Medical Bill Audit Coordinator Job at Apex Systems (San Antonio, TX OR Tampa, FL)

New

Benefits Specialist

Under direct supervision of the Benefits Manager, performs a variety of routine ...

Location

United States , Glendale

Salary:

Not provided

Casino Careersv

Expiration Date

Until further notice

Requirements

Associate’s degree plus four (4) years of working hands-on with employee benefit programs, with multi-property experience and a minimum of 1200 team members required, to include developing programs, direct interaction with team members related to benefits, compliance with pertinent legal issues including Employee Retirement Income Security Act (ERISA) and Cafeteria Plans (Section 125) or equivalent combination of education and experience
Bilingual in Spanish is preferred
CEBS, PHR, SPHR or CBP certification preferred
Gaming experience preferred
Must be 18 years of age or older
No felony, theft or stealing convictions allowed
Must be able to pass a pre-employment drug/alcohol screen, background investigation, obtain and maintain gaming license
Knowledge and understanding of employee benefits principles, practices, procedures, and documentation
Knowledge of state and federal laws pertaining to employee benefits, COBRA, and IRS Section 125, FMLA, Americans with Disabilities Act (ADA) and 401(k)
Knowledge of open enrollment systems and procedures

Job Responsibility

Responsible as assigned, for the implementation, communication and administration of the benefit and leave programs
Manages leave programs including Family Medical Leave (FML) and non-FML leaves of absence
Provides individual benefits counseling to team members
Coordinates disability processes and payments and advocates for Team Members with vendors
Performs daily administration of benefits plans including processing changes and updates in Human Resources Information System (HRIS)
Works with appropriate personnel to build and maintain benefits reports
Coordinates the benefit enrollment process for all team members
Audits new hire elections before they are transmitted to vendor(s)
Audits eligibility files to carriers and resolves any outstanding issues before transmitting
Ensures timely processing of Qualified Family Status Changes and Qualified Medical Support Court Orders (QMSCO)

What we offer

Flexible schedules
paid time off
tuition assistance
insurance options
competitive salaries
great benefit packages
career advancement opportunities

Fulltime

New

Medical Scheduler

We are looking for a detail-oriented Medical Scheduler to support daily healthca...

Location

United States , Youngstown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in a healthcare administrative, medical scheduling, or similar support role
Working knowledge of patient scheduling, appointment coordination, and patient demographic data entry
Ability to communicate clearly and professionally with patients, staff, guardians, and external agencies
Proficiency with Microsoft Office and electronic scheduling or medical record systems
Strong organizational skills with the ability to manage multiple priorities and deadlines effectively
High level of accuracy and attention to detail when handling records, reports, and billing support tasks
Ability to maintain confidentiality and handle sensitive information with discretion
Comfortable working independently while also contributing effectively within a team environment

Job Responsibility

Coordinate medical and related appointments for residents, ensuring schedules are accurate and communicated in a timely manner
Organize and maintain both digital and paper records to support accessible, up-to-date documentation
Prepare routine written correspondence, meeting agendas, and calendar updates for administrative and clinical activities
Assist with billing-related tasks and provide general office support to help maintain efficient day-to-day operations
Review medical charts regularly to verify completeness, accuracy, and compliance with required standards
Gather and monitor information needed for recurring reports, audits, and regulatory documentation
Complete and distribute required reports, care plan documents, discharge paperwork, and monthly updates to county agencies, guardians, and other designated parties
Provide backup coverage at the front desk when needed and support additional assignments as directed by management

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan

New

Clinical Research Coordinator II

Job Description Must have RN licensure to qualify. PURPOSE AND SCOPE: Responsi...

Location

United States , Tupelo

Salary:

Not provided

Fresenius Kidney Care Eupora

Expiration Date

Until further notice

Requirements

Graduate of a technical program in healthcare, specifically as a Registered Nurse
2 to 4 years of nursing experience, specifically as a Registered Nurse
Has successfully performed in the role of Clinical Research Coordinator I for a minimum of 3 years and demonstrated outstanding performance through performance evaluations, certification and other job performance measures
Research experience preferred
Critical care, nephrology and/ or cardiac nursing experience desirable
Willing to pursue CCRC or CCRP certification when eligible
Current state licensure, if applicable
Good computer skills: Microsoft Office minimally
Excellent communication and organizational skills
Ability to work independently, and exhibit diplomacy and problem solving skills in the performance of this role

Job Responsibility

Assists with the determination of the guidelines for the collection of clinical data and coordinates and implements procedures and processes for data collection
Coordinates all aspects of study subject care from pre-screening through study completion as defined by the protocol and Principal Investigator (PI) delegation
Protect the rights and the well-being of subjects enrolled in studies
Ensures thorough, individualized, protocol-based study subject education on all study process requirements including but not limited to: informed consent, study participation obligations, appropriate use of investigational product, safety, privacy, rights and responsibilities
Develops processes for methodically monitoring the status of study subjects as they progress through the study's timeline of activities
Regularly evaluates the study subjects' condition and communicates/documents concerns to PI to ensure subject safety
Accurately documents study subject activities as outlined by the protocol
Maintains documents according to applicable HIPAA and regulatory requirements
Implements study-specific quality goals and practices
Acts as the point of contact or lead person in a facility/practice to oversee protocol compliance

What we offer

Healthcare
Continuing Education
Paid Time Off
Collaborative Environment
Additional Perks
401(k) Retirement Saving

New

Assistant Portfolio Director

The Assistant Portfolio Director – Training and Compliance is designated as a se...

