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27 results for Dental Insurance Verification jobs

Insurance Verification Specialist

Minneapolis, MN
remote
Temporary / Contract
18 - 21 USD / Hourly
We are looking for a detail-oriented Insurance Verification Specialist to support patient access and coverage verification for healthcare services. Looking for candidates with prior authorization experience, preferably focused on medication prior authorizations.Ideal candidates will have experience submitting authorization requests through payer portals and documenting/communicating within Epic.Strong understanding of insurance verification, pharmacy or medical authorization workflows, and payer guidelines preferred.Candidates should be detail-oriented, comfortable working in fast-paced healthcare environments, and able to effectively follow up on pending or denied authorizations. Responsibilities:• Review insurance benefits, referral conditions, and authorization guidelines to determine coverage requirements before scheduled services.• Work through payer websites and communication channels to submit authorization requests and provide supporting clinical details when needed.• Record verification and authorization outcomes in the patient record using accurate medical terminology and complete documentation.• Update coverage information in health records to reflect the most current insurance details obtained during review activities.• Arrange pre-authorizations, pre-certifications, and additional approvals for inpatient and outpatient services across multiple departments and care settings.• Identify delays or obstacles that may affect authorization approval and escalate issues promptly to support continuity of patient care.• Communicate clearly with internal teams, payers, and other stakeholders to resolve coverage questions and support service readiness.• Participate in virtual training and follow established workflows, policies, and quality standards while handling assigned tasks.
2026-05-07T00:00:00Z

Insurance Verification Specialist

Moline, IL
onsite
Temporary to Hire
18 - 22 USD / Hourly
Insurance Verification Specialist – Contract-to-Hire Opportunity Robert Half is seeking a detail-oriented Insurance Verification Specialist for a contract-to-hire position with one of our valued healthcare clients. If you thrive in a fast-paced environment and are passionate about supporting excellent patient care, this could be the great step in your career walk. As an Insurance Verification Specialist, you will play a crucial role in the patient billing process. Your primary focus will be verifying insurance benefits, determining estimated patient responsibility for medical procedures, and supporting overall patient satisfaction. Key Responsibilities:<ul><li>Review patient details and scheduled procedures, and identify any required medical implants</li><li>Verify insurance benefits by communicating with payers via phone or online platforms</li><li>Calculate estimated patient amount due based on insurance contracts and procedure specifics</li><li>Document all insurance and billing interactions accurately and in a timely manner</li><li>Maintain thorough records using provided templates and forms</li><li>Contact patients prior to scheduled procedures to discuss payment responsibilities and attempt pre-collection</li><li>Identify and obtain any necessary pre-authorizations or precertifications</li><li>Monitor daily activity to ensure all patients are verified for upcoming procedures</li><li>Address patient questions and concerns with professionalism, contributing to positive survey results and overall satisfaction</li><li>Escalate any billing discrepancies, challenging interactions, or unwillingness to pay to management</li></ul> Connect with our team today to learn more, discuss your short- and long-term goals and gain insight why people join and stay with this team! Call us at (563) 359-3995.
2026-04-28T00:00:00Z

Insurance Verification Specialist

Baltimore, MD
onsite
Temporary / Contract
18 - 23 USD / Hourly
Our client in the local government and healthcare sector based in Baltimore, Maryland is seeking a detail-oriented Insurance Verification Specialist to join their team! Responsibilities:<ul><li>Conducting regular follow up and communicating with clinic patients over the phone in a detail-oriented manner.</li><li>Schedule patient visits, including new patient appointments, follow up visits, rescheduling of missed appointments, laboratory tests, and/or other medical appointments</li><li>Collecting and entering patient information such as insurance details, income, and family size into the electronic medical record.</li><li>Utilizing clinical electronic medical records for data entry and management.</li><li>Conducting patient registration, which includes obtaining demographic information.</li><li>Ensuring data accuracy while entering into a spreadsheet and the electronic medical record.</li><li>Making phone calls to patients to gather necessary details for calculating federal poverty limit.</li><li>Monitoring patient accounts and taking actions when necessary.</li></ul>
2026-04-10T00:00:00Z

