Add your latest resume to match with open positions.

61 results for Insurance Verification Specialist jobs

Insurance Verification Specialist

Minneapolis, MN
remote
Temporary / Contract
18 - 21 USD / Hourly
We are looking for a detail-oriented Insurance Verification Specialist to support patient access and coverage verification for healthcare services. Looking for candidates with prior authorization experience, preferably focused on medication prior authorizations.Ideal candidates will have experience submitting authorization requests through payer portals and documenting/communicating within Epic.Strong understanding of insurance verification, pharmacy or medical authorization workflows, and payer guidelines preferred.Candidates should be detail-oriented, comfortable working in fast-paced healthcare environments, and able to effectively follow up on pending or denied authorizations. Responsibilities:• Review insurance benefits, referral conditions, and authorization guidelines to determine coverage requirements before scheduled services.• Work through payer websites and communication channels to submit authorization requests and provide supporting clinical details when needed.• Record verification and authorization outcomes in the patient record using accurate medical terminology and complete documentation.• Update coverage information in health records to reflect the most current insurance details obtained during review activities.• Arrange pre-authorizations, pre-certifications, and additional approvals for inpatient and outpatient services across multiple departments and care settings.• Identify delays or obstacles that may affect authorization approval and escalate issues promptly to support continuity of patient care.• Communicate clearly with internal teams, payers, and other stakeholders to resolve coverage questions and support service readiness.• Participate in virtual training and follow established workflows, policies, and quality standards while handling assigned tasks.
2026-05-12T00:00:00Z

Insurance Verification Specialist

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

Insurance Verification Specialist

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

Insurance Verification Coordinator

Blue Bell, PA
onsite
Temporary to Hire
18.5 - 18.5 USD / Hourly
We are looking for an Insurance Verification Coordinator/Patient Service to join a team in Blue, Bell Pennsylvania. This onsite role supports patient service operations through insurance verification, lead follow-up, and accurate documentation in a fast-paced healthcare environment. This is a contract position with the opportunity for long-term growth while contributing to a patient-focused organization. Responsibilities:• Handle a high volume of inbound and outbound calls to assist patients and coordinate insurance-related inquiries.• Review and confirm insurance coverage details, benefits, and eligibility for scheduled services.• Obtain and document required authorizations, referrals, and verification information with accuracy.• Follow up on incoming leads and patient requests in a timely and thorough manner.• Enter and maintain patient and insurance records within internal systems and Microsoft Office tools.• Support patients by answering service-related questions and helping resolve coverage issues.• Collaborate with internal team members to ensure verification activities are completed before services are provided.
2026-05-11T00:00:00Z

Insurance Authorization Specialist

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

Insurance Billing Specialist

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

Insurance Follow-Up Specialist

Danville, KY
onsite
Temporary to Hire
15.675 - 18.15 USD / Hourly
We are looking for an Insurance Follow-Up Specialist to join a healthcare revenue cycle team in Kentucky. This contract opportunity with potential for a permanent role is ideal for someone who can manage insurance billing activity with accuracy, persistence, and strong attention to detail. The person in this role will help drive timely reimbursement by reviewing claims, resolving payer issues, and working outstanding balances through consistent follow-up. Responsibilities: • Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule. • Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations. • Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays. • Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement. • Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts. • Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed. • Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors. • Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance.
2026-04-27T00:00:00Z

Medical Insurance Claims Specialist

Vancouver, WA
onsite
Temporary / Contract
21 - 24 USD / Hourly
We are looking for a Medical Insurance Claims Specialist to join a healthcare team in Vancouver, Washington. This Contract position is fully onsite and focuses on confirming insurance details before services are provided so billing can be processed accurately and efficiently. The ideal candidate brings strong attention to detail, a solid understanding of coverage verification, and the ability to communicate clearly with patients, providers, and insurance representatives. Responsibilities: • Review scheduled visits and procedures to confirm active insurance coverage, plan benefits, and patient eligibility before care is delivered. • Secure required prior authorizations and referrals by working directly with insurance carriers and provider offices. • Enter, verify, and maintain accurate insurance and benefits information within the patient management system. • Explain coverage details, expected out-of-pocket expenses, and financial obligations to patients in a clear and thorough manner. • Investigate authorization issues, correct discrepancies, and follow through on missing or denied requests to support clean claim submission. • Partner with billing and clinical teams to help ensure claims are supported by accurate insurance documentation and timely verification. • Follow established healthcare regulations and organizational standards when handling patient information and insurance records.
2026-05-13T00:00:00Z