Location

United States , Sacramento

Salary:

110000.00 - 139350.27 USD / Year

Allied Universal®

Expiration Date

Until further notice

Requirements

Bachelor’s degree in criminal justice, business, or a related field with three (3) years of management experience in a high-volume workforce environment or service industry, including one (1) year managing training, compliance, or safety functions
Associate’s degree in criminal justice, business, or a related field with five (5) years of management experience in a high-volume workforce environment or service industry, including two (2) years managing training, compliance, or safety functions
High School diploma or equivalent with seven (7) years of management experience in a high-volume workforce environment or service industry, including three (3) years managing training, compliance, or safety functions
Obtain and maintain local and/or state security-related license
Valid driver’s license if driving an AUS company vehicle, or personal vehicle while conducting business
Must be able to attend and complete a client facility and security department orientation upon hire
Must be able to successfully complete the training requirements listed within the portfolio security training program
Must be able to successfully participate in and pass less than lethal weapon and tools training and qualification courses, to include corresponding Instructor certifications, upon hire
Must be able to successfully complete International Association for Healthcare Security and Safety, Inc. (IAHSS) Supervisor Level Certification (CHSS) within six (6) months of hire
Must be able to successfully complete International Association for Healthcare Security and Safety, Inc. (IAHSS) Workplace Violence Prevention Certificate Program within six (6) months of hire

Job Responsibility

Take the lead in liaising with local AUS branch office stakeholders to coordinate new employee orientations (NEO), certification training, or other training support needs for the portfolio
Liaise with the AUS Healthcare Vertical to share industry best practices for healthcare security training programs
Audit and drive security training practices across the portfolio to optimize effectiveness, efficiency, and compliance with regulatory standards
Develop and maintain the portfolio security training and training folder program
Establish contract-required training and screening elements for security personnel and ensure they have been met and maintained across all client sites
Establish and maintain the portfolio Post Order standards, providing guidance to the Account Manager and/or Assistant Account Manager when conducting annual, or as needed updates
Conduct validation audits of employee specific training folders to ensure they are maintained and available for review by client, AUS, or regulatory and accreditation agencies
Execute all training aspects (technical and managerial) of the security contract across portfolio locations, assigning tasks to the Portfolio Manager, Account Manager, and/or Assistant Account Manager
Facilitate workplace violence and de-escalation training, either in partnership with other instructors, or independently, for both client and AUS personnel
Maintain subject matter expertise in applicable security related topics

What we offer

Employee Assistance Program
Employee Discount Program
Tuition Discount Program
Training & Career Development Programs

Fulltime

Benefits Coordinator

A growing, multi-site organization is seeking a Benefits Coordinator to join the...

Location

United States , Plymouth

Salary:

65000.00 - 79000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

1+ year of experience in HR, benefits administration, leave management, payroll, or a related HR function
Strong Excel skills required (PivotTables, VLOOKUP/XLOOKUP, data tracking, reporting)
Comfortable working with detailed spreadsheets and managing multiple data sets
Exposure to benefits administration, leave processes, or workers’ compensation strongly preferred
Experience in HRIS systems (UKG or similar) is a plus
Strong communication skills and a customer-service mindset
Ability to work independently while also collaborating with a small, hands-on HR team
Highly organized, detail-oriented, and resourceful in finding information

Job Responsibility

Track, manage, and maintain employee leaves of absence, including documentation, timelines, and follow-ups
Maintain and update detailed Excel-based tracking systems (leave status, dates, medical documentation, etc.)
Support benefits enrollment processes and assist employees with questions regarding eligibility and deadlines
Assist with benefits orientation and onboarding support
Process and support benefits-related transactions including 401(k), FSA, disability, and other benefit programs
Support workers’ compensation tracking, reporting, and documentation
Assist with benefits billing, reconciliations, and data accuracy audits
Support compliance reporting including ACA, 1095-C, and other regulatory requirements
Generate reports, dashboards, and employee census data as needed
Partner with HR and payroll teams to ensure accuracy of employee benefit records

What we offer

Benefits start day one
Profit sharing program (historically up to ~15% depending on company performance)
Supportive, approachable HR leadership team with strong mentorship
Opportunity to gain deep exposure to benefits, leave management, and HR operations in a stable environment

Fulltime

Employee Benefits Assistant Account Manager

Alera Group is looking for an Assistant Account Manager to join our Employee Ben...

