We are looking for an experienced Insurance Verification Coordinator to support a healthcare team in Canton, Michigan. This position focuses on reviewing coverage details before services are delivered so billing can proceed accurately and patients have a clear understanding of their financial responsibility. The ideal candidate will work onsite Monday through Friday 9am - 5pm and brings prior experience verifying medical insurance information, coordinating authorizations, and communicating effectively with patients, providers, and payers. They work with insurance companies, patients, and healthcare providers to ensure accurate billing and prevent claim denials. Pay up to $21/hr. Only those who qualify will be considered. <br><br>Key Responsibilities<br>Verify insurance eligibility and benefits for upcoming appointments via phone. <br>Confirm co‑pays, deductibles, out‑of‑pocket maximums, and coverage limits. <br>Check network status (in‑network vs. out‑of‑network). <br>Obtain pre‑authorizations or referrals when required. <br>Communicate with insurance companies, patients, and providers to clarify coverage. <br>Document all verified information accurately in the patient’s record. <br>Prevent billing errors and claim denials by ensuring coverage before treatment. <br><br>Skills Required<br>Strong understanding of insurance policies and healthcare regulations. <br>Attention to detail and accuracy in data entry. <br>Effective communication with patients and insurers. <br>Ability to navigate insurance portals and electronic health record systems
<p><em>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]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><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><p> </p>
<p>We are looking for a detail-oriented Verification Generalist to join our team. This contract opportunity is well suited for someone who can evaluate account information carefully, confirm debt balances, and interpret judgment-related details with accuracy. The role is fully onsite and offers the chance to contribute to a structured auditing environment while supporting documentation review and compliance-focused verification work.</p><p><br></p><p>Responsibilities:</p><p>• Examine account records to confirm debt details and identify discrepancies in balances or supporting information.</p><p>• Assess financial data related to outstanding accounts, including interest calculations connected to judgments.</p><p>• Gather and organize court judgment materials and other relevant documents needed to validate account status.</p><p>• Compare documentation against account information to ensure records are complete, accurate, and audit-ready.</p><p>• Maintain clear verification notes and update case details to support internal review processes.</p><p>• Work closely with team members to resolve missing information and clarify inconsistencies in account files.</p><p>• Follow established compliance and audit standards when handling debt-related records and documentation.</p>
<p>The Insurance Coordinator will be responsible for verifying insurance coverage, managing authorizations, maintaining accurate records, and serving as a liaison between patients, insurance providers, and internal departments. This is a temp to hire role in Bangor, ME.</p><p><br></p><p>Key Responsibilities</p><ul><li>Verify insurance eligibility, benefits, and coverage information.</li><li>Obtain and track prior authorizations and referrals as needed.</li><li>Communicate with insurance companies regarding claims, denials, and coverage questions.</li><li>Review and update patient or client insurance records for accuracy.</li><li>Assist with claim submissions and follow up on outstanding claims.</li><li>Research and resolve billing and insurance-related discrepancies.</li><li>Maintain accurate documentation in company databases and systems.</li><li>Provide excellent customer service to clients, patients, and insurance representatives.</li><li>Collaborate with internal teams to ensure timely processing of insurance documentation.</li><li>Adhere to HIPAA, confidentiality, and company compliance standards.</li></ul><p><br></p>
<p><strong>Insurance Administrator – Commercial Real Estate</strong></p><p><strong>Location: West Palm Beach, FL (On-Site)</strong></p><p><br></p><p>A growing commercial real estate company is seeking an Insurance Administrator to join its Risk Management team. This role is responsible for insurance compliance, certificate tracking, claims administration, and supporting risk management initiatives across a national portfolio of commercial properties.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Monitor insurance certificate expirations for tenants, vendors, and properties.</li><li>Obtain, review, and maintain Certificates of Insurance (COIs).</li><li>Ensure insurance compliance with lease and contract requirements.</li><li>Coordinate with property managers, lease administration teams, tenants, contractors, insurance carriers, and legal counsel.</li><li>Assist with insurance claims administration, claim submissions, and documentation.