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.Responsibilities: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 Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims Answer all patient or insurance telephone inquiries pertaining to assigned accounts. Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection reports.Working hours: 8:00 AM - 4:00 PMSkills:Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Use of computer systems, software, 10 key calculator Effective communication abilities for phone contacts with insurance payers to resolve issues. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds Able to work in a team environment Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Knowledge of accounting and bookkeeping procedures Knowledge of medical terminology likely to be encountered in medical claimsEducation:High SchoolExperience:1-4 yearsQualifications:High school diploma Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred Entry to 2 years of experience. Please apply or call today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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.Responsibilities: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 Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims Answer all patient or insurance telephone inquiries pertaining to assigned accounts. Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection reports.Working hours: 8:00 AM - 4:00 PMSkills:Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Use of computer systems, software, 10 key calculator Effective communication abilities for phone contacts with insurance payers to resolve issues. Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds Able to work in a team environment Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Knowledge of accounting and bookkeeping procedures Knowledge of medical terminology likely to be encountered in medical claimsEducation:High SchoolExperience:1-4 yearsQualifications:High school diploma Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred Entry to 2 years of experience. Please apply or call today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer. Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents. Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.Responsibilities:Communicating with insurance agents and beneficiaries.Preparing claim forms and related documentation.Reviewing claim submissions and verifying the information.Recording and maintaining insurance policy and claims information in a database system.Determining policy coverage and calculating claim amounts.Processing claim payments.Complying with federal, state, and company regulations and policies.Performing other clerical tasks, as required.Working hours: 8:00 AM - 5:00 PMSkills:At least 2 years of experience as a claims processor or in a related role.Working knowledge of the insurance industry and relevant federal and state regulations.Computer literate and proficient in MS Office.Excellent critical thinking and decision-making skills.Good administrative and organizational skills.Strong customer service skills.Ability to work under pressure.High attention to detail.Education:High SchoolExperience:1-4 yearsQualifications:High School Diploma1 or more years of medical claims processing experienceReliable transportation Spherion Staffing is looking for a medical claim processor for our client in Macon, GA! Do you have 1 or more years experience in processing medical claims? If so, please apply today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
A medical claims processor validates the information on all medical claims from patients seeking payment from their insurance company. Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, a processor must keep meticulous records of claims and follow up on lapsed cases.Medical claims processors are expected to have an extensive knowledge of medical terminology, as well as experience using a computer. Since medical claims processors must approve or deny payment to doctors, it is vital that they know how to correctly read and assess medical documents. Good communication skills are necessary to converse with doctors' offices or insurance companies if there is a problem with the claim.Responsibilities:Communicating with insurance agents and beneficiaries.Preparing claim forms and related documentation.Reviewing claim submissions and verifying the information.Recording and maintaining insurance policy and claims information in a database system.Determining policy coverage and calculating claim amounts.Processing claim payments.Complying with federal, state, and company regulations and policies.Performing other clerical tasks, as required.Working hours: 8:00 AM - 5:00 PMSkills:At least 2 years of experience as a claims processor or in a related role.Working knowledge of the insurance industry and relevant federal and state regulations.Computer literate and proficient in MS Office.Excellent critical thinking and decision-making skills.Good administrative and organizational skills.Strong customer service skills.Ability to work under pressure.High attention to detail.Education:High SchoolExperience:1-4 yearsQualifications:High School Diploma1 or more years of medical claims processing experienceReliable transportation Spherion Staffing is looking for a medical claim processor for our client in Macon, GA! Do you have 1 or more years experience in processing medical claims? If so, please apply today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
