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48 results for Denials Specialist jobs

Hospital Medical Insurance Denials Specialist

Van Nuys, CA
onsite
Temporary / Contract
24 - 30 USD / Hourly
A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Insurance Denials Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. The Hospital Medical Insurance Denials Specialist will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims. Responsibilities:• Conduct hospital billing and collection processes with accuracy and efficiency• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care• Provide training for Collector I positions• Appeals and denials management.• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role• Oversee the management of insurance correspondence and maintain accurate records• Monitor patient accounts and take appropriate action to collect insurance payments.
2026-08-28T00:00:00Z

Claims Specialist

Sharonville, OH
onsite
Temporary to Hire
22 - 24 USD / Hourly
We are looking for an Claims Specialist to join a financial services organization in Blue Ash, Ohio in a contract-to-permanent capacity. This role supports claimants, beneficiaries, agents, and related partners by guiding them through the claims process with empathy, accuracy, and professionalism. The position is responsible for managing life insurance claim activity from initial notice through payment and policy closure while ensuring documentation is complete and decisions align with policy terms and applicable regulations. Responsibilities:• Serve as a primary point of contact for claimants, beneficiaries, agents, and funeral homes by explaining benefit information, outlining required paperwork, and clarifying the next steps after a reported death.• Drive claims toward resolution by following up on missing documents, responding to inbound inquiries, and maintaining consistent communication with all involved parties.• Handle sensitive or emotional conversations with professionalism, using sound judgment and clear communication to address concerns and provide accurate guidance.• Oversee the end-to-end claims workflow, including gathering proof of death, reviewing policy provisions, determining benefit eligibility, and processing payments in accordance with state requirements.• Build and maintain well-organized claim files that include applications, beneficiary records, correspondence, supporting materials, and all required evidence.• Review payment calculations for accuracy, document supporting details, and prepare files for internal approval before funds are released.• Update policy administration records after claim approval, including completing policy status changes and final termination activities when appropriate.• Maintain claim tracking tools, audit imaged records, and complete required reconciliation tasks to support timely, accurate, and fully documented claim handling.• Investigate questionable matters when needed, perform policy research, and elevate concerns related to contestability, potential fraud, or rescission with clear supporting recommendations.
2026-08-26T00:00:00Z

Prior Authorization Specialist

Minneapolis, MN
onsite
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a Prior Authorization Specialist to support front-end revenue cycle operations for a long-term contract opportunity. This is a fully remote role but you must reside in Minnesota or Wisconsin. In this role, you will help secure timely coverage approvals, verify benefits, and clarify financial responsibility before services are delivered. This position works in a remote environment with collaborative team huddles and may support specialty areas such as cardiology, imaging, surgery, or other high-acuity service lines. Responsibilities:• Evaluate scheduled patient services and payer guidelines to determine when pre-service authorization or benefit validation is required.• Obtain initial and follow-up approvals from insurance carriers to help prevent delays, denials, or gaps in coverage prior to treatment.• Confirm medical, pharmacy, and plan benefits while identifying patient out-of-pocket responsibility and documenting accurate estimates when applicable.• Review account details in the electronic medical record, update authorization status, and maintain complete documentation to support billing readiness.• Interpret commercial, Medicare, and Medicaid coverage rules to ensure each case is processed in alignment with payer-specific requirements.• Coordinate with internal teams and participate in daily remote huddles to resolve authorization issues and maintain productivity in a high-volume setting.• Provide guidance to newer team members on authorization workflows, payer expectations, and front-end revenue cycle practices when needed.• Support assigned specialty work queues based on business demand and complete additional related tasks as requested
2026-08-27T00:00:00Z

Prior Authorization Specialist

Plymouth, MN
onsite
Temporary / Contract
17 - 18 USD / Hourly
We are looking for a detail-oriented individual to support front-end revenue cycle activities as a Financial Clearance Representative Associate focused on prior authorization. This Long-term Contract position plays an important role in helping patients and providers prepare for services by confirming coverage, securing approvals, and clarifying financial responsibility before care is delivered. The person in this role will work remotely during regular business hours, Monday through Friday, and collaborate with specialized teams that support areas such as cardiology, imaging, surgery, and specialty services. Responsibilities:• Assess scheduled patient services to determine authorization needs, review payer guidelines, and take the necessary steps to obtain approval before the date of service whenever possible.• Verify insurance coverage and interpret plan benefits to confirm eligibility, service requirements, and expected patient cost obligations.• Secure initial and follow-up authorizations within required timelines, while tracking status updates and addressing payer requests for additional information.• Review clinical documentation and coordinate with care teams to gather the records needed to support authorization and financial clearance activities.• Communicate denials, pending issues, or missing information promptly so accounts can be resolved before treatment and avoid delays in care.• Prepare patient financial responsibility estimates and document benefit details accurately within the appropriate work queues and electronic systems.• Maintain productivity and quality standards while managing a high-volume workload across assigned specialty areas in a remote team environment.• Provide guidance to team members when needed on payer rules, revenue cycle questions, and policies that affect authorization workflows
2026-08-27T00:00:00Z

