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61 results for Insurance Verification Specialist jobs

Insurance Verification Specialist
  • Torrance, CA
  • onsite
  • Temporary
  • 21 - 30 USD / Hourly
  • <p>We are seeking an Insurance Verification Specialist to join a dynamic healthcare team in Los Angeles, California. This position is ideal for professionals who excel in a fast-paced medical setting and are committed to ensuring accurate and efficient patient insurance processing. The Insurance Verification Specialist plays a vital role in supporting patient access to care and helping the clinic maintain smooth, compliant operations.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Verify patient insurance coverage and eligibility with carriers for medical services.</li><li>Obtain pre-authorizations or referrals as required by insurance providers.</li><li>Accurately document insurance details and update patient records in the system.</li><li>Communicate benefit information, coverage details, or out-of-pocket requirements to patients as needed.</li><li>Collaborate with clinical and administrative staff to resolve insurance issues and support timely patient scheduling.</li><li>Assist with claim submissions by ensuring all required information is documented and filed appropriately.</li><li>Maintain strict compliance with HIPAA regulations and office confidentiality standards.</li><li>Support the front office team by answering patient or carrier questions and handling related administrative tasks.</li></ul><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
  • 2026-03-12T00:00:00Z
Insurance Verification Specialist
  • Portland, OR
  • onsite
  • Temporary
  • 23 - 26 USD / Hourly
  • <p><strong>Overview:</strong></p><p>Our team is seeking an Insurance Verification Specialist to join our healthcare operations. This role is responsible for verifying patient insurance coverage, ensuring accuracy in data entry, and supporting patient intake and billing processes. The ideal candidate has strong attention to detail and a customer-focused attitude.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Verify insurance eligibility, benefits, and authorizations through phone, online portals, and direct contact with payers</li><li>Update and maintain patient records with accurate insurance information</li><li>Communicate coverage details to patients, providers, and internal staff</li><li>Coordinate with billing department to ensure claims are submitted correctly and timely</li><li>Resolve insurance verification issues and follow up on pending cases</li><li>Ensure compliance with all relevant regulations and privacy standards</li></ul><p><br></p>
  • 2026-03-03T00:00:00Z
Insurance Verification Coordinator
  • Bronx, NY
  • onsite
  • Temporary
  • 27.55 - 31.9 USD / Hourly
  • We are looking for an Insurance Verification Coordinator to join our team in Bronx, New York. This is a contract position where you will play a key role in supporting patients within the Emergency Department. You will assist individuals by identifying their needs, documenting essential health information, and connecting them with available resources to enhance their care experience.<br><br>Responsibilities:<br>• Conduct one-on-one patient interactions within the Emergency Department to assess needs and provide support.<br>• Utilize the provided screening tools to evaluate social determinants of health and document findings accurately in the electronic medical record.<br>• Identify patients with positive screenings and coordinate referrals to social workers for further assistance.<br>• Provide patients with information about supportive services available through the Emergency Department.<br>• Access and navigate electronic medical record systems, including Altera, to document and retrieve necessary information.<br>• Collaborate with the Emergency Department team to ensure seamless patient care and effective communication.<br>• Maintain accurate and organized records of patient interactions and referrals.<br>• Work closely with the ED social worker to align schedules and enhance patient support during standard business hours.<br>• Ensure compliance with organizational policies and procedures while handling sensitive patient information securely.
  • 2026-03-02T00:00:00Z
Insurance Premium Specialist
  • Virginia Beach, VA
  • onsite
  • Temporary
  • 20.9 - 24.2 USD / Hourly
  • We are looking for an experienced Insurance Premium Specialist to join our team in Virginia Beach, Virginia. In this long-term contract position, you will play a crucial role in managing insurance billing processes, ensuring accurate account reconciliation, and providing outstanding customer service. This opportunity is ideal for professionals with a strong accounting background and excellent communication skills.<br><br>Responsibilities:<br>• Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards.<br>• Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively.<br>• Perform detailed account reconciliations to maintain accurate financial records.<br>• Collaborate with internal teams to address discrepancies and improve billing processes.<br>• Ensure timely and accurate completion of all billing functions.<br>• Monitor and report on account activities and discrepancies to relevant stakeholders.<br>• Assist in maintaining accounting records and documentation for audits and compliance purposes.<br>• Provide exceptional customer service by addressing client concerns and ensuring satisfaction.<br>• Review and analyze financial data related to insurance premiums.<br>• Identify opportunities for process improvements within the accounting and billing functions.
