<p>A Health Plan in Buena Park for a Part Time Enrollment Specialist who is Bilingual in Spanish and English to join its team. The Part Time Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs such as Covered California and Medi-Cal. This Part Time Enrollment Specialist is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Bilingual in Spanish is a MUST. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal.</p><p>• Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions.</p><p>• Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies.</p><p>• Maintain up-to-date records of enrollment activity and manage data entry into internal systems.</p><p>• Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes.</p><p>• Collaborate with community outreach teams to support enrollment initiatives and drive awareness.</p><p>• Deliver excellent customer service by addressing patient inquiries and concerns promptly.</p><p>• Stay informed about changes in health insurance policies to provide accurate guidance to patients.</p><p><br></p><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p><p><br></p><p>Please send your resume to Mike [dot] Romero [at] RobertHalf [dot] [com]</p>
<p>We are looking for a dependable Eligibility Specialist to join a customer support team in Vandalia, Ohio in a contract-to-permanent capacity. This position focuses on maintaining accurate member records, supporting enrollment-related activities, and providing responsive service through phone and email communication. The ideal candidate is organized, comfortable handling administrative tasks, and able to manage a steady workflow in a weekday office setting.</p><p><br></p><p>Responsibilities:</p><p>• Enter and update member information in the designated portal while verifying accuracy and confirming successful submission of records.</p><p>• Process enrollment-related transactions and maintain eligibility records to support timely and accurate member services.</p><p>• Communicate with vendors and external representatives as needed to resolve routine questions and support service-related follow-up.</p><p>• Prepare, review, and distribute reports that help track operational activity and support day-to-day team needs.</p><p>• Scan, organize, and index documents so files remain accessible, accurate, and properly maintained.</p><p>• Sort and distribute incoming mail and related materials to ensure timely handling of correspondence.</p><p>• Respond to inbound inquiries and email messages with clear, service-focused communication.</p><p>• Support additional order entry, scheduling, and administrative tasks required to keep daily operations running smoothly.</p>
We are looking for a detail-oriented Billing & Enrollment Coordinator to support accurate enrollment processing and billing operations within our Financial Services team in Concord, New Hampshire. This position plays an important role in maintaining member and group account accuracy, assisting customers with billing and eligibility questions, and helping ensure timely resolution of account issues. The ideal candidate brings strong administrative skills, sound judgment, and the ability to work effectively with internal teams, employer groups, and external partners.<br><br>Responsibilities:<br>• Enter enrollment information into company systems with a high level of accuracy, ensuring records align with underwriting rules, eligibility standards, and group agreement requirements.<br>• Respond to questions from internal departments and external clients regarding funding arrangements, eligibility guidelines, and use of the group administration portal.<br>• Promote adoption of electronic billing by guiding groups through setup, providing education on available features, and addressing issues that affect successful usage.<br>• Oversee recurring billing activities, including generating invoices, distributing statements, following up on outstanding balances, and applying account actions in accordance with collection practices.<br>• Prepare account corrections and billing adjustment documentation, and perform audits to verify the accuracy of charges for group risk accounts.<br>• Review enrollment records and supporting reports to identify inconsistencies, complete eligibility updates, and maintain reliable member data.<br>• Partner with third-party administrators, employer groups, vendors, and internal stakeholders to reconcile discrepancies and coordinate monthly billing activity.<br>• Investigate billing and enrollment exceptions, resolve account errors, and provide timely follow-up to customer inquiries.
