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70 results for Credentialing Specialist jobs

Credentialing Specialist

Naples, FL
remote
Temporary / Contract
25.65 - 27 USD / Hourly
We are looking for a Credentialing Specialist to support provider enrollment and qualification review activities for a Contract position based in Naples, Florida. This role focuses on maintaining accurate credentialing records, coordinating documentation, and helping ensure providers meet organizational and regulatory standards. The ideal candidate brings strong knowledge of credentialing workflows and can manage deadlines with precision in a fast-paced healthcare environment. Responsibilities: • Oversee the collection, review, and processing of provider and physician credentialing documentation to support timely approvals. • Coordinate initial applications, reappointment files, and re-credentialing submissions while tracking progress against required timelines. • Verify licenses, certifications, education, work history, and other mandatory records to confirm compliance with established standards. • Maintain organized and up-to-date credentialing files, ensuring data accuracy across internal records and supporting systems. • Communicate with providers, payers, and internal stakeholders to resolve missing information and move applications forward efficiently. • Monitor expiration dates and renewal requirements to help prevent lapses in active credentials or enrollment status. • Assist with audits and reporting activities by preparing documentation and responding to credentialing-related inquiries.
2026-09-16T00:00:00Z

Credentialing Specialist

Long Beach, CA
onsite
Temporary / Contract
26 - 28 USD / Hourly
A healthcare company is looking for an experienced Credentialing Specialist to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. The Credentialing Specialist is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices. Key Responsibilities:<ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-09-17T00:00:00Z

Credentialing Specialist

Great Neck, NY
onsite
Temporary / Contract
30 - 35 USD / Hourly
We are looking for a Credentialing Specialist to support provider enrollment and payer relations for dental practices in Great Neck, New York. This Long-term Contract position focuses on keeping dental providers properly credentialed, enrolled, and in good standing with commercial plans and government payers. The person in this role will work closely with insurance representatives and internal teams to help maintain accurate records, prevent participation gaps, and address issues that affect reimbursement. Responsibilities: • Manage credentialing and recredentialing activities for dentists, specialists, and hygienists with commercial insurers, Medicaid, and other payer organizations. • Complete and submit enrollment applications with all required documentation, then monitor progress through approval. • Maintain provider records such as licenses, liability coverage, and other credentialing documents needed for network participation. • Communicate with insurance carriers and payer contacts to obtain updates, resolve pending items, and support timely enrollment decisions. • Review notices from payers, including contract updates, participation changes, and revalidation requests, and take appropriate follow-up action. • Partner with billing, front office, and practice leadership teams to investigate claim denials and reimbursement concerns tied to credentialing status. • Track expiration dates, renewal timelines, and payer-specific deadlines to reduce the risk of lapses in active participation. • Keep credentialing files, status logs, and reporting data organized, current, and audit-ready. • Assist with compliance reviews and documentation audits related to provider enrollment and payer participation.
2026-09-18T00:00:00Z

Credentialing Specialist

Englewood, CO
onsite
Temporary to Hire
24 - 25 USD / Hourly
Enrollment Specialist We are looking for a detail-oriented Enrollment Specialist to join a services organization in Greenwood Village, Colorado. This contract-to-permanent opportunity is ideal for someone who can manage provider enrollment and credentialing activities with accuracy, discretion, and strong follow-through. The position supports timely submission of documentation, coordination across internal teams, and consistent maintenance of records and reporting. Responsibilities: • Prepare and submit payer enrollment documents and other required applications in both digital and paper formats with a high level of accuracy. • Process credentialing and contracting requests by coordinating required information and ensuring materials are complete before submission. • Partner with Operations, Legal, and Compliance teams to collect licenses, certifications, and supporting records needed for provider files. • Maintain organized, up-to-date status tracking for assignments within company-approved systems and follow items through to completion. • Safeguard sensitive information while updating provider and organizational records as changes occur. • Support research efforts, compile relevant data, and help produce reports that assist with credentialing and enrollment activities. • Contribute to special assignments and provide additional administrative support based on business needs. • Follow established company policies, procedures, and quality standards in all daily work.
2026-09-18T00:00:00Z

