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86 results for Claims Processor Healthcare jobs

Claims Technician

Pleasant Hill, CA
onsite
Temporary / Contract
26 - 28 USD / Hourly
We are looking for a detail-oriented Claims Technician to provide administrative and technical support for workers’ compensation claim activity within a Financial Services environment. This Long-term Contract position is well suited for someone who can manage documentation, process invoices, and keep claim files organized while working within established timelines. The role requires strong clerical accuracy, clear communication, and the ability to handle a steady flow of records, forms, and related correspondence. Claims Technician Responsibilities:• Provide day-to-day administrative support for workers’ compensation files, ensuring records, forms, and documentation are maintained accurately and efficiently.• Create and update correspondence and claim-related documents using claims management platforms and standard office applications.• Examine, authorize, and process invoices tied to claim activity, including medical review services, nursing support, mileage reimbursements, and legal billing.• Compile and send medical reports and supporting materials within required deadlines, confirming each submission is complete and accurate before release.• Distribute medical records and related documentation to attorneys and other authorized parties in a timely manner.• Perform data entry and file maintenance to support organized claim handling and dependable recordkeeping.• Use common office equipment such as computers, copiers, and fax machines to prepare, reproduce, and assemble claim materials.• Assist broader claims operations with administrative tasks, special assignments, and other support needs as directed by leadership. If you are interested in this Claims Technician position, please apply today!
2026-04-21T00:00:00Z

Payroll Processor

Westerville, OH
onsite
Temporary / Contract
20 - 25 USD / Hourly
We are looking for a detail-oriented Payroll Processor to join our client's team in Westerville, Ohio. In this long-term contract role, you will play a key part in ensuring the accurate processing of payroll data, addressing employee inquiries, and maintaining compliance with tax regulations. This position offers an excellent opportunity to grow your expertise in payroll functions while working in a collaborative environment. Great chance to get a foot in the door at a growing organization. Responsibilities:• Enter employee time data from timesheets, production records, or time cards into the payroll system.• Review and balance payroll runs to ensure accuracy and compliance.• Prepare and process federal, state, and local tax payments in a timely manner.• Respond to employee questions regarding payroll and troubleshoot issues as needed.• Follow established procedures and guidelines to perform job functions efficiently.• Collaborate with supervisors and managers to resolve payroll-related discrepancies.• Maintain detailed records of payroll activities for reporting and audit purposes.• Ensure adherence to company policies and legal requirements in payroll processing.• Assist in identifying and implementing improvements to payroll procedures.
2026-04-17T00:00:00Z

Operations Processor

Winsted, CT
onsite
Temporary / Contract
22.1635 - 25.663 USD / Hourly
Our client in Winsted, CT is seeking a detail-oriented Operations Processor for a contract role. This is an excellent opportunity to join a dynamic organization, supporting core financial operations in a fast-paced environment.Key Responsibilities:<ul><li>Accurately process transactions such as deposits, withdrawals, and fund transfers.</li><li>Monitor account activity and reconcile accounts to ensure accuracy.</li><li>Identify and resolve discrepancies, escalating issues as needed.</li><li>Maintain account records in compliance with company policies and procedures.</li><li>Assist with other operational and administrative tasks as assigned.</li></ul>
2026-04-07T00:00:00Z

Operations Processor

Akron, OH
onsite
Temporary / Contract
25 - 35 USD / Hourly
Our company is seeking an organized and detail-oriented Operations Coordinator for a contract-to-permanent opportunity. The ideal candidate will be responsible for overseeing key operational functions and ensuring the efficient and effective execution of daily business processes.Key Responsibilities:<ul><li>Production Scheduling: Develop and maintain production schedules to ensure timely order fulfillment and optimize production efficiency.</li><li>Purchasing: Manage the procurement of materials, supplies, and services required for operations. Cultivate and maintain positive vendor relationships and negotiate pricing to support cost-effective purchasing.</li><li>Inventory Management: Monitor and track inventory levels, perform cycle counts, reconcile discrepancies, and implement inventory control best practices to minimize shrinkage and optimize stock levels.</li><li>Customer Service Operations: Oversee a team or provide direct support in addressing client inquiries, processing orders, and resolving customer issues, with a strong focus on maintaining high standards of customer satisfaction.</li><li>Freight and Logistics Coordination: Coordinate inbound and outbound shipments, liaise with freight carriers, arrange transportation, and resolve shipping and logistics challenges to ensure timely and accurate delivery.</li></ul>
2026-04-01T00:00:00Z

