Professional

Revenue Cycle Specialist - Charlotte or Raleigh-Durham

Revenue Cycle Specialist – Charlotte or Raleigh-Durham, NC

We have several positions for top performers well versed in the Healthcare Revenue Cycle and eager to meet and exceed client expectations. We are searching for professionals with a background in the revenue cycle from either the Healthcare providers or payer’s perspective who would like to maximize their professional potential.

We seek candidates with backgrounds in Insurance follow-up, insurance collection, denials and appeals, and review of patient accounts.   Position is Contract-to-Hire and pay is $14-20/hr depending on experience.

Responsibilities:

  • Interfacing with insurance carrier specific to your assigned account queue and following up on the under-paid claims, to result in payment on the account.
  • Present a professional appeal to payers so that underpaid claims are corrected following appropriate research and identification
  • Maintain effective communication and timely follow up with clients, medical providers, and payers
  • Prepare and submit appeal/reconsideration letters to address payer concerns

Qualifications:

  • 1-3 years experience working with Healthcare Insurance Claims and working knowledge of Healthcare Revenue Cycle required, hospital specific insurance experience preferred
  • Associates degree preferred, High school Diploma or equivalent required
  • Working knowledge of CPT/HCPCS codes
  • Excellent verbal skills
  • Problem Solving and Critical thinking skills
  • Must be able to articulate how you would work a claim
  • Adaptability to rapid growth and a progressing environment
  • An Internal Drive to Succeed and pride in accomplishments
  • Comfortable with being on the phone with various parties for the greatest part of the day – capable of creating a professional and competent presence over the phone

Please submit your resume in confidence to resumes@prgwork.com for immediate consideration.  To speak with a healthcare recruiter, please call Bethanne at (704) 412-6836.

 

Healthcare Attorney

Healthcare Attorney - Charlotte

We have a unique opportunity for a newer attorney to get immersed into healthcare from the business side.  We are seeking 3 attorneys to work in-house in the Insurance Recovery Appeals department for a healthcare corporation.   Position is a full-time, direct-hire positon paying approximately $55,000-$70,000.   Must be a licensed attorney and show a strong interest in Healthcare.  Position is located in Charlotte, NC.

Responsibilities include:

  • Managing healthcare appeals and insurance appeals

·       Managing client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. Where warranted, the Attorney will write sound, compelling factual arguments for Audit team review to determine if an appeal is warranted.

·       Drafting templates for healthcare recovery and appeals team to utilize

  • Legal research into clinical and technical arguments in difficult medical cases
  • Manage outside law firms often used in workers' compensation cases.

Please submit your resume, indicating any healthcare law training, in confidence to resumes@prgwork.com for immediate consideration.  For questions about this position, please call Jennifer at (704) 412-3352.

Growth Potential for Charlotte-based Sales Manager with Dye Sales Experience!

Growth Potential for Charlotte-based Sales Manager with Dye Sales Experience!

We are seeking a highly motivated and skilled Sales Manager for the Charlotte region to join the Sales team of a global optoelectronics manufacturer. This position is responsible for selling dyes and dye products in a specified region and providing ongoing support to a product distribution channel.