62 Results for Denials Specialist Jobs

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Medical Denials Specialist

Carmel, Indiana
onsite
Temporary / Contract
18 - 24 USD / Hourly
We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. This role is responsible for reviewing, researching, and resolving denied or underpaid medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate has strong knowledge of payer guidelines, appeals processes, and healthcare billing workflows. Hours: Monday - Friday 8am - 5pm Key Responsibilities:<ul><li>Review denied, rejected, or underpaid insurance claims and identify root causes</li><li>Investigate payer denials related to coding, authorizations, eligibility, timely filing, medical necessity, and billing errors</li><li>Prepare and submit appeals with appropriate supporting documentation</li><li>Communicate with insurance carriers, patients, providers, and internal departments to resolve claim issues</li><li>Monitor and track denial trends and escalate recurring issues for process improvement</li><li>Maintain accurate and detailed account documentation in billing and practice management systems</li><li>Follow up on outstanding appeals and denied claims to ensure timely resolution</li><li>Partner with billing, coding, and patient access teams to reduce future denials</li><li>Ensure compliance with payer requirements, HIPAA, and internal policies</li></ul>
2026-09-24T00:00:00Z

Medical Insurance Claims Specialist

Wernersville, Pennsylvania
remote
Temporary / Contract
22 - 27 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to support a fast-moving admissions environment in Wernersville, Pennsylvania. This Long-term Contract position focuses on confirming insurance coverage, reviewing benefit details, and communicating findings that help determine treatment access. The ideal candidate is comfortable managing a high volume of requests, navigating payer portals, and following up directly with insurance carriers when additional clarification is needed. Responsibilities: • Review incoming admission-related requests and confirm insurance coverage, benefit levels, and eligibility details for prospective patients. • Access multiple payer systems and online resources to gather accurate policy information and document findings clearly for the admissions team. • Communicate deductible, coverage, and benefit information promptly so teams can make informed decisions about treatment coordination. • Contact insurance providers by phone when portal information is incomplete, inconsistent, or requires confirmation. • Partner closely with admissions and call center staff to support timely responses in a high-volume, fast-paced setting. • Perform ongoing reverification of existing cases throughout the week to ensure coverage information remains current and accurate. • Manage a steady workload of insurance reviews each day while maintaining attention to detail and turnaround expectations. • Record verification outcomes thoroughly and escalate discrepancies or unresolved issues to the appropriate internal contacts as needed.
2026-09-29T00:00:00Z

Claims Management Specialist

Bulverde, Texas
onsite
Temporary / Contract
24 - 28 USD / Hourly
Our client is in need of a bilingual Claims Management Specialist to support workers’ compensation administration in the78163, Bulverde, Texas area. This position focuses on guiding claims from the first notice of injury through final resolution while partnering with employees, clients, carriers, and internal teams to keep the process organized and responsive. The ideal candidate brings strong knowledge of workers’ compensation practices, clear communication skills in English and Spanish, and a service-oriented approach to claim coordination and return-to-work support. Responsibilities:• Oversee workers’ compensation cases throughout the full lifecycle, from initial incident intake to closure, ensuring timely follow-up and accurate handling at each stage.• Act as the central point of contact for client representatives, injured employees, insurance partners, adjusters, medical offices, payroll, and human resources to keep claim activity moving efficiently.• Explain claim procedures, reporting expectations, benefit-related steps, and return-to-work guidelines so all participants understand responsibilities and required actions.• Prepare, organize, and maintain claim files, wage details, supporting records, and ongoing correspondence to promote complete and compliant documentation.• Track case progress closely and work with carriers, employers, and care providers to address delays, support recovery efforts, and encourage productive claim outcomes.• Participate in claim review discussions, assess status updates with adjusters and carriers, and help gather loss information and trend data for risk evaluation purposes.• Support return-to-work coordination by aligning restrictions, communication, and next steps among stakeholders involved in each case.• Deliver high-quality customer service by responding to questions promptly, clarifying next steps, and helping resolve claim-related concerns professionally.• Keep required certifications current and assist with additional duties connected to claims administration and compliance as needed.
2026-09-25T00:00:00Z