Background Verification Specialist

San Ramon, CA
remote
Temporary to Hire
24 - 25 USD / Hourly
Robert Half client is seeking a Background Verification Specialist to join their customer service-focused team in CA. This contract opportunity is ideal for someone who thrives in a fast-paced environment, communicates clearly, and takes ownership of issues from investigation through resolution. In this role, you will support background screening operations, strengthen internal partner knowledge, and help maintain a high standard of service, accuracy, and compliance. This position is 100% remote, but requires the candidate to live in PST state. Background Verification Specialist Duties:• Analyze service trends and support reporting efforts to improve screening workflows, communication practices, and overall service performance.• Maintain clear documentation for customer service activities, including procedures, policies, and process updates related to verification operations.• Develop educational materials for internal stakeholders covering operational steps, technical usage, and compliance expectations tied to background screening.• Manage and update training resources on internal platforms to ensure teams have access to current and accurate guidance.• Deliver instruction to end users through individual sessions and recurring group trainings, while assisting with rollout of new procedures and reference materials.• Respond to screening-related questions from internal partners, investigate issues thoroughly, and record all follow-up activities within case management tools.• Serve as a key point of contact for troubleshooting by identifying, monitoring, and resolving system- or vendor-related concerns in a timely manner.• Partner with verification team members and cross-functional departments to support service targets, user satisfaction, and adherence to regulatory standards.• Ensure background screening tasks are completed accurately and on schedule to meet business expectations and operational goals. If you are interested in this Background Verification Specialist position, please submit your resume today.
2026-05-13T00:00:00Z

Medical Claims Resolution Specialist

Indianapolis, IN
remote
Temporary to Hire
21 - 25 USD / Hourly
We are seeking a detail-oriented Medical Claims Resolution Specialist within the state of IN to support the timely review, research, and resolution of medical claims issues. This role is responsible for investigating denied, rejected, or unpaid claims, working with payers and internal teams, and ensuring accurate claim processing and reimbursement. Hours: Monday - Friday 8am - 5pm *after hours work will be needed at times Responsibilities:<ul><li>Review and analyze denied, rejected, or outstanding medical claims to identify root causes</li><li>Research claim discrepancies, billing issues, coding errors, and payer requirements</li><li>Communicate with insurance companies, patients, and internal departments to resolve claim issues efficiently</li><li>Submit corrected claims, appeals, and supporting documentation as needed</li><li>Track claim status and maintain accurate documentation of follow-up actions and resolutions</li><li>Ensure compliance with payer guidelines, HIPAA, and company policies</li><li>Collaborate with billing, coding, and revenue cycle teams to improve claim resolution processes</li><li>Identify trends in denials and recommend process improvements</li></ul>
2026-05-12T00:00:00Z

Quality Assurance Specialist

Rochester, NY
onsite
Temporary / Contract
19.7885 - 25 USD / Hourly
We are looking for a detail-oriented Quality Assurance Specialist to support software testing efforts in Rochester, New York. This Long-term Contract position focuses on validating web-based applications through a blend of manual testing and browser automation. The ideal candidate will help maintain product quality by identifying defects, documenting findings, and working closely with teams to improve overall application performance and reliability. Responsibilities: • Design and carry out test activities for web applications to confirm functionality, usability, and consistency across releases. • Build, update, and execute Selenium-based automated test scripts to strengthen regression coverage and improve testing efficiency. • Perform hands-on manual testing to uncover defects, verify fixes, and evaluate system behavior under different scenarios. • Record test results clearly, log issues with supporting details, and help drive defects through resolution with the appropriate teams. • Collaborate with developers, analysts, and stakeholders to clarify expected outcomes and ensure quality standards are met throughout the development lifecycle. • Review application changes and assess testing impact so that new features and updates are properly validated before release. • Contribute to continuous improvement of QA practices, test documentation, and overall testing processes. • Support validation efforts related to application updates or process changes when needed as part of ongoing quality initiatives.
2026-05-12T00:00:00Z

Insurance Coverage Attorney

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

Insurance Coverage Attorney

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

Insurance Coverage Attorney

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

Insurance Coverage Counsel

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

Eligibility Specialist

Dayton, OH
onsite
Temporary to Hire
16.15 - 18.7 USD / Hourly
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. Responsibilities:• Enter and update member information in the designated portal while verifying accuracy and confirming successful submission of records.• Process enrollment-related transactions and maintain eligibility records to support timely and accurate member services.• Communicate with vendors and external representatives as needed to resolve routine questions and support service-related follow-up.• Prepare, review, and distribute reports that help track operational activity and support day-to-day team needs.• Scan, organize, and index documents so files remain accessible, accurate, and properly maintained.• Sort and distribute incoming mail and related materials to ensure timely handling of correspondence.• Respond to inbound inquiries and email messages with clear, service-focused communication.• Support additional order entry, scheduling, and administrative tasks required to keep daily operations running smoothly.
2026-05-07T00:00:00Z