Fraud Specialist

Rochester, NY
onsite
Temporary / Contract
20 - 22 USD / Hourly
We are looking for a Fraud Specialist to support fraud prevention and financial crime response efforts for a long-term contract assignment based in Rochester, New York. This position focuses on reviewing suspicious activity, researching risk exposure, and helping protect clients and the organization from financial loss. The role also works closely with internal teams, external partners, and financial institutions to investigate incidents, support resolution, and strengthen fraud controls. *HOURS: Monday - Friday either 10am-7pm or 11am-8pm* Responsibilities:• Examine elevated-risk accounts and transaction activity to identify patterns of fraud, confirm legitimacy, and help stop questionable activity before losses occur.• Investigate reported fraud events, including check-related incidents such as counterfeit items and altered or unauthorized endorsements, and document findings thoroughly.• Partner with internal teams and client-facing contacts to provide direction on fraud response steps, case handling protocols, and appropriate follow-up actions.• Support incidents involving compromised personal information by coordinating reviews, applying policy requirements, and helping deliver compliant resolutions.• Assess applicants or newly onboarded clients who do not pass authentication checks by using research tools to validate identity, financial standing, and overall risk level.• Record case details in centralized tracking systems to support reporting, trend analysis, information sharing, and future investigative activity.• Work with banking partners and other relevant parties to assist with account restriction efforts, recovery actions, and mitigation of fraudulent fund movement.• Contribute to periodic reporting by maintaining accurate case data and summarizing trends, recurring issues, and operational risk indicators.
2026-08-17T00:00:00Z

Credentialing Specialist

Somerset, NJ
onsite
Temporary / Contract
21 - 23 USD / Hourly
We are looking for a Credentialing Specialist to support a health pharm/biotech organization in Somerset, New Jersey. This Long-term Contract position is ideal for someone who is highly organized, service-minded, and comfortable handling detailed administrative work with accuracy. The role focuses on maintaining credentialing records, coordinating documentation, and providing responsive support to internal and external stakeholders. Responsibilities: • Manage credentialing files by collecting, reviewing, and updating required documentation to keep records complete and current. • Enter and maintain provider or role-related information in internal systems with a strong focus on accuracy and timeliness. • Communicate with stakeholders by email and other channels to resolve missing information and support credentialing activities. • Track application status, follow up on outstanding items, and help ensure deadlines are met throughout the credentialing process. • Use Microsoft Outlook to coordinate correspondence, schedule follow-ups, and organize credentialing-related communications. • Provide customer-focused assistance when responding to questions about documentation, status updates, and process requirements. • Review submitted materials for completeness and escalate discrepancies or issues that require additional attention.
2026-08-18T00:00:00Z

Credentialing Specialist

Chicago, IL
onsite
Temporary / Contract
24 - 26 USD / Hourly
We are looking for a Credentialing Specialist to support provider enrollment and reappointment activities. This long-term contract position focuses on coordinating accurate, timely credentialing documentation, maintaining provider records, and helping ensure licenses and certifications remain current. The ideal candidate brings strong follow-through, sound judgment, and the ability to work closely with providers and internal stakeholders to keep credentialing workflows on schedule. Responsibilities:• Experience in NCQA Credentialing for the state of IL• Guide healthcare providers through initial credentialing and recredentialing submissions, ensuring all required materials are completed and returned within established timelines.• Examine application packets for accuracy and completeness, then follow up promptly to resolve missing information or supporting documentation.• Encourage timely submission of signed applications, aiming to secure completed paperwork within 10 days of the original request.• Partner with credentialing team members to gather outstanding records and keep processing deadlines on track.• Enter and maintain provider profiles in credentialing platforms and databases, ensuring information remains current and reliable.• Produce recurring reports on upcoming expirations for licenses, certifications, and related credentials so renewal activity can begin early.• Monitor renewal status for medical licenses, board certifications, liability coverage, and other required credentials to prevent lapses.• Escalate unresolved expiration issues as needed and communicate with providers and medical staff offices to confirm active licensure and privileges.
2026-08-19T00:00:00Z