</li><li>Track claims activity, litigation timelines, and related correspondence.</li><li>Maintain insurance records, claims files, reports, and spreadsheets.</li><li>Prepare hold harmless and indemnification agreements.</li><li>Assist with risk management projects and special assignments.</li><li>Support management with insurance compliance and portfolio-related matters.</li></ul><p><strong>Schedule:</strong> Monday through Friday, standard business hours. Fully on-site.</p><p><br></p><p><strong>Compensation:</strong> Competitive salary based on experience (75k-95k), plus benefits package.</p><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in commercial real estate insurance administration, commercial lines insurance, property administration, property management, or insurance claims support.</li><li>Understanding of commercial lease insurance requirements and compliance procedures.</li><li>Experience reviewing and managing Certificates of Insurance.</li><li>Strong organizational, communication, and time management skills.</li><li>Ability to manage multiple priorities in a fast-paced environment.</li><li>Proficiency with Microsoft Excel, Outlook, Word, and Adobe Acrobat.</li><li>Experience with Yardi or similar property management software is preferred.</li><li>Multi-state commercial real estate experience is a plus.</li></ul><p><strong>Benefits:</strong> Health insurance, 401(k), paid time off, and paid holidays.</p><p><br></p><p><strong>Why Join:</strong></p><ul><li>Work with a nationally active commercial real estate portfolio.</li><li>Collaborate with experienced real estate and risk management professionals.</li><li>Gain exposure to insurance compliance, claims administration, and risk management operations.</li><li>Join a stable and growing organization with long-term career opportunities.</li></ul><p><strong>To be considered, please submit your resume in confidence to Amanda Carrazana on LinkedIn.</strong></p>
We are looking for a Medical Reimbursement Specialist to join a social services organization in Raleigh, North Carolina. This contract position offers a path to a permanent role and will support payer and contract operations by helping manage reimbursement documentation, coordinating implementation activities, and maintaining accurate contract records across the organization. The role works closely with internal departments and external payer partners to keep contract processes organized, timely, and aligned with operational needs.<br><br>Responsibilities:<br>• Manage electronic and physical contract documentation, ensuring records, amendments, rate updates, and related files remain accurate and accessible.<br>• Oversee key contract milestones such as renewal timelines, notice requirements, effective dates, and follow-up actions to support uninterrupted administration.<br>• Facilitate routing, review, and approval steps for agreements while keeping contract lifecycle tracking tools current.<br>• Partner with payer contacts and internal teams to support contract onboarding, implementation tasks, and communication of reimbursement or agreement changes.<br>• Monitor payer bulletins, policy revisions, and reimbursement updates, then summarize relevant impacts for stakeholders and leadership.<br>• Research contract terms and compile supporting materials to assist with management review, issue resolution, negotiations, and reimbursement analysis.<br>• Help identify and address payment variances, implementation concerns, and other contract-related issues in collaboration with operational and revenue teams.<br>• Work with Finance, Compliance, Credentialing, Quality, Operations, and program leadership to support contract administration, audits, and departmental initiatives.<br>• Contribute to the setup, maintenance, and ongoing use of contract management systems, including Contract Solutions, and assist with workflow readiness activities as needed.
We are looking for a detail-oriented Quality Assurance Specialist to support documentation accuracy and compliance efforts in Irvine, California. This Long-term Contract position focuses on reviewing records, identifying gaps, and helping maintain high standards across quality assurance and audit activities. The ideal candidate is organized, discreet with sensitive information, and comfortable contributing to both compliance-related reviews and administrative support tasks.<br><br>Responsibilities:<br>• Examine session notes, treatment records, and supporting documentation to verify alignment with payer expectations and regulatory standards.<br>• Perform audits of records to detect omissions, inconsistencies, and incomplete information requiring follow-up.<br>• Maintain organized audit files and tracking systems to ensure documentation is accessible, current, and properly recorded.<br>• Assist with compliance, quality assurance, and operational assignments that support ongoing departmental objectives.<br>• Handle confidential materials with care while following company policies and applicable regulatory guidelines.<br>• Provide administrative coordination for auditing and compliance activities, including record management and status tracking.