We have the immediate need for two care coordinators and 1 claims coordinator. 9am-6pm PST. Care Coordinators need to have strong attention to detail for this assignment as they will be working on a pilot project. Bilingual a plus but not mandatoryThe Claims Advocate role serves as a liaison between plan members, providers and health insurance companies to get claims issues resolved. The Claims Advocate handles the communication and paperwork with a health insurance carrier and provides members and their families with an experienced insurance liaison to review bills and insurance coverage and to provide a report on potential savings. The Claims Advocate will provide support for plan members and appeal on behalf of members.Responsibilities:Providing effective and timely customer service for members, providers, insurer and clientEnsuring timely follow-up on member requests for accounts to be reviewedOrganization of health insurance paperworkAudit hospital and provider chargesReview medical bills and determine proper paymentNegotiation with providers on plan member balancesChallenging denials of claims by the insurance companyContacting providers and insurance companies to resolve claim concernsAssisting with understanding of explanation of benefits (EOBs)Enabling members to get the errors fixed and recoup or lower their expenses by resolving their:medical billsdenied medical claimsmedical letters of appealAnalyzing and identifying trends and patterns related to member billing complaintsCollaborate with peers across functionsUnderstand the evolving business requirements and adapt the operational processes to meet those requirementsModel a culture reflective of our Core Company Values; gain and maintain a thorough understanding of the Patient Care Team policies, processes, software, etc.Working hours: 9:00 AM - 6:00 PMSkills:Proven track record of driving measurable efficiency resultsPassion for providing supportMedical billing/coding certification (CPC) preferredCurrently this is an in office/non-remote roleEducation:No Degree RequiredExperience:1-4 yearsQualifications:Prior work experience in a claims advocate role strongly preferredExperience in health insurance claims adjudication, medical billing/codingHighly effective communication, problem resolution and organizational skillsDemonstrated ability to meet goals in a rapidly changing environmentExcellent data and overall analytical skills Positions are currently in office or work from home.. Company is nationally recognized healthcare integration office.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
We have the immediate need for two care coordinators and 1 claims coordinator. 9am-6pm PST. Care Coordinators need to have strong attention to detail for this assignment as they will be working on a pilot project. Bilingual a plus but not mandatoryThe Claims Advocate role serves as a liaison between plan members, providers and health insurance companies to get claims issues resolved. The Claims Advocate handles the communication and paperwork with a health insurance carrier and provides members and their families with an experienced insurance liaison to review bills and insurance coverage and to provide a report on potential savings. The Claims Advocate will provide support for plan members and appeal on behalf of members.Responsibilities:Providing effective and timely customer service for members, providers, insurer and clientEnsuring timely follow-up on member requests for accounts to be reviewedOrganization of health insurance paperworkAudit hospital and provider chargesReview medical bills and determine proper paymentNegotiation with providers on plan member balancesChallenging denials of claims by the insurance companyContacting providers and insurance companies to resolve claim concernsAssisting with understanding of explanation of benefits (EOBs)Enabling members to get the errors fixed and recoup or lower their expenses by resolving their:medical billsdenied medical claimsmedical letters of appealAnalyzing and identifying trends and patterns related to member billing complaintsCollaborate with peers across functionsUnderstand the evolving business requirements and adapt the operational processes to meet those requirementsModel a culture reflective of our Core Company Values; gain and maintain a thorough understanding of the Patient Care Team policies, processes, software, etc.Working hours: 9:00 AM - 6:00 PMSkills:Proven track record of driving measurable efficiency resultsPassion for providing supportMedical billing/coding certification (CPC) preferredCurrently this is an in office/non-remote roleEducation:No Degree RequiredExperience:1-4 yearsQualifications:Prior work experience in a claims advocate role strongly preferredExperience in health insurance claims adjudication, medical billing/codingHighly effective communication, problem resolution and organizational skillsDemonstrated ability to meet goals in a rapidly changing environmentExcellent data and overall analytical skills Positions are currently in office or work from home.. Company is nationally recognized healthcare integration office.