Dental Treatment Coordinator

Rochester, NY
onsite
Temporary to Hire
24 - 27 USD / Hourly
We are looking for a skilled Patient Care Coordinator to support a busy dental practice in New York. This contract opportunity with permanent potential is ideal for someone who can help patients understand recommended care, coordinate appointments, and navigate financial and insurance details with confidence. The person in this role will work closely with multiple providers to create a smooth, supportive experience from treatment discussion through follow-up. Responsibilities: • Coordinate patient appointments, treatment discussions, and follow-up visits to keep care plans organized and on schedule. • Explain recommended dental procedures in a clear and supportive manner so patients understand next steps and expectations. • Review insurance benefits, estimated costs, and payment options with patients while helping address coverage-related questions. • Maintain accurate patient records and documentation in accordance with office procedures and privacy standards. • Partner with multiple providers and clinical staff to align scheduling, treatment planning, and patient communication. • Provide responsive assistance to patients before, during, and after treatment to promote a positive care experience. • Support compliance-related documentation and reporting activities to help maintain regulatory standards. • Assist with HIPAA-focused processes and system-related privacy practices as needed within daily operations.
2026-05-11T00:00:00Z

Medical Payment Poster

Indianapolis, IN
onsite
Temporary / Contract
18 - 24 USD / Hourly
Are you an experienced payment poster looking to join a thriving healthcare team? Our client is seeking a detail-oriented Medical Payment Poster with significant expertise in posting Electronic Remittance Advices (ERAs). This is an exciting opportunity to contribute to the revenue cycle function at a leading healthcare organization. Hours: Monday - Friday 8a - 5pm Responsibilities:<ul><li>Post payments, adjustments, and denials from insurers and patients into the system with speed and accuracy</li><li>Reconcile Electronic Remittance Advices (ERAs) and paper Explanation of Benefits (EOBs) with outstanding claims</li><li>Identify and correct posting errors to ensure proper allocation of funds</li><li>Collaborate with billing, collections, and denials teams to resolve payment discrepancies</li><li>Maintain precise, up-to-date payment records and documentation</li><li>Assist with monthly reconciliations and other financial reporting as needed</li></ul>
2026-05-04T00:00:00Z

Medical Payment Poster

Indianapolis, IN
onsite
Temporary to Hire
22 - 24 USD / Hourly
Our client is seeking a detail-oriented Medical Payment Poster to join their healthcare revenue cycle team. This position is responsible for accurately posting insurance and patient payments, reconciling accounts, and supporting the overall claims and collections process. The ideal candidate will have experience working in a medical billing environment, strong data entry skills, and a solid understanding of explanation of benefits (EOBs), electronic remittance advice (ERAs), and payer guidelines. Hours: Choice of Monday-Friday: 8am – 5pm OR 4 10-hour shifts within Monday-Friday Responsibilities for the position include the following:<ul><li>Post insurance payments, patient payments, adjustments, and denials accurately and in a timely manner.</li><li>Review EOBs and ERAs to ensure payments are applied correctly.</li><li>Reconcile daily payment batches and identify discrepancies for resolution.</li><li>Research unapplied payments, underpayments, overpayments, and payment variances.</li><li>Work closely with billing, collections, and denial management teams to resolve account issues.</li><li>Maintain accurate records of payment activity in the practice management or billing system.</li><li>Ensure compliance with payer contracts, internal policies, and healthcare regulations.</li><li>Assist with month-end reporting and other revenue cycle support tasks as needed.</li></ul>
2026-05-01T00:00:00Z

Medical Insurance Claims Specialist

Vancouver, WA
onsite
Temporary / Contract
21 - 24 USD / Hourly
We are looking for a Medical Insurance Claims Specialist to join a healthcare team in Vancouver, Washington. This Contract position is fully onsite and focuses on confirming insurance details before services are provided so billing can be processed accurately and efficiently. The ideal candidate brings strong attention to detail, a solid understanding of coverage verification, and the ability to communicate clearly with patients, providers, and insurance representatives. Responsibilities: • Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered. • Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices. • Enter, verify, and maintain accurate insurance and benefits information within the patient management system. • Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner. • Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission. • Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification. • Follow established healthcare regulations and organizational standards when handling patient information and insurance records.
2026-05-09T00:00:00Z

Dental Office Receptionist

Rochester, NY
onsite
Temporary / Contract
16 - 19 USD / Hourly
<ul><li>Welcome patients and manage front desk operations</li><li>Schedule and confirm appointments</li><li>Answer phones and respond to questions</li><li>Verify insurance and update patient records</li><li>Collect payments and assist with administrative duties</li></ul>
2026-05-06T00:00:00Z