<p>Our client is in need of a bilingual Claims Management Specialist to support workers’ compensation administration in the78163, Bulverde, Texas area. This position focuses on guiding claims from the first notice of injury through final resolution while partnering with employees, clients, carriers, and internal teams to keep the process organized and responsive. The ideal candidate brings strong knowledge of workers’ compensation practices, clear communication skills in English and Spanish, and a service-oriented approach to claim coordination and return-to-work support.</p><p><br></p><p>Responsibilities:</p><p>• Oversee workers’ compensation cases throughout the full lifecycle, from initial incident intake to closure, ensuring timely follow-up and accurate handling at each stage.</p><p>• Act as the central point of contact for client representatives, injured employees, insurance partners, adjusters, medical offices, payroll, and human resources to keep claim activity moving efficiently.</p><p>• Explain claim procedures, reporting expectations, benefit-related steps, and return-to-work guidelines so all participants understand responsibilities and required actions.</p><p>• Prepare, organize, and maintain claim files, wage details, supporting records, and ongoing correspondence to promote complete and compliant documentation.</p><p>• Track case progress closely and work with carriers, employers, and care providers to address delays, support recovery efforts, and encourage productive claim outcomes.</p><p>• Participate in claim review discussions, assess status updates with adjusters and carriers, and help gather loss information and trend data for risk evaluation purposes.</p><p>• Support return-to-work coordination by aligning restrictions, communication, and next steps among stakeholders involved in each case.</p><p>• Deliver high-quality customer service by responding to questions promptly, clarifying next steps, and helping resolve claim-related concerns professionally.</p><p>• Keep required certifications current and assist with additional duties connected to claims administration and compliance as needed.</p>
We are looking for an Insurance Coverage Attorney to join a legal team in New York, New York. This opportunity is suited for a mid-level attorney who wants to expand their practice in coverage analysis and insurance-related disputes while contributing to a broad mix of litigation matters. The role offers meaningful client interaction, substantive writing responsibilities, and hands-on involvement in case strategy and court proceedings.<br><br>Responsibilities:<br>• Evaluate insurance contracts and prepare well-reasoned coverage assessments and opinion letters.<br>• Partner with senior lawyers on disputes involving coverage questions, claims handling, and related litigation strategy.<br>• Produce litigation documents such as complaints, answers, motions, briefs, and internal legal memoranda.<br>• Take part in key case activities, including depositions, mediation sessions, hearings, and appearances before the court.<br>• Research statutes, case law, and regulatory guidance affecting insurance law and policy interpretation.<br>• Communicate with clients on litigation progress, legal risk, and recommended next steps.<br>• Assist with discovery planning, document review, and development of factual records to support case positions.
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Advise clients on insurance coverage questions, including policy interpretation, claims evaluation, and dispute management strategies.</p><p>• Handle a portfolio of insurance coverage and related litigation matters from early assessment through resolution.</p><p>• Perform in-depth legal research and translate findings into practical recommendations, motions, briefs, and case strategy.</p><p>• Represent clients in court proceedings, mediations, settlement discussions, and other contested matters.</p><p>• Review insurance policies, endorsements, and supporting records to assess rights, obligations, and potential exposure.</p><p>• Monitor legal and regulatory developments affecting insurance law and incorporate those changes into client guidance and case planning.</p><p>• Work closely with attorneys, paralegals, and administrative professionals to move matters forward efficiently and effectively.</p><p><br></p><p>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!</p><p><br></p><p>For a confidential conversation about this opening please send your resume to Sam(dot)Sheehan(at)RobertHalf(dot)(com)</p>
<p>We're partnering with a large, national AV-rated law firm who is seeking to hire an Associate Attorney with at least 2-4+ years of experience to join their third-party property coverage group in Chicago. This firm specializes in insurance coverage and defense litigation with 15 offices across the US. The ideal candidate should have a strong understanding of the insurance business with prior experience handling insurance coverage, preferably third-party property coverage. Responsibilities of the position include assessing coverage issues, drafting coverage opinions, litigating coverage disputes, taking/defending depositions, and drafting other legal documents. Our client offers a highly flexible hybrid WFH schedule and a great team culture. The position is paying between $120-150K with strong bonus potential. In addition, the firm offers a comprehensive benefits package including medical, dental, vision, 401K (plus match), PTO, LT/ST Disability, Life Insurance, and more.</p><p><br></p><p>For immediate consideration, please email your resume directly to Justin Rambert, VP - Permanent Placement at <strong><u>justin . rambert @ robert half com</u></strong></p>
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.<br><br>Responsibilities:<br>• Analyze and interpret insurance policies to deliver comprehensive coverage opinions.<br>• Manage complex insurance coverage litigation from initiation through resolution.<br>• Draft pleadings, motions, and detailed coverage position letters to support legal strategies.<br>• Represent clients in mediations, arbitrations, and court proceedings, ensuring effective advocacy.<br>• Offer strategic counsel to insurers on high-stakes claims and exposure issues.<br>• Work closely with litigation teams to address overlapping defense and coverage matters.<br>• Conduct thorough legal research to support case strategies and recommendations.<br>• Ensure compliance with relevant laws and regulations while advising clients.<br>• Collaborate with clients to develop tailored solutions for intricate coverage disputes.