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion Staffing has several openings for Fraud & Claims Specialists with our client, a regional bank. The Fraud & Claims Specialists will review and process client claims. Specialists take inbound calls from our customers who have issues with Online Banking transfers and assists with filing an inquiry or Online Claim. This position requires the ability to handle escalated customers in a call center environment, and provide written correspondence to customers.The position requires exceptional customer service with strong investigative research skills while working with internal and external customers who suspect they have fraudulent, mis-posted, merchant disputes or other unusual activity on their accounts.Qualified applicants will have at least 3 months of call center experience and 1 year of customer service experience.Pay: $15/hourHours: Monday-Friday 11:30 a.m. -8:00 p.m. and 10:30 a.m. -7:00 p.m. pm Saturdays. (Employee chooses Tuesday, Wednesday or Thursday off)Responsibilities: -Listen to customer needs and recommending solutions-Work in a team environment-Navigate internal software on multiple computer screens-Review and process claims-Communicate with clients, claimants, team members, and company representatives-Provide supporting documentation to insurer-Maintain and manage filesResponsibilities:See AboveWorking hours: 11:30 AM - 8:00 PMSkills:Requirements:-High school diploma or GED required-3 months call center experience required-1 year of customer service experience OR a 2 year degree in criminal justice OR experience in financial services, fraud, investigations, or money laundering-Excellent verbal and decision making skills. -Excellent Microsoft office skillsEducation:High SchoolExperience:0-1 yearsQualifications:See Above To be considered, please apply online at www.spherion.com/apply or if you have questions you can reach out to Kelsi Shelly at 605-335-6010Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion Staffing has several openings for Fraud & Claims Specialists with our client, a regional bank. The Fraud & Claims Specialists will review and process client claims. Specialists take inbound calls from our customers who have issues with Online Banking transfers and assists with filing an inquiry or Online Claim. This position requires the ability to handle escalated customers in a call center environment, and provide written correspondence to customers.The position requires exceptional customer service with strong investigative research skills while working with internal and external customers who suspect they have fraudulent, mis-posted, merchant disputes or other unusual activity on their accounts.Qualified applicants will have at least 3 months of call center experience and 1 year of customer service experience.Pay: $15/hourHours: Monday-Friday 11:30 a.m. -8:00 p.m. and 10:30 a.m. -7:00 p.m. pm Saturdays. (Employee chooses Tuesday, Wednesday or Thursday off)Responsibilities: -Listen to customer needs and recommending solutions-Work in a team environment-Navigate internal software on multiple computer screens-Review and process claims-Communicate with clients, claimants, team members, and company representatives-Provide supporting documentation to insurer-Maintain and manage filesResponsibilities:See AboveWorking hours: 11:30 AM - 8:00 PMSkills:Requirements:-High school diploma or GED required-3 months call center experience required-1 year of customer service experience OR a 2 year degree in criminal justice OR experience in financial services, fraud, investigations, or money laundering-Excellent verbal and decision making skills. -Excellent Microsoft office skillsEducation:High SchoolExperience:0-1 yearsQualifications:See Above To be considered, please apply online at www.spherion.com/apply or if you have questions you can reach out to Kelsi Shelly at 605-335-6010Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion is partnering with a well-established provider of insurance risk management services in search of a Junior Claims Consultant. This DIRECT HIRE OPPORTUNITY offers competitive pay, a robust benefits package, great schedule and work-life balance, and the opportunity for learning, growth, and further developing a career in the field. **AN SC WORKER'S COMPENSATION ADJUSTER LICENSE IS **REQUIRED** FOR THIS ROLE.**Responsibilities:- Investigate and manage assigned claims- Ensure compliance with statutory and regulatory claims requirements- Review bills for approval- Take attorney calls for assigned accountsWorking hours: 8:30 AM - 5:00 PMSkills:- Must have an SC WORKER'S COMPENSATION ADJUSTER LICENSE- Must have excellent attention to detail and ability to multitask- Must have professional communication skills and excellent follow-through- Must be a good computer userEducation:High SchoolExperience:1-4 yearsQualifications:- AN SC WORKER'S COMPENSATION ADJUSTER LICENSE IS REQUIRED FOR THIS ROLE- HS Diploma required, Bachelor's degree preferred- 1-3 years of related experience preferred Apply today for IMMEDIATE considerationSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion is partnering with a well-established provider of insurance risk management services in search of a Junior Claims Consultant. This DIRECT HIRE OPPORTUNITY offers competitive pay, a robust benefits package, great schedule and work-life balance, and the opportunity for learning, growth, and further developing a career in the field. **AN SC WORKER'S COMPENSATION ADJUSTER LICENSE IS **REQUIRED** FOR THIS ROLE.