Eligibility Specialist

Houston, TX
remote
Temporary to Hire
22.8 - 26.4 USD / Hourly
We are working with a Houston-based healthcare services organization seeking an experienced RCM Reimbursement Specialist – Appeals & Denials to join their revenue cycle team on a contract‑to‑hire basis. This role plays a critical part in maximizing reimbursement by resolving complex appeals and denied claims across commercial and government payers.This is a fast‑paced, detail‑driven role ideal for someone who thrives in follow‑up‑heavy work and enjoys problem‑solving denial trends.Key Responsibilities<ul><li>Resolve aged claims and appeals lacking payer response via payer portals and outbound calls</li><li>Identify claims requiring first, second, or third‑level appeals and manage accordingly</li><li>Prioritize assigned work queues to focus on timely resolution and high‑value recoveries</li><li>Collaborate with teammates on denial workflows, projects, and queue management</li><li>Identify non‑payment and denial trends; escalate groups of claims to leadership and Market Access partners</li><li>Investigate denial trends identified through analytics and propose corrective solutions</li><li>Share upstream improvement opportunities to prevent future denials</li><li>Coordinate with patients when their participation is required for appeal resolution</li><li>Maintain professionalism and responsiveness in collaboration with Revenue Cycle peers</li><li> </li></ul>
2026-05-11T00:00:00Z

Real Estate Settlement Specialist

Allentown, PA
onsite
Permanent / Full Time
50000 - 60000 USD / Yearly
We are looking for an experienced Real Estate Settlement Specialist to oversee residential closing files from opening through final completion. This position is well suited for someone who thrives in a high-volume setting, keeps complex transactions organized, and communicates confidently with multiple parties involved in each closing. The ideal candidate brings strong attention to detail, sound judgment when reviewing documentation, and the ability to keep timelines moving efficiently. Responsibilities: • Oversee residential real estate transactions from initial file intake through closing and final post-closing completion. • Examine title reports, lender packages, sales contracts, and supporting documents to confirm accuracy and readiness for settlement. • Prepare settlement statements, closing disclosures, and other transaction documents required for timely and compliant closings. • Coordinate with buyers, sellers, real estate agents, lenders, attorneys, and related partners to maintain progress and resolve issues quickly. • Arrange and facilitate closing appointments, ensuring all documentation is properly executed and complete. • Process the distribution of funds for payoffs, commissions, escrow balances, and recording-related expenses. • Submit finalized documents for recording and manage post-closing follow-up to ensure files are completed correctly. • Address questions from clients and transaction partners throughout the closing cycle with clear and thorough communication.
2026-05-08T00:00:00Z

Insurance Referral Coordinator

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

Medical Credentialing Specialist

Santa Monica, CA
onsite
Temporary to Hire
31.97 - 45 USD / Hourly
A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist 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 MD Staff, and the ability to manage sensitive information with accuracy and care. MD Staff Software is a MUST. Key Responsibilities:• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.• Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-12T00:00:00Z

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for a highly organized Insurance Authorization Coordinator to support hospital authorization activities in San Bernardino, California. This Contract position focuses on securing retroactive approvals, maintaining complete documentation, and working closely with clinical and administrative teams to help prevent reimbursement delays. The ideal candidate brings strong knowledge of insurance authorization workflows, sound judgment when handling payer issues, and a careful approach to record accuracy and compliance. Responsibilities: • Prepare and submit retroactive authorization requests for hospital services, ensuring each case includes complete and accurate supporting information. • Monitor open, pending, and denied authorization cases, and take timely action to follow up with payers and internal stakeholders. • Partner with care teams and administrative staff to gather clinical records and other required documents needed for review. • Communicate with insurance representatives by phone and in writing to clarify case details, address discrepancies, and obtain determinations. • Maintain organized and up-to-date authorization records within hospital systems, including scanned documents and status updates. • Review requests against hospital guidelines and applicable regulatory standards to support compliant processing practices. • Track payer responses and escalate urgent or complex cases when additional review is needed to avoid delays in approval. • Keep current with changes in authorization procedures, including Treatment Authorization Request processes and payer-specific requirements.
2026-05-13T00:00:00Z

