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71 results for Credentialing Specialist jobs

Credentialing Specialist

Rochester, NY
onsite
Temporary / Contract
23 - 23 USD / Hourly
*THIS POSITION IS NOT REMOTE* We are looking for a Credentialing Specialist to support provider enrollment and credential verification activities for a healthcare organization in Rochester, New York. This Long-term Contract position is ideal for someone who can manage detailed compliance documentation, maintain accurate records across credentialing platforms, and work closely with internal teams to keep provider files current. The role requires strong attention to detail, sound judgment when reviewing documentation, and the ability to help maintain regulatory and organizational standards. Responsibilities:• Review, organize, and process provider credentialing and recredentialing files to support timely approvals and renewals.• Verify licenses, certifications, work history, and other required documentation to ensure provider records meet healthcare and compliance standards.• Maintain accurate information in credentialing databases, CRM tools, EHR systems, and related tracking platforms.• Prepare audit-ready files by monitoring missing items, updating records, and following up with providers or internal stakeholders as needed.• Use CAQH and other credentialing resources to validate provider data and streamline application management.• Generate and manage digital documents using Adobe Acrobat, ensuring forms are complete, accurate, and properly stored.• Support compliance reviews by identifying discrepancies, escalating issues, and helping enforce established credentialing procedures.• Coordinate with cross-functional departments to track application status, resolve documentation gaps, and maintain efficient workflow progress.
2026-05-19T00:00:00Z

Credentialing Specialist

Phoenix, AZ
onsite
Temporary / Contract
24 - 31 USD / Hourly
The Privileging Coordinator is responsible for all aspects of the privileging processes for all medical providers who provide care at Health Care Center. The Privileging Coordinator also maintains up-to-date data for each provider in online systems while ensuring timely renewal of licenses and certifications.Essential Functions• Compiles, evaluates, coordinates, and maintains current and accurate data and credentials for all clinicians. Enables timely onboarding of providers and ongoing maintenance of credentialing thereafter.• Completes Primary Source Verification on all clinicians.• Sets up and maintains provider information in online CAQH databases and system.• Tracks and monitors license, DEA, board certification expirations for all providers to ensure timely renewals.• Maintains files and processes applications for appointment and reappointment of privileges to the Health Care Center.• Provides Cerner Access to all Providers and Staff for medical records.• Monitors NPDB/OIG for any adverse actions or reprimands against any provider.• Prepares files for board meetings.• Provides privileging verification.• Maintains essential lists and reports necessary for reporting to various outside agencies and entities in accordance with federal, state, or local laws.• Maintains regular and predictable attendance.• Performs other duties as required.
2026-05-22T00:00:00Z

Medical Credentialing Specialist

Santa Monica, CA
onsite
Temporary to Hire
31.97 - 45 USD / Hourly
A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care. MD Staff Software is a MUST. Key Responsibilities:• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.• Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-21T00:00:00Z

Eligibility Specialist

Dayton, OH
onsite
Temporary to Hire
16.15 - 18.7 USD / Hourly
We are looking for a dependable Eligibility Specialist to join a customer support team in Vandalia, Ohio in a contract-to-permanent capacity. This position focuses on maintaining accurate member records, supporting enrollment-related activities, and providing responsive service through phone and email communication. The ideal candidate is organized, comfortable handling administrative tasks, and able to manage a steady workflow in a weekday office setting. Responsibilities:• Enter and update member information in the designated portal while verifying accuracy and confirming successful submission of records.• Process enrollment-related transactions and maintain eligibility records to support timely and accurate member services.• Communicate with vendors and external representatives as needed to resolve routine questions and support service-related follow-up.• Prepare, review, and distribute reports that help track operational activity and support day-to-day team needs.• Scan, organize, and index documents so files remain accessible, accurate, and properly maintained.• Sort and distribute incoming mail and related materials to ensure timely handling of correspondence.• Respond to inbound inquiries and email messages with clear, service-focused communication.• Support additional order entry, scheduling, and administrative tasks required to keep daily operations running smoothly.
2026-05-07T00:00:00Z