Location

United States , Oxnard

Salary:

25.00 - 28.00 USD / Hour

Alera Group

Expiration Date

Until further notice

Requirements

1–3 years of group medical insurance experience (plan administration, self-funded, fully insured, or small group plans preferred)
Knowledge of medical and group insurance terminology, as well as regulatory requirements
Strong team player with a collaborative mindset
Adaptable and enthusiastic in fast-paced, evolving environments

Job Responsibility

Communicate with employer groups, carriers, and vendors regarding benefits setup, claims, eligibility, and billing
Serve as a liaison between Account Management, carriers, and vendors to coordinate changes, renewals, and new business
Assist with on-site enrollment meetings and benefits materials preparation
Support proposal comparisons and development of Plan Documents, Summary Plan Descriptions, and employee benefit materials
Aid Client Manager with audits, including eligibility and carrier record reviews

What we offer

medical insurance
dental insurance
life insurance
disability insurance
401k
generous paid time off

Fulltime

Medical Claims Examiner

We are looking for a detail-focused Medical Claims Examiner to join an insurance...

Location

United States , Greenville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of direct medical claims processing and adjudication experience with responsibility for final payment decisions.
Practical knowledge of applying plan benefits, including deductibles, coinsurance, copays, and benefits coordination.
Working familiarity with ICD-10 diagnosis coding, CPT/HCPCS procedure coding, revenue codes, bill types, and explanation of benefits review.
Experience using provider networks, contract terms, or fee schedules to price and evaluate claims accurately.
Background in a third-party administrator, self-funded, or medical insurance claims environment is strongly preferred.
Ability to distinguish true claims adjudication work from customer service, enrollment, billing-only, intake, or audit-only functions.
Strong written and verbal communication skills, along with proficiency in Microsoft Word, Excel, and Outlook.
Proven ability to manage a high-volume workload while maintaining accuracy and adapting to changing priorities.

Job Responsibility

Review and adjudicate medical, dental, vision, and flexible spending account claims from intake through final payment determination.
Examine suspended or flagged claims to identify billing discrepancies, duplicate submissions, unbundled charges, or other questionable claim activity.
Resolve system-related claim exceptions by making manual corrections before claims are finalized for payment.
Apply member benefits, provider contract terms, fee schedules, and applicable regulations to calculate accurate reimbursement outcomes.
Interpret coding and billing details, including diagnosis and procedure information, to support proper claim handling.
Escalate complex claim issues or unclear situations to leadership when additional review or guidance is needed.
Manage assigned exception reports and follow through on outstanding claim items in a timely manner.
Meet established productivity, turnaround, and quality expectations while maintaining dependable attendance at the Greenville, South Carolina worksite.

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan

Billing Supervisor

Location

United States , Charlotte

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of billing experience in a high-volume, fast-paced setting, with industry-related experience preferred
2 or more years of experience leading, supervising, or guiding a billing team
Working knowledge of medical billing, billing operations, collections, and payment processing practices
Strong Excel and Microsoft Office skills, with confidence handling reports, reconciliations, and data-heavy tasks
Excellent attention to detail and the ability to manage complex calculations and accuracy-sensitive workflows
Effective written and verbal communication skills, including the ability to handle escalations and interact professionally with clients
Associate degree or equivalent practical experience preferred
Familiarity with provider network or healthcare-related billing environments is a plus

Job Responsibility

Direct daily billing activity by assigning invoice workloads across the team and adjusting priorities to keep processing timely and balanced
Track key operational indicators such as invoice volume, turnaround performance, rejection patterns, and error trends, then take action to remove bottlenecks
Evaluate and authorize complicated or exception-based invoices before release, ensuring documentation, accuracy, and client requirements are met
Act as the primary escalation resource for billing disputes, incomplete records, payment questions, and client-facing invoice concerns
Supervise offshore billing support and provide ongoing coaching to Billing Specialists to strengthen accuracy, reporting quality, and issue resolution
Record and upload incoming payments each day, while overseeing batch submission activity and maintaining appropriate operational controls
Support month-end close by preparing billing reports for leadership, maintaining audit-ready documentation, and monitoring backlog reduction efforts
Conduct routine quality reviews of completed billing work, document findings, and implement corrective actions to reinforce compliance and reduce recurring mistakes
Lead team development through onboarding, training, regular one-on-one meetings, performance feedback, and coordination of scheduling and attendance
Participate in client discussions as a billing subject matter expert and recommend process improvements based on productivity and workflow trends

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Select Country

Medical Bill Audit Coordinator

Job Description

Requirements

What we offer

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