<p>We are looking for a highly organized and proactive Provider Enrollment Coordinator to join our team in Orlando, Florida. This is a fully remote position, and we are <strong>only seeking candidates located in the Central Florida area</strong> to align with our team’s needs. In this role, you will support independent medical practices by handling administrative tasks related to insurance enrollment and credentialing, ensuring they can focus on delivering exceptional patient care. This is a permanent placement opportunity with the potential for long-term growth in a company dedicated to improving healthcare services.</p><p><br></p><p>Responsibilities:</p><p>• Coordinating with the practice on providing onboarding and enrollment with governmental and commercial insurances.</p><p>• Complete and submit insurance enrollment applications on behalf of healthcare providers.</p><p>• Collaborate with medical practices to determine the most suitable insurance options for their needs.</p><p>• Communicate regularly with clients to ensure smooth enrollment processes and address any questions or concerns.</p><p>• Maintain accurate records and documentation for all enrollment activities.</p><p>• Monitor application statuses and follow up with insurance companies as needed to ensure timely approvals.</p><p>• Provide exceptional customer service by responding promptly to inquiries and resolving issues efficiently.</p><p>• Coordinate with internal teams to ensure seamless integration of services and compliance with industry standards.</p><p>• Proactively identify and resolve potential problems to ensure smooth operations.</p><p>• Keep up-to-date with changes in healthcare regulations and insurance requirements.</p><p>• Assist with scheduling and logistics to streamline provider enrollment processes.</p>
<p><strong>*THIS POSITION IS NOT REMOTE*</strong></p><p><br></p><p>We are looking for a Credentialing Specialist to support provider enrollment and credential verification activities for a healthcare organization in Rochester, New York. This Long-term Contract position is ideal for someone who can manage detailed compliance documentation, maintain accurate records across credentialing platforms, and work closely with internal teams to keep provider files current. The role requires strong attention to detail, sound judgment when reviewing documentation, and the ability to help maintain regulatory and organizational standards.</p><p><br></p><p>Responsibilities:</p><p>• Review, organize, and process provider credentialing and recredentialing files to support timely approvals and renewals.</p><p>• Verify licenses, certifications, work history, and other required documentation to ensure provider records meet healthcare and compliance standards.</p><p>• Maintain accurate information in credentialing databases, CRM tools, EHR systems, and related tracking platforms.</p><p>• Prepare audit-ready files by monitoring missing items, updating records, and following up with providers or internal stakeholders as needed.</p><p>• Use CAQH and other credentialing resources to validate provider data and streamline application management.</p><p>• Generate and manage digital documents using Adobe Acrobat, ensuring forms are complete, accurate, and properly stored.</p><p>• Support compliance reviews by identifying discrepancies, escalating issues, and helping enforce established credentialing procedures.</p><p>• Coordinate with cross-functional departments to track application status, resolve documentation gaps, and maintain efficient workflow progress.</p>
<p>The Privileging Coordinator is responsible for all aspects of the privileging processes for all medical providers who provide care at Health Care Center. The Privileging Coordinator also maintains up-to-date data for each provider in online systems while ensuring timely renewal of licenses and certifications.</p><p>Essential Functions</p><p>• Compiles, evaluates, coordinates, and maintains current and accurate data and credentials for all clinicians. Enables timely onboarding of providers and ongoing maintenance of credentialing thereafter.</p><p>• Completes Primary Source Verification on all clinicians.</p><p>• Sets up and maintains provider information in online CAQH databases and system.</p><p>• Tracks and monitors license, DEA, board certification expirations for all providers to ensure timely renewals.</p><p>• Maintains files and processes applications for appointment and reappointment of privileges to the Health Care Center.</p><p>• Provides Cerner Access to all Providers and Staff for medical records.</p><p>• Monitors NPDB/OIG for any adverse actions or reprimands against any provider.</p><p>• Prepares files for board meetings.</p><p>• Provides privileging verification.</p><p>• Maintains essential lists and reports necessary for reporting to various outside agencies and entities in accordance with federal, state, or local laws.</p><p>• Maintains regular and predictable attendance.</p><p>• Performs other duties as required.</p><p><br></p>