**Responsibilities:- Investigate and manage assigned claims- Ensure compliance with statutory and regulatory claims requirements- Review bills for approval- Take attorney calls for assigned accountsWorking hours: 8:30 AM - 5:00 PMSkills:- Must have an SC WORKER'S COMPENSATION ADJUSTER LICENSE- Must have excellent attention to detail and ability to multitask- Must have professional communication skills and excellent follow-through- Must be a good computer userEducation:High SchoolExperience:1-4 yearsQualifications:- AN SC WORKER'S COMPENSATION ADJUSTER LICENSE IS REQUIRED FOR THIS ROLE- HS Diploma required, Bachelor's degree preferred- 1-3 years of related experience preferred Apply today for IMMEDIATE considerationSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion has partnered with an international provider of risk management and consulting services seeking an experienced Health & Benefits Account Manager to join their team. This is an immediate direct hire opportunity!Responsibilities:- Conduct periodic service calls via phone or in person for designated accounts - Maintain timely and thorough customer and carrier interactions to minimize the potential for errors & omissions claims - Obtain all required renewal information from the insured and complete applications for designated renewal business 90 days before renewal date - Assist Health & Benefit Consultants and Account Executives as needed - Review renewals and prepare rewrite applications at least 30 days prior to renewal ? Secure and submit all required renewal underwriting information - Receive phone calls and office visitors from existing customers relating to requesting quotes, changes to existing coverage and/or new policies and/or wellness programs - Follow up on outstanding claims and provide assistance in claims resolution as necessary ? Document all material conversations with insureds and/or carriers regarding exposures and coverages ? Handle premium collection through form letters and request cancellation of policies and changes in enrollment when necessary - Follow up on outstanding claims and provide assistance in claims resolution as necessary ? Solicit new business opportunities with clients for lines of coverage not currently written by the division. Expectations are an average of one new business line per client serviced. This may include group life, short-term disability, long-term disability, dental, vision, etc.Working hours: 8:00 AM - 5:00 PMSkills:- Excellent PC skills including, but not limited to Microsoft Word, Excel, and PowerPoint - Knowledge of HubSpot preferred, but not required - Confident, friendly, and outgoing personality who can thrive as part of a team - Excellent organization and time management capabilities - Ability to effectively communicate with colleagues and clients, both written and verbalEducation:High SchoolExperience:1-4 yearsQualifications:- Health & Life Agent License (2-15) required - Bachelor?s degree preferred, but not required - 3+ years of health insurance account management experience with a multiline insurance agency Please apply with a current resume to stacymadden@spherion.com for immediate considerationSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion has partnered with an international provider of risk management and consulting services seeking an experienced Health & Benefits Account Manager to join their team. This is an immediate direct hire opportunity!Responsibilities:- Conduct periodic service calls via phone or in person for designated accounts - Maintain timely and thorough customer and carrier interactions to minimize the potential for errors & omissions claims - Obtain all required renewal information from the insured and complete applications for designated renewal business 90 days before renewal date - Assist Health & Benefit Consultants and Account Executives as needed - Review renewals and prepare rewrite applications at least 30 days prior to renewal ? Secure and submit all required renewal underwriting information - Receive phone calls and office visitors from existing customers relating to requesting quotes, changes to existing coverage and/or new policies and/or wellness programs - Follow up on outstanding claims and provide assistance in claims resolution as necessary ? Document all material conversations with insureds and/or carriers regarding exposures and coverages ? Handle premium collection through form letters and request cancellation of policies and changes in enrollment when necessary - Follow up on outstanding claims and provide assistance in claims resolution as necessary ? Solicit new business opportunities with clients for lines of coverage not currently written by the division. Expectations are an average of one new business line per client serviced. This may include group life, short-term disability, long-term disability, dental, vision, etc.Working hours: 8:00 AM - 5:00 PMSkills:- Excellent PC skills including, but not limited to Microsoft Word, Excel, and PowerPoint - Knowledge of HubSpot preferred, but not required - Confident, friendly, and outgoing personality who can thrive as part of a team - Excellent organization and time management capabilities - Ability to effectively communicate with colleagues and clients, both written