Credit Specialist

Houston, TX
onsite
Permanent / Full Time
60000 - 64000 USD / Yearly
Our client is looking for a detail-oriented Credit Specialist to support commercial credit and collections activities in Houston, Texas. This position focuses on evaluating customer credit information, helping manage account risk, and promoting timely payment across business accounts. The ideal candidate brings strong analytical ability, sound judgment, and at least 3 years of relevant experience in credit analysis and commercial collections. Responsibilities:• Review commercial credit applications and assess customer financial information to support informed credit decisions.• Monitor account performance and payment trends to identify risk, recommend credit actions, and maintain healthy receivables.• Work directly with business customers to resolve outstanding balances and drive effective commercial collection efforts.• Maintain accurate credit records, account documentation, and supporting analysis within internal systems.• Partner with sales, customer service, and finance teams to address account issues and support credit-related inquiries.• Evaluate credit limits and payment terms based on account history, financial data, and overall risk exposure.• Follow up on overdue invoices, negotiate payment arrangements when appropriate, and escalate concerns as needed.
2026-04-30T00:00:00Z

Credit Specialist

Apple Valley, MN
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Credit Specialist to join our team in Apple Valley, Minnesota. In this long-term contract role, you will play a pivotal part in managing and resolving negative account balances while ensuring compliance with established credit policies. This position offers the opportunity to work in the financial services industry, leveraging your expertise to address backlog issues and maintain operational efficiency. Responsibilities: • Review and analyze accounts to identify negative balances caused by Courtesy Pay transactions. • Calculate fees and losses associated with negative accounts and process charge-offs accordingly. • Manage general ledger entries and ensure proper documentation and transfer of financial data. • Close accounts with negative balances and notify customers through formal communication channels. • Verify open credit cards and assess limits to determine necessary account closures. • Maintain accurate records in spreadsheets and generate letters to inform customers of account status. • Support the team in catching up on backlog caused by increased negative accounts. • Ensure consistent adherence to company policies and procedures regarding credit management. • Collaborate with team members to streamline processes and improve efficiency in handling accounts. • Perform additional duties as assigned to support the credit management function.
2026-05-18T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-05-11T00:00:00Z

Medical Billing Specialist

Beaverton, OR
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a Medical Billing Specialist to support a Contract opportunity in Aloha, Oregon. This role focuses on accurate billing operations, insurance-related coordination, and claim resolution within a mission-driven behavioral health setting. The ideal candidate brings prior medical billing experience, knowledge of Medicare or Medicaid processes, and a thoughtful, service-oriented communication style suited to a non-profit environment. Responsibilities: • Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness. • Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays. • Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement. • Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable. • Maintain complete and organized billing records in designated systems such as Credible and Qualifacts. • Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands. • Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication. • Monitor account status and identify discrepancies so billing concerns can be resolved efficiently. • Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures.
2026-05-21T00:00:00Z

Medical Billing Specialist

Middletown, RI
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up. Responsibilities: • Process medical claims with accuracy and ensure billing information is complete before submission. • Review coding and billing details to identify discrepancies and resolve issues that could delay payment. • Follow up on unpaid or underpaid accounts with payers to support timely collections. • Maintain billing records and update account documentation to reflect claim status and payment activity. • Use EPACES and related systems to verify claim information and assist with billing workflows. • Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
2026-05-06T00:00:00Z

Medical Billing Specialist

Bowling Green, OH
onsite
Temporary / Contract
22 - 25 USD / Hourly
We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement.Responsibilities<ul><li>Submit and manage medical claims</li><li>Verify insurance eligibility and benefits</li><li>Resolve claim denials and billing discrepancies</li><li>Post payments and maintain accurate records</li><li>Communicate with patients and insurance providers</li></ul>
2026-05-11T00:00:00Z

Medical Billing Specialist

Charlotte, NC
onsite
Temporary / Contract
20 - 25 USD / Hourly
We are seeking a detail-oriented Medical Biller with strong customer service skills to support billing operations and provide a positive experience for patients and internal partners. This role requires accuracy, professionalism, and the ability to communicate clearly while resolving billing questions and issues. This is a part-time role only. Responsibilities<ul><li>Process and submit medical claims accurately and timely to insurance carriers</li><li>Review patient accounts and insurance payments to ensure correct posting and follow-up</li><li>Respond to patient billing inquiries with professionalism, empathy, and clear explanations</li><li>Resolve billing issues, payment discrepancies, and rejected or denied claims</li><li>Coordinate with insurance companies, providers, and internal teams to resolve account issues</li><li>Maintain accurate documentation and notes within billing systems</li><li>Follow HIPAA guidelines and maintain confidentiality of patient information</li></ul>
2026-04-24T00:00:00Z