Credentialing Specialist

Fresno, CA
onsite
Temporary / Contract
23.3 - 25 USD / Hourly
We are looking for a Credentialing Specialist to support provider and clinic staff credentialing operations for a Contract position based in Fresno, California. This role is responsible for coordinating the full credentialing lifecycle, helping ensure practitioners and clinical staff meet regulatory, payer, and accreditation standards. The ideal candidate brings strong attention to detail, sound knowledge of provider enrollment and reappointment processes, and the ability to keep records accurate and timelines on track while working with internal leaders and external organizations. Responsibilities: • Manage end-to-end credentialing, recredentialing, and privileging activities for providers and clinical staff, ensuring records remain complete and current. • Prepare, submit, and monitor credentialing applications, following up with health plans, facilities, and agencies to keep approvals moving forward. • Maintain organized documentation for licenses, certifications, malpractice coverage, and other required compliance materials for all applicable providers. • Monitor expiration dates for licenses, certifications, liability coverage, and related credentials, and coordinate timely renewals to avoid lapses. • Update and maintain provider profiles within credentialing platforms and internal databases, ensuring data accuracy across systems and directories. • Coordinate renewal appointments for clinic staff and track required timelines to support uninterrupted compliance. • Process privileging and reappointment requests for affiliated healthcare facilities when needed and verify supporting documentation. • Review provider listings and directory information for accuracy, correcting demographic and practice location details with payers and partner entities as necessary. • Provide credentialing and privileging verifications and assist with audits, accreditation activities, and other compliance-related assignments. • Participate in training and carry out additional duties as assigned while demonstrating efficient use of time and resources.
2026-08-19T00:00:00Z

Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
22 - 28 USD / Hourly
A healthcare company is looking for Credentialing Specialist to join a healthcare organization in El Segundo, California. This Credentialing Specialist is ideal for someone who can quickly step into a busy environment and provide hands-on support to a credentialing team managing a significant workload. The Credentialing Specialist is fully onsite and offers the chance to contribute immediately while helping maintain accurate, timely provider credentialing operations. Key Responsibilities:• Manage credentialing and recredentialing activities for physicians and other healthcare providers, ensuring files are complete, accurate, and submitted on schedule.• Review applications, supporting documents, and licensure records to verify compliance with organizational, payer, and regulatory standards.• Follow up with providers, payers, and internal teams to obtain missing information and resolve outstanding credentialing issues efficiently.• Maintain organized credentialing records and update tracking systems to reflect application status, expirations, and renewals.• Prioritize a high-volume backlog of provider files and move cases forward with strong attention to deadlines and detail.• Coordinate with department stakeholders to support daily credentialing operations and help improve workflow consistency as needs are identified. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-28T00:00:00Z

Benefits Specialist

Davenport, IA
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>
2026-08-07T00:00:00Z

Benefits Specialist

Houston, TX
remote
Temporary / Contract
32.3 - 37.4 USD / Hourly
We are looking for a Benefits Specialist to support a long-term contract assignment based in Houston, Texas. This fully remote opportunity is ideal for someone with strong attention to detail who can confidently manage day-to-day administration, employee support, and plan accuracy across benefit programs. The role will provide ongoing coverage during a leave period while also helping maintain continuity as the team works through its hiring process. Candidates who are organized, responsive, and comfortable working independently in a remote setting will be well suited for this position. Responsibilities: • Oversee the administration of employee benefit offerings, with particular focus on self-funded medical plans and related employee support. • Respond to employee questions about coverage, eligibility, and enrollment, providing clear guidance throughout the plan year and during annual enrollment periods. • Review benefits records and conduct routine audits to confirm accurate elections, deductions, and compliance-related data. • Test benefit system configurations and verify eligibility rules to ensure plans are set up and functioning correctly. • Reconcile enrollment files and billing statements, identifying discrepancies and coordinating timely corrections with internal teams and external providers. • Assist with plan updates, reporting activities, and periodic reviews to support accurate benefits operations. • Work closely with HR, payroll, and third-party vendors to investigate and resolve benefit administration issues. • Document processes and share knowledge to support onboarding and transition activities for a future permanent team member.
2026-08-27T00:00:00Z