Credentialing Specialist

Austin, TX
remote
Temporary / Contract
24 - 27 USD / Hourly
We are seeking Credentialing Specialists to support a temporary assignment addressing a current backlog in health plan credentialing. This role focuses on primary source verification and credentialing of practitioner and hospital provider records across multiple health plans. This is a remote position requiring strong time management, accountability, and the ability to work independently in a secure, distraction-free home environment due to the sensitive nature of the information handled. Key Responsibilities<ul><li>Process credentialing applications for practitioners and NPs (approximate benchmark of 4 applications per hour).</li><li>Perform primary source verification of practitioner licensure, certifications, and credentials, confirming they are current, accurate, and match submitted documentation.</li><li>Identify discrepancies in provider information and conduct follow-up to resolve them.</li><li>Handle Protected Health Information (PHI) in accordance with privacy and security standards.</li><li>Navigate and work across approximately 5 different systems, including CredentialStream, to complete verifications.</li><li>Maintain accurate, up-to-date provider records within the credentialing database.</li><li>Perform administrative and verification duties as part of the end-to-end credentialing process.</li><li>Maintain accuracy, organization, and attention to detail throughout the credentialing workflow.</li></ul>
2026-09-09T00:00:00Z

Credentialing Specialist

Long Beach, CA
onsite
Temporary / Contract
24 - 28 USD / Hourly
A healthcare organization in Long Beach, California is seeking an experienced Credentialing Specialist to support core credentialing and provider data operations. This role is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices. Key Responsibilities:<ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-09-14T00:00:00Z

Eligibility Specialist

Merced, CA
onsite
Temporary / Contract
18 - 22 USD / Hourly
Key Responsibilities:<ul><li>Review applications, forms, and supporting documents for completeness and accuracy. Based on general knowledge.</li><li>Verify applicant information, including income, residency, employment, household status, or other qualifying criteria. Based on general knowledge.</li><li>Determine eligibility for benefits, services, or programs according to established guidelines and regulations. Based on general knowledge.</li><li>Request additional documentation when needed and follow up with applicants. Based on general knowledge.</li><li>Maintain accurate case files, records, and system updates. Based on general knowledge.</li><li>Explain eligibility decisions, program requirements, and next steps to applicants. Based on general knowledge.</li><li>Ensure compliance with internal policies, legal requirements, and confidentiality standards. Based on general knowledge.</li><li>Collaborate with case workers, customer service teams, providers, or other departments as needed. Based on general knowledge.</li><li>Monitor deadlines, recertifications, and status changes for active cases. Based on general knowledge.</li><li>Assist with audits, reporting, and issue resolution related to eligibility determinations. Based on general knowledge.</li></ul>
2026-09-09T00:00:00Z

Medical- Verification Specialist

Chattanooga, TN
onsite
Temporary / Contract
18 - 21 USD / Hourly
Our client is seeking to add a team of insurance verification coordinators for a long-term project. This project will be to secure, review, and validate medical documentation needed for insurance authorizations and reimbursement. Hours 8am-5pm ****THIS POSITION IS 100% ONSITE IN CHATTANOOGA TN***** Key Responsibilities<ul><li>Obtain required medical documentation from physicians, therapists, ATPs, and other referral sources.</li><li>Review and validate records to ensure compliance with payer guidelines and documentation requirements.</li><li>Follow up on missing or incomplete records to prevent funding delays.</li><li>Maintain accurate electronic medical records and support audit readiness.</li><li>Resolve funding-related documentation issues in a timely manner.</li></ul>
2026-09-13T00:00:00Z

