38 results for Elgibility Specialist jobs

Eligibility Specialist

Houston, TX
remote
Contract / Temporary to Hire
22.8 - 26.4 USD / Hourly
We are seeking an experienced and detail‑oriented RCM Reimbursement Specialist focused on Appeals and Denials to join our team on a contract-to-hire basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management. Responsibilities<ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul>
2026-04-07T00:00:00Z

Medical Enrollment Specialist

Buena Park, CA
onsite
Temporary
19.12 - 25.09 USD / Hourly
Our healthcare team is seeking a detail-oriented Medical Insurance Enrollment Specialist with at least two years of experience and fluency in Spanish and English. The ideal candidate is passionate about helping patients navigate insurance processes and enjoys a fast-paced, supportive environment.Responsibilities:<ul><li>Process and review medical insurance enrollments for new and existing patients</li><li>Verify insurance coverage, eligibility, and benefits with various payers</li><li>Collaborate with patients, providers, and insurers to resolve enrollment questions and discrepancies</li><li>Maintain accurate and timely data entry in healthcare management systems</li><li>Communicate benefits information and enrollment outcomes to patients in both Spanish and English</li><li>Ensure compliance with HIPAA and company privacy policies</li><li>Provide exceptional customer service while assisting patients with insurance inquiries</li></ul>
2026-04-06T00:00:00Z

Credentialing Specialist

West Hollywood, CA
onsite
Temporary
25 - 45 USD / Hourly
The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.<ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-21T00:00:00Z

Credentialing Specialist

Englewood, CO
onsite
Contract / Temporary to Hire
24 - 25 USD / Hourly
Enrollment Specialist We are looking for a Enrollment Specialist to join our team in Greenwood Village, Colorado. This is a contract-to-permanent position within the detail-oriented services industry, offering an opportunity to play a pivotal role in ensuring smooth credentialing processes for healthcare providers. The ideal candidate will bring a blend of organizational skills, attention to detail, and familiarity with healthcare credentialing standards. Responsibilities: • Accurately prepare and submit both paper and electronic forms related to payor credentialing. • Complete contracting credentialing requests with precision and adherence to assigned deadlines. • Coordinate with Operations, Legal, and Compliance teams to collect necessary licensing and documentation. • Track and manage credentialing workflows using company-provided software tools. • Safeguard confidentiality while maintaining up-to-date company information. • Conduct research, compile data, and create detailed reports as required. • Participate in special projects and handle additional tasks as assigned. • Follow all company policies and procedures to ensure compliance and consistency.
2026-04-07T00:00:00Z

Credentialing Specialist

Philadelphia, PA
remote
Temporary
21 - 22 USD / Hourly
We are looking for a meticulous Credentialing Specialist to join our team located in the Greater Philadelphia Region. In this Credentialing Specialist contract role, you will play a critical part in ensuring that healthcare providers meet all necessary legal and detailed requirements. Your expertise will help maintain compliance and uphold high standards within the credentialing process. Here’s how you’ll contribute each day: • Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.• Maintain accurate and up-to-date records in the credentialing database.• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.• Prepare and review applications for credentialing and re-credentialing.• Ensure timely submission of documentation to meet deadlines and regulatory requirements.• Monitor changes in credentialing standards and implement updates as needed.• Provide support during audits and inspections related to credentialing.• Communicate effectively with providers to address inquiries and clarify credentialing requirements.• Ensure adherence to organizational policies and procedures throughout the credentialing process.
2026-03-27T00:00:00Z