Medical Billing/Claims/Collections

Pittsburgh, PA
onsite
Temporary to Hire
18.75 - 19.4 USD / Hourly
We are looking for a detail-oriented individual with experience in Medical Billing, Claims, and Collections to join our team in Bethel Park, Pennsylvania. This Contract to Permanent position is ideal for someone with a strong background in medical billing, collections, and insurance claims processing, particularly in a hospital or healthcare setting. The role offers an excellent opportunity to contribute to a dynamic team while advancing your career in the healthcare industry. Responsibilities: • Process and manage medical billing and claims submissions accurately and efficiently. • Handle medical collections, including following up on unpaid claims and resolving discrepancies. • Collaborate with insurance companies to address denied claims and appeals. • Ensure compliance with healthcare regulations and billing practices. • Verify patient insurance coverage and calculate co-pays and deductibles. • Maintain accurate records of billing activities and payment statuses. • Communicate effectively with patients to address billing inquiries and resolve payment issues. • Work closely with hospital staff to ensure proper documentation and billing procedures. • Stay updated on changes to insurance policies and billing codes. • Support the team in achieving billing and collection goals.
2026-04-13T00:00:00Z

Medical Billing - eClinicalWorks

Los Angeles, CA
remote
Temporary / Contract
18 - 23 USD / Hourly
We are seeking an experienced (Remote) Medical Billing Specialist to manage end‑to‑end billing functions using eClinicalWorks. This remote role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. eClinicalWorks is a MUST, Key Responsibilities: <ul><li>Using eClinicalWorks for a medical billing and collections functions. </li><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices.</li></ul> Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-17T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent / Full Time
60000 - 65000 USD / Yearly
The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected] Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? Responsibilities:<ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul>
2026-04-17T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary / Contract
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-04-14T00:00:00Z

Medical Claims Analyst

North Providence, RI
onsite
Temporary / Contract
17.1 - 19.8 USD / Hourly
Position SummaryWe are seeking a detail-oriented Claims Analyst for a long-term contract on site in Providence, RI. Strong experience in Coordination of Benefits (COB), orthodontic or medical claims processing, and suspended/pended claims resolution. This role requires a thorough understanding of industry guidelines, plan provisions, and claim adjudication processes to ensure accurate and timely claim outcomes. Key ResponsibilitiesCoordination of Benefits (COB) Processing<ul><li>Review and adjudicate claims to determine primary and secondary coverage in accordance with COB rules</li><li>Verify subscriber and dependent eligibility across multiple insurance plans</li><li>Apply industry-standard guidelines to ensure accurate benefit determination</li><li>Calculate correct payment amounts following primary insurer adjudication</li><li>Adjust claims based on Explanations of Benefits (EOBs) received from other carriers</li></ul>Orthodontic Claims Processing<ul><li>Evaluate orthodontic treatment plans for coverage eligibility and plan compliance</li><li>Verify lifetime maximums, age limits, and plan-specific orthodontic provisions</li><li>Process initial banding/bonding claims and ongoing periodic payments</li><li>Calculate prorated payments over the course of treatment</li><li>Monitor continuation of treatment and confirm ongoing patient eligibility</li></ul>Suspended / Pended Claims Handling<ul><li>Analyze suspended or pended claims to identify errors, missing documentation, or review flags</li><li>Determine root causes such as eligibility discrepancies, coding issues, or COB conflicts</li><li>Prioritize suspended claims based on aging, urgency, and service-level agreements (SLAs)</li><li>Escalate complex or high-risk issues to senior analysts or supervisors as appropriate</li><li>Ensure timely and compliant resolution in accordance with turnaround time standards</li></ul>
2026-04-07T00:00:00Z