Dental Imaging Equipment Engineer

Fort Lee, NJ
onsite
Permanent / Full Time
80000 - 95000 USD / Yearly
The Dental Imaging Equipment Engineer serves as a principal-level technical authority and organizational subject matter expert responsible for the most complex, high-risk, and mission‑critical dental equipment service activities.The Engineer IV will report to Customer Service Director and will acts as the 2nd highest escalation point for unresolved technical issues, leads enterprise‑level initiatives, and shapes service standards, training programs, and best practices. In addition to mentoring and coaching Engineer I–III staff, this role influences long‑term service strategy, supports new technology introductions, and represents the organization as a senior technical expert with customers and vendors. Key Responsibilities<ul><li>Serve as the highest‑level technical expert and final escalation point for the most complex, high‑risk, or repeat‑failure equipment issues</li><li>Lead diagnosis and resolution of systemic or enterprise‑wide equipment performance problems</li><li>Provide expert‑level installation, validation, and troubleshooting for advanced or newly released medical and dental technologies</li><li>Direct and oversee critical installations, upgrades, retrofits, and large‑scale remediation efforts</li><li>Develop, review, and standardize advanced service procedures, troubleshooting guides, and technical documentation</li><li>Partner with engineering, quality, and product development teams to influence design improvements, reliability enhancements, and serviceability</li><li>Analyze service data and trends to identify root causes, recurring failures, and opportunities for preventive solutions</li><li>Lead continuous improvement initiatives that enhance service efficiency, quality, safety, and customer satisfaction</li><li>Serve as technical lead for pilot programs, beta deployments, or early‑stage product introductions</li><li>Represent the organization as a senior technical authority in customer meetings, audits, and high‑visibility service engagements</li><li>Provide advanced technical mentoring and coaching to Medical Equipment Engineer I, II, and III staff</li><li>Design and deliver advanced technical training, certifications, and knowledge‑sharing sessions</li><li>Advise management on technical strategy, resource planning, skills development, and service readiness</li><li>Ensure compliance with regulatory, safety, and quality standards across all service activities</li><li>Travel extensively as required (including extended or multi‑site assignments) and provide leadership during complex service engagements</li><li>Ensure safe handling, transport, setup, and operation of equipment (up to 50 lbs.)</li><li>Perform other duties as assigned by management</li></ul>Leadership & Influence Responsibilities<ul><li>Provides technical leadership across the service organization without necessarily having direct people‑management responsibility</li><li>May provide functional or dotted‑line leadership to Engineer I–III staff on projects or escalations</li><li>Acts as a trusted technical advisor to service management and cross‑functional leaders</li><li>Contributes to succession planning, skills assessments, and technical competency frameworks</li></ul>
2026-04-24T00:00:00Z

Insurance Coverage Attorney

New York, NY
onsite
Permanent / Full Time
160000 - 195000 USD / Yearly
We are looking for a skilled Insurance Coverage Attorney to join our team in New York, New York. This position is ideal for mid-level attorneys who want to enhance their expertise in insurance coverage and litigation while working on a variety of challenging legal matters. You will play a critical role in providing legal analysis and representation to clients, ensuring their interests are effectively protected. Responsibilities: • Analyze insurance policies and prepare detailed coverage opinions. • Collaborate with senior attorneys in managing insurance-related litigation and resolving disputes. • Draft legal documents such as pleadings, motions, and memoranda. • Participate in depositions, mediations, and court proceedings as needed. • Conduct in-depth legal research on insurance law and coverage-related issues. • Maintain clear and effective communication with clients regarding case strategies and updates.
2026-04-14T00:00:00Z

Insurance Coverage Attorney

Seattle, WA
onsite
Permanent / Full Time
145000 - 190000 USD / Yearly
A multi-office law firm in Seattle is seeking an experienced Insurance Coverage Attorney to join their team. The salary range for the role is 145-190k base with additional structured bonus earnings on a standard billable target of 1800. The firm offers medical, dental, vision and life insurance, unlimited PTO, 401k plus company match, transportation benefits and other perks. They offer a flexible hybrid work structure, allowing attorneys to regularly work-from-home weekly if desired.
2026-04-24T00:00:00Z