<p>We are looking for a detail-oriented Data/Intake Specialist to join a team in Kapolei, Hawaii in a contract-to-permanent capacity. This position is ideal for someone who enjoys working with high-volume information, maintaining accuracy, and supporting efficient administrative operations. The successful candidate will help organize incoming records, verify data quality, and partner with internal stakeholders to ensure information is complete, secure, and ready for use. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements. Please call us at 808-531-0800.</p><p><br></p><p>Responsibilities:</p><p>• Manage the intake of incoming information and ensure records are processed in a timely and accurate manner.</p><p>• Input details into databases, spreadsheets, and related systems while maintaining strong attention to precision.</p><p>• Review submitted information for completeness, consistency, and accuracy before final entry.</p><p>• Investigate data issues, correct discrepancies, and follow up on missing or unclear details as needed.</p><p>• Coordinate with internal teams to obtain required documentation and confirm data expectations.</p><p>• Safeguard confidential materials by following established privacy and information security practices.</p><p>• Create and update process documentation to support consistent data intake and record-handling procedures.</p><p>• Contribute to improvements in data management methods and help streamline day-to-day workflow efficiency.</p><p>• Provide general administrative and operational support to teammates when priorities shift or additional assistance is needed.</p>
<p>Responsible for greeting patients, verifying insurance information, scheduling appointments, and ensuring accurate patient registration in a fast-paced healthcare environment.</p><p>Provides excellent customer service while managing patient check-in/check-out, data entry, insurance verification, and front office administrative support.</p><p>Supports daily patient access operations by assisting with registration, appointment coordination, insurance verification, and maintaining accurate medical records.</p><p>Acts as the first point of contact for patients by delivering professional customer service, completing registrations, and assisting with healthcare administrative tasks.</p><p>Seeking a detail-oriented professional to support patient registration, insurance verification, scheduling, and front desk operations within a busy medical office.</p>
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.<br><br>Responsibilities:<br>• Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered.<br>• Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices.<br>• Enter, verify, and maintain accurate insurance and benefits information within the patient management system.<br>• Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner.<br>• Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission.<br>• Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification.<br>• Follow established healthcare regulations and organizational standards when handling patient information and insurance records.
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Middletown, Rhode Island. This Long-term Contract position is ideal for someone who can manage claims activity accurately, follow billing procedures closely, and help maintain timely reimbursement through consistent account follow-up.<br><br>Responsibilities:<br>• Process medical claims with accuracy and ensure billing information is complete before submission.<br>• Review coding and billing details to identify discrepancies and resolve issues that could delay payment.<br>• Follow up on unpaid or underpaid accounts with payers to support timely collections.<br>• Maintain billing records and update account documentation to reflect claim status and payment activity.<br>• Use EPACES and related systems to verify claim information and assist with billing workflows.<br>• Communicate with internal stakeholders and external payers to address denials, rejections, and payment questions.
<p>We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement.</p><p>Responsibilities</p><ul><li>Submit and manage medical claims</li><li>Verify insurance eligibility and benefits</li><li>Resolve claim denials and billing discrepancies</li><li>Post payments and maintain accurate records</li><li>Communicate with patients and insurance providers</li></ul><p><br></p>
<p>We are seeking a detail-oriented Medical Biller with strong customer service skills to support billing operations and provide a positive experience for patients and internal partners. This role requires accuracy, professionalism, and the ability to communicate clearly while resolving billing questions and issues. This is a<strong> part-time</strong> role only. </p><p> </p><p><strong>Responsibilities</strong></p><ul><li>Process and submit medical claims accurately and timely to insurance carriers</li><li>Review patient accounts and insurance payments to ensure correct posting and follow-up</li><li>Respond to patient billing inquiries with professionalism, empathy, and clear explanations</li><li>Resolve billing issues, payment discrepancies, and rejected or denied claims</li><li>Coordinate with insurance companies, providers, and internal teams to resolve account issues</li><li>Maintain accurate documentation and notes within billing systems</li><li>Follow HIPAA guidelines and maintain confidentiality of patient information</li></ul><p><br></p>