Credit and Collections Specialist

Muskegon, MI
onsite
Permanent / Full Time
57000 - 70000 USD / Yearly
We are looking for a detail-oriented Credit and Collections Specialist to support financial operations for a manufacturing company in Muskegon, Michigan. This role focuses on strengthening cash flow, evaluating customer creditworthiness, and maintaining accurate receivables and tax records. The ideal candidate brings strong analytical judgment, a customer-focused approach, and the ability to collaborate across accounting, sales, and service teams. Responsibilities: • Oversee customer receivables by monitoring open balances, following up on past-due invoices, and keeping account activity current and accurate. • Evaluate new and existing customer credit profiles, recommend appropriate terms and limits, and take action on holds when risk warrants further review. • Research billing concerns, disputed charges, and payment variances to bring accounts into balance and resolve issues promptly. • Prepare and distribute customer account statements, apply incoming payments, record cash activity, and maintain supporting documentation for credits and rebates. • Handle sales tax administration by maintaining exemption records, supporting tax filings, monitoring nexus-related requirements, and assisting with Avalara processes. • Create journal entries and contribute to monthly close tasks by ensuring financial data is recorded completely and on schedule. • Provide support for reporting, forecasting, audit preparation, and inventory-related accounting activities as needed. • Work closely with sales and customer service teams to address account questions while preserving strong client relationships and service levels. • Maintain organized financial records and identify opportunities to improve accuracy, efficiency, and consistency within credit and collections workflows.
2026-09-04T00:00:00Z

Certification & Compliance Specialist

Seattle, WA
onsite
Temporary / Contract
40 - 43 USD / Hourly
We are seeking an organized and detail-oriented FAA Certification & Compliance Specialist to support certification and compliance activities for regulated aviation maintenance positions. This role is responsible for coordinating FAA certificate applications, scheduling FAA interviews, verifying employee qualifications and training, and maintaining certification records. The ideal candidate will be comfortable managing detailed workflows, handling regulated documentation, and identifying opportunities to improve processes and efficiencies.
2026-08-28T00:00:00Z

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.
2026-09-18T00:00:00Z

Credit Specialist

Brea, CA
onsite
Temporary to Hire
26 - 27 USD / Hourly
We are looking for a Credit Specialist to join an electronic components manufacturing organization in Brea, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced finance environment and can confidently manage account reconciliations, payment issues, and deduction research. The person in this role will help maintain accurate customer account balances, support healthy cash flow, and collaborate with internal partners to resolve billing-related concerns. Responsibilities:• Reconcile assigned customer accounts by reviewing chargebacks, short payments, and other account discrepancies to ensure records remain accurate.• Investigate overdue invoices and follow up with customers to secure payment or determine the cause of delayed remittance.• Analyze customer deductions, validate supporting documentation, and work toward timely resolution of disputed items.• Review account standing and release orders for shipment when credit conditions and payment status support approval.• Prepare recurring updates for leadership that highlight collection activity, aging trends, cash expectations, and past-due balances.• Partner with teams across sales, sales support, and accounting to address billing questions and resolve account-related issues efficiently.• Provide guidance to colleagues within the credit function when training support is needed or assigned by management.• Offer backup assistance for select supervisory tasks when department leadership is unavailable.• Contribute to additional credit and collections activities as needed to support departmental priorities and service levels.
2026-09-10T00:00:00Z

Licensing Specialist

Monticello, MN
onsite
Temporary to Hire
19.95 - 23.1 USD / Hourly
We are looking for a Licensing Specialist to support agent onboarding and contracting activities while delivering a high level of service throughout the process. This contract opportunity with potential for a permanent role is based in Minnesota and is ideal for someone who enjoys administrative coordination, problem-solving, and improving day-to-day workflows. The person in this role will help maintain accurate contracting records, respond to agent needs, and contribute to a collaborative team focused on timely, efficient execution. Responsibilities: • Prepare and submit contracting packets, licensing documents, and related forms for new and existing agents and agencies with a strong focus on accuracy and completeness. • Track pending submissions and conduct regular follow-up to help move paperwork through approval stages without unnecessary delays. • Manage agent profile updates and contract revisions while identifying practical ways to simplify and improve the overall process. • Use working knowledge of insurance-related products, services, and procedures to investigate issues and support timely resolution for agents. • Meet established service expectations by handling tasks efficiently, maintaining organized records, and prioritizing deadlines effectively. • Navigate carrier portals and follow carrier-specific procedures to complete submissions, verify status updates, and address processing issues. • Partner closely with colleagues to support shared objectives, provide backup when needed, and contribute to a positive team environment. • Communicate professionally through email and other channels to answer questions, provide status updates, and ensure a smooth experience for agents.
2026-09-11T00:00:00Z

