position will work member plan change requests and opt-out requests as well as some non-clinical complaints. Phone shifts are split up by half days. Days staff are assigned on the queue, they will be assigned either the morning or the afternoon shift SkillsGrievance and Appeals CoordinaQualificationsYears of experience: 2 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. 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.
    Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mailsalary: $20 - $20 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: AssociateResponsibilities 40% of their time is on the phone queue taking complaints/appeals/grievances directly from the member. The other 60% of their time is spent working their caseload. This position will work member plan change requests and opt-out requests as well as some non-clinical complaints. Phone shifts are split up by half days. Days staff are assigned on the queue, they will be assigned either the morning or the afternoon shift SkillsGrievance and Appeals CoordinaQualificationsYears of experience: 2 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. 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.
    • jacksonville, florida
    • permanent
    • $80,000 - $110,000 per year
    job summary: We are a fast growing, pre-IPO company is looking for Accounting Manager or Senior Accounting Manager. Reports to the VP Finance overseeing accounting and operations. We are located in Jacksonville, FL and are ready to move quickly for the right person.   location: Jacksonville, Florida job type: Permanent salary: $80,000 - 110,000 per year work hours: 8 to 5 education: Bachelor's degree experience: 3 Years   responsibilities: Responsible for the month end close and working with external consultants, including accounts payable, cash reconciliation, expense accruals, journal entries, payroll and account reconciliations.Review general ledger accounting transactions based on vendor contractual terms and thorough understanding of GAAP knowledge.Proactively streamline and improve manufacturing expense accrual process through cross-functional collaboration.Lead monthly meetings with external clinical and contract manufacturing vendors and internal project management to provide project status updates and obtain validation of percentage and units completed.Manage procurement to payable function and ensure accurate GL and department coding within the procurement system.Maintain the company's accounting system, including new account, department and project set-up, financial report development and maintenance, and interfaces between payroll, equity, financial planning and expense management systems to the general ledger.Identify and implement process improvements for efficient month/quarter end close.Support annual and quarterly audit preparation activities.Participate and support the SOX internal control implementation and ongoing compliance.   qualifications: Requirements: BS degree in Accounting or Finance 5+ years of related experience or public accounting experience   skills: $1 - 2 billion 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.
    job summary: We are a fast growing, pre-IPO company is looking for Accounting Manager or Senior Accounting Manager. Reports to the VP Finance overseeing accounting and operations. We are located in Jacksonville, FL and are ready to move quickly for the right person.   location: Jacksonville, Florida job type: Permanent salary: $80,000 - 110,000 per year work hours: 8 to 5 education: Bachelor's degree experience: 3 Years   responsibilities: Responsible for the month end close and working with external consultants, including accounts payable, cash reconciliation, expense accruals, journal entries, payroll and account reconciliations.Review general ledger accounting transactions based on vendor contractual terms and thorough understanding of GAAP knowledge.Proactively streamline and improve manufacturing expense accrual process through cross-functional collaboration.Lead monthly meetings with external clinical and contract manufacturing vendors and internal project management to provide project status updates and obtain validation of percentage and units completed.Manage procurement to payable function and ensure accurate GL and department coding within the procurement system.Maintain the company's accounting system, including new account, department and project set-up, financial report development and maintenance, and interfaces between payroll, equity, financial planning and expense management systems to the general ledger.Identify and implement process improvements for efficient month/quarter end close.Support annual and quarterly audit preparation activities.Participate and support the SOX internal control implementation and ongoing compliance.   qualifications: Requirements: BS degree in Accounting or Finance 5+ years of related experience or public accounting experience   skills: $1 - 2 billion 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.