Benefits Specialist

Dalton, GA
onsite
Contract / Temporary to Hire
21.85 - 25.3 USD / Hourly
Benefits Administrator (Bilingual Preferred)Contract-to-Hire | Corporate Office | Nationwide Manufacturing Organization Are you a customer-focused professional who thrives in a fast-paced, people-first environment? Do you enjoy helping others understand and maximize their benefits? We’re partnering with a leading nationwide manufacturing company to find a Benefits Administrator who is passionate about delivering exceptional service and making a meaningful impact on employees’ lives. This is an exciting opportunity to join a collaborative corporate team where your expertise in customer support, benefits administration, and systems navigation will directly support employees and their families. As a Benefits Administrator, you will serve as a key point of contact for employees, HR partners, and family members—providing guidance and support across health and total rewards programs.<ul><li>Manage inbound and outbound calls through the Genesys service center platform</li><li>Respond to employee inquiries via a shared email inbox with professionalism and accuracy</li><li>Deliver high-level customer service on health plan and total rewards benefits</li><li>Process and manage benefit change events within Workday (HRIS system)</li><li>Utilize carrier portals to verify eligibility, request ID cards, and review claims</li><li>Ensure timely and accurate handling of benefit-related tasks and documentation</li><li>Partner with internal HR teams to resolve complex or escalated issues</li></ul>What You Bring (Top Must-Haves)<ul><li>Strong Customer Service Experience</li><li>Proven ability to handle high-volume calls, including escalations, while maintaining professionalism and a solutions-oriented mindset</li><li>HRIS & Systems Proficiency</li><li>Experience navigating systems like Workday (or similar HRIS platforms) to retrieve, manage, and update employee information</li><li>Exceptional Multitasking & Time Management Skills</li><li>Ability to prioritize competing tasks, manage deadlines, and stay organized in a dynamic environment</li></ul>Preferred Qualifications<ul><li>Bilingual in English and Spanish (highly preferred)</li><li>Experience or working knowledge of employee benefits (health plans, eligibility, claims, etc.)</li><li>Familiarity with service center environments and ticketing systems</li></ul>Who Will Thrive Here We’re looking for someone who is:<ul><li>Personable and approachable – builds trust quickly with employees and teammates</li><li>An active listener – understands concerns and responds thoughtfully</li><li>A team player – collaborates well and supports shared goals</li><li>Proactive and solution-driven – takes initiative and follows through</li><li>Receptive to feedback – committed to continuous improvement</li><li>Sound in judgment – handles sensitive information with care and professionalism</li></ul>Why This Opportunity?<ul><li>Join a stable, growing organization with a nationwide presence</li><li>Gain exposure to corporate HR and benefits operations</li><li>Work in a collaborative, supportive team environment</li><li>Opportunity to transition into a long-term role</li></ul>If you’re ready to bring your customer service expertise and benefits knowledge to a role where you can truly make a difference, we’d love to connect with you.
2026-04-02T00:00:00Z

Referral Specialist

Fort Worth, TX
onsite
Temporary
20 - 22 USD / Hourly
Position: Referral Specialist (CONTRACT)Location: Fort Texas, United States of America, 76109Schedule: 100% Onsite | Monday–Friday | 8:00 AM–5:00 PMPay Range: $20–$22 per hourEmployment Type: Contract (no guarantee of extension or conversion)Position OverviewEssential Duties & Time Allocation (Must Total 100%)Advanced Remittance Duties – 70%<ul><li>Perform exception‑based remittance research and advanced reconciliation of referral fees and NPR.</li><li>Serve as secondary vendor contact for referral fee inquiries and issue resolution.</li><li>Conduct fact‑finding and resolve vendor matters requiring coding corrections or refunds.</li><li>Collaborate with ORM to ensure compliance related to referral fees, vendors, and clients.</li><li>Oversee firm‑wide referral fee payment application processes and inquiries.</li><li>Process refunds for clients when referral fees cannot be retained.</li><li>Maintain and support vendor relationships related to referral clients and fee validation.</li></ul>Training Duties – 15%<ul><li>Manage NPR referral receipt operations including: </li><li>Validation of vendors with ORM for referral fee eligibility.</li><li>Monitoring vendor payments and matching remittance documents to clients and GL accounts.</li><li>Posting client NPR to the GL via journal entries.</li><li>Ensuring referral fee acceptance processes operate correctly firm‑wide.</li><li>Accessing vendor portals to confirm accurate referral client assignments.</li></ul> Reporting & Analysis – 10%<ul><li>Deliver daily and monthly reporting on NPR to Consulting LOB leadership.</li><li>Conduct monthly reconciliation of NPR and related balance sheet accounts for the entire firm.</li></ul>Other Duties – 5%<ul><li>Perform additional tasks as assigned.</li></ul>
2026-03-19T00:00:00Z

EHS Specialist

Sumter, SC
onsite
Permanent
65000 - 90000 USD / Yearly
We are looking for a dedicated Environmental, Health, and Safety (EHS) Specialist to oversee and enhance workplace safety and compliance programs. This role involves conducting audits, delivering safety training, managing permits, and fostering a culture of safety throughout the organization. The ideal candidate will bring expertise in regulatory compliance and a proactive approach to maintaining a safe and sustainable workplace. Responsibilities:• Ensure EHS policies and procedures are compliant with local, state, and federal regulations.• Manage and maintain environmental permits, including stormwater, air, and wastewater permits.• Conduct regular audits and inspections to identify workplace hazards and implement corrective actions.• Facilitate safety training sessions for employees, including orientations for new team members and annual compliance refreshers.• Investigate workplace incidents and accidents, prepare detailed reports, and recommend corrective measures.• Maintain EHS documentation, such as Safety Data Sheets, injury logs, permits, and compliance reports.• Coordinate and execute emergency response plans, including drills and preparedness measures.• Monitor and analyze EHS performance metrics to identify areas for continuous improvement.• Promote employee engagement and awareness regarding safety practices and initiatives.
2026-03-18T00:00:00Z