Enrollment Specialist

Huntington Beach, CA
onsite
Temporary / Contract
19.7885 - 22.913 USD / Hourly
We are looking for an Enrollment Specialist to support individuals exploring federal student loan repayment and forgiveness solutions in Huntington Beach, California. This Contract position is ideal for someone who combines strong customer service instincts with the ability to explain complex program information in a clear and supportive way. The role focuses on helping prospective clients understand their options, complete enrollment steps accurately, and move through the process with confidence. Responsibilities: • Speak with prospective clients to understand their student loan situations and provide informed guidance on available federal repayment and forgiveness pathways. • Evaluate borrower financial details, loan information, and other relevant documentation to identify programs that may match eligibility criteria. • Walk clients through each phase of enrollment, including gathering required paperwork and ensuring forms are prepared correctly and completely. • Record client conversations, application updates, and enrollment progress accurately within company systems to maintain organized case files. • Handle sensitive personal and financial information in accordance with established policies, regulatory expectations, and confidentiality standards. • Provide attentive, compassionate service that helps clients feel informed, supported, and confident in their decisions. • Work closely with colleagues across teams to coordinate documentation flow and promote timely completion of enrollment activities. • Balance productivity goals with quality standards by maintaining accurate work, responsive communication, and a consultative client experience.
2026-09-17T00:00:00Z

Enrollment Specialist

Englewood, CO
onsite
Temporary / Contract
21 - 24 USD / Hourly
We are seeking a highly organized Healthcare Enrollment and Credentialing Specialist to oversee provider enrollment, credentialing, and contracting processes. This role is responsible for preparing and submitting payer applications, maintaining credentialing records and documentation, ensuring compliance with regulatory requirements, and facilitating accurate and timely provider onboarding. Support provider enrollment, credentialing, recredentialing, and contracting activities with commercial, Medicare, and Medicaid payers. Complete and submit enrollment and credentialing applications, ensuring accuracy, completeness, and timely processing. Gather, verify, and maintain provider documentation, including licenses, certifications, insurance, and compliance records. Track application progress, follow up on outstanding items, and resolve discrepancies to ensure successful enrollment and credentialing outcomes. Maintain accurate records, databases, and reports while supporting audits, compliance initiatives, and special projects. Collaborate with internal teams and external payer representatives to facilitate provider onboarding and credentialing activities. Ensure confidentiality, accuracy, and adherence to company policies and regulatory requirements in a fast-paced, high-volume environment.
2026-09-18T00:00:00Z

Medical Billing Specialist

New Orleans, LA
onsite
Temporary to Hire
21 - 23 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in a contract-to-permanent position located in New Orleans, Louisiana. This role focuses on accurate claim processing, timely follow-up on unpaid balances, and effective resolution of billing issues across medical and dental accounts. The ideal candidate brings strong knowledge of insurance verification, coding support, and reimbursement workflows while maintaining a high standard of accuracy and customer service. Responsibilities:• Prepare, review, and submit medical and dental claims to insurance carriers with close attention to accuracy and compliance.• Investigate denied, rejected, or underpaid claims and take appropriate action through corrections, appeals, or rebilling activities.• Follow up on outstanding accounts to support collections efforts and help reduce aging receivables.• Verify patient coverage, benefits, and plan details to ensure claims are billed correctly the first time.• Apply knowledge of medical coding and dental terminology to support proper documentation and reimbursement.• Communicate with insurance representatives, patients, and internal staff to resolve billing discrepancies and payment questions.• Maintain organized billing records, update account information, and track claim status through resolution.• Use Microsoft Excel and related systems to monitor billing activity, reconcile data, and prepare routine reports.
2026-08-28T00:00:00Z