and verbalEducation:High SchoolExperience:1-4 yearsQualifications:- Health & Life Agent License (2-15) required - Bachelor?s degree preferred, but not required - 3+ years of health insurance account management experience with a multiline insurance agency Please apply with a current resume to stacymadden@spherion.com for immediate considerationSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denialsResponsibilities:Review and analyze claim denials in order to perform the appropriate appeals necessary for reimbursement. Receives denied claims and researches appropriate appeal steps. Collect required documentation, review file documentation, and make sure all items needed are requested. Ensure that all claim documentation is complete, accurate, and complies with company policy. Establish, maintain, and update files, databases, records, and other documents for recurring internal reports. Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials Contact and communicate with clients by telephone, e-mail, or in-person.Working hours: 7:00 AM - 4:00 PMSkills:Basic knowledge in lending and the real estate industry. Excellent written and verbal communication. Strong attention to detail. Ability to handle multiple tasks with frequent interruptions. Knowledge of basic accounting processes and procedures. Basic computer skills including Microsoft Office. Education/Experience: Associate?s degree in billing, coding, business, finance or related field required; equivalent work experience may be substituted for education 2 to 4 years of experience required.Education:High SchoolExperience:1-4 yearsQualifications:The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denials Please call or come in to see us today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denialsResponsibilities:Review and analyze claim denials in order to perform the appropriate appeals necessary for reimbursement. Receives denied claims and researches appropriate appeal steps. Collect required documentation, review file documentation, and make sure all items needed are requested. Ensure that all claim documentation is complete, accurate, and complies with company policy. Establish, maintain, and update files, databases, records, and other documents for recurring internal reports. Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials Contact and communicate with clients by telephone, e-mail, or in-person.Working hours: 7:00 AM - 4:00 PMSkills:Basic knowledge in lending and the real estate industry. Excellent written and verbal communication. Strong attention to detail. Ability to handle multiple tasks with frequent interruptions. Knowledge of basic accounting processes and procedures. Basic computer skills including Microsoft Office. Education/Experience: Associate?s degree in billing, coding, business, finance or related field required; equivalent work experience may be substituted for education 2 to 4 years of experience required.Education:High SchoolExperience:1-4 yearsQualifications:The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denials Please call or come in to see us today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion Staffing has a temporary opening for an Insurance & Risk Management Assistant. This individual is responsible for supporting the insurance programs and risk management functions for the Company and related entities. Interested candidates should have knowledge of the Insurance industry and 2+ years of related experience.Assignment length: 4 monthsPay $20-25/hour DOEResponsibilities:- Assist in all risk management functions, including insurance related renewal activities, claims management, and employee training- Gather and process claims data- Handle requests for Certificates of Insurance- Research and provide resolution for any open issues/invoice discrepancies- Respond to questions/requests concerning insurance coverage and policies- Process all department invoices and billings pertaining to claims, fees, and premiums- Handle all aspects of work with integrity and support an ethical work environment- Willingness to assist co-workers with various tasks and assignments- Follow all policies and procedures as specified in company manuals/employee handbook- Represent yourself and company in a professional and positive manner- Maintain a positive and professional working relationship with peers, management and support resources, with a constant commitment to teamwork- All other duties and projects as assigned by ManagementResponsibilities:See aboveWorking hours: 8:00 AM - 5:00 PMSkills:Requirements:-Associate Degree-Experience of 2+ years in related field is preferred-Extremely reliable, trustworthy and ability to work with high degree of confidentiality-Ability to effectively prioritize and execute tasks in a fast-paced environment-Detail oriented and highly sensitive to deadlines-Exceptional communication skills, verbal and written-Strong analytical skills and ability to make decisions-Strong knowledge of Microsoft Office-Flexible schedule depending on the season-Knowledge of insurance or insurance industry is beneficialEducation:High SchoolExperience:1-4 yearsQualifications:See above To be considered, please apply online at www.spherion.com/apply If you have any questions please contact Janine Eberhart at 701-412-2894Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion Staffing