Claims Specialist

Duncan, SC
onsite
Permanent
65000 - 80000 USD / Yearly
We are looking for an experienced Claims Specialist to join our team in Duncan, South Carolina. In this role, you will manage and oversee the full lifecycle of worker's compensation claims, ensuring efficient processing and resolution. This position requires expertise in claims management, risk reduction strategies, and effective communication with claimants and stakeholders. Responsibilities: • Handle a high volume of worker's compensation claims from initiation to final resolution, ensuring compliance with applicable regulations. • Conduct thorough investigations and audits to assess claims and mitigate risks. • Collaborate with employees, insurers, and claimants to resolve claims efficiently and effectively. • Provide expert guidance on risk management strategies to help clients minimize future liabilities. • Analyze claims data to identify trends and recommend improvements to reduce overall risk exposure. • Facilitate the claims adjudication process, ensuring timely and accurate processing. • Assist in preparing reports and documentation for audits and compliance purposes. • Serve as a key point of contact for claimants, addressing inquiries and providing support throughout the claims process. • Work closely with internal teams to ensure seamless communication and resolution of claims.
2026-04-01T00:00:00Z

EDI Specialist

Midland, TX
onsite
Contract / Temporary to Hire
20 - 23 USD / Hourly
We are looking for an experienced EDI Specialist to join our team in Midland, Texas. In this role, you will focus on efficiently managing electronic invoice submissions and ensuring accurate data entry within billing systems. This is a contract position, offering a unique opportunity to contribute to the oil and gas field services industry while advancing your career. Responsibilities: • Process electronic invoices with precision using platforms such as Open Invoice and Ariba. • Ensure timely submission of invoices and supporting documentation. • Manage and organize submittals to maintain accuracy and compliance. • Perform accurate data entry tasks to update and maintain billing records. • Collaborate with internal teams to resolve discrepancies and improve workflow efficiency. • Monitor invoice statuses and troubleshoot issues to ensure smooth processing. • Maintain detailed and organized records of all billing activities. • Assist in refining processes to enhance overall invoicing efficiency. • Communicate effectively with clients and vendors regarding billing inquiries.
2026-04-06T00:00:00Z

Benefits Programs Specialist

Newport News, VA
remote
Temporary
20 - 25 USD / Hourly
We are looking for an experienced REMOTE Benefits Programs Specialist to join our team on a contract basis in Newport News, Virginia. This role focuses on evaluating Medicaid eligibility for specific populations, including aged, blind, and disabled individuals, while ensuring effective benefits coordination and administration. If you have a strong background in compensation and benefits analysis, this position offers an opportunity to contribute meaningfully within the non-profit sector. Responsibilities:• Assess Medicaid eligibility for individuals classified as aged, blind, or disabled by conducting detailed case evaluations.• Analyze available resources and determine eligibility criteria for Medicaid programs.• Identify individuals who meet protected status requirements and complete comprehensive Medicaid evaluations.• Review and interpret organizational forms and documentation for updates, changes, or conversions.• Ensure accurate application of Medicaid regulations and guidelines during casework processes.• Collaborate with team members to streamline benefits coordination and administration.• Provide insights and recommendations based on benefits analysis to support decision-making.• Maintain detailed records and documentation for all case evaluations and eligibility determinations.• Stay informed about changes in state and federal Medicaid policies to ensure compliance.• Deliver thorough and timely services to meet the needs of beneficiaries.
2026-04-08T00:00:00Z