Medical Billing Specialist

Merrillville, IN
onsite
Temporary to Hire
19 - 22 USD / Hourly
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently. Responsibilities: • Prepare and submit medical claims accurately and on schedule to support timely reimbursement. • Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission. • Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes. • Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances. • Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system. • Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements. • Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward. • Support billing operations using Athena software and contribute to process updates within the department as needed.
2026-05-19T00:00:00Z

Medical Billing Specialist

Auburn Hills, MI
remote
Temporary / Contract
20 - 24 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment. Responsibilities: • Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness. • Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays. • Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances. • Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission. • Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information. • Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts. • Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution.
2026-05-15T00:00:00Z

Medical Billing Specialist

Chattanooga, TN
onsite
Temporary to Hire
19 - 22 USD / Hourly
We are seeking a Medical Billing Specialist to join our team immediately. This is a great opportunity for someone who thrives in a fast-paced, team-oriented healthcare environment and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee** Position OverviewThe Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in Medicare and Medicaid billing and claims. We are looking for someone adaptable, self-directed, and ready to grow with the team. Key Responsibilities<ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</li></ul>
2026-05-22T00:00:00Z

Credit & Collections Specialist

Hamilton, OH
onsite
Temporary / Contract
24 - 24 USD / Hourly
We are looking for a Credit & Collections Specialist to join a construction-focused organization in Hamilton, Ohio on a contract basis with the opportunity for a permanent position. This position supports the financial health of the business by overseeing commercial credit activities, strengthening collection efforts, and helping teams follow sound credit practices. The ideal candidate brings strong analytical judgment, effective communication skills, and the ability to work across departments to manage receivables and customer risk. Responsibilities: • Oversee day-to-day credit activities by applying company credit standards and helping maintain consistent practices across accounts. • Track outstanding accounts receivable balances, identify collection concerns, and take timely action to improve payment performance. • Maintain accurate customer credit records, including supporting documentation, account updates, and review history. • Perform recurring evaluations of customer creditworthiness using available financial information, payment trends, and credit tools. • Partner with regional teams and subsidiary personnel to resolve credit and collection challenges and support account decisions. • Process cash applications and organize related backup documentation to ensure accurate recordkeeping and audit readiness. • Support compliance with applicable sales tax requirements as well as internal financial policies and procedures. • Prepare recurring reports for regional leadership that summarize account status, collection activity, and credit-related trends. • Provide guidance to accounting and sales staff on credit processes, documentation expectations, and best practices. • Help protect the company’s legal and financial interests related to customer accounts and property improvement rights as needed.
2026-05-22T00:00:00Z

Credit & Collections Specialist

Conshohocken, PA
onsite
Permanent / Full Time
55000 - 65000 USD / Yearly
Robert Half has partnered with a thriving manufacturing company on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed. Primary Duties· Create and maintain credit history records· Set up new client accounts· Document daily collection activity· Complete collection effort calls· Reviewing and approving credit holds· Generate legal collections documents· Spreadsheet Maintenance· Perform payment reconciliations· Assist customer service department· Develop and schedule payment plans
2026-04-27T00:00:00Z

Credit & Collections Specialist

Conshohocken, PA
onsite
Permanent / Full Time
0 - 0 USD / Yearly
Robert Half has partnered with a thriving manufacturer on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, applying daily payments, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed. How you will make an impact· Review and assess customer credit applications, financial statements, and payment history to establish appropriate credit limits · Monitor accounts receivable aging and proactively follow up on past-due balances · Perform collections activities via phone, email, and written correspondence · Investigate and resolve billing discrepancies, short payments, and disputes · Maintain accurate and up-to-date customer credit files and account records · Collaborate with sales, customer service, and accounting teams to address account issues · Recommend accounts for credit holds or escalation based on risk assessment · Prepare and analyze reports related to credit exposure, delinquency trends, and collections performance · Support month-end close activities, including reconciliation of A/R accounts · Ensure compliance with company policies and applicable regulations
2026-05-06T00:00:00Z