Benefits Specialist

Seattle, WA
remote
Temporary / Contract
30.4 - 35.2 USD / Hourly
We are looking for a Benefits Specialist to support a broad range of employee benefit and leave programs for an organization based in Seattle, Washington. This Long-term Contract position focuses on delivering reliable day-to-day benefits administration, answering employee questions, and helping maintain compliance with applicable regulations. The role also contributes to open enrollment activities, vendor coordination, documentation updates, and continuous improvement across benefits and leave processes. Responsibilities: • Act as a primary resource for health, welfare, and retirement programs by guiding employees and internal partners on eligibility, coverage details, plan rules, and related support needs. • Manage daily benefits operations, including coordination with payroll and external providers to help ensure accurate and timely program administration. • Monitor and respond to benefits-related inquiries covering topics such as enrollment for new employees, qualifying life events, and annual enrollment support. • Help maintain regulatory adherence by reviewing benefit records, supporting required testing activities, and partnering with compliance stakeholders on federal and state requirements. • Assist with open enrollment by preparing updates, validating system changes, coordinating with vendors, and helping deliver clear employee communications. • Keep benefit systems, plan documentation, and employee-facing resources current so information remains accurate and accessible. • Evaluate existing workflows and recommend practical improvements that strengthen efficiency, accuracy, and service quality. • Create, refine, and maintain standard operating procedures for benefits and leave administration to support consistency across ongoing processes. • Oversee benefits payroll and arrears-related files, working closely with leave specialists to confirm accurate deductions and timely direct billing activities. • Partner with the leave administration team on leave programs, policy documentation, employee communications, reconciliation efforts, and payroll recovery support when needed.
2026-08-26T00:00:00Z

Benefits Specialist

South Windsor, CT
onsite
Temporary / Contract
28 - 38 USD / Hourly
We are seeking a Benefits Analyst to join a small but mighty benefits team supporting employees across a national organization. This contract opportunity, based in the South Windsor, Connecticut area, will focus on benefits administration, employee support, and the coordination of benefit programs. The role involves reviewing plan-related information, ensuring benefits processes are administered accurately, and contributing to a positive employee experience. The ideal candidate brings strong analytical skills, exceptional attention to detail, and experience managing benefits-related activities in a fast-paced environment. If you are experienced in benefits and ready to join a great company with a flexible hybrid work model apply now. Responsibilities:• Administer employee benefit programs by coordinating enrollments, updates, and related documentation with accuracy and timeliness.• Serve as a point of contact for benefits questions, providing clear guidance on available plans, eligibility, and coverage options.• Review benefits data and records to identify discrepancies, resolve issues, and maintain reliable employee information.• Partner with internal teams and external providers to support the day-to-day delivery of compensation and benefits services.• Analyze benefits-related information and prepare summaries or reports that help support decision-making and compliance efforts.• Monitor routine benefits processes to ensure deadlines are met and required transactions are completed properly.• Assist with audits, reconciliations, and other administrative tasks related to benefit plans and employee records.
2026-08-20T00:00:00Z

Benefits Specialist

Springfield, MA
onsite
Temporary / Contract
28 - 34 USD / Hourly
We are looking for an experienced Benefits Specialist to support a broad range of people operations. This position is ideal for someone who is detail oriented and can balance employee support, HR administration, and benefits coordination while maintaining organized processes and strong compliance practices. The role will partner with leaders and employees to address workplace matters, oversee core HR activities, and help ensure a positive and efficient employee experience. Apply today! Responsibilities:• Guide employees and supervisors on workplace concerns, policy interpretation, and employee relations matters with sound judgment.• Oversee day-to-day HR administration, including maintaining personnel records, processing status changes, and ensuring documentation is accurate and up to date.• Coordinate benefits-related activities such as enrollments, changes, and employee inquiries while helping staff understand available programs.• Manage onboarding activities for new hires, including pre-employment coordination, orientation support, and completion of required HR paperwork.• Administer leave of absence processes by tracking requests, communicating requirements, and supporting employees through each stage of the leave cycle.• Maintain and update HRIS data to support reporting accuracy, employee record integrity, and efficient HR operations.• Partner with management to resolve employee issues, recommend appropriate actions, and promote a respectful and compliant work environment.• Prepare HR reports, monitor key employee data, and support audits or process updates related to human resources programs.
2026-08-27T00:00:00Z