Claims Examiner - Workers Compensation

Alpharetta, GA
onsite
Temporary / Contract
29 - 31 USD / Hourly
We are looking for a skilled Claims Examiner specializing in Workers Compensation to join our team on a contract basis in Alpharetta, Georgia. This position requires someone who is detail oriented and can deliver exceptional customer service while managing claims with accuracy and efficiency. The ideal candidate will possess strong analytical abilities, excellent communication skills, and a commitment to ensuring timely resolutions of claims. Responsibilities: • Manage and investigate Workers Compensation claims, ensuring compliance with established procedures and regulations. • Deliver outstanding customer service to insureds, claimants, agents, and other stakeholders through clear and effective communication. • Accurately assess expenses and losses related to Lost Time claims, providing timely and detailed reports. • Identify and address coverage issues, potential fraud, and subrogation opportunities while adhering to company guidelines. • Develop and execute effective claim strategies to achieve early resolutions and positive outcomes. • Maintain organized and up-to-date files using a diary system to monitor progress and follow up on new developments. • Communicate trends, issues, and claim activities to internal and external customers in a timely manner. • Collaborate with team members to ensure claims are managed and resolved effectively. • Provide guidance and direction to colleagues to facilitate efficient claim processing and resolution.
2026-04-03T00:00:00Z

Claims Administrator/Specialist

Randolph, MA
onsite
Temporary to Hire
30 - 35 USD / Hourly
We are looking for a detail-oriented Claims Administrator to support a general contractor in the greater Boston area . This is a contract-to-permanent position, where you will play a pivotal role in supporting the Director of Risk Management with managing various insurance claims. You will collaborate with adjusters, attorneys, and other stakeholders to ensure claims are investigated thoroughly, processed efficiently, and resolved in a timely manner. Responsibilities:• Assist in managing and overseeing insurance claims, including general liability, workers' compensation, and auto liability.• Collaborate with adjusters, attorneys, and third-party carriers to investigate claims and determine liability.• Prepare comprehensive loss runs and claims reports to identify trends and areas of focus.• Compile and organize documentation required for Discovery requests and litigation processes.• Handle small nuisance claims that may not fall under existing insurance coverage.• Assess tender opportunities and make recommendations on settlements.• Provide support for claims related to construction, environmental liability, and property risks.• Ensure accurate processing of claims and maintain compliance with industry standards.• Utilize industry knowledge to interpret construction documents and evaluate construction litigation cases.• Work closely with stakeholders to address inquiries and provide updates on claim statuses.
2026-04-21T00:00:00Z