has a temporary opening for an Insurance & Risk Management Assistant. This individual is responsible for supporting the insurance programs and risk management functions for the Company and related entities. Interested candidates should have knowledge of the Insurance industry and 2+ years of related experience.Assignment length: 4 monthsPay $20-25/hour DOEResponsibilities:- Assist in all risk management functions, including insurance related renewal activities, claims management, and employee training- Gather and process claims data- Handle requests for Certificates of Insurance- Research and provide resolution for any open issues/invoice discrepancies- Respond to questions/requests concerning insurance coverage and policies- Process all department invoices and billings pertaining to claims, fees, and premiums- Handle all aspects of work with integrity and support an ethical work environment- Willingness to assist co-workers with various tasks and assignments- Follow all policies and procedures as specified in company manuals/employee handbook- Represent yourself and company in a professional and positive manner- Maintain a positive and professional working relationship with peers, management and support resources, with a constant commitment to teamwork- All other duties and projects as assigned by ManagementResponsibilities:See aboveWorking hours: 8:00 AM - 5:00 PMSkills:Requirements:-Associate Degree-Experience of 2+ years in related field is preferred-Extremely reliable, trustworthy and ability to work with high degree of confidentiality-Ability to effectively prioritize and execute tasks in a fast-paced environment-Detail oriented and highly sensitive to deadlines-Exceptional communication skills, verbal and written-Strong analytical skills and ability to make decisions-Strong knowledge of Microsoft Office-Flexible schedule depending on the season-Knowledge of insurance or insurance industry is beneficialEducation:High SchoolExperience:1-4 yearsQualifications:See above To be considered, please apply online at www.spherion.com/apply If you have any questions please contact Janine Eberhart at 701-412-2894Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
We are hiring a Building Coordinator that will work directly with the Business Development team in the new homebuilder division. They will focus on new construction scheduling and warranty coordination for large national and regional home builders. The primary function of this position will be communicating with builder superintendents, downloading house selections and POs, processing the house file for installation, ordering materials for the jobs, and inputting the data into work orders in Solomon. The secondary function will be to communicate with builder warranty personnel and homeowners to identify and resolve any items that arise after closing. Other functions include filing claims for manufacturing defects and helping A/R with the application of payment, invoicing, and check reconciliation.**Experience in flooring and construction is critical.**Responsibilities:- Communicating with builder superintendents- Downloading house selections and PO?s, processing the house file for installation- Ordering materials for the jobs- Confirming orders- Inputting the data into work orders- Confirming schedules- The secondary function will be to communicate with builder warranty personnel and homeowners to identify and resolve any items that arise after closing.- Other functions include filing claims for manufacturing defects and helping A/R with the application of payment, invoicing, and check reconciliation.Working hours: 8:00 AM - 5:00 PMSkills:- The ability to read construction plans- Ability to manage multiple tasks- Great listening skillsEducation:No Degree RequiredExperience:1-4 yearsQualifications:- A general knowledge of flooring materials and installation methods- Knowledge of the flooring industry- A thorough understanding of the construction process Apply online and then call us at 919-873-5588 and ask for Jess.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
We are hiring a Building Coordinator that will work directly with the Business Development team in the new homebuilder division. They will focus on new construction scheduling and warranty coordination for large national and regional home builders. The primary function of this position will be communicating with builder superintendents, downloading house selections and POs, processing the house file for installation, ordering materials for the jobs, and inputting the data into work orders in Solomon. The secondary function will be to communicate with builder warranty personnel and homeowners to identify and resolve any items that arise after closing. Other functions include filing claims for manufacturing defects and helping A/R with the application of payment, invoicing, and check reconciliation.**Experience in flooring and construction is critical.**Responsibilities:- Communicating with builder superintendents- Downloading house selections and PO?s, processing the house file for installation- Ordering materials for the jobs- Confirming orders- Inputting the data into work orders- Confirming schedules- The secondary function will be to communicate with builder warranty personnel and homeowners to identify and resolve any items that arise after closing.