Credit & Collections Specialist

Morristown, NJ
onsite
Permanent / Full Time
70000 - 100000 USD / Yearly
A growing, business-facing organization in the Morristown area is seeking a Credit & Collections Specialist to support its AR operations. This role focuses on managing customer accounts, driving timely collections, and maintaining strong relationships while ensuring accurate credit assessments and minimizing risk exposure. Key Responsibilities:<ul><li>Manage a portfolio of customer accounts, monitoring aging and proactively following up on outstanding balances</li><li>Conduct collection efforts via phone and email while maintaining a professional, customer-focused approach</li><li>Review and evaluate credit applications, establish credit limits, and monitor risk exposure</li><li>Research and resolve billing discrepancies, short payments, and unapplied cash</li><li>Partner with sales and internal teams to address account issues and improve collection timelines</li><li>Maintain accurate account records, notes, and documentation within the system</li><li>Prepare aging reports and provide regular updates on collection status and risk accounts</li><li>Support month-end close by reconciling AR balances and ensuring proper account treatment</li></ul>
2026-05-13T00:00:00Z

Credentials Coordinator

St. Helena, CA
onsite
Temporary / Contract
30 - 32 USD / Hourly
We are looking for a detail-oriented Credentials Coordinator for a Contract position based in Saint Helena, California. In this role, you will support the medical staff credentialing process by coordinating documentation, verifying qualifications, and helping ensure providers are cleared for appointment and privileging activities. This opportunity is well suited to someone who can manage sensitive information carefully, work within established compliance standards, and keep multiple credentialing tasks moving on schedule. Responsibilities: • Coordinate credentialing and recredentialing activities for physicians and allied health professionals, including gathering required documentation and tracking each file through completion. • Conduct primary source verification and review submitted materials to help ensure provider records are accurate, complete, and ready for processing. • Maintain organized credentialing files and databases, updating records promptly to support audits, reporting, and timely renewals. • Assist with privileging-related workflows and support evaluation or proctoring steps as required for medical staff appointments. • Guide providers through onboarding activities such as access setup, orientation coordination, required training, and identification badging. • Apply medical staff bylaws, internal policies, and regulatory standards when processing credentialing actions and maintaining documentation. • Safeguard confidential provider and medical staff information while handling sensitive records and correspondence. • Provide administrative support for additional credentialing or medical staff services tasks as needed to meet departmental priorities.
2026-05-15T00:00:00Z

Medical Charge Entry Specialist

Dublin, OH
onsite
Temporary to Hire
20 - 25 USD / Hourly
We are looking for a detail-focused Medical Charge Entry Specialist to join a billing team in Dublin, Ohio in a contract-to-permanent position. This role supports accurate charge entry, claim readiness, and timely reimbursement by reviewing coding details, addressing billing issues, and keeping account activity current. The ideal candidate is comfortable working in a fast-paced medical billing environment, communicates effectively with patients and internal teams, and maintains a high standard of accuracy and confidentiality. Responsibilities: • Review and enter provider charges with close attention to coding accuracy, insurance details, and supporting documentation. • Investigate claim edit issues and take corrective action to reduce delays in claim submission and payment. • Support revenue cycle operations by monitoring billing activity, identifying discrepancies, and helping keep accounts updated. • Respond to billing and coverage questions from patients and staff in a clear, thorough, and service-oriented manner. • Follow up on outstanding insurance and patient balances, including denied claims, appeals, and account resolution efforts. • Use practice management and electronic medical record systems to document activity, update records, and complete daily billing tasks efficiently. • Coordinate with coworkers, providers, managers, and insurance representatives to resolve complex account and reimbursement issues. • Protect patient and provider information by following privacy standards and maintaining strict confidentiality. • Assist with additional billing department duties such as payment collection, payment plan support, and cross-trained team functions as needed.
2026-05-22T00:00:00Z