Insurance Coverage Attorney

Seattle, WA
onsite
Permanent / Full Time
165000 - 190000 USD / Yearly
We are looking for an accomplished attorney to join a boutique law firm in Downtown Seattle, with a strong focus on insurance coverage matters. This position offers the opportunity to advise clients on complex policy issues, manage sophisticated disputes, and contribute to high-level litigation strategy. The ideal candidate brings sound judgment, strong research abilities, and a proven background handling insurance-related claims and coverage analysis. Responsibilities:• Advise clients on insurance coverage questions, including policy interpretation, claims evaluation, and dispute management strategies.• Handle a portfolio of insurance coverage and related litigation matters from early assessment through resolution.• Perform in-depth legal research and translate findings into practical recommendations, motions, briefs, and case strategy.• Represent clients in court proceedings, mediations, settlement discussions, and other contested matters.• Review insurance policies, endorsements, and supporting records to assess rights, obligations, and potential exposure.• Monitor legal and regulatory developments affecting insurance law and incorporate those changes into client guidance and case planning.• Work closely with attorneys, paralegals, and administrative professionals to move matters forward efficiently and effectively. Firm offers lower billable goal than most firms and generous benefits including 3 weeks PTO, profit sharing bonuses, 401K with matching, year end bonuses, transportation stipend, hybrid work from home model, and quicker partnership track! For a confidential conversation about this opening please send your resume to Sam(dot)Sheehan(at)RobertHalf(dot)(com)
2026-04-22T00:00:00Z

Insurance Coverage Counsel

New York, NY
onsite
Permanent / Full Time
200000 - 225000 USD / Yearly
We are looking for an experienced Insurance Coverage Counsel to join our dynamic legal team in New York, New York. In this role, you will provide strategic legal expertise to insurance carriers and self-insured entities, focusing on complex insurance coverage matters and litigation. This is an excellent opportunity for an experienced attorney to work on high-profile cases and collaborate with a team of skilled professionals. Responsibilities: • Analyze and interpret insurance policies to deliver comprehensive coverage opinions. • Manage complex insurance coverage litigation from initiation through resolution. • Draft pleadings, motions, and detailed coverage position letters to support legal strategies. • Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy. • Offer strategic counsel to insurers on high-stakes claims and exposure issues. • Work closely with litigation teams to address overlapping defense and coverage matters. • Conduct thorough legal research to support case strategies and recommendations. • Ensure compliance with relevant laws and regulations while advising clients. • Collaborate with clients to develop tailored solutions for intricate coverage disputes.
2026-04-14T00:00:00Z

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.
2026-04-27T00:00:00Z

Insurance Billing Specialist

Mundelein, IL
onsite
Permanent / Full Time
60000 - 65000 USD / Yearly
The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected] Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? Responsibilities:<ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul>
2026-05-06T00:00:00Z

Insurance Authorization Specialist

Indianapolis, IN
onsite
Temporary / Contract
18 - 22 USD / Hourly
We are seeking a detail-oriented Insurance Authorization Specialist to support timely and accurate insurance verification and prior authorization processes. This role is responsible for reviewing patient and provider information, obtaining required authorizations, confirming coverage, and helping ensure claims are processed efficiently. The ideal candidate has strong knowledge of insurance guidelines, excellent communication skills, and the ability to manage multiple cases in a fast-paced environment. Hours: Monday - Friday 8am -5pm Key Responsibilities<ul><li>Verify insurance eligibility, benefits, and coverage details</li><li>Obtain prior authorizations and pre-certifications for services, procedures, and medications</li><li>Communicate with insurance carriers, providers, patients, and internal teams regarding authorization requirements and status updates</li><li>Review documentation for completeness and accuracy before submission</li><li>Track authorization requests, approvals, denials, and expirations</li><li>Follow up on pending and denied authorizations and escalate issues as needed</li><li>Maintain accurate records in billing, practice management, or electronic health record systems</li><li>Ensure compliance with payer guidelines, healthcare regulations, and company policies</li><li>Assist with appeals and supporting documentation for denied requests</li><li>Collaborate with clinical, billing, and administrative teams to reduce delays in service and reimbursement</li></ul>
2026-05-04T00:00:00Z

Medical Billing

Scranton, PA
onsite
Temporary / Contract
0 - 0 USD / Yearly
We are seeking a detail-oriented Medical Billing Specialist to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments, adjustments, and denials accurately</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies</li><li>Review Explanation of Benefits (EOBs) for accuracy</li><li>Communicate with insurance companies, patients, and internal teams regarding billing questions</li><li>Maintain patient confidentiality and comply with HIPAA regulations</li><li>Ensure billing practices align with payer guidelines and company policies</li></ul>
2026-05-01T00:00:00Z