- Other functions include filing claims for manufacturing defects and helping A/R with the application of payment, invoicing, and check reconciliation.Working hours: 8:00 AM - 5:00 PMSkills:- The ability to read construction plans- Ability to manage multiple tasks- Great listening skillsEducation:No Degree RequiredExperience:1-4 yearsQualifications:- A general knowledge of flooring materials and installation methods- Knowledge of the flooring industry- A thorough understanding of the construction process Apply online and then call us at 919-873-5588 and ask for Jess.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Full Time Office Assistant Position:ADP Payroll ProcessingGeneral LedgersAccounts PayableHR Experience in:New Hire OrientationFMLA ProceduresWorkers Comp Claims and OSHA ReportingSet Up and process Employee Health BenefitsResponsibilities:.Working hours: 8:00 AM - 5:00 PM (Various Shifts Available)Skills:.Education:High SchoolExperience:0-1 yearsQualifications:. Please call 540-431-4857.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Full Time Office Assistant Position:ADP Payroll ProcessingGeneral LedgersAccounts PayableHR Experience in:New Hire OrientationFMLA ProceduresWorkers Comp Claims and OSHA ReportingSet Up and process Employee Health BenefitsResponsibilities:.Working hours: 8:00 AM - 5:00 PM (Various Shifts Available)Skills:.Education:High SchoolExperience:0-1 yearsQualifications:. Please call 540-431-4857.Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
We are a local staffing firm hiring for an insurance company who is looking for someone to grow there!Growth and benefits offeredUser friendly softwareGreat training program on their softwareAble to learn whatever you hope toResponsibilities:-Receptionist duties: Greet guests, First to answer the phone-Gather information for quotes-Customer service-Work in software to do policy changes-Offer agent support-Billing-Help clients file claims-Use carrier portals to check billingWorking hours: 8:30 AM - 5:00 PMSkills:Customer servicePhone skillsComputer skillsEducation:No Degree RequiredExperience:0-1 yearsQualifications:Must be willing to work full time in Woodland Park, CO Apply online today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.For Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.00/hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Spherion offers a comprehensive benefits package, incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
We are a local staffing firm hiring for an insurance company who is looking for someone to grow there!Growth and benefits offeredUser friendly softwareGreat training program on their softwareAble to learn whatever you hope toResponsibilities:-Receptionist duties: Greet guests, First to answer the phone-Gather information for quotes-Customer service-Work in software to do policy changes-Offer agent support-Billing-Help clients file claims-Use carrier portals to check billingWorking hours: 8:30 AM - 5:00 PMSkills:Customer servicePhone skillsComputer skillsEducation:No Degree RequiredExperience:0-1 yearsQualifications:Must be willing to work full time in Woodland Park, CO Apply online today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.For Colorado Residents Only: The hourly range for Colorado residents is $15.00 to $25.00/hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Spherion offers a comprehensive benefits package, incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
Spherion, is currently recruiting for a temporary a Customer Service Rep who is looking to work from the comfort of their home. This is a temporary position that goes until 12/31/2021 with possible extension.This is a fully remote position doing Claims Customer Service in a VERY BUSY call center setting , for Unemployment Claims thru our client Maximus. Patience and empathy will be needed for these interactions as wait times can be long for the end user and they just need to know you are there to help. In addition, training can be rather rushed so we are looking for individuals who are tech savvy and resourceful.SCHEDULE IS KEY: See Availability needed based off of your time zone. The schedules will be created within these availabilities so you must be open to the FULL availability within the shift. Again, need open availability and your 40 hour work week scheduled will be within the availability below. You will not be able to pick your shifts.PST: Available Monday - Friday 8am - 8pmMST: Available Monday - Friday 9am - 9pmCST: Available Monday - Friday 10am - 10pmEST: Available Monday - Friday 11am - 11pmResponsibilities:This is Tier 1 style Contact Center. We handle issues like:-Unlocking accounts-Identifying and correcting errors on claimant accounts-Demographic updates-Issues with websiteIn addition this individual will:- Reviews and submits applications for federal financial or disability benefits for children/adults in custody ofgovernment social services agencies- Reviews applications denied and gathers documentation to determine if a reconsideration appeal isappropriate- Ensures case notes are updated with project timelines and with a high level of accuracy- Recognizes operational improvements and makes suggestions to management- Performs timely and regular follow up with the appropriate government program- Performs other duties as assigned by managementWorking hours: 10:00 AM - 10:00 