Intake Specialist

San Jose, CA
onsite
Temporary
25 - 32 USD / Hourly
OverviewThis is an immediate start as early as 3/23/26. The Family Law Intake Specialist will be the first point of contact for clients seeking legal assistance in family law matters they are responsible for managing and prioritizing multiple tasks while maintaining a high level of professionalism. The Family Law Intake Specialist collaborates with attorneys and other team members to ensure a seamless client experience. This role requires strong communication skills, and the ability to manage sensitive information with confidentiality. Key ResponsibilitiesInitial Client Contact:• Answering inquiries via phone, email, or web with empathy and professionalism.• Conducting interviews to gather essential details about marital history, assets, and custody concerns to determine if a case is a good fit.• Provide clients with information about our services, processes, and expectations.Information Gathering:• Collecting essential client details (e.g., marriage dates, assets, child information) to help attorneys prepare.• Document and organize client information, ensuring accuracy and compliance with legal standards Case Management & Scheduling:• Entering data into systems and managing attorney calendars to reduce missed consultations.• Maintaining supportive, consistent communication to keep prospects engaged during the stressful decision-making phase.• Schedule appointments for attorneys and follow up with clients, as necessary. Administrative Tasks:• Conduct potential client conflict checks and follow-ups.• Manage new client intakes, follow up on incomplete questionnaire information, and confirm appointments.• Send Zoom links, distribute Limited Consultation Agreements, and prepare engagement letters.• Ensure proper collection and handling of retainer fees and unpaid consultation fees.• Manage client files, saving them to Net Docs and organizing file transfers.• Update legal management software (ProLaw & Crowther) with new client matters. Client Support:• Update legal management software (ProLaw & Crowther) with new client matters.• Arrange client hospitality, including parking and reserving meeting spaces.• Facilitate notary signings for in-house clients.• Save outgoing pleadings in designated files and handle disengagement letters.• Assist attorneys with billing and receivables.
2026-03-18T00:00:00Z

Appeals Specialist

Lynnwood, WA
remote
Temporary
18 - 21.5 USD / Hourly
We are looking for an experienced Appeals Specialist to join our team on a contract basis. In this role, you will play a critical part in reviewing and processing appeals, ensuring high standards of accuracy and efficiency. This is a remote position based in Washington State, with no onsite training or meeting requirements, except for equipment pickup if local. Responsibilities:• Review and analyze incoming mail and faxes to route them to the appropriate recipient.• Conduct thorough research using reference materials, online tools, and proprietary systems.• Enter and manage new cases in the system, ensuring all production goals are consistently met.• Accurately identify and prioritize expedited appeal requests for timely processing.• Respond to appeals that require claimant authorization, adhering to all privacy guidelines.• Validate and handle privacy-related tasks, including processing authorizations and managing confidential documents.• Assist with office supply orders and scheduling appeal panels as needed.• Help the department meet quality and productivity standards through teamwork and individual contributions.• Perform additional tasks as assigned to support overall team goals.
2026-04-06T00:00:00Z

Data/Intake Specialist

Pearl City, HI
onsite
Contract / Temporary to Hire
20 - 23 USD / Hourly
We are looking for a detail-oriented Data/Intake Specialist to join our team in Pearl City, Hawaii. In this Contract to permanent position, you will play a vital role in managing data entry and ensuring the accuracy and integrity of information within our systems. If you have a strong background in data management and are eager to contribute to process improvements, this opportunity is for you. Due to the nature of the work and onsite requirements, preference will be given to Hawaii residents. Applicants should be able to reliably commute or reside within the region to meet business needs. All qualified applicants are encouraged to apply by calling us at 808-531-0800. Responsibilities:• Accurately input data into databases, spreadsheets, and other software systems while maintaining a high level of precision.• Conduct thorough quality checks to verify the accuracy, completeness, and integrity of entered data.• Identify and resolve inconsistencies or errors in data to ensure reliability.• Collaborate with internal teams to gather necessary information and clarify data requirements.• Uphold strict confidentiality and security standards for sensitive information.• Create and update documentation related to data intake processes and procedures.• Support the development and implementation of best practices for data management.• Work alongside team members to enhance data intake workflows and streamline processes.• Provide assistance to colleagues on data-related tasks as needed.
2026-04-03T00:00:00Z

Data/Intake Specialist

Waipahu, HI
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Data/Intake Specialist to join our team in Waipahu, Hawaii. This Contract to permanent position is ideal for someone with strong data entry and reconciliation skills who thrives in a collaborative environment. The role involves ensuring the accuracy and integrity of data while supporting process improvements across the team. Due to the nature of the work and onsite requirements, preference will be given to Hawaii residents. Applicants should be able to reliably commute or reside within the region to meet business needs. All qualified applicants are encouraged to apply by calling us at 808-531-0800. Responsibilities:• Accurately process and input incoming data into designated databases and software systems.• Conduct thorough reviews of data to ensure completeness, accuracy, and consistency.• Identify and resolve discrepancies or errors in data entry to maintain data integrity.• Collaborate with team members to gather necessary information and clarify data requirements.• Develop and maintain documentation for data intake processes and procedures.• Uphold confidentiality and security standards for handling sensitive information.• Assist in implementing best practices for data management and workflow optimization.• Perform account reconciliations, including accounts payable and receivable tasks.• Provide support to team members and contribute to continuous process improvements.
2026-04-03T00:00:00Z