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Richmond, Virginia. This contract opportunity with permanent potential is ideal for someone who brings strong knowledge of medical claims, insurance billing, and account follow-up in a fast-paced office setting. The person in this role will help drive timely reimbursement, resolve claim issues efficiently, and deliver a high standard of service to patients and insurance partners.<br><br>Responsibilities:<br>• Monitor aging reports and proactively pursue patient account balances that remain unpaid beyond 60 days from the date of service.<br>• Submit electronic primary and secondary insurance claims accurately and consistently to support prompt payment processing.<br>• Investigate rejected, returned, or denied claims and take corrective action quickly, including resubmission and account adjustment when needed.<br>• Prepare and submit claim appeals with clear supporting documentation to improve reimbursement outcomes.<br>• Review billing details for accuracy, completeness, coding alignment, and insurance selection before claims are finalized.<br>• Work directly with insurance carriers and third-party contacts to resolve denials, partial payments, suspended claims, and other reimbursement barriers.<br>• Research payer-related issues such as coverage questions, network concerns, and workers' compensation claim challenges.<br>• Reconcile accounts and address correspondence within established turnaround expectations to maintain efficient collections activity.<br>• Share weekly productivity updates and maintain organized documentation of billing follow-up efforts.<br>• Provide billing and eligibility guidance related to coding, payer requirements, and insurance coverage questions.
We are looking for a Medical Billing Specialist to join a healthcare team in Merrillville, Indiana. This contract-to-permanent opportunity is ideal for someone who can manage billing activities accurately, follow claims through the reimbursement cycle, and support steady cash flow in a fast-paced environment. The role requires strong attention to detail, working knowledge of medical billing and coding practices, and the ability to resolve account issues efficiently.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and on schedule to support timely reimbursement.<br>• Review billing documentation and coding details to identify errors, missing information, or claim discrepancies before submission.<br>• Monitor unpaid or denied claims, investigate the cause, and take corrective action to improve collection outcomes.<br>• Communicate with payers, patients, and internal staff to resolve billing questions and outstanding account balances.<br>• Maintain detailed records of claim activity, payment updates, and follow-up efforts within the billing system.<br>• Apply medical billing and coding knowledge to ensure charges align with supporting documentation and payer requirements.<br>• Assist with accounts receivable follow-up to reduce aging balances and keep reimbursement activity moving forward.<br>• Support billing operations using Athena software and contribute to process updates within the department as needed.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baton Rouge, Louisiana for a short-term contract position. In this role, you will help keep billing operations accurate and efficient by translating clinical documentation into billable information, managing claims activity, and supporting timely reimbursement. This opportunity is ideal for someone who understands healthcare billing processes, communicates effectively with multiple stakeholders, and can maintain compliance in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Assign appropriate billing and coding details to patient accounts based on documented diagnoses, treatments, and services provided.</p><p>• Prepare and submit insurance claims accurately, then monitor their progress to support prompt payment and correct posting of reimbursements.</p><p>• Research denied, rejected, or outstanding claims and coordinate with payers, patients, and internal staff to resolve discrepancies.</p><p>• Confirm insurance coverage and eligibility information before billing and assist in addressing patient account and payment-related questions.</p><p>• Reconcile billing records and account activity to help maintain accurate financial information across the revenue cycle.</p><p>• Document billing actions thoroughly and preserve organized records to support audit readiness and operational accuracy.</p><p>• Stay current on payer policies, coding standards, and healthcare billing regulations to promote compliant claim submission.</p><p>• Identify recurring billing issues and recommend process improvements that strengthen collections and overall revenue cycle performance.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Columbus, Ohio. This long-term Contract position is ideal for someone who can manage billing activity accurately, resolve claim issues efficiently, and communicate proactively with internal stakeholders. The role combines hands-on medical billing work with claim follow-up, denial resolution, and consistent data entry in a hybrid work environment.