Medical Eligibility and Payment Posting Specialist

Pleasanton, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for a dedicated Medical Eligibility and Payment Posting Specialist to join our client in Pleasanton, California. In this long-term contract position, you will play a vital role in ensuring accurate medical eligibility verification, and payment posting processes. This is an excellent opportunity for someone with expertise in medical billing to make a meaningful impact in healthcare operations. This role is a Part-time onsite role ranging from 28-32 hours per week. Responsibilities:• Accurately apply ICD-10 and CPT codes to medical records to ensure proper billing and compliance.• Perform thorough eligibility verification for patients, including Medicaid and insurance eligibility.• Post medical payments and reconcile accounts to maintain accurate financial records.• Generate and manage patient statements to ensure timely communication regarding billing.• Collaborate with insurance providers to resolve discrepancies and ensure seamless claim processing.• Review and update patient eligibility data to support billing accuracy.• Address and rectify issues related to denied claims or payment discrepancies.• Maintain compliance with all relevant healthcare regulations and coding standards.• Support the overall revenue cycle management process with attention to detail and efficiency.• Provide excellent customer service by addressing patient inquiries related to billing and eligibility. If you are interested in this role please apply now and contact us at (510) 470-7450 for more details.
2026-04-22T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary / Contract
31 - 31 USD / Hourly
Title: Workers’ Compensation Claim ExaminerLocation: New Haven, CT 06511‑5941, United StatesExperience Required:<ul><li>3+ years of Workers’ Compensation Claim Examiner experience or commensurate transferable experience</li><li>Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present</li></ul>Key Duties & Responsibilities<ul><li>Handle all aspects of workers’ compensation claims from inception to closure while maintaining strong customer relations.</li><li>Review claim and policy information to establish investigative background.</li><li>Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers.</li><li>Evaluate investigation findings to determine claim compensability.</li><li>Notify insureds, claimants, and attorneys of claim denials when applicable.</li><li>Prepare investigative reports, settlements, denials, and evaluations of involved parties.</li><li>Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim.</li><li>Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed.</li><li>Perform regular claim reviews and recommend corrective or remedial actions to address issues.</li><li>Identify and escalate unusual or potentially adverse exposures to leadership.</li></ul>Experience & Education Requirements<ul><li>Experience working in a fast‑paced, customer‑focused environment.</li><li>Strong verbal, written, and telephonic communication skills.</li><li>Prior roles requiring high levels of organization, follow‑up, and accountability.</li><li>Workers’ compensation claim handling experience preferred but not required.</li><li>Familiarity with healthcare claims, disability claims, auto/PIP, medical injury, general liability, or medical billing is a plus.</li><li>Prior insurance, legal, or corporate business experience is a plus.</li><li>AIC, RMA, or CPCU coursework or designations are a plus.</li><li>Proficiency with Microsoft Office products.</li><li>Knowledge of medical terminology and bill processing is a plus.</li></ul>Licensing RequirementsClaim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting.If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses
2026-04-07T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary / Contract
32 - 35 USD / Hourly
We are seeking a detail-oriented Claims Examiner to join a fast-paced, customer-focused environment. This is a temporary, fully on-site opportunity where the Claims Examiner will manage claims from intake through resolution, ensuring accuracy, compliance, and excellent service throughout the lifecycle of each case.Key Details<ul><li>Service Type: Temporary to hire</li><li>Schedule: 5 days on-site</li><li>Hours: 8:30 AM – 5:00 PM EST</li><li>Location: New Haven, CT</li></ul>Responsibilities<ul><li>Manage workers’ compensation claims from setup through closure</li><li>Review claim and policy information to support investigations</li><li>Conduct thorough investigations, including gathering statements from claimants, insured parties, and medical providers</li><li>Determine claim compensability based on collected facts</li><li>Communicate claim decisions, including denials, to relevant stakeholders</li><li>Prepare detailed reports on investigations, settlements, and claim evaluations</li><li>Administer statutory medical and indemnity benefits in a timely manner</li><li>Set and adjust reserves within authority limits and recommend changes as needed</li><li>Monitor claim progress and recommend corrective actions to leadership</li><li>Coordinate with attorneys on hearings and litigation</li><li>Direct vendors such as nurse case managers and rehabilitation specialists</li><li>Ensure compliance with customer service standards and regulatory requirements</li><li>File necessary documentation with state agencies</li><li>Identify subrogation opportunities and support recovery efforts</li><li>Collaborate with internal teams to deliver high-quality claims handling</li></ul>
2026-04-21T00:00:00Z

Claims Examiner

Greenville, NY
onsite
Permanent / Full Time
50000 - 75000 USD / Yearly
We are looking for a detail-oriented Claims Examiner to join our team in Greenville, New York. In this role, you will be responsible for thoroughly investigating and resolving Property and Casualty claims while ensuring compliance with applicable regulations and company policies. This position demands strong analytical skills, effective communication, and the ability to handle complex situations with fairness and integrity. Responsibilities: • Conduct detailed investigations and assessments of Property and Casualty claims, including analyzing coverage and policy terms. • Oversee the claims process from initial notification through resolution, ensuring timely and accurate handling. • Engage empathetically and effectively with policyholders, agents, attorneys, and vendors to address inquiries and concerns. • Resolve disputes and conflicts with attention to detail while adhering to policy guidelines and regulations. • Negotiate settlements within your authority, even in challenging or high-pressure scenarios. • Review supporting documentation such as estimates, reports, and medical records to evaluate the validity of claims. • Monitor compliance with New York State insurance regulations and company standards throughout the claims process. • Maintain organized and accurate claim files, ensuring documentation is timely and thorough. • Identify opportunities for fraud detection or subrogation and take appropriate action.
2026-04-17T00:00:00Z

Medical Collections

Sacramento, CA
onsite
Temporary / Contract
25 - 30 USD / Hourly
Robert Half is seeking a detail-oriented Medical Collections Specialist to join our healthcare team. This role plays a critical part in ensuring timely and accurate collection of outstanding medical payments, supporting revenue cycle management, and maintaining high standards of patient communication and confidentiality. Key Responsibilities:<ul><li>Manage and collect payments from patients, insurance companies, and other payers.</li><li>Review accounts, research discrepancies, and resolve billing issues efficiently.</li><li>Apply knowledge of revenue cycle management processes to achieve outstanding recovery rates.</li><li>Maintain accurate patient records in accordance with HIPAA and internal compliance guidelines.</li><li>Utilize electronic health record (EHR) systems (e.g., Epic) for payment tracking and documentation.</li><li>Partner with internal departments to support month-end close and reporting.</li><li>Communicate with patients regarding billing questions and payment arrangements.</li><li>Coordinate with patient access and scheduling teams to resolve insurance or eligibility challenges.</li><li>Uphold a high level of customer service and professionalism with all parties.</li></ul>
2026-04-03T00:00:00Z