IT Specialist

Paducah, KY
onsite
Permanent
65000 - 75000 USD / Yearly
We are looking for an experienced IT Specialist to join our client's team in Paducah, Kentucky. In this role, you will be responsible for managing and maintaining the organization’s technology infrastructure, ensuring all systems, software, and networks operate securely and efficiently. This position requires a proactive approach to troubleshooting, technical support, and the implementation of innovative solutions to meet organizational needs. Responsibilities:• Manage and maintain the organization’s systems, networks, applications, and telecommunications to ensure seamless operations.• Diagnose and resolve technical issues related to hardware, software, and network systems.• Install, configure, and update system software to enhance performance and security.• Safeguard sensitive data and communications by implementing robust security measures.• Research and recommend new technologies to improve operational efficiency.• Provide technical support and guidance to employees, ensuring timely resolution of issues.• Create and manage documentation for system processes, procedures, and configurations.• Participate in on-call support for after-hours technical needs.• Ensure compliance with relevant laws and regulations in the management of IT systems.• Prioritize and address technology needs to support organizational goals.
2026-04-07T00:00:00Z

Employee Relations Specialist

Seattle, WA
onsite
Temporary
45.47 - 48.32 USD / Hourly
We are looking for an experienced Employee Relations Specialist to join our team in Seattle, Washington. In this long-term contract role, you will play a vital part in managing employee benefits, leave programs, accommodations, and workers' compensation processes. This position offers an opportunity to ensure compliance with employment laws while providing exceptional support to employees and managers. Responsibilities: • Manage daily operations related to employee benefits, including enrollments, terminations, and life event updates. • Conduct timely reconciliations of benefit-related data and vendor invoices, ensuring accuracy and compliance. • Maintain records for all benefit plans, including enrollments, applications, claims, and other required documentation. • Draft and update communication materials regarding employee benefits, ensuring clarity and accessibility. • Coordinate and participate in the annual Open Enrollment process and weekly New Employee Orientation sessions. • Administer leave programs, including FMLA, state-specific family and medical leave, and company leave policies. • Track leave eligibility, usage, and documentation, while communicating requirements and timelines to employees. • Serve as the primary liaison for workers’ compensation claims, ensuring timely reporting and effective communication with all parties. • Oversee reasonable accommodation requests, engaging in interactive processes and providing guidance to managers. • Ensure compliance with federal, state, and local employment laws, including ADA, FMLA, and other applicable regulations.
2026-04-02T00:00:00Z

Medical Insurance Claims Specialist

Boise, ID
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for Idaho Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-25T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-26T00:00:00Z

Payroll/Benefits Specialist

Ankeny, IA
onsite
Permanent
50000 - 65000 USD / Yearly
About the Opportunity:Join our growing, collaborative HR team in a critical role supporting weekly payroll processing and HR operations for multiple companies across multiple states. You’ll be a go-to resource for employees and managers, ensuring smooth payroll cycles and assisting team members with benefits, onboarding, compliance, and more. This is your chance to make a direct impact on employee experience while advancing your HR career in a company that values innovation, integrity, and teamwork.What You’ll Do:<ul><li>Prepare multi-state payrolls – accuracy and timeliness are key!</li><li>Maintain HRIS records, including wages, tax withholdings, bonuses, deductions, and employee changes.</li><li>Serve as the first point of contact for payroll and benefit inquiries, resolving issues quickly and professionally.</li><li>Support onboarding/offboarding: direct deposit setup, I-9 verifications, terminations, benefit communication, and exit processes.</li><li>Administer referral and bonus programs, keeping trackers current and ensuring timely payments.</li><li>Run reports, support finance/payroll reconciliation, and respond to payroll data requests.</li><li>Oversee benefit and 401(k) enrollment, life event changes, open enrollment support, and employee education on benefit plans.</li><li>Maintain compliance with all federal, state, and local employment laws, managing confidential employee files securely.</li><li>Provide general HR support: policies, procedures, employee relations documentation, supply orders, and org chart updates.</li></ul>Why Work With Us?<ul><li>Competitive compensation and benefits package.</li><li>Collaborative, supportive team culture.</li><li>Opportunities for learning and advancement within HR.</li><li>Make a difference across the organization by driving accuracy, compliance, and employee satisfaction.</li></ul>
2026-04-03T00:00:00Z