We are looking for an Eligibility Specialist to join an organization in Cleveland, Ohio as part of a long-term contract assignment. This on-site opportunity is well suited for someone who can guide applicants through intake and eligibility review while delivering responsive, thoughtful support in a fast-paced service environment. The role focuses on processing client information accurately, maintaining organized records, and helping ensure timely access to community assistance programs. Candidates with experience in eligibility determination, case management, intake coordination, or customer-facing support will be especially well positioned for success.<br><br>Responsibilities:<br>• Conduct intake interviews with applicants, gather required documentation, and explain program guidelines in a clear and supportive manner.<br>• Review applications for completeness and evaluate submitted information to determine eligibility in accordance with established policies and timelines.<br>• Enter, update, and maintain client records across Microsoft Office tools, Salesforce, Excel, and related content management systems with a high degree of accuracy.<br>• Manage a steady volume of cases in a production-driven setting while maintaining quality standards and strong attention to detail.<br>• Organize and retrieve client files, including work involving document imaging, microfilm, or other recordkeeping systems as needed.<br>• Communicate with clients, colleagues, and internal teams to resolve missing information, clarify case details, and move applications toward completion.<br>• Support office-based operations during the initial training period and contribute to consistent, dependable service delivery in an on-site environment.<br>• Assist with additional program duties tied to ongoing funding needs and operational continuity as assigned.
We are looking for an Insurance Referral Coordinator to support prior authorization activities for prescription therapies and related healthcare services in Blue Ash, Ohio. This Long-term Contract opportunity is ideal for someone who can work closely with primary care teams, patients, and payers to help move referrals and approvals forward efficiently. The person in this role will help ensure requests are properly documented, submitted on time, and tracked carefully so patients can access the care and medications they need.<br><br>Responsibilities:<br>• Gather clinical notes, patient information, and provider documentation needed to prepare complete authorization submissions.<br>• Send prior authorization requests to insurance carriers and proactively monitor them to help avoid delays in medication approval.<br>• Work with primary care providers, patients, and payer representatives to clarify missing information and address questions tied to referral and authorization activity.<br>• Track the progress of pending requests and communicate approvals, denials, and outstanding items to the appropriate healthcare staff.<br>• Maintain accurate records of authorization actions, supporting documents, and status updates within secure systems.<br>• Review payer rules and coverage criteria regularly to support compliant processing of prescription-related requests.<br>• Identify recurring denial patterns and assist with follow-up steps such as appeals, corrections, and resubmissions when needed.<br>• Support patient-facing coordination tasks, including appointment-related communication and record verification connected to referral workflows.
<p>A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers. </li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts. </li><li>Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement..</li><li>Investigate and resolve claim denials, rejections, underpayments, and payment delays. </li><li>Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution. </li><li>Follow up on aged accounts receivable and maintain productivity in line with departmental goals. </li><li>Document all collection activity, account updates, and payer communications in the billing system.</li><li>Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes. </li><li>Monitor payer trends and escalate recurring issues impacting collections. </li></ul><p><br></p><p><strong>Qualifications:</strong></p><ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required. </li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes. </li><li>Experience working with UB04 claims required. </li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul>
We are looking for an Underwriter to join our team in Fayetteville, Arkansas. In this role, you will assess commercial insurance submissions, evaluate risk quality, and support agents with timely, accurate underwriting guidance. This position is well suited to someone who combines sound judgment, strong analytical ability, and a service-oriented approach to managing new and renewal business.<br><br>Responsibilities:<br>• Assess new business submissions, renewals, and policy change requests by reviewing applications, claims history, inspection findings, and supporting underwriting documentation.<br>• Determine whether accounts align with carrier appetite and underwriting standards by analyzing exposure, class of business, and overall risk profile.<br>• Measure potential loss drivers, including catastrophe exposure, claim severity, and claim frequency, to support sound placement decisions.<br>• Calculate premiums or verify existing rating accuracy to ensure policies are priced correctly and issued in accordance with carrier requirements.<br>• Use underwriting platforms and internal tools to research account details, document decisions, and process transactions efficiently.<br>• Prepare quotes for agents, explain coverage considerations and eligibility, and respond to questions related to submissions, payments, endorsements, and cancellations.<br>• Review accounts ahead of renewal, request additional information when needed, and coordinate follow-up on inspections or recommendation letters.<br>• Build productive relationships with carriers, underwriters, agents, and internal partners to support retention, profitable growth, and cross-selling efforts.<br>• Contribute to team performance by supporting training efforts, participating in agency or market meetings when needed, and assisting with other assigned duties.