Benefits Specialist

Bellevue, WA
onsite
Temporary / Contract
30 - 35 USD / Hourly
We are looking for a Benefits Administrator to support employee benefits operations for a long-term contract assignment based in Bellevue, Washington. In this role, you will help ensure benefit programs are administered accurately, employees receive timely support, and vendor-related issues are resolved efficiently. The position is ideal for someone with strong Workday experience, a service-oriented mindset, and the ability to manage detailed tasks in a fast-paced environment. Responsibilities:• Administer employee benefit transactions in Workday, ensuring accurate handling of enrollments, life event updates, and separation-related changes.• Manage benefit payout calculations connected to employee job changes and departures, completing all related processing with precision.• Partner with external benefit providers to investigate and resolve questions involving eligibility, enrollment status, and coverage matters.• Assist with benefits support for newly hired employees and provide backup coverage for new employee orientation activities when needed.• Examine benefits invoices for accuracy and submit them through the appropriate payment process in a timely manner.• Contribute to workers’ compensation administration by monitoring claims, coordinating with vendors and legal partners, supporting audits, and maintaining required reporting.• Keep benefits records current and organized while delivering responsive, thorough support to employees and internal stakeholders.
2026-08-25T00:00:00Z

Reconciliation Specialist

Houston, TX
onsite
Temporary / Contract
28.5 - 33 USD / Hourly
Our client is seeking a detail-oriented Jr. Accountant to join their growing accounting team. This position plays a critical role in ensuring the accuracy and integrity of cash reporting, bank reconciliations, and balance sheet activity across multiple accounts and entities. The ideal candidate will have strong reconciliation experience, excellent analytical skills, and the ability to thrive in a high-volume environment.Key ResponsibilitiesBank Reconciliations & Cash Accounting<ul><li>Prepare and complete accurate, timely bank reconciliations for multiple accounts and entities.</li><li>Investigate and resolve reconciling items, including outstanding checks, deposits in transit, unapplied cash, and other variances.</li><li>Analyze discrepancies and identify root causes while ensuring appropriate documentation and resolution.</li><li>Monitor daily banking activity, including ACH transactions, wire transfers, checks, and lockbox activity.</li><li>Ensure accurate posting of cash transactions to the general ledger.</li><li>Maintain reconciliation schedules and supporting documentation for audit and compliance purposes.</li><li>Partner with internal departments to research and resolve cash-related issues.</li><li>Support month-end close activities related to cash and balance sheet accounts.</li><li>Assist in improving processes and strengthening internal controls surrounding cash management and reconciliations.</li></ul>
2026-08-28T00:00:00Z

Reconciliation Specialist

Shreveport, LA
onsite
Temporary / Contract
24 - 26 USD / Hourly
We are looking for a detail-oriented Reconciliation Specialist to support financial accuracy and reporting for a contract position based in Shreveport, Louisiana. This role focuses on reviewing transactions, identifying discrepancies, and ensuring accounts are balanced in a timely manner. The ideal candidate is comfortable working with high volumes of financial data and maintaining precise records in a fast-paced environment. Responsibilities:• Perform daily reviews of financial activity to verify that bank and account balances align with internal records.• Investigate unmatched transactions, research variances, and resolve discrepancies with accuracy and urgency.• Complete bank account and credit card reconciliations while maintaining clear audit-ready documentation.• Monitor recurring reconciliation issues and communicate findings to the appropriate stakeholders for correction.• Prepare summary reports that highlight outstanding items, reconciliation status, and key exceptions.• Maintain organized records of reconciliations and supporting materials to ensure compliance with financial controls.
2026-08-26T00:00:00Z

Reconciliation Specialist

Fort Wayne, IN
onsite
Temporary to Hire
19 - 20 USD / Hourly
We are looking for a detail-oriented Reconciliation specialist to join our team in Fort Wayne, Indiana. This contract opportunity is well suited for someone who enjoys working with financial records, maintaining accuracy, and supporting accounting operations through careful review and documentation. The ideal candidate is comfortable handling data-intensive tasks, using Excel effectively, and contributing to a reliable reconciliation process in a fast-paced environment. Responsibilities: • Review financial and account records to identify discrepancies and ensure balances are accurate and properly supported. • Perform reconciliation activities by comparing transactions, researching variances, and documenting findings for resolution. • Enter and maintain accounting-related data with a high degree of precision and consistency across internal records. • Use Microsoft Excel to organize information, track exceptions, and prepare reports that support daily reconciliation work. • Collaborate with accounting and administrative staff to resolve outstanding items and improve record accuracy. • Support compliance-related tasks involving benefit or retirement plan information, including work connected to ERISA guidelines when applicable. • Maintain clear documentation of reconciliation activity, adjustments, and follow-up actions for audit readiness and internal review.
2026-08-26T00:00:00Z