Payroll/Benefits Specialist

Greenville, SC
onsite
Contract / Temporary to Hire
21.85 - 25.3 USD / Hourly
We are seeking a detail oriented, solutions driven candidate for a well-established company in the upstate area. Prior Payroll or benefits experience is a plus.This is a contract to hire opportunity, 40 hours per week. Responsibilities:• Perform reconciliations for employee benefits, ensuring deductions are correctly applied.• Address and resolve employee inquiries related to paychecks, tax issues, and benefit deductions.• Troubleshoot problems concerning identification cards and payroll discrepancies.• Maintain compliance with local, state, and federal payroll regulations.• Provide guidance and support to employees regarding payroll policies and procedures.• Stay updated on changes in payroll laws and guidelines to ensure ongoing compliance.• Compare carrier invoices against payroll and enrollment records.
2026-04-02T00:00:00Z

Insurance Premium Specialist

Virginia Beach, VA
onsite
Temporary
20.9 - 24.2 USD / Hourly
We are looking for an experienced Insurance Premium Specialist to join our team in Virginia Beach, Virginia. In this long-term contract position, you will play a crucial role in managing insurance billing processes, ensuring accurate account reconciliation, and providing outstanding customer service. This opportunity is ideal for professionals with a strong accounting background and excellent communication skills. Responsibilities: • Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards. • Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively. • Perform detailed account reconciliations to maintain accurate financial records. • Collaborate with internal teams to address discrepancies and improve billing processes. • Ensure timely and accurate completion of all billing functions. • Monitor and report on account activities and discrepancies to relevant stakeholders. • Assist in maintaining accounting records and documentation for audits and compliance purposes. • Provide exceptional customer service by addressing client concerns and ensuring satisfaction. • Review and analyze financial data related to insurance premiums. • Identify opportunities for process improvements within the accounting and billing functions.
2026-03-25T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a dedicated Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position offers an excellent opportunity for detail-oriented individuals with expertise in medical billing, accounts receivable, and claims processing to contribute to a dynamic environment. The ideal candidate will possess strong technical skills and the ability to interpret complex healthcare regulations while maintaining exceptional attention to detail and customer service. Responsibilities:• Process and manage billing functions, ensuring compliance with healthcare regulations and accuracy in all claims.• Research and resolve complex issues related to accounts receivable, appeals, and benefit functions.• Utilize advanced knowledge of billing systems, including Allscripts, Cerner Technologies, and EHR systems, to manage patient data effectively.• Maintain and update records using computerized filing systems, ensuring consistency and organization.• Prepare and review detailed reports, including insurance claims and treatment authorization forms, with precision.• Perform coding and data entry tasks that align with departmental procedures and healthcare policies.• Collect and reconcile payments, adjust accounts as necessary, and ensure proper documentation of financial transactions.• Provide exceptional customer service by addressing patient inquiries and explaining billing procedures in a clear and thorough manner.• Train and support team members in technical processes, fostering a collaborative and efficient work environment.• Develop and maintain spreadsheets and databases to track financial and statistical data for reporting purposes.For immediate consideration please contact Cortney 209-225-2014
2026-04-01T00:00:00Z

Medical Billing Specialist

French Camp, CA
onsite
Contract / Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-04-01T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
Robet Half is looking for a skilled Medical Billing Specialist to join to join a team based in Philadelphia, Pennsylvania. This contract Medical Billing Specialist position as potential for long-term employment and is ideal for professionals who excel in managing medical billing processes and ensuring the accuracy of patient and insurance data. The successful Medical Billing Specialist candidate will play a critical role in maintaining efficient billing workflows and supporting compliance with healthcare regulations. If you are looking for an opportunity to get your career moving in the right direction and put your talents to the test then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013410775. As a Medical Billing Specialist Your Responsibilities will include but are not limited to:• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems. • Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness. • Apply knowledge of medical codes to ensure accurate data entry and validation. • Investigate and resolve discrepancies in patient accounts, insurance details, or claims. • Prepare billing data for claim submission while adhering to established guidelines. • Maintain compliance with healthcare privacy policies and organizational standards. • Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues. • Support the optimization of billing workflows to enhance operational efficiency. • Assist in audits, reporting, and specialized data cleanup projects as needed.
2026-03-30T00:00:00Z