Paid training and equipment are provided. Pay average $14.00- $25.00 per hour
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.
Are you a Healthcare Revenue Cycle professional looking for a role within the appeals process? We are looking for candidates whose next career step would be in the appeals department or someone who is passionate about resolving denials. This role pays $40,000-52,000 annually and would be a direct placement.
Responsibilities
Complete initial reviews of denied claims
Draft appeals and letters to insurance companies
Review payer contract to understand why the claim was denied
Follow up on all appeals until resolved
Ensure claim and appeal timeframes are met
Skills
writing appeals
researching payer contracts
Education
High School (required)
Qualifications
Years of experience: 4 years
Experience level: Experienced
Shift: First-Working hours: 8 AM - 4 PM
HOT, HOT, HOT new opening in Duluth, GA! I am recruiting experienced customer service representatives for our client, a World-Class Leader in the healthcare industry. If you have the skills listed below and are interested in working with a solid company, this is the job for you! Duration: 4 months contract (may extend) Shift: 40 hours a week.
Must have flexibility between (10:00 am - 9 pm) including weekends Pay: $17.00 per hour Duluth, GA 30096 This position is remote. Please click (or copy and paste) this link to complete the necessary form: https://forms.gle/6rQeH1puC9AM6TiX6 Must have:
Must pass the required assessment
Fast, reliable internet
High school diploma
2 years in customer service
ResponsibilitiesAvailable to handle member inquiries regarding:
Member Core: facility inquiry, web support, order id card, complaint, id card inquiry, service review
Member Advance: eligibility inquiry, benefit inquiry, general, complaint, correspondence inquiry, Add/remove dependent, service review, new member experience, internal regional request, IVR defaults Medicare (for up to two (2) regions)
The essential functions of this role include:
working weekends
Skills
Active Listening
Telephone Etiquette
Empathy
Customer Service
Basic Computer Skills
Typing Skills
Education
High School (required)
Qualifications
Years of experience: 2 years
Experience level: Experienced
Shift: First-Working hours: 10 AM - 9 PM
Responsibilities
Receives and adjudicates medical claims/bills for payment/denial.
Research claims/bills for appropriate support documents &/or documentation.
Analyzes and adjusts data and benefits criteria for payment.
Responds to and researches vendor and member problems, questions, and complaints. (medical coding not included in description)
Skills
Claims Processing (4 years of experience is required)
epic (1 year of experience is required)
Medical Billing (1 year of experience is preferred)
Medical Billing - Charge Master
Math and Calculation
Payment Acceptance
Data Collection
Medical Terminology
Basic Medical Terminology
Medical Billing - Denials
Medical Billing - Underpayments
Medical Secretary Duties
Microsoft Office
Education
High School (required)
Qualifications
Years of experience: 4 years
Experience level: Experienced
Shift: First-Working hours: 6 AM - 7 PM
This is a great opportunity at a top healthcare company in the country!
Provide Employee Relations support for People Leaders and employees. Responsible for responding to questions and concerns, following established protocols, and handling confidential information.
We will be covering employees across different time zones candidates on the west coast desired to cover west coast coverage.
Fielding calls from employees regarding various Human Resource concerns including COVID, benefits, payroll, etc.
Experience with COVID intake a plus
This is a work-from-home opportunity. Responsibilities
Conduct initial intake to include completing required questionnaire, assessing the situation, providing direction on appropriate actions to People Leaders and employees.
Complete return to work (RTW) process to include communicating with employees regarding RTW timeline and requirements, collecting documentation from employee or healthcare provider, ensuring RTW requirements are met, communicating RTW timeline with people leaders.
Interpret and apply understanding of company policies and procedures to provide immediate guidance and response to People Leaders and employees.
Maintain required documentation within the case management system, including intake notes, supporting documents, and reports.
Escalate matters that are ambiguous or require more expertise to resolve.
Skills
Analytical Thinking
Verbal Communication
Written Communication
Responsiveness
detail-oriented
human resource exp
Human Resources (1 year of experience is preferred)
employee relations (1 year of experience is preferred)
Technical
Customer Service
Customer Relations
Confidentiality
Education
Associates
Qualifications
Years of experience: 2 years
Experience level: Entry Level
Shift: First--Working hours: 8 AM - 4 PM
As part of our highly specialized Customer Service Team, you will be the single point of contact for our members and providers. The role of a Customer Service Representative is to provide caring and knowledgeable assistance to both members and providers
Respond to customer inquiries in a courteous and professional manner regarding benefits and eligibility
Provide accurate information to resolve internal and external member and provider inquiries
Thoroughly and completely document all customer interactions.
Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
Skills
Customer Service
Customer support
Patient Support
Call Center Support (2 years of experience is required)
Basic Software Skills
Telephone Etiquette
HEALTHCARE INDUSTRY (1 year of experience is required)
Education
High School (required)
Qualifications
Years of experience: 2 years
Experience level: Entry Level
Shift: First-Working hours: 8 AM - 8:30 PM
Paid training and equipment is provided.
Again, this is WORK FROM HOME!
Randstad is hiring now for a JANUARY 24 start date!
These are temp-to-hire opportunities, based on performance.
Pay is $18.50 per hour and work is M-F. You must be flexible to work 8 hours between the hours of 8 am-8:30 pm CST.
MUST SPEAK FLUENT SPANISH AND ENGLISH!
CAN LIVE ANYWHERE IN THE STATE OF ARIZONA!
MUST HAVE AT LEAST 1 YEAR'S EXPERIENCE WORKING IN THE HEALTHCARE FIELD and 2 YEARS' EXPERIENCE IN A CALL CENTER SETTING!
As part of our highly specialized Customer Service Team, you will be the single point of contact for our members and providers. The role of a Customer Service Representative is to provide caring and knowledgeable assistance to both members and providers
Respond to customer inquiries in a courteous and professional manner regarding benefits and eligibility
Provide accurate information to resolve internal and external member and provider inquiries
Thoroughly and completely document all customer interactions.
Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
Skills
Customer Service
Customer support
Patient Support
Call Center Support (2 years of experience is required)
Basic Software Skills
Telephone Etiquette
HEALTHCARE INDUSTRY (1 year of experience is required)
Spanish (2 years of experience is required)
Bilingual
Education-High School (required)
Qualifications
Years of experience: 2 years
Experience level: Entry Level
Shift: First Working hours: 8 AM - 8:30 PM
ResponsibilitiesAs part of our highly specialized Customer Service Team, you will be the single point of contact for our members and providers. The role of a Customer Service Representative is to provide caring and knowledgeable assistance to both members and providers
Respond to customer inquiries in a courteous and professional manner regarding benefits and eligibility
Provide accurate information to resolve internal and external member and provider inquiries
Thoroughly and completely document all customer interactions.
Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
Skills
Customer Service
Customer support
Patient Support
Call Center Support (2 years of experience is required)
Basic Software Skills
Telephone Etiquette
HEALTHCARE INDUSTRY (1 year of experience is required)
Milwaukee
Education
High School (required)
Qualifications
Years of experience: 2 years
Experience level: Entry Level
Shift: First Working hours: 8 AM - 8:30 PM
***Must Live within Englewood, CO 80112, This position is remote, but must live within 2 hrs. of 80112
Responsibilities
Receives and adjudicates medical claims/bills for payment/denial.
Researches claims/bills for appropriate support documents &/or documentation.
Analyzes and adjusts data and benefits criteria for payment.
Responds to and researches vendor and member problems, questions, and complaints
Skills
Diagnostic Procedures
ICD-9
ICD-10
CPT Codes
EMR
EHR/Epic
Claims Processing
Medicare Compliance
Medical Software
Medical Coursework
Medical Billing
Medical Terminology
Medical Billing - Underpayments
Medical Billing - Denials
Basic Medical Terminology
Medical Procedure Scheduling (2 years of experience is required)
Claims
Education-High School (required)
Qualifications
Years of experience: 1 year
Experience level: Experienced
Shift: First-Working hours: 8 AM - 5 PM
$18 per hour
ResponsibilitiesAs part of our highly specialized Customer Service Team, you will be the single point of contact for our members and providers. The role of a Customer Service Representative is to provide caring and knowledgeable assistance to both members and providers
Respond to customer inquiries in a courteous and professional manner regarding benefits and eligibility
Provide accurate information to resolve internal and external member and provider inquiries
Thoroughly and completely document all customer interactions.
Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
Skills
Customer Service
Customer support
Patient Support
Call Center Support (2 years of experience is required)
Basic Software Skills
Telephone Etiquette
HEALTHCARE INDUSTRY (1 year of experience is required)
Milwaukee
Education
High School (required)
Qualifications
Years of experience: 2 years
Experience level:Entry Level
Shift: First
Working hours: 8 AM - 8:30 PM
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