Mortgage Processor

Pittsburgh, PA
onsite
Temporary / Contract
20 - 22 USD / Hourly
Job Title: Junior Underwriting / Senior Mortgage Processor Location: Pittsburgh, PA 15219 Start Date: ASAP, within one week Job Summary: Our client is seeking a Junior Underwriting / Senior Mortgage Processor for a 90-day contract opportunity in Pittsburgh, PA. This role will support the Mortgage Underwriting team by managing documentation, reviewing loan conditions, clearing conditions based on underwriting feedback, and ensuring timely communication with lines of business and vendors. The ideal candidate will have prior mortgage processing experience and be comfortable working in a fast-paced, detail-oriented environment. Key Responsibilities: Upload and organize mortgage loan documents accurately and efficiently Review loan conditions and identify outstanding items Clear conditions based on underwriting feedback and loan requirements Generate commitment letters in a timely manner Communicate with lines of business and external vendors regarding documentation and status updates Support the underwriting team with processing-related tasks to help move loans through the pipeline Maintain accuracy and compliance throughout the loan review process Qualifications: Required: Mortgage processing experience Preferred: Mortgage underwriting experience Strong attention to detail and organizational skills Ability to manage multiple priorities in a deadline-driven environment Effective written and verbal communication skills Familiarity with mortgage underwriting and processing workflows Other Details: Onsite in Pittsburgh, PA Business casual attire Standard business hours, Monday through Friday, 8:00 AM–5:00 PM
2026-04-22T00:00:00Z

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary / Contract
19.7885 - 25 USD / Hourly
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination. Responsibilities: • Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness. • Monitor and follow up on pending and denied authorizations to secure approvals efficiently. • Collaborate with clinical and administrative teams to collect and verify required medical documentation. • Communicate with insurance companies to resolve issues and obtain necessary approvals. • Maintain compliance with hospital policies, as well as state and federal healthcare regulations. • Accurately record and update information within hospital information systems. • Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process. • Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process. • Handle inbound and outbound calls related to authorization inquiries and resolutions.
2026-04-21T00:00:00Z

Student Refund Processor

Bowie, MD
onsite
Temporary / Contract
20.5865 - 23.837 USD / Hourly
We are looking for a detail-oriented Accounts Payable Clerk to join our team in Bowie, Maryland. In this role, you will ensure the accurate and timely processing of refunds while adhering to federal, state, and institutional regulations. This is a long-term contract position. Responsibilities:• Process student refund transactions using PeopleSoft, ensuring compliance with institutional guidelines and deadlines.• Reconcile and transmit refund files to third-party disbursement vendors, such as BankMobile.• Verify credit balances on student accounts prior to issuing refunds.• Investigate and resolve discrepancies related to refunds, rejected transactions, and returned payments.• Monitor daily refund activity, including exception reports and reconciliation logs.• Collaborate with departments like Financial Aid, Registrar, Student Accounts, and IT to address refund-related issues.• Maintain accurate and organized documentation for audit purposes.• Assist with month-end and year-end reconciliation processes.• Respond promptly to student inquiries regarding refund timelines and payment methods.• Support internal and external audits by providing required information and documentation
2026-04-20T00:00:00Z