</p><p><br></p><p>Responsibilities:</p><p>• Process medical billing transactions accurately and maintain steady workflow across a high monthly volume of claims.</p><p>• Investigate denied or unpaid claims, identify the cause of issues, and take appropriate action to support timely reimbursement.</p><p>• Perform follow-up activities with payers and related parties to help reduce outstanding balances and improve collection outcomes.</p><p>• Enter billing and claim information into internal systems with a high degree of accuracy and attention to detail.</p><p>• Use Microsoft Excel for routine tracking, status updates, and organizing billing-related data.</p><p>• Communicate clearly and proactively with team members regarding claim status, billing concerns, and items needing resolution.</p><p>• Support revenue cycle management activities by helping keep billing processes organized, current, and compliant.</p><p>• Work in a hybrid schedule, including on-site attendance in Columbus, Ohio one to two days per week as needed.</p>
We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement.<br>Key Responsibilities<br><br>Review and submit hospital claims to third‑party payers<br>Resolve claim edits generated by EHR and clearinghouse systems<br>Reconcile claim acceptance and rejection reports<br>Maintain assigned work queues to meet productivity and quality standards<br>Ensure compliance with payer requirements and billing regulations<br>Coordinate with internal departments to resolve missing or incorrect claim information<br>Document claim activity and follow‑up in billing systems<br>Apply payer‑specific billing rules and reimbursement guidelines<br><br>Qualifications<br>High School Diploma or GED required<br>2+ years of medical billing or healthcare accounts receivable experience<br><br>Working knowledge of ICD‑10, CPT, and HCPCS coding<br>Experience with healthcare billing or patient accounting systems<br>Proficiency with Microsoft Office, including Excel<br>Strong attention to detail, organization, and time management skills<br>Ability to manage high‑volume workloads accurately<br><br>For immediate consideration please call the Trevose PA office of Robert Half at 215-244-1870. Thank you!
<p>A well-established healthcare organization in the Central PA area is seeking a detail-oriented Medical Billing Specialist to support accurate and timely claims processing. This role is ideal for someone who understands the full revenue cycle and enjoys working in a fast-paced, team-oriented environment.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Prepare and submit insurance claims (electronic and paper) in a timely manner</li><li>Review charges, coding, and documentation for accuracy prior to billing</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Post payments and adjustments while ensuring proper allocation</li><li>Communicate with insurance companies, patients, and internal teams regarding billing inquiries</li><li>Maintain compliance with healthcare regulations and payer requirements (HIPAA, etc.)</li></ul><p><br></p>
<p>We are seeking a <strong>Medical Billing Specialist</strong> to join our team immediately. This is a great opportunity for someone who thrives in a <strong>fast-paced, team-oriented healthcare environment</strong> and can manage multiple priorities while maintaining strong accuracy and follow-through. **This position requires in office presence in Chattanooga, Tennessee**</p><p><br></p><p>Position Overview</p><p>The Medical Billing Specialist will support billing operations across a variety of healthcare service lines. This role requires a strong understanding of medical billing processes, payment posting, denial management, and insurance follow-up, with particular familiarity in <strong>Medicare and Medicaid billing and claims</strong>. We are looking for someone adaptable, self-directed, and ready to grow with the team.</p><p><br></p><p>Key Responsibilities</p><ul><li>Process medical billing in a high-volume, fast-paced setting</li><li>Review and resolve billing edits, claim issues, and denials</li><li>Perform insurance follow-up and work outstanding claims to resolution</li><li>Post payments accurately and timely</li><li>Support reconciliation and tracking of payments using Excel spreadsheets</li><li>Ensure compliance with billing rules, regulations, payer requirements, and reimbursement guidelines</li><li>Work with commercial insurance, Medicare, and Medicaid claims</li><li>Communicate professionally with internal teams and, when needed, directly with patients regarding billing questions or account issues</li><li>Assist with additional revenue cycle and billing support functions as needed</li><li>Maintain detailed, accurate documentation and strong account follow-up</li></ul>