Medical Billing

Lake Villa, IL
onsite
Temporary to Hire
25 - 27 USD / Hourly
We are seeking a detail-oriented Medicare/Medicaid Biller & Collector to join our team at a senior living community in Lindenhurst, IL. This role is responsible for managing the full-cycle billing and collections process, ensuring accurate and timely reimbursement from Medicare, Medicaid, and other payers. The ideal candidate has strong experience in healthcare billing, excellent follow-up skills, and a proactive approach to resolving claims and payment issues. Key Responsibilities<ul><li>Process and submit Medicare and Medicaid claims accurately and in a timely manner</li><li>Manage billing for skilled nursing and/or long-term care services</li><li>Follow up on outstanding claims, denials, and unpaid balances</li><li>Investigate and resolve billing discrepancies and rejections</li><li>Post payments, adjustments, and reconcile accounts receivable</li><li>Communicate with insurance providers, residents, and families regarding billing inquiries</li><li>Ensure compliance with federal, state, and payer-specific regulations</li><li>Maintain accurate and organized billing records</li><li>Collaborate with internal teams to ensure proper documentation and coding</li></ul>
2026-05-01T00:00:00Z

Medical Billing/Claims/Collections

Plymouth, NH
onsite
Temporary / Contract
18 - 20 USD / Hourly
We are looking for a detail-oriented Medical Billing/Claims/Collections specialist to support patient financial services for a healthcare organization in Plymouth, New Hampshire. This Contract position focuses on assisting patients with billing matters, maintaining accurate insurance and account information, and helping ensure smooth coordination of financial and referral-related processes. The ideal candidate is comfortable communicating with patients, handling administrative tasks, and addressing questions related to insurance coverage, balances, and payment arrangements. Responsibilities:• Confirm insurance details and accurately record billing information in the appropriate system to support timely claims processing.• Guide patients through intake documentation by reviewing forms with them and clearly explaining required paperwork.• Coordinate and submit internal service referrals to help patients access additional care as needed.• Speak with patients about account balances, billing concerns, and available options for resolving outstanding charges.• Arrange payment plans based on patient needs and collect past-due balances in a courteous and respectful manner.• Respond to questions related to insurance, billing statements, and payment expectations with clear and helpful information.
2026-05-06T00:00:00Z

Medical Denials Specialist

Carmel, IN
onsite
Temporary / Contract
18 - 22 USD / Hourly
We are seeking a detail-oriented Medical Denials Specialist to join our healthcare revenue cycle team. In this role, you will be responsible for reviewing, analyzing and resolving denied medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate will have experience working with insurance carriers, payer guidelines, appeals processes and healthcare billing systems. Hours: Monday - Friday 8am -5pm Key Responsibilities<ul><li>Review and investigate denied or underpaid medical claims</li><li>Identify denial trends and root causes to support process improvement</li><li>Prepare and submit claim corrections, reconsiderations and appeals</li><li>Follow up with insurance companies regarding claim status and payment resolution</li><li>Verify coding, billing and documentation accuracy to ensure compliance with payer requirements</li><li>Collaborate with billing, coding, collections and clinical teams to resolve claim issues</li><li>Maintain accurate records of denial activity, appeal outcomes and account updates</li><li>Monitor payer policy changes and reimbursement guidelines</li><li>Meet productivity and quality goals related to denial resolution and accounts receivable follow-up</li></ul>
2026-05-04T00:00:00Z

Insurance Referral Coordinator

Seattle, WA
remote
Temporary / Contract
22.211 - 25.718 USD / Hourly
We are looking for an Insurance Referral Coordinator to help patients access the specialty services and covered care they need in Seattle, Washington. This Long-term Contract position focuses on coordinating referrals, insurance approvals, and service scheduling while ensuring patients receive timely support and clear guidance. The ideal candidate is highly organized, communicates effectively, and can manage detailed documentation across multiple requests in a fast-paced healthcare environment. Responsibilities: • Manage incoming referral requests and move each case through the required review and approval steps for specialty and support services. • Secure payer authorizations and coverage verification for consultations, diagnostic testing, medications, medical equipment, home-based care, and other ordered services. • Arrange appointments and coordinate related services to help maintain an efficient and consistent patient care experience. • Answer patient inquiries involving standard insurance and billing topics, offering clear and accurate information. • Educate patients on referral status, approval requirements, and next steps so they understand how to access authorized services. • Support the acquisition or rental coordination of medically necessary equipment tied to patient care plans. • Record referral activity, authorization updates, and case details accurately within Epic and other required documentation systems. • Collaborate with clinical and administrative teams to keep referral workflows organized and ensure services are delivered without unnecessary delays.
2026-05-11T00:00:00Z