Medical Billing Specialist

Mashpee, MA
onsite
Temporary / Contract
21.375 - 24.75 USD / Hourly
We are looking for an experienced Medical Billing Specialist to join a healthcare organization in Mashpee, Massachusetts. This Long-term Contract opportunity is ideal for someone who thrives in a busy clinical billing environment and brings strong knowledge of reimbursement processes, payer requirements, and claim resolution. The person in this role will help support accurate billing operations, improve account follow-up, and work closely with internal teams to secure timely payment. Candidates with prior experience in hospital or broader healthcare system settings will be especially well suited for this position. Responsibilities: • Prepare, review, and submit medical claims with close attention to accuracy, completeness, and payer-specific billing rules. • Investigate unpaid, delayed, or rejected accounts and take appropriate action to secure timely reimbursement. • Manage denial follow-up by identifying root causes, correcting claim issues, and coordinating resubmissions when needed. • Resolve billing discrepancies by partnering with coding, revenue cycle, and patient access teams to clarify account details. • Process Medicare, Medicaid, and commercial payer billing in alignment with regulatory standards and internal compliance expectations. • Use Epic and related billing tools, including ePaces when applicable, to maintain account documentation and support claim activity. • Monitor account status and collections activity to help reduce outstanding balances and improve payment turnaround times. • Maintain clear records of claim actions, payer communications, and account updates to support audit readiness and reporting.
2026-09-18T00:00:00Z

Medical Billing Specialist

Fayetteville, NC
onsite
Temporary / Contract
14 - 17 USD / Hourly
We are looking for a Medical Billing Specialist to support a healthcare facility in Fayetteville, North Carolina. This Long-term Contract opportunity is well suited for someone who can manage billing activities with accuracy, maintain organized financial records, and help keep reimbursement processes moving efficiently. The ideal candidate will bring strong attention to detail, a solid understanding of medical billing practices, and the ability to work effectively in a fast-paced healthcare setting. Responsibilities:• Prepare, review, and submit medical claims accurately and on schedule to support timely reimbursement.• Investigate billing discrepancies, resolve claim issues, and follow up on unpaid or denied accounts.• Maintain complete and organized billing documentation while ensuring information is updated correctly in billing systems.• Coordinate with internal staff, insurers, and patients when needed to clarify charges, coverage, or account questions.• Apply payments, reconcile account activity, and monitor outstanding balances to keep records current.• Support compliance with healthcare billing standards, payer requirements, and internal documentation procedures.
2026-09-09T00:00:00Z

Medical Billing Specialist

West Palm Beach, FL
onsite
Temporary / Contract
23 - 26 USD / Hourly
We are partnering with a well-established healthcare organization seeking an experienced Medical Billing Specialist for a contract opportunity. This role is responsible for managing claims processing, payment posting, insurance follow-up, and denial resolution to ensure timely reimbursement. The ideal candidate will be detail-oriented, organized, and comfortable working in a fast-paced healthcare environment.Key Responsibilities<ul><li>Submit and process insurance claims accurately and timely.</li><li>Review patient accounts to ensure billing information is complete and accurate.</li><li>Follow up with commercial insurance carriers, Medicare, and Medicaid regarding unpaid or denied claims.</li><li>Research and resolve billing discrepancies and claim denials.</li><li>Post payments, adjustments, and remittances into the billing system.</li><li>Monitor accounts receivable aging and prioritize outstanding claims.</li><li>Communicate with patients and insurance companies regarding billing inquiries.</li><li>Maintain compliance with HIPAA regulations and healthcare billing guidelines.</li><li>Collaborate with internal departments to resolve documentation or coding issues.</li><li>Support revenue cycle initiatives and special projects as needed.</li></ul>
2026-08-30T00:00:00Z

Medical Billing Specialist

Downers Grove, IL
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for an experienced Medical Billing Specialist to support billing operations for a skilled nursing environment in Downers Grove, Illinois. This Long-term Contract position focuses on accurate claims processing, reimbursement follow-up, and account maintenance across Medicaid, Medicare, managed care, and private-pay billing. The ideal candidate brings strong knowledge of long-term care revenue cycle practices, works confidently in PointClickCare, and communicates effectively with residents, families, payers, and agency representatives. Responsibilities:• Manage resident billing activities for skilled nursing and long-term care services, ensuring charges are entered accurately and processed on schedule.• Prepare and submit claims to Medicaid, Medicare, managed care organizations, and private-pay sources while tracking timely reimbursement.• Review census updates, coverage changes, admissions, discharges, transfers, and authorizations to keep resident accounts current and correct.• Investigate denied claims, payment differences, and billing exceptions, then take corrective action to resolve outstanding issues.• Oversee Medicaid eligibility follow-up, renewal tracking, and documentation status in coordination with residents, families, case workers, and state agencies.• Monitor aging receivables and pursue collection efforts on unpaid balances with insurers, government programs, and responsible parties.• Reconcile billing activity, payments, and related resident financial records to support accurate account balances and reporting.• Use PointClickCare to maintain payer information, account activity, and census details, and generate reports for leadership review.• Partner with admissions, clinical, and finance teams to improve billing accuracy and maintain compliance with facility, state, and federal requirements. The salary range for this position is $20 to $25. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.
2026-09-15T00:00:00Z