Claims Specialist

Duncan, SC
onsite
Permanent / Full Time
65000 - 80000 USD / Yearly
We are looking for an experienced Claims Specialist to join our team in Duncan, South Carolina. In this role, you will manage and oversee the full lifecycle of worker's compensation claims, ensuring efficient processing and resolution. This position requires expertise in claims management, risk reduction strategies, and effective communication with claimants and stakeholders. Responsibilities: • Handle a high volume of worker's compensation claims from initiation to final resolution, ensuring compliance with applicable regulations. • Conduct thorough investigations and audits to assess claims and mitigate risks. • Collaborate with employees, insurers, and claimants to resolve claims efficiently and effectively. • Provide expert guidance on risk management strategies to help clients minimize future liabilities. • Analyze claims data to identify trends and recommend improvements to reduce overall risk exposure. • Facilitate the claims adjudication process, ensuring timely and accurate processing. • Assist in preparing reports and documentation for audits and compliance purposes. • Serve as a key point of contact for claimants, addressing inquiries and providing support throughout the claims process. • Work closely with internal teams to ensure seamless communication and resolution of claims.
2026-04-01T00:00:00Z

Medical Insurance Collections Specialist

Buena Park, CA
onsite
Temporary / Contract
23.02 - 29.11 USD / Hourly
A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.Responsibilities:<ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul>
2026-04-06T00:00:00Z

Surgery Medical Billing Collections Specialist

Los Angeles, CA
onsite
Temporary / Contract
24.91 - 31.01 USD / Hourly
A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. DUTIES AND RESPONSIBILITIES -Performs full cycle billing and collection functions for Surgical professional fees -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission -Performs all data entry and charge posting functions for surgical services as needed -Performs all third party follow-up functions for all products and surgical procedures. -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing. -Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation. - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons
2026-04-03T00:00:00Z

Loan Processor

Mendota Heights, MN
onsite
Temporary / Contract
25 - 30 USD / Hourly
We are looking for a detail-oriented Loan Processor to support fiscal year-end activities on a contract basis. This short-term role requires strong organizational and data processing skills to ensure the accurate management of loan files and documents. Based in Mendota Heights, Minnesota, the position will require in-office attendance at corporate headquarters. Responsibilities: • Review and verify installment loan files and documents to ensure accuracy and compliance with company policies and regulatory requirements. • Coordinate the setup and booking of new loans and manage updates to existing loans. • Scan, index, and manage loan-related documents received from internal teams, third-party vendors, and external partners. • Monitor loan production to ensure adherence to compliance standards, identifying areas for improvement and providing training as needed. • Maintain document status information using system-generated and manual reports, ensuring timely follow-up on outstanding items. • Prepare reports to highlight pending issues, department goals, and training needs for leadership review. • Analyze loan booking trends and provide insights to support strategic decision-making by the leadership team. • Assist in maintaining procedural and policy manuals to ensure alignment with company standards. • Support ad hoc projects such as marketing analysis or audit-related tasks as they arise. • Utilize tools such as Microsoft Excel and other systems to generate reports and track progress effectively.
2026-03-30T00:00:00Z

Prior Authorization Coordinator

Minneapolis, MN
remote
Temporary / Contract
19.7885 - 22.913 USD / Hourly
We are looking for a Prior Authorization Coordinator to support authorization and scheduling activities for a healthcare team in Minneapolis, Minnesota. This Contract position is ideal for someone who is organized, responsive, and comfortable managing administrative tasks in a fast-paced environment. The role focuses on coordinating prior authorizations, handling incoming communication, and helping patients and internal teams stay on schedule. Responsibilities:• Coordinate prior authorization requests by gathering required documentation, submitting information to payers, and tracking approvals to support timely care delivery.• Respond to inbound calls professionally, address routine questions, and route more complex concerns to the appropriate team members.• Provide administrative support through data entry, record updates, document management, and follow-up communication with stakeholders.• Work closely with clinical and operational teams to confirm authorization status and prevent delays in service.• Maintain organized records of authorization activity, scheduling changes, and payer communications for reference and compliance.• Assist with workflow updates or process-related coordination as needed to support department operations.
2026-04-20T00:00:00Z

Order Processing

Miami, FL
onsite
Temporary / Contract
0 - 0 USD / Yearly
Logistics Clerk / Order Processing (On-Site) A growing company is seeking a Logistics Clerk / Order Processing Specialist to support daily operations in a fast-paced environment. This role is ideal for someone who is flexible, detail-oriented, and comfortable wearing multiple hats. <ul><li>Process and track customer orders from start to finish</li><li>Coordinate shipments and communicate with vendors and clients</li><li>Maintain accurate records and update systems</li><li>Assist with inventory tracking and logistics coordination</li><li>Provide general administrative and operational support</li></ul>
2026-04-11T00:00:00Z