Medical Authorizations Specialist

Los Angeles, CA
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.
2026-08-28T00:00:00Z

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>
2026-08-11T00:00:00Z

Enrollment & Eligibility Specialist

Las Vegas, NV
onsite
Temporary to Hire
20 - 22 USD / Hourly
Our client is seeking detail-oriented and empathetic Las Vegas-based Enrollment & Eligibility Specialists to join our team. In this role, you will provide telephonic support to members with benefits, eligibility, claims inquiry, claim reconsiderations and appeals. Key Responsibilities: Handles frontline Culinary, Hospitality and/or Alaska volumes, Provide timely and professional support to members and providers regarding benefits, eligibility, claims, and appeals. Will be required to handle customer service inquiries via the contact center phones, email, and chat depending on business needs. Key Responsibilities• Handle escalated customer concerns and complaints • Assist with Claims processing. • Collaborate with the Benefits Enrollment team to resolve eligibility, hours, and co-premium inquiries, proactively following up with members as needed. • Actively listen to customer concerns, demonstrating empathy and offering effective solutions. • Analyze and resolve non-standard and complex issues using critical thinking and problem-solving skills. • Maintain a strong understanding of client products, services, and policies to provide accurate and informed assistance. • Document all interactions and resolutions accurately in the system to ensure seamless customer service. • Adhere to regulatory requirements, company policies, and confidentiality guidelines when handling member information.
2026-08-27T00:00:00Z

Intake Specialist

Phoenix, AZ
onsite
Permanent / Full Time
65000 - 75000 USD / Yearly
Intake Specialist for personal injury. Take the initial call or referral and open the claim, send representation letter and pass along to Case Manager 2 years' experience bilingual is preferred Benefits are paid 100% by employer (health, dental and vision)
2026-08-27T00:00:00Z

Enrollment Specialist

Carrollton, GA
remote
Temporary / Contract
16.15 - 18.7 USD / Hourly
We are looking for an Enrollment Specialist to support a high-volume insurance call center serving sales teams in Carrollton, Georgia. This Long-term Contract position is ideal for someone who communicates with empathy, stays organized in a fast-paced environment, and maintains precise records while handling frequent benefit-related inquiries. The role focuses on assisting internal sales partners with enrollment support, billing questions, and Medicare-related information, while adapting to fluctuating call demand and scheduled business hours that may include weekdays and some Saturdays. Responsibilities: • Respond to incoming calls from sales representatives and provide timely support for enrollment-related questions and account needs. • Confirm coverage details, eligibility information, billing status, and copay information with a high level of accuracy. • Document each interaction thoroughly in company systems to ensure complete and reliable records. • Manage a steady volume of requests while maintaining professionalism during peak periods when call queues increase significantly. • Support insurance product enrollment activities by guiding internal partners through required information and next steps. • Use multiple computer applications efficiently to research member details, update records, and track case activity. • Assist with operational changes and workflow updates as needed to help maintain service continuity during busy seasons. • Follow assigned work schedules, including weekday shifts and occasional Saturdays, while remaining flexible with hours of operation.
2026-08-14T00:00:00Z

Insurance Follow-Up Specialist

Danville, KY
onsite
Temporary to Hire
15.675 - 18.15 USD / Hourly
We are looking for an Insurance Follow-Up Specialist to join a healthcare revenue cycle team in Kentucky. This contract opportunity with potential for a permanent role is ideal for someone who can manage insurance billing activity with accuracy, persistence, and strong attention to detail. The person in this role will help drive timely reimbursement by reviewing claims, resolving payer issues, and working outstanding balances through consistent follow-up. Responsibilities: • Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule. • Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations. • Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays. • Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement. • Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts. • Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed. • Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors. • Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.
2026-08-13T00:00:00Z

Medical Billing Specialist

Boca Raton, FL
remote
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues. Responsibilities:• Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines.• Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports.• Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices.• Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up.• Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance.• Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture.• Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered.• Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements.• Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information
2026-08-29T00:00:00Z