Medical Billing Specialist

Westbrook, CT
onsite
Temporary / Contract
21 - 24 USD / Hourly
About the RoleRobert Half is seeking a detail-oriented Medical Billing Specialist for a contract opportunity with a health and human services agency in Westbrook, Connecticut. This position is ideal for an experienced medical billing professional who enjoys working in a mission-driven environment and is committed to ensuring accurate billing, reimbursement, and revenue cycle support.The Medical Billing Specialist will play a key role in managing claims processing, resolving billing issues, and supporting the financial operations of the organization.Responsibilities<ul><li>Prepare, review, and submit medical claims to insurance providers in a timely manner</li><li>Verify patient insurance coverage and eligibility information</li><li>Process and follow up on denied, rejected, and unpaid claims</li><li>Post payments, adjustments, and remittances accurately</li><li>Investigate and resolve billing discrepancies and account issues</li><li>Maintain accurate patient billing records and documentation</li><li>Communicate with insurance companies regarding claim status and reimbursement issues</li><li>Assist with accounts receivable follow-up and collections activities</li><li>Ensure compliance with healthcare billing regulations and organizational policies</li><li>Generate billing reports and support month-end revenue cycle activities</li></ul>
2026-09-18T00:00:00Z

Medical Billing Specialist

Boca Raton, FL
onsite
Temporary / Contract
22 - 25 USD / Hourly
We are seeking an experienced and detail-oriented Medical Billing Specialist to join a growing healthcare organization in Boca Raton. The ideal candidate will be responsible for managing the medical billing process from claim submission through payment resolution while ensuring accuracy, compliance, and exceptional customer service. Job Description:<ul><li>Submit and process medical claims accurately and timely to commercial and government payers.</li><li>Verify patient insurance eligibility and benefits.</li><li>Review claims for completeness and accuracy prior to submission.</li><li>Post payments, adjustments, and denials into the billing system.</li><li>Follow up on unpaid, denied, or underpaid claims with insurance carriers.</li><li>Research and resolve billing discrepancies and reimbursement issues.</li><li>Manage accounts receivable and monitor aging reports.</li><li>Communicate with insurance companies regarding claim status and payment issues.</li><li>Respond to patient billing inquiries and explain account balances when necessary.</li><li>Maintain accurate patient and insurance records within the practice management system.</li><li>Ensure compliance with HIPAA regulations and billing guidelines.</li><li>Assist with month-end reporting and revenue cycle activities.</li><li>Work closely with providers, clinical staff, and administrative teams to resolve billing concerns.</li><li>Maintain productivity standards and meet billing deadlines.</li></ul>
2026-08-31T00:00:00Z

Medical Billing Specialist

Chattanooga, TN
onsite
Temporary to Hire
20.5 - 21 USD / Hourly
We are looking for a Medical Billing Specialist to join a mission-driven healthcare organization in Chattanooga, Tennessee. This contract opportunity with potential for a permanent role is ideal for someone who thrives in a fast-paced setting, brings accuracy to every stage of the billing process, and is comfortable supporting both administrative workflows and occasional patient interactions. The position offers the chance to contribute across a broad range of healthcare services while helping maintain timely, accurate claims and reimbursement activity. Responsibilities:• Manage day-to-day medical billing activities, including claim preparation, submission, payment posting, and follow-up on outstanding balances.• Investigate denied or underpaid claims, identify root causes, and take appropriate action to resolve reimbursement issues efficiently.• Review billing records for completeness and accuracy to reduce errors and support clean claim submission.• Communicate professionally with insurance carriers, Medicare, Medicaid, and patients to clarify billing questions and support account resolution.• Track payments and maintain organized documentation, including basic spreadsheet updates in Microsoft Excel.• Balance multiple priorities in a busy team setting while meeting deadlines and maintaining service standards.• Support billing operations across a variety of clinical service lines rather than focusing on a single specialty area.• Adapt to evolving departmental needs as the organization expands services and providers over time. Please apply then call (423)244-0726!! Must be willing to consent to drug and background!
2026-09-11T00:00:00Z