Medical Claims Analyst

Raleigh, NC
onsite
Temporary to Hire
26.6 - 30.8 USD / Hourly
We are looking for a detail-oriented Medical Claims Analyst to join a team supporting Medicaid audit and claims review activities in Raleigh, North Carolina. This contract opportunity is ideal for someone who can evaluate provider billing practices, examine payment accuracy, and contribute to compliance-focused reviews with growing independence. The role offers the chance to apply analytical judgment, strengthen audit documentation, and help improve the integrity of Medicaid-related claims operations. Responsibilities: • Review provider billing records and medical claim activity to identify discrepancies, validate payments, and assess adherence to Medicaid guidelines • Carry out structured audit procedures for claims, denials, rejected claims, and billing documentation to support program integrity efforts • Interpret applicable Medicaid requirements and federal regulatory standards when analyzing audit results and determining potential issues • Develop clear working papers, summaries, and preliminary findings that accurately document testing performed and conclusions reached • Partner with internal stakeholders to clarify claim exceptions, address audit questions, and support corrective action recommendations • Analyze medical billing and Medicaid claim data to detect patterns, trends, and areas requiring additional review • Contribute to compliance examinations involving provider assessments, payment verification, and operational claim review activities
2026-05-11T00:00:00Z

Medical Claims Analyst

Raleigh, NC
onsite
Temporary to Hire
27.7115 - 32.087 USD / Hourly
We are looking for a Medical Claims Analyst to join our team in Raleigh, North Carolina on a Contract to permanent basis. This position is ideal for a detail-oriented individual who can evaluate Medicaid-related claims activity, support audit initiatives, and help maintain compliance with healthcare payment standards. The role offers the opportunity to work independently on analytical reviews while partnering with internal teams to strengthen accuracy, documentation, and regulatory alignment. Responsibilities: • Review provider records and claims activity to assess payment accuracy and identify discrepancies requiring follow-up. • Perform audit procedures tied to Medicaid claims, billing practices, denials, and rejected claims to support program integrity efforts. • Interpret Medicaid rules and applicable federal guidance when evaluating findings and determining compliance outcomes. • Prepare organized workpapers, summaries, and preliminary reports that clearly document testing results and supporting analysis. • Investigate claim issues and collaborate with stakeholders to address exceptions, recommend corrective actions, and support resolution plans. • Analyze medical billing and reimbursement data to detect trends, payment concerns, and areas of potential financial risk. • Support compliance reviews involving provider activity, claim adjudication, and payment validation across assigned cases.
2026-05-11T00:00:00Z

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for a highly organized Insurance Authorization Coordinator to support hospital authorization activities in San Bernardino, California. This Contract position focuses on securing retroactive approvals, maintaining complete documentation, and working closely with clinical and administrative teams to help prevent reimbursement delays. The ideal candidate brings strong knowledge of insurance authorization workflows, sound judgment when handling payer issues, and a careful approach to record accuracy and compliance. Responsibilities: • Prepare and submit retroactive authorization requests for hospital services, ensuring each case includes complete and accurate supporting information. • Monitor open, pending, and denied authorization cases, and take timely action to follow up with payers and internal stakeholders. • Partner with care teams and administrative staff to gather clinical records and other required documents needed for review. • Communicate with insurance representatives by phone and in writing to clarify case details, address discrepancies, and obtain determinations. • Maintain organized and up-to-date authorization records within hospital systems, including scanned documents and status updates. • Review requests against hospital guidelines and applicable regulatory standards to support compliant processing practices. • Track payer responses and escalate urgent or complex cases when additional review is needed to avoid delays in approval. • Keep current with changes in authorization procedures, including Treatment Authorization Request processes and payer-specific requirements.
2026-05-11T00:00:00Z

Medical Claims Resolution Specialist

Indianapolis, IN
remote
Temporary to Hire
21 - 25 USD / Hourly
We are seeking a detail-oriented Medical Claims Resolution Specialist within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement. Hours: Monday - Friday 8am - 5pm *after hours work will be needed at times Responsibilities:<ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
2026-05-11T00:00:00Z