    • northbrook, illinois (remote)
    • temporary
    • $125 - $128.57 per hour
    Our client is on the forefront of healthcare change turning their innovative science into value for patients across the globe.  We are currently looking for a Study Statistician to join their team in Northbrook.    As a Study Statistician  you will lead data science deliverable teams while support global statistics projects.  If you have 5+ more years experience applying statistical methods in biomedical research preferred in oncology studies or pharmaceutical or CRO industry then this may be the position for you!  salary: $125 - $128.57 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: DoctoralResponsibilities As a Study Statistician, Job Duties Include: Reviews protocols to ensure statistical integrity and optimal study designs. Writes the statistical sections of the study protocol. Reviews and provides input into critical documents as Study Team Member, such as CRFs and Data Validation Plans. Develops statistical analysis plans (SAPs) and tables, listings, and figure (TLF) specifications. Performs statistical analyses for clinical studies in accordance with the protocol, statistical analysis plan, good statistical practice, and available regulatory guidelines. Skills: M.S or Ph.D. in Statistics or equivalent degree. 5+ years exp in applying statistical methods in biomedical research, pharmaceutical or CRO industry experience. Advanced knowledge of statistical methods for design of clinical studies and analysis of clinical data. Ability to clearly communicate statistical issues and methods to both statisticians and non-statisticians. Working knowledge and skills in SAS required. Apply Today! SkillsStatisticsStudy StatisticianStatistical Analysis PlansData Validation PlansClinical StudiesOncology StudiesBiomedical ResearchPharmaceuticalCRO IndustryStatistical MethodsAnalysis of Clinical DataSASProject ManagementData ScienceStatistical IntegritySDTM/ADaMData SpecificationsAlgorithmsSAS ProgrammingData AnalysisQualificationsYears of experience: 5 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. 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.
    Our client is on the forefront of healthcare change turning their innovative science into value for patients across the globe.  We are currently looking for a Study Statistician to join their team in Northbrook.    As a Study Statistician  you will lead data science deliverable teams while support global statistics projects.  If you have 5+ more years experience applying statistical methods in biomedical research preferred in oncology studies or pharmaceutical or CRO industry then this may be the position for you!  salary: $125 - $128.57 per hourshift: Firstwork hours: 8 AM - 5 PMeducation: DoctoralResponsibilities As a Study Statistician, Job Duties Include: Reviews protocols to ensure statistical integrity and optimal study designs. Writes the statistical sections of the study protocol. Reviews and provides input into critical documents as Study Team Member, such as CRFs and Data Validation Plans. Develops statistical analysis plans (SAPs) and tables, listings, and figure (TLF) specifications. Performs statistical analyses for clinical studies in accordance with the protocol, statistical analysis plan, good statistical practice, and available regulatory guidelines. Skills: M.S or Ph.D. in Statistics or equivalent degree. 5+ years exp in applying statistical methods in biomedical research, pharmaceutical or CRO industry experience. Advanced knowledge of statistical methods for design of clinical studies and analysis of clinical data. Ability to clearly communicate statistical issues and methods to both statisticians and non-statisticians. Working knowledge and skills in SAS required. Apply Today! SkillsStatisticsStudy StatisticianStatistical Analysis PlansData Validation PlansClinical StudiesOncology StudiesBiomedical ResearchPharmaceuticalCRO IndustryStatistical MethodsAnalysis of Clinical DataSASProject ManagementData ScienceStatistical IntegritySDTM/ADaMData SpecificationsAlgorithmsSAS ProgrammingData AnalysisQualificationsYears of experience: 5 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. 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.
    • hollywood, florida
    • temp to perm
    • $28.85 - $31.25 per hour
    Are you passionate about the mission of healthcare? A national  healthcare company with corporate offices in Miramar and Miami is looking for an experienced Accountant to support their growing corporate team! Do you want to be a part of the non-clinical team of a healthcare company that is committed to supporting patients and families receive the highest quality care in the final stages of life?     Apply today! maria.hoffman@randstadusa.comsalary: $28.85 - $31.25 per hourshift: Firstwork hours: 8:30 AM - 5:30 PMeducation: BachelorResponsibilitiesDuties: Perform monthly reconciliation of sub-ledger detail to assigned general ledger accountsPerform daily cash reconciliations and monthly bank reconciliations to assigned general ledger accountsAssist with the preparation of monthly consolidated financial statements and supporting schedulesHandle specific duties related to month-end closing processCompile and analyze financial information such as general ledger accounts, documenting business transactions to support management decisionsKnowledge of and compliance with internal procedures and processes, staying aware and offering suggestions process improvementsMaintain full compliance with GAAP, company policies and proceduresPerform balance sheet reconciliationsPrepare and post journal entries to the general ledgerAd Hoc and all other duties as assignedOpen and willing to follow established procedures, while identifying potential improvements Skills Bank Reconciliations (3 years of experience is required)Journal Entries (3