We are looking for an Insurance Authorization Coordinator to support timely coverage approvals for members receiving care in Massachusetts. This contract opportunity with permanent potential is ideal for someone who is organized, proactive, and comfortable managing detailed administrative work across several systems. In this role, you will help keep authorization activity moving efficiently by coordinating documentation, monitoring payer responses, and partnering with internal teams to avoid delays in service.<br><br>Responsibilities:<br>• Oversee a queue of members requiring initial insurance approvals and ongoing reauthorizations, ensuring requests are addressed within expected timeframes.<br>• Prepare and send authorization submissions to health plans and payers, including MassHealth, with complete and accurate supporting documentation.<br>• Review payer updates regularly, record authorization outcomes, and process approvals so services can continue without interruption.<br>• Investigate pending or denied requests by gathering missing information, escalating issues when needed, and following through to resolution.<br>• Maintain precise and up-to-date records across internal platforms and related tracking tools to support visibility and compliance.<br>• Coordinate with clinical, administrative, and operations teams to collect required details and keep the authorization process on schedule.<br>• Use standard office applications and digital systems to organize information, manage workflow, and support daily administrative needs.<br>• Assist with related coordination tasks such as scheduling follow-ups and responding to inbound inquiries connected to authorization status.
<p>We are looking for a detail-oriented Risk Management Specialist to support accounts receivable risk mitigation for a Contract position based in Bonita Springs, Florida or remote to work on West Coast hours. In this role, you will help protect the company’s financial interests by managing preliminary notice activity, coordinating lien-related documentation, and assisting with account resolution efforts. This opportunity is ideal for someone with paralegal-related experience who can balance research, documentation, and cross-functional communication in a fast-paced environment.</p><p><br></p><p>Responsibilities:</p><p>• Review outstanding accounts to assess whether lien or bond rights should be pursued based on exposure, customer circumstances, and collection risk.</p><p>• Evaluate equipment usage and project details to confirm eligibility for lien or bond filings in accordance with applicable state statutes.</p><p>• Conduct research on property ownership, general contractors, and project records to prepare accurate preliminary notices.</p><p>• Partner with field personnel and internal stakeholders to verify jobsite details and maintain complete, reliable records in company systems.</p><p>• Track deadlines, service expectations, and required follow-up actions to ensure notices, releases, and related documentation are completed on time.</p><p>• Prepare and process lien releases and waivers that align with payment status, project conditions, and customer requirements.</p><p>• Support resolution of high-risk accounts by assisting with payment arrangements, demand correspondence, and coordination with the legal services team.</p><p>• Maintain thorough documentation of account activity, decisions, and communications while contributing to team support, compliance, and safety-focused work practices.</p>
We are looking for a Risk Management Specialist to support accounts receivable recovery efforts within a fast-paced rental and leasing environment in Bonita Springs, Florida. This Long-term Contract position focuses on protecting lien and bond rights, coordinating documentation, and helping resolve high-risk accounts with accuracy and urgency. The ideal candidate brings strong research ability, sound judgment, and a detail-oriented approach to legal and financial support work.<br><br>Responsibilities:<br>• Review delinquent accounts to assess whether lien or bond remedies should be pursued based on exposure, account status, and applicable factors.<br>• Examine project and equipment details to confirm whether lien or bond filings are permitted under relevant state requirements.<br>• Conduct research to verify property ownership, contractor information, and job-related details before preparing preliminary notice documentation.<br>• Partner with field teams and internal stakeholders to confirm jobsite data is complete and correctly recorded for notice and claims activity.<br>• Prepare and issue preliminary notices within required timelines to preserve legal rights and support collection efforts.<br>• Process lien releases and waivers in alignment with payment status and project-specific requirements.<br>• Maintain complete and accurate records of account actions, notices, releases, and follow-up activity in designated tracking systems.<br>• Assist with the resolution of at-risk accounts by supporting payment arrangements, final demand correspondence, and coordination with legal partners.<br>• Monitor service expectations and statutory deadlines to ensure work is completed promptly and in compliance with established standards.