Grievance and Appeals Specialist

San Bernardino, California
onsite
Temporary to Hire
25.01 - 35.67 USD / Hourly
A Medical Claims Organizations is in the immediate need of Grievance and Appeals Specialist with experience in grievances and appeals to join the team. The Grievance and Appeals Specialist is responsible for reviewing, investigating, and resolving member and provider grievances and appeals in compliance with regulatory requirements and internal policies. The Grievance and Appeals Specialist candidate will have hands-on experience working within EZ-CAP and a solid understanding of health plan operations. Key Responsibilities: <ul><li>Review, research, and process member and provider grievances and appeals accurately and within required turnaround times</li><li>Use EZ-CAP to document, track, and manage case activity</li><li>Analyze case details, benefits, claims, authorizations, and supporting documentation to determine appropriate resolutions</li><li>Ensure all grievances and appeals are handled in accordance with health plan policies, CMS, DMHC, and other applicable regulatory guidelines</li><li>Communicate with internal departments, providers, and members regarding case status and resolution</li><li>Prepare written correspondence for grievance and appeal determinations</li><li>Maintain complete, accurate, and audit-ready documentation</li><li>Identify trends or recurring issues and escalate as neededGrievance and Appeals Specialist</li></ul>
2026-09-25T00:00:00Z

Credentialing Specialist

Santa Rosa, California
onsite
Temporary / Contract
21.375 - 24.75 USD / Hourly
We are looking for a Credentialing Specialist to support a healthcare organization in California through a contract assignment. This position focuses on managing provider credentialing and enrollment activities, maintaining accurate records, and helping the organization stay aligned with payer and regulatory standards. The ideal candidate brings hands-on experience with credentialing workflows, strong follow-through, and the ability to work closely with providers, internal teams, and external partners. Responsibilities: • Manage initial credentialing, recredentialing, and enrollment activities for physicians and other clinical staff across a range of payer networks and programs. • Communicate with insurance brokers regarding liability coverage updates and ensure related documentation remains current. • Monitor credentialing standards and ongoing maintenance obligations for relevant healthcare entities, keeping records aligned with applicable requirements. • Prepare, collect, and submit enrollment packets, supporting documents, and payer-specific forms for public and commercial health plans. • Maintain and update credentialing and enrollment information within CredentialStream and VerityStream to ensure complete and accurate provider data. • Support audit readiness and site visit preparation by organizing files, verifying documentation, and responding to credentialing-related requests. • Conduct routine follow-up between credentialing cycles to track expirations, renewals, and changes involving licenses and other compliance-related records. • Coordinate required classes, employee enrollment activities, and completion tracking in partnership with internal stakeholders, including Human Resources. • Work directly with providers to gather needed information, answer questions, and guide them through credentialing and enrollment processes.
2026-09-25T00:00:00Z

Credentialing Specialist

Long Beach, California
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.
2026-09-28T00:00:00Z

Credentialing Specialist

Greenwood Village, Colorado
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.
2026-09-22T00:00:00Z

Credentialing Specialist

Long Beach, California
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

Benefits Specialist

Davenport, Iowa
onsite
Permanent / Full Time
24 - 27 USD / Hourly
Are you someone who truly enjoys helping employees navigate their benefits and supporting them through important life moments? We’re partnering with a well-established, multi-state organization to hire a Benefits Specialist who will play a key role in delivering a positive employee experience across a large, diverse workforce. This is an opportunity to join a collaborative, people-focused HR team where your attention to detail, empathy, and ability to communicate clearly will make a real impact every day. What You’ll DoIn this role, you’ll be the go-to resource for employees and leaders on benefits and leave-related questions. You’ll balance administrative precision with a high level of employee interaction. Key responsibilities include:<ul><li>Administer and support employee benefits programs, including open enrollment and annual renewals</li><li>Serve as a primary point of contact for employee benefits questions—ensuring timely, clear, and supportive communication</li><li>Manage leave of absence processes, including FMLA, and guide employees through documentation and eligibility</li><li>Partner with leadership and managers to address employee needs across multiple locations</li><li>Maintain and update benefit records within HRIS systems</li><li>Support compliance efforts, including tracking regulatory changes and coordinating handbook updates</li><li>Proactively follow up with employees to ensure they understand and elect appropriate coverage</li></ul> What Makes This Role Unique<ul><li>High-impact, high-visibility role supporting a large workforce across multiple states</li><li>Hands-on, employee-focused environment—this is not a behind-the-scenes role</li><li>Opportunity to improve processes and enhance communication, especially around benefits and leave</li><li>A tight-knit HR team that values collaboration, flexibility, and stepping in where needed</li></ul>
2026-09-17T00:00:00Z