PMSkills:- HS diploma with 2 - 4 years of experience. May have additional training or education in area ofspecialization- Proficient with MS Office- Ability to communicate effectively and professionally, verbally and in writing, to all segments of thepopulation- Excellent organizational skills- Ability to self-start and take ownership of processes- Ability to work independently as well as with community groups, social workers and the public- Associate's or Bachelor's degree preferredEducation:High SchoolExperience:1-4 yearsQualifications:To qualify for this opportunity you would need to have your own computer/headset. You must have the administrator rights to your computer, so no school/work issued computers as Maximus will not be able to add the required software needed to perform the job. Your computer must also meet the following internet requirements. If you are unsure, run a google speed test to see if your equipment meets the requirements. https://projectstream.google.com/speedtest1. Home interneta. Minimum Requirement: 20/50 Mbps download speed (50 if more than 1 person in the household is accessing at the same time); 5Mbps upload2. PC Memory: Minimum: RAM Memory: 4 GB of RAM, Preferred: 8 GB RAM preferred3. PC Hard Drive Storage: Minimum 64 GB HD4. PC Operating System: Minimum Windows 10 preferred, Windows 7 will work5. Any normal headphone you would plug into your computer6. WEB CAM IS REQUIRED SO YOU CAN PARTAKE IN THE ZOOM CONFERENCES FOR TRAINING If you are a customer service agent who likes to work from home, has their own computer set-up that meets the minimum qualifications of the tech specs of this role, and has the full availability to work the schedule...then this could be a position
Spherion, is currently recruiting for a temporary a Customer Service Rep who is looking to work from the comfort of their home. This is a temporary position that goes until 12/31/2021 with possible extension.This is a fully remote position doing Claims Customer Service in a VERY BUSY call center setting , for Unemployment Claims thru our client Maximus. Patience and empathy will be needed for these interactions as wait times can be long for the end user and they just need to know you are there to help. In addition, training can be rather rushed so we are looking for individuals who are tech savvy and resourceful.SCHEDULE IS KEY: See Availability needed based off of your time zone. The schedules will be created within these availabilities so you must be open to the FULL availability within the shift. Again, need open availability and your 40 hour work week scheduled will be within the availability below. You will not be able to pick your shifts.PST: Available Monday - Friday 8am - 8pmMST: Available Monday - Friday 9am - 9pmCST: Available Monday - Friday 10am - 10pmEST: Available Monday - Friday 11am - 11pmResponsibilities:This is Tier 1 style Contact Center. We handle issues like:-Unlocking accounts-Identifying and correcting errors on claimant accounts-Demographic updates-Issues with websiteIn addition this individual will:- Reviews and submits applications for federal financial or disability benefits for children/adults in custody ofgovernment social services agencies- Reviews applications denied and gathers documentation to determine if a reconsideration appeal isappropriate- Ensures case notes are updated with project timelines and with a high level of accuracy- Recognizes operational improvements and makes suggestions to management- Performs timely and regular follow up with the appropriate government program- Performs other duties as assigned by managementWorking hours: 10:00 AM - 10:00 PMSkills:- HS diploma with 2 - 4 years of experience. May have additional training or education in area ofspecialization- Proficient with MS Office- Ability to communicate effectively and professionally, verbally and in writing, to all segments of thepopulation- Excellent organizational skills- Ability to self-start and take ownership of processes- Ability to work independently as well as with community groups, social workers and the public- Associate's or Bachelor's degree preferredEducation:High SchoolExperience:1-4 yearsQualifications:To qualify for this opportunity you would need to have your own computer/headset. You must have the administrator rights to your computer, so no school/work issued computers as Maximus will not be able to add the required software needed to perform the job. Your computer must also meet the following internet requirements. If you are unsure, run a google speed test to see if your equipment meets the requirements. https://projectstream.google.com/speedtest1. Home interneta. Minimum Requirement: 20/50 Mbps download speed (50 if more than 1 person in the household is accessing at the same time); 5Mbps upload2. PC Memory: Minimum: RAM Memory: 4 GB of RAM, Preferred: 8 GB RAM preferred3. PC Hard Drive Storage: Minimum 64 GB HD4. PC Operating System: Minimum Windows 10 preferred, Windows 7 will work5. Any normal headphone you would plug into your computer6. WEB CAM IS REQUIRED SO YOU CAN PARTAKE IN THE ZOOM CONFERENCES FOR TRAINING If you are a customer service agent who likes to work from home, has their own computer set-up that meets the minimum qualifications of the tech specs of this role, and has the full availability to work the schedule...then this could be a position