<p>We are looking for a detail-oriented Credentialing Specialist to support provider credentialing and enrollment activities for a Long-term Contract position based in the Bridgewater, New Jersey area. In this role, you will help ensure practitioners meet regulatory, accreditation, and organizational standards by coordinating verification, documentation, and record maintenance. The ideal candidate is organized, accurate, and comfortable working with sensitive information while partnering with internal teams and external entities.</p><p><br></p><p>Responsibilities:</p><p>• Conduct primary source verification for practitioner credentials, including education, licensure, certifications, and training history.</p><p>• Review submitted applications for accuracy and completeness, and follow up with providers to obtain outstanding documentation.</p><p>• Maintain current credentialing, privileging, and enrollment files while ensuring records remain organized and audit-ready.</p><p>• Coordinate provider enrollment activities with payer and regulatory platforms, including government and industry credentialing databases.</p><p>• Upload, organize, and associate supporting documents within credentialing systems to keep provider profiles current.</p><p>• Enter and update provider data in internal databases with a strong focus on accuracy, consistency, and timeliness.</p><p>• Perform routine reviews of on-call schedules and update unresolved assignments on a weekly basis.</p><p>• Communicate with physicians, advanced practice providers, hospital personnel, and external organizations to resolve credentialing and enrollment matters.</p>
<p>We are looking for a detail-oriented Credentialing Specialist to support a local organization in Colorado Springs, Colorado. This part-time role offers approximately 20 hours per week and is a contract opportunity with potential for a permanent position for someone who enjoys combining customer service, administrative coordination, and accurate record management. The ideal candidate brings strong computer skills, a high level of organization, and an understanding of military culture, programs, or processes to help participants successfully navigate certification and training support.</p><p><br></p><p>Responsibilities:</p><p>• Create funding quotes and assemble supporting paperwork for certification and training requests with careful attention to accuracy.</p><p>• Turn approved requests into completed orders, verifying that information meets program guidelines and documentation standards.</p><p>• Process payments and keep internal records current, organized, and compliant with established procedures.</p><p>• Communicate with participants to explain program steps, required documents, and important timelines in a clear and helpful manner.</p><p>• Monitor due dates for exams, training resources, and submissions, and send timely reminders to keep participants on track.</p><p>• Upload transcripts, certificates, grades, and related materials into the appropriate systems and portals.</p><p>• Coordinate the delivery of digital course content and other program materials to participants as needed.</p><p>• Support reporting, administrative tasks, and ongoing updates to operating procedures while contributing to team training efforts.</p>
<p>Credentialing Specialist</p><p><strong>Salary:</strong> $50,000 - $60,000 DOE</p><p><strong>Location:</strong> Hybrid Opportunity</p><p><strong>Benefits:</strong> Comprehensive benefits package, growth opportunities, and the chance to make a meaningful impact in the community.</p><p><br></p><p><strong>About the Opportunity</strong></p><p>A growing healthcare organization is seeking a detail-oriented <strong>Credentialing Specialist</strong> to support provider enrollment and credentialing activities. This role plays a critical part in ensuring healthcare providers are properly credentialed and enrolled with insurance payers so patients can continue receiving access to quality care. This is an excellent opportunity for someone who enjoys process management, compliance, relationship coordination, and working in a mission-driven environment that serves the community.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage provider credentialing and recredentialing processes for physicians and other healthcare providers.</li><li>Complete and submit enrollment applications with commercial, government, and military insurance plans, including:</li><li>BCBS/Anthem</li><li>Tricare</li><li>VA</li><li>Medicare</li><li>Cigna</li><li>Monitor application status and proactively follow up with payers to ensure timely processing.</li><li>Maintain accurate provider records and documentation within credentialing systems and databases.</li><li>Track and monitor provider licenses, DEA registrations, board certifications, malpractice coverage, and other regulatory requirements to ensure ongoing compliance.</li><li>Coordinate with internal stakeholders, healthcare providers, clinics, hospitals, and insurance representatives throughout the credentialing process.</li><li>Research and resolve enrollment issues, denials, or missing documentation.</li><li>Maintain strict attention to detail, recognizing that credentialing errors may not be identified until months after submission.</li><li>Stay informed of payer requirements and regulatory changes impacting provider enrollment and credentialing.</li></ul><p>If you are a highly organized credentialing professional who thrives in a fast-paced healthcare environment and takes pride in getting the details right, we'd love to hear from you.</p>