Benefits Specialist

Eden Prairie, Minnesota
onsite
Temporary / Contract
22 - 24 USD / Hourly
We are seeking a compassionate and service-oriented Employee Benefits Representative to support employees by providing guidance on company benefit programs, leave options, and wellness resources. This role acts as a resource for employees throughout their employment lifecycle, helping them understand available programs and ensuring a positive employee experience.This position is ideal for someone with strong customer service and communication skills who enjoys helping people navigate questions and resolve issues. Key Responsibilities<ul><li>Serve as a primary contact for employees seeking information about benefits.</li><li>Assist employees and direct them to appropriate resources.</li><li>Respond to questions by phone, email, and in person while providing exceptional customer service.</li><li>Partner with benefit vendors and internal teams to resolve employee concerns and escalations.</li><li>Support leave administration processes, including documentation tracking and communication with employees.</li><li>Create and distribute benefits communications, educational materials, and employee resources.</li><li>Participate in employee orientations and informational meetings regarding available programs.</li><li>Track employee inquiries and maintain accurate records of interactions and resolutions.</li></ul>
2026-09-28T00:00:00Z

Benefits Specialist

West Bend, Wisconsin
onsite
Temporary / Contract
24 - 30 USD / Hourly
We are looking for a Benefits Specialist to support benefits and leave administration for a Contract position based in West Bend, Wisconsin. This role works closely with employees, HR partners, and external vendors to help ensure benefit programs and leave processes run smoothly. The position is well suited for someone who can balance employee support, detailed administrative work, and accurate record management in a hybrid work environment. Responsibilities: • Manage leave and accommodation cases by coordinating with the third-party administrator, internal HR contacts, and employees to support timely and accurate processing. • Prepare for and support open enrollment by learning plan details, responding to employee questions, and helping communicate benefit options and key deadlines. • Review and reconcile recurring benefit invoices, resolve discrepancies, and process monthly benefit-related account activity. • Assist with employee benefit updates related to qualifying life events, deductions, and garnishment administration as needed. • Monitor benefit data feeds between Paylocity and external vendors, investigate integration issues, and complete audits to confirm data accuracy. • Lead benefits orientation for new hires by explaining available programs, enrollment steps, and important deadlines. • Maintain organized records and provide day-to-day administrative support for benefits and leave programs. • Partner with the Total Rewards team to address employee concerns and improve the overall benefits support experience.
2026-09-29T00:00:00Z

Benefits Specialist

Minneapolis, Minnesota
onsite
Temporary / Contract
27 - 30 USD / Hourly
We are looking for a Benefits Specialist to support core employee benefits operations for a Long-term Contract position based in Minneapolis, Minnesota. This opportunity is well suited for someone with early-career experience in HR or benefits administration who can stay organized, respond promptly to employee needs, and manage recurring processes with minimal supervision. The role focuses on benefits coordination, vendor communication, documentation accuracy, and day-to-day administrative support across multiple systems. Responsibilities: • Manage daily administrative activities tied to employee benefit programs, ensuring records and requests are handled accurately and on time. • Assist with open enrollment by preparing materials, answering employee questions, resolving issues, and processing related updates. • Coordinate transportation benefit administration, including transit passes, pre-tax commuting options, and parking support for eligible employees. • Review and complete transportation-related requests while working with external vendors to maintain accurate and timely processing. • Provide support for long-term disability administration by preparing required documentation, responding to follow-up inquiries, and sharing information with the appropriate provider. • Handle benefits invoicing tasks by retrieving billing details from vendor portals, organizing backup documentation, and supplying information to finance partners for payment processing. • Gather and verify information needed to support timely vendor payments and reduce delays in accounts payable workflows. • Track assigned employee and vendor requests through completion, using established procedures, internal guidance, and available documentation to research and resolve issues. • Offer broader operational and administrative assistance to the Benefits team as priorities shift and business needs arise.
2026-09-28T00:00:00Z