We are looking for a Member Service Specialist to join our team in Tucson, Arizona in a contract-to-permanent capacity. This position serves as a key point of contact for members, delivering responsive support while ensuring a welcoming and attentive front-desk experience. The role also contributes to accurate membership administration, event support, and day-to-day coordination across internal teams to strengthen the overall member experience.<br><br>Responsibilities:<br>• Respond to member questions and concerns courteously, providing timely guidance and effective issue resolution.<br>• Explain membership offerings, renewal and transfer processes, and registration details for classes, meetings, and events.<br>• Support event and orientation logistics by assisting with coordination, guest arrival, and check-in activities.<br>• Manage membership record updates, including renewals, transfers, status changes, and other account adjustments with a high degree of accuracy.<br>• Maintain the membership database by entering and reviewing information carefully while safeguarding confidential data.<br>• Welcome visitors in the lobby, direct them to the appropriate assistance, and help keep the reception area organized and presentable.<br>• Partner with internal departments to support member-focused programs, services, and related initiatives.<br>• Provide administrative assistance to the Compliance Coordinator and other team members, including support for projects, retail transactions, and notifications for arriving Pearson testers.<br>• Participate in cross-training and take on backup coverage or special assignments as business needs require.
<p>A National Hospital System in in Los Angeles is in the immediate need of a <strong>Medical Credentialing Specialist </strong>to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of <strong>MD Staff</strong>, and the ability to manage sensitive information with accuracy and care. <strong>MD Staff </strong>Software is a MUST.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.</p><p>• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.</p><p>• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.</p><p>• Maintain complete and current practitioner files within the <strong>MD Staff </strong>platform, ensuring data accuracy and documentation readiness.</p><p>• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.</p><p>• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.</p><p>• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.</p><p>• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.</p><p>• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services.</p><p><br></p><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a Medical Eligibility and Payment Posting Specialist to support healthcare revenue cycle operations in Pleasanton, California. This Long-term Contract position focuses on verifying coverage, reviewing coding-related information, posting payments accurately, and helping ensure patient accounts are updated correctly. The ideal candidate brings strong knowledge of outpatient coding standards, insurance and Medicaid eligibility processes, and patient billing support within a medical environment.</p><p><br></p><p>Responsibilities:</p><p>• Verify insurance, Medicaid, and patient coverage details to confirm benefits and eligibility before services are processed.</p><p>• Post payments to patient accounts with accuracy, reconcile transactions, and investigate discrepancies that affect account balances.</p><p>• Review medical coding information using ICD-10 and CPT guidelines to support clean claim and billing workflows.</p><p>• Prepare and distribute patient statements while helping resolve account questions related to charges, payments, and coverage.</p><p>• Maintain complete and accurate documentation within billing and coding records to support compliance and audit readiness.</p><p>• Coordinate with internal teams to address claim issues, eligibility questions, and payment posting exceptions in a timely manner.</p><p>• Assist with updates to workflows or systems when needed as part of ongoing operational support responsibilities.</p><p><br></p><p>If you are interested in this role, please apply today and call us at (510) 470-7450</p>
<p><strong>About the Opportunity:</strong></p><p>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.</p><p><strong>What You’ll Do:</strong></p><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><p><strong>Why Work With Us?</strong></p><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><p><br></p>
<p>In this role, your accuracy directly impacts healthcare operations and financial processing. As part of a secure, high-volume data entry team, you’ll work with billing records and EOBs to ensure critical information is entered, validated, and audit-ready. This is a strong fit for someone who is detail-driven, dependable, and comfortable working under strict compliance standards.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Accurately enter and verify healthcare data, including billing information and Explanation of Benefits (EOBs)</li><li>Review and correct OCR-scanned documents to ensure data integrity</li><li>Audit records for accuracy while meeting daily production and quality targets</li><li>Maintain strict adherence to HIPAA and data security protocols</li><li>Identify and escalate discrepancies or data issues as needed</li></ul>