Medical Billing Specialist

Brentwood, TN
onsite
Temporary / Contract
25 - 28 USD / Hourly
Medical Billing SpecialistPosition SummaryThe Medical Billing Specialist is responsible for the accurate and timely submission, follow-up, and resolution of medical claims to ensure maximum reimbursement and efficient cash collections. This role serves as a key contributor to the organization's revenue cycle by managing billing processes, insurance claims, payment posting, denial resolution, and accounts receivable follow-up. The ideal candidate possesses strong knowledge of healthcare billing practices, payer guidelines, and revenue cycle operations.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to commercial insurance carriers, Medicare, Medicaid, and other third-party payers.</li><li>Verify patient insurance eligibility, benefits, and authorization requirements.</li><li>Ensure claims are coded and billed accurately according to payer guidelines and established procedures.</li><li>Monitor claim status and follow up on unpaid, denied, or underpaid claims.</li><li>Research and resolve billing discrepancies, claim rejections, and denial issues, including submitting appeals when appropriate.</li><li>Post insurance and patient payments accurately and reconcile billing records.</li><li>Manage patient account balances and assist with collection efforts when necessary.</li><li>Respond to patient, provider, and insurance company inquiries regarding billing matters.</li><li>Maintain detailed and accurate documentation of billing activity and collection efforts.</li><li>Review aging reports and prioritize accounts receivable follow-up to improve cash flow.</li><li>Support revenue cycle initiatives by identifying trends in denials, underpayments, and reimbursement delays.</li><li>Ensure compliance with HIPAA, payer regulations, and healthcare billing standards.</li></ul> Key Skills<ul><li>Medical Billing</li><li>Claims Submission & Follow-Up</li><li>Payment Posting</li><li>Insurance Verification</li><li>Denial Management & Appeals</li><li>Accounts Receivable Follow-Up</li><li>Collections</li><li>Revenue Cycle Management</li><li>Medicare & Medicaid Billing</li><li>Healthcare Reimbursement</li><li>HIPAA Compliance</li><li>Customer Service</li></ul>
2026-09-17T00:00:00Z

Medical Billing Specialist

Phoenix, AZ
onsite
Temporary to Hire
22.8 - 26.4 USD / Hourly
We are looking for a Medical Billing Specialist to join a behavioral health organization in Phoenix, Arizona in a contract-to-permanent capacity. This position is ideal for someone who brings strong accounts receivable expertise, thrives in a fast-paced billing setting, and can manage claim activity with accuracy and urgency. The role will focus on medical billing operations, payer follow-up, and revenue cycle support while helping maintain steady cash flow in a high-volume environment. Responsibilities: • Manage accounts receivable activities for medical claims, ensuring timely follow-up on outstanding balances and unresolved reimbursements. • Prepare, review, and submit institutional claims, including UB-04 billing, with close attention to accuracy and payer guidelines. • Investigate denied or rejected claims, determine root causes, and take corrective action to improve reimbursement outcomes. • Post payments, reconcile remittances, and verify that billing records align with payer responses and account activity. • Communicate with payers to resolve claim issues, clarify coverage questions, and accelerate payment turnaround. • Use Excel to organize billing data, track aging trends, and produce reports that support revenue cycle performance. • Support a high-volume monthly billing workload by prioritizing tasks effectively and maintaining consistent productivity. • Work within billing platforms and payer portals, including systems such as Solis and Mercy Care when applicable, to manage claim status and account resolution.
2026-09-10T00:00:00Z