Benefits Specialist

Brookfield, Wisconsin
onsite
Temporary to Hire
30 - 33 USD / Hourly
We are looking for a Benefits Specialist to support the administration of health, welfare, retirement, and leave programs for a service-focused organization in Wisconsin. This contract-to-permanent opportunity is ideal for a knowledgeable, detail-oriented individual who can guide employees through benefit-related questions, maintain compliance, and partner effectively with internal teams and external vendors. The role requires strong attention to detail, hands-on benefits administration experience, and the ability to improve processes while ensuring accurate and timely support. Responsibilities: • Act as a primary resource for employees and internal partners on benefit eligibility, coverage details, retirement programs, and leave-related matters. • Manage daily benefits operations by coordinating with payroll, monitoring vendor performance, and helping ensure smooth delivery of benefit and leave services. • Address questions submitted through shared benefits channels, including support for new team members, qualifying life events, and annual enrollment activities. • Help maintain regulatory compliance by reviewing benefit records, supporting required testing activities, and partnering with compliance stakeholders on changing federal and state requirements. • Contribute to Open Enrollment by assisting with planning, system configuration reviews, testing, and employee communication efforts alongside cross-functional teams and vendors. • Update benefits systems, plan-related documentation, and employee materials to keep information accurate, current, and easy to access. • Recommend and implement improvements that increase efficiency, strengthen consistency, and enhance the employee experience within benefits processes. • Create, refine, and maintain standard operating procedures for benefits and leave administration tasks to support accuracy and continuity. • Oversee benefit payroll and arrears-related files, working closely with leave administration partners to ensure correct deductions, direct billing, reconciliation, and recovery support when needed.
2026-09-29T00:00:00Z

Benefits Specialist

Rochester, New York
onsite
Temporary / Contract
28 - 35 USD / Hourly
We are seeking a detail-oriented Benefits Specialist to administer and support employee benefits programs, ensure compliance with applicable regulations, and provide excellent service to employees regarding benefit-related questions and enrollments. This role works closely with Human Resources, payroll, vendors, and employees to maintain accurate benefits records and support benefits strategy and operations. Key Responsibilities:<ul><li>Administer employee benefits programs, including health, dental, vision, life, disability, retirement, and wellness plans</li><li>Support new hire enrollments, qualifying life event changes, and annual open enrollment processes</li><li>Serve as a point of contact for employee questions regarding benefits eligibility, coverage, and claims issues</li><li>Maintain accurate employee benefits records in HRIS and benefits administration systems</li><li>Coordinate with payroll to ensure accurate deductions and benefits-related updates</li><li>Liaise with external benefits providers, brokers, and vendors to resolve issues and manage plan administration</li><li>Assist with benefits communications, educational materials, and employee presentations</li><li>Monitor compliance with applicable federal, state, and local regulations, including COBRA, FMLA, ACA, HIPAA, and ERISA</li><li>Audit benefits data and invoices to ensure accuracy and resolve discrepancies</li><li>Support reporting, reconciliation, and documentation related to benefits programs</li><li>Assist with leave of absence administration and related employee support, as needed</li><li>Contribute to process improvements and special HR or benefits projects</li></ul>
2026-09-18T00:00:00Z