Risk Management Specialist

Barefoot Beach, FL
onsite
Temporary / Contract
19.7885 - 23 USD / Hourly
We are looking for a skilled Risk Management Specialist to join our team in Bonita Springs, Florida. In this long-term contract position, you will play a key role in ensuring compliance with lien and bond rights, supporting accounts receivable collections, and assisting with the resolution of at-risk accounts. This role is ideal for detail-oriented professionals with a background in legal risk management and a commitment to accuracy and collaboration. Responsibilities: • Evaluate whether lien and bond rights should be pursued based on customer account risks and outstanding accounts receivable. • Verify the eligibility of equipment for lien or bond claims in compliance with state statutes. • Conduct ownership and contractor research to ensure the accuracy of Preliminary Notices. • Collaborate with field teams to confirm and update jobsite information in internal systems. • Document all activities in designated systems to maintain accurate and accessible records. • Monitor and meet critical deadlines and service level agreements (SLAs). • Assess business types to determine eligibility for lien and bond claims. • Provide appropriate lien releases to customers based on job details and payment status. • Assist the Legal Services Team in resolving at-risk accounts by preparing payment plans and final demand letters. • Promote and actively participate in the company’s safety culture, ensuring the well-being of team members and customers.
2026-04-22T00:00:00Z

Credentialing Specialist

Rochester, NY
onsite
Temporary / Contract
23 - 23 USD / Hourly
*THIS POSITION IS NOT REMOTE* 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. Responsibilities:• Review, organize, and process provider credentialing and recredentialing files to support timely approvals and renewals.• Verify licenses, certifications, work history, and other required documentation to ensure provider records meet healthcare and compliance standards.• Maintain accurate information in credentialing databases, CRM tools, EHR systems, and related tracking platforms.• Prepare audit-ready files by monitoring missing items, updating records, and following up with providers or internal stakeholders as needed.• Use CAQH and other credentialing resources to validate provider data and streamline application management.• Generate and manage digital documents using Adobe Acrobat, ensuring forms are complete, accurate, and properly stored.• Support compliance reviews by identifying discrepancies, escalating issues, and helping enforce established credentialing procedures.• Coordinate with cross-functional departments to track application status, resolve documentation gaps, and maintain efficient workflow progress.
2026-05-12T00:00:00Z

Credentialing Specialist

Nashville, TN
onsite
Temporary / Contract
22 - 26 USD / Hourly
We are seeking a Credentialing Specialist for a short term contract in Nashville. This role is responsible for managing and maintaining provider credentials to ensure compliance with regulatory, accreditation, and payer requirements. This role supports timely provider onboarding, payer enrollment, and recredentialing while ensuring accuracy, confidentiality, and adherence to healthcare standards.<ul><li>Coordinate and process initial credentialing, recredentialing, and payer enrollment for healthcare providers</li><li>Collect, verify, and maintain provider documentation including licenses, certifications, education, training, work history, NPIs, and DEA registrations</li><li>Prepare and submit credentialing and enrollment applications to insurance payers, hospitals, and regulatory bodies</li><li>Monitor credential expirations and proactively manage renewals to maintain continuous provider eligibility</li><li>Maintain accurate and up‑to‑date credentialing records in credentialing software and internal databases</li><li>Serve as a liaison between providers, payers, medical staff offices, and internal departments</li><li>Track application statuses, follow up on outstanding items, and resolve credentialing or enrollment issues</li><li>Ensure compliance with CMS, NCQA, Joint Commission, state, and payer credentialing requirements</li><li>Support audits and accreditation reviews by preparing and providing credentialing documentation</li><li>Maintain strict confidentiality of sensitive provider information</li></ul>
2026-05-13T00:00:00Z

Credentialing Specialist

Fresno, CA
onsite
Temporary / Contract
22 - 27 USD / Hourly
We are looking for a Credentialing Specialist to support provider and clinic staff credentialing operations for a Contract position based in Fresno, California. This role is responsible for coordinating the full credentialing lifecycle, helping ensure practitioners and clinical staff meet regulatory, payer, and accreditation standards. The ideal candidate brings strong attention to detail, sound knowledge of provider enrollment and reappointment processes, and the ability to keep records accurate and timelines on track while working with internal leaders and external organizations. Responsibilities: • Manage end-to-end credentialing, recredentialing, and privileging activities for providers and clinical staff, ensuring records remain complete and current. • Prepare, submit, and monitor credentialing applications, following up with health plans, facilities, and agencies to keep approvals moving forward. • Maintain organized documentation for licenses, certifications, malpractice coverage, and other required compliance materials for all applicable providers. • Monitor expiration dates for licenses, certifications, liability coverage, and related credentials, and coordinate timely renewals to avoid lapses. • Update and maintain provider profiles within credentialing platforms and internal databases, ensuring data accuracy across systems and directories. • Coordinate renewal appointments for clinic staff and track required timelines to support uninterrupted compliance. • Process privileging and reappointment requests for affiliated healthcare facilities when needed and verify supporting documentation. • Review provider listings and directory information for accuracy, correcting demographic and practice location details with payers and partner entities as necessary. • Provide credentialing and privileging verifications and assist with audits, accreditation activities, and other compliance-related assignments. • Participate in training and carry out additional duties as assigned while demonstrating efficient use of time and resources.
2026-04-28T00:00:00Z