Healthcare Data Entry Specialist

Brooklyn, NY
onsite
Temporary / Contract
22 - 22 USD / Hourly
In this role, your accuracy directly impacts healthcare operations and financial processing. As part of a secure, high-volume data entry team, you’ll work with billing records and EOBs to ensure critical information is entered, validated, and audit-ready. This is a strong fit for someone who is detail-driven, dependable, and comfortable working under strict compliance standards. Key Responsibilities<ul><li>Accurately enter and verify healthcare data, including billing information and Explanation of Benefits (EOBs)</li><li>Review and correct OCR-scanned documents to ensure data integrity</li><li>Audit records for accuracy while meeting daily production and quality targets</li><li>Maintain strict adherence to HIPAA and data security protocols</li><li>Identify and escalate discrepancies or data issues as needed</li></ul>
2026-05-18T00:00:00Z

Insurance Verification Specialist

Minneapolis, MN
remote
Temporary / Contract
18 - 21 USD / Hourly
We are looking for a detail-oriented Insurance Verification Specialist to support patient access and coverage verification for healthcare services. Looking for candidates with prior authorization experience, preferably focused on medication prior authorizations.Ideal candidates will have experience submitting authorization requests through payer portals and documenting/communicating within Epic.Strong understanding of insurance verification, pharmacy or medical authorization workflows, and payer guidelines preferred.Candidates should be detail-oriented, comfortable working in fast-paced healthcare environments, and able to effectively follow up on pending or denied authorizations. Responsibilities:• Review insurance benefits, referral conditions, and authorization guidelines to determine coverage requirements before scheduled services.• Work through payer websites and communication channels to submit authorization requests and provide supporting clinical details when needed.• Record verification and authorization outcomes in the patient record using accurate medical terminology and complete documentation.• Update coverage information in health records to reflect the most current insurance details obtained during review activities.• Arrange pre-authorizations, pre-certifications, and additional approvals for inpatient and outpatient services across multiple departments and care settings.• Identify delays or obstacles that may affect authorization approval and escalate issues promptly to support continuity of patient care.• Communicate clearly with internal teams, payers, and other stakeholders to resolve coverage questions and support service readiness.• Participate in virtual training and follow established workflows, policies, and quality standards while handling assigned tasks.
2026-05-15T00:00:00Z

Insurance Verification Specialist

Moline, IL
onsite
Temporary to Hire
18 - 22 USD / Hourly
Insurance Verification Specialist – Contract-to-Hire Opportunity Robert Half is seeking a detail-oriented Insurance Verification Specialist for a contract-to-hire position with one of our valued healthcare clients. If you thrive in a fast-paced environment and are passionate about supporting excellent patient care, this could be the great step in your career walk. As an Insurance Verification Specialist, you will play a crucial role in the patient billing process. Your primary focus will be verifying insurance benefits, determining estimated patient responsibility for medical procedures, and supporting overall patient satisfaction. Key Responsibilities:<ul><li>Review patient details and scheduled procedures, and identify any required medical implants</li><li>Verify insurance benefits by communicating with payers via phone or online platforms</li><li>Calculate estimated patient amount due based on insurance contracts and procedure specifics</li><li>Document all insurance and billing interactions accurately and in a timely manner</li><li>Maintain thorough records using provided templates and forms</li><li>Contact patients prior to scheduled procedures to discuss payment responsibilities and attempt pre-collection</li><li>Identify and obtain any necessary pre-authorizations or precertifications</li><li>Monitor daily activity to ensure all patients are verified for upcoming procedures</li><li>Address patient questions and concerns with professionalism, contributing to positive survey results and overall satisfaction</li><li>Escalate any billing discrepancies, challenging interactions, or unwillingness to pay to management</li></ul> Connect with our team today to learn more, discuss your short- and long-term goals and gain insight why people join and stay with this team! Call us at (563) 359-3995.
2026-05-22T00:00:00Z

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>
2026-05-06T00:00:00Z

Medical Claims Resolution Specialist

Indianapolis, IN
remote
Temporary to Hire
21 - 25 USD / Hourly
We are seeking a detail-oriented Medical Claims Resolution Specialist within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement. Hours: Monday - Friday 8am - 5pm *after hours work will be needed at times Responsibilities:<ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
2026-05-19T00:00:00Z