Benefits Specialist

Clearwater, Florida
onsite
Temporary / Contract
28.5 - 33 USD / Hourly
We are looking for an experienced Benefits Specialist to join a government organization on a contract basis through approximately November. This fully onsite opportunity will support the Human Resources team during the open enrollment period, helping employees and retirees understand their options and complete benefit selections accurately. The ideal candidate brings strong benefits administration experience, works confidently in Workday, and communicates clearly with a service-focused approach. Responsibilities: • Guide employees and retirees through benefit options during open enrollment by providing individualized support and clear plan explanations. • Respond to questions related to health, dental, life, retirement, and other available benefit programs in a detail-oriented and timely manner. • Enter and update benefit elections and qualifying life event changes in Workday with a high level of accuracy. • Assist retirees with benefit selection paperwork and ensure all interactions and updates are documented thoroughly. • Review supporting materials, including authorization documents such as Power of Attorney forms, to confirm completeness and compliance. • Maintain organized records and track benefit-related activity to support timely processing and accurate administration. • Use Excel to monitor enrollments, maintain logs, and provide day-to-day administrative support for the benefits function. • Collaborate closely with the broader benefits team to deliver an efficient and positive open enrollment experience. • Adjust scheduling as needed during peak enrollment periods to accommodate employee appointments while maintaining service standards.
2026-09-23T00:00:00Z

Benefits Specialist

Irvine, California
onsite
Temporary to Hire
34.257 - 39.666 USD / Hourly
We are looking for a Benefits Specialist to join a team in Irvine, California in a Contract to Permanent role. This position supports the delivery of employee benefits programs by helping with enrollments, employee inquiries, records management, and benefits system activity. The ideal candidate brings strong attention to detail, a service-oriented approach, and the ability to manage several priorities while contributing to a positive employee experience. Responsibilities: • Provide day-to-day support for health, retirement, life, disability, and voluntary benefit programs while ensuring employees receive accurate and timely assistance. • Investigate and resolve issues related to enrollments, eligibility, carrier connections, billing questions, and claims concerns. • Guide employees through benefits processes and help them use benefits administration tools effectively. • Process benefits-related events such as employee enrollments, life status changes, and open enrollment activities while monitoring deadlines and documentation requirements. • Partner with HR teams and internal stakeholders to verify data accuracy, reconcile records, and address discrepancies with carriers or system files. • Assist with audits, testing, troubleshooting, and ongoing maintenance for HRIS and benefits administration platforms, including support for system updates or implementations when needed. • Coordinate assigned benefits projects by tracking milestones, organizing communications, maintaining documentation, and following through on action items. • Contribute to process improvements, employee communications, wellness initiatives, and compliance reporting to strengthen consistency and engagement across the organization.
2026-09-18T00:00:00Z

Benefits Specialist

Brea, California
onsite
Temporary / Contract
32 - 36 USD / Hourly
We are looking for someone with 2–4 years of hands-on employee benefits and/or HR experience who can jump in and support the Benefits Manager across a portfolio of approximately 23 brands.The ideal candidate will have experience with:• Medical, dental, vision, life, disability, 401(k), and voluntary benefits • New hire enrollment and qualifying life events • Open enrollment and benefits administration • Employee questions and benefits issue resolution • Eligibility, carrier, billing, claims, and enrollment discrepancies • HRIS and/or benefits administration systems • Benefits reporting, audits, and data reconciliation • Basic ACA compliance knowledge • Excel and Microsoft Office • Managing multiple projects, deadlines, and follow-ups • Working with HR, payroll, carriers, vendors, and employees
2026-09-18T00:00:00Z

Reconciliation Specialist

Nashville, Tennessee
onsite
Temporary / Contract
22.9615 - 26.587 USD / Hourly
We are looking for an experienced Reconciliation Specialist to support a housing association in Nashville, Tennessee through a Contract assignment. This position focuses on maintaining accuracy across trial balance and general ledger accounts while handling high-volume mortgage-related reconciliations. The ideal candidate brings a strong background in financial matching, exception research, and balance verification within the mortgage industry. Responsibilities: • Perform detailed reconciliations for bank accounts, credit card activity, and other assigned balance sheet accounts to ensure financial records are complete and accurate. • Review trial balance and general ledger activity, identify discrepancies, and resolve variances in a timely manner. • Investigate outstanding reconciling items by tracing transactions, validating supporting documentation, and coordinating with internal stakeholders as needed. • Manage daily reconciliation tasks related to mortgage transactions and related cash activity. • Examine mortgage documents and insurance-related records to confirm proper posting and account alignment. • Prepare clear reconciliation summaries, maintain organized documentation, and support audit readiness through accurate recordkeeping. • Monitor account activity for unusual entries or exceptions and escalate issues that may affect reporting accuracy. • Partner with accounting and finance teams to improve consistency in reconciliation workflows and support month-end close activities.
2026-09-28T00:00:00Z