<p>A Healthcare Company in Long Beach in looking to hire a <strong>Credentialing Specialist </strong>to support provider enrollment and credentialing activities. The Credentialing Specialist is ideal for someone who can step into a fast-paced healthcare environment to help maintain accurate, compliant credentialing records. The Credentialing Specialist will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.</p><p>• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.</p><p>• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.</p><p>• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.</p><p>• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.</p><p>• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.</p><p>• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.</p><p>• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks.</p><p><br></p><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
We are looking for a Credentialing Specialist to support provider enrollment and credentialing operations for a healthcare organization in Sacramento, California. This contract opportunity with permanent potential is ideal for someone who can manage detailed compliance documentation, maintain accurate records, and coordinate efficiently with providers and internal leadership. In this role, you will help keep credentialing activities moving on schedule while ensuring regulatory and organizational standards are met.<br><br>Responsibilities:<br>• Manage initial and ongoing credentialing activities for medical staff and advanced practice providers, ensuring each file moves through the process accurately and within expected timelines.<br>• Review applications for completeness, follow up with practitioners on missing items, and document outstanding requirements or compliance gaps that need resolution.<br>• Maintain provider records in the credentialing database with a high degree of accuracy, including updates related to recredentialing and ongoing status tracking.<br>• Track time-sensitive documents such as licensure, liability coverage, DEA registrations, certifications, and immunization records to help prevent lapses in compliance.<br>• Prepare verified credentialing files for leadership review by organizing supporting documentation and confirming that all required elements are included.<br>• Communicate regularly with provider offices and internal stakeholders to support a smooth credentialing process and respond to questions or requests for clarification.<br>• Monitor proctoring, peer review, and other ongoing provider oversight activities, escalating issues when additional follow-up is needed.<br>• Process affiliation verifications, produce case logs when requested, and assist with special projects or additional assignments from departmental leadership.
<p>We are looking for a Health Plan Specialist to support members through high-volume inbound phone interactions and deliver thoughtful, accurate assistance with coverage, billing, and enrollment questions. The person in this role will help guide members through complex situations, document each interaction carefully, and provide dependable service during busy enrollment periods. Success in this position requires strong communication, sound judgment, and the ability to manage multiple systems while maintaining a detail-oriented and member-focused approach.</p><p><br></p><p>Responsibilities:</p><p>• Handle a large volume of inbound calls from Medicare members and respond to questions related to plan benefits, invoices, eligibility, and enrollment matters.</p><p>• Take full ownership of each member inquiry from initial contact through final resolution, ensuring all actions and outcomes are recorded accurately.</p><p>• Research issues using internal systems and online resources to provide clear answers and timely follow-up on outstanding concerns.</p><p>• Support members facing more involved or sensitive situations by listening carefully, showing empathy, and explaining next steps in an understandable way.</p><p>• Maintain a respectful, service-driven tone on every interaction while meeting quality and productivity expectations during peak enrollment periods.</p><p>• Navigate multiple applications and dual-screen workstations efficiently to verify information, complete documentation, and resolve concerns without unnecessary delays.</p><p>• Participate in virtual training, team collaboration sessions, and ongoing coaching activities while remaining visible and engaged on camera as required.</p><p>• Adhere to remote work standards by using company-issued equipment and sustaining a distraction-free home office environment with reliable hard-wired internet connectivity.</p>