Medical Authorizations Specialist

Los Angeles, California
onsite
Temporary / Contract
24.07 - 30.12 USD / Hourly
A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment. Responsibilities:• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.
2026-09-28T00:00:00Z

Insurance Billing Specialist

Mundelein, Illinois
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>
2026-09-11T00:00:00Z

Insurance Authorization Specialist

Indianapolis, Indiana
onsite
Temporary / Contract
18 - 22 USD / Hourly
We are seeking a detail-oriented Insurance Authorization Specialist to support the timely review, submission, and follow-up of prior authorizations and insurance verification activities. This role is responsible for working with patients, providers, and insurance carriers to secure authorizations for services, procedures, and treatments while ensuring accuracy, compliance, and excellent customer service. Hours: Monday - Friday 8am - 5pm Key Responsibilities<ul><li>Obtain and process prior authorizations for medical procedures, treatments, medications, and specialty services</li><li>Verify patient insurance eligibility, benefits, coverage limitations, and authorization requirements</li><li>Communicate with insurance companies, physician offices, clinical staff, and patients regarding authorization status</li><li>Submit accurate clinical documentation and required forms to payers within established timelines</li><li>Track pending authorizations and follow up to ensure timely approvals or denials</li><li>Review denied requests and assist with appeals or resubmissions as needed</li><li>Maintain detailed and accurate records in the electronic medical record and billing systems</li><li>Ensure compliance with payer guidelines, HIPAA, and internal policies</li><li>Identify authorization issues that may impact scheduling, billing, or reimbursement and escalate as appropriate</li><li>Provide updates to internal teams regarding authorization outcomes and next steps</li></ul>
2026-09-24T00:00:00Z

Intake Specialist

Chicago, Illinois
onsite
Permanent / Full Time
100000 - 150000 USD / Yearly
We are looking for a detail-oriented Intake Specialist to support a busy plaintiff-side legal practice in Chicago, Illinois. This position works closely with attorneys on medical malpractice and other personal injury-related matters, helping keep cases organized and clients informed throughout the legal process. The ideal candidate is comfortable managing case activity, communicating with clients, and handling essential paralegal support tasks in a fast-paced legal environment. Responsibilities: • Coordinate deposition calendars and manage scheduling with attorneys, clients, and outside parties to keep case timelines on track. • Prepare, organize, and assist with discovery responses by gathering case information and supporting documentation. • Serve as a primary point of contact for clients, providing timely updates and responding to questions with professionalism and empathy. • Support attorneys with case handling across plaintiff matters, including medical malpractice, nursing home negligence, construction-related claims, and premises liability cases. • Maintain accurate case records, track deadlines, and ensure legal files are current and well organized. • Assist with intake and ongoing case support by collecting relevant information and helping move matters forward efficiently.
2026-09-14T00:00:00Z

Intake Specialist

Cleveland, Ohio
onsite
Temporary / Contract
17 - 20 USD / Hourly
We are looking for a compassionate Intake Specialist to support families in Cleveland, Ohio as they seek access to community assistance programs. This full-time opportunity offers a possible Long-term Contract assignment and is ideal for someone who communicates with empathy, stays organized, and can guide applicants through each step of the intake process. The person in this role will help determine eligibility, answer questions clearly, and ensure information is documented accurately in support systems. Responsibilities:• Welcome and assist families seeking support services, creating a respectful and reassuring intake experience.• Guide applicants through required forms and program steps, explaining documentation needs in a clear and approachable way.• Review submitted information to help assess eligibility for assistance programs available to low-income households.• Maintain accurate client records within content management and intake systems to support timely processing.• Communicate with clients by phone or in person to answer questions, provide updates, and address concerns during the application process.• Organize and manage case-related documents, including working with archived or microfilmed records when needed.• Support daily intake workflow in a production-focused environment while meeting accuracy and service expectations.
2026-09-29T00:00:00Z

Enrollment Specialist

Greenwood Village, Colorado
onsite
Temporary / Contract
25 - 25 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- Verification Specialist

Chattanooga, Tennessee
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

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