  • 2026-03-25T00:00:00Z
Insurance Billing Specialist
  • Mundelein, IL
  • onsite
  • Permanent
  • 60000 - 65000 USD / Yearly
  • <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>
  • 2026-03-19T00:00:00Z
Insurance Services Representative
  • Shrewsbury, MA
  • onsite
  • Permanent
  • 40000 - 60000 USD / Yearly
  • <p>A Banking client of ours who has an Insurance Agency in its portfolio is seeking an experienced Insurance Service Representative to support and grow our Property &amp; Casualty insurance business. This role focuses on servicing existing clients, quoting new business, handling endorsements and renewals, and delivering exceptional member experiences.</p><p><br></p><p><strong>What You’ll Do</strong></p><ul><li>Quote, bind, and service P&amp;C insurance policies</li><li>Manage endorsements, renewals, billing, and registry transactions</li><li>Handle inbound calls, emails, and in-person member requests</li><li>Identify cross-sell and upsell opportunities</li><li>Partner with senior team members on remarkets and complex accounts</li><li>Meet service and turnaround standards (24–48 hours)</li></ul>
  • 2026-03-18T00:00:00Z
Medical Insurance Claims Specialist
  • Boise, ID
  • remote
  • Temporary
  • 15 - 16 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for Idaho Residents)</p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
  • 2026-03-25T00:00:00Z
Medical Insurance Claims Specialist
  • Albuquerque, NM
  • remote
  • Temporary
  • 15 - 16 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) </p><p><br></p><p>Responsibilities:</p><p>• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.</p><p>• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.</p><p>• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.</p><p>• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.</p><p>• Notify management promptly about compliance concerns related to claims payment timelines.</p><p>• Perform quality reviews of claims processes to ensure adherence to organizational standards.</p><p>• Collaborate with team members to identify trends and root causes of recurring issues.</p><p>• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.</p><p>• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.</p><p>• Support the implementation of quality measures and compliance protocols within claims operations.</p>
  • 2026-03-26T00:00:00Z
Auditing Specialist
  • Pasadena, CA
  • onsite
  • Contract / Temporary to Hire
  • 23.75 - 27.5 USD / Hourly
  • We are looking for a detail-oriented Auditing Specialist to join our team in Pasadena, California, on a Contract to permanent employment basis. This role involves supporting the Payroll Compliance Audit department by managing administrative tasks, processing audit data, preparing official correspondence, and ensuring timely audit closures. The ideal candidate will thrive in a fast-paced environment and demonstrate consistent accuracy in their work while collaborating across departments.<br><br>Responsibilities:<br>• Draft, edit, and distribute official correspondence, ensuring completion within one business day of request.<br>• Collect necessary data from Pension Accounting and provide it to the requesting party promptly.<br>• Update various systems, including Digital Shelves, Letters Log, and T2, following audit closures.<br>• Prepare audit submissions for review, billing, and processing with attention to detail.<br>• Calculate interest amounts upon request and log audit payments accurately.<br>• Submit audit closures and release related transmittal forms within specified timelines.<br>• Respond to Imaging requests by collecting files and coordinating with the Data Maintenance team for archiving.<br>• Record and communicate task progress through workflow tracking systems to ensure transparency.<br>• Coordinate with peers, supervisors, and department leadership to maintain smooth workflows.<br>• Manage supply orders to ensure adequate stock levels and occasionally assist with additional audit processing tasks.
  • 2026-03-24T00:00:00Z
Medical Reimbursement Specialist
  • Weymouth, MA
  • onsite
  • Temporary
  • 23.75 - 27.5 USD / Hourly
  • We are looking for a skilled Medical Reimbursement Specialist to join our team on a long-term contract basis in South Weymouth, Massachusetts. In this role, you will play a vital part in supporting hospital financial operations by analyzing reimbursement processes, maintaining accurate records, and ensuring compliance with regulatory standards. This position requires a strong background in hospital billing, revenue analysis, and financial reporting.<br><br>Responsibilities:<br>• Analyze monthly revenue performance against budget and investigate variances related to reimbursement, volume, and charges.<br>• Prepare and post journal entries for contractual allowances in Accounts Receivable, ensuring accurate reconciliations.<br>• Collaborate with finance and departmental teams to develop and support the annual hospital budget.<br>• Assist in the creation of presentations for hospital leadership, providing insights into financial performance.<br>• Direct the preparation and filing of third-party cost reports and regulatory documentation.<br>• Support annual audits by preparing necessary financial data and ensuring compliance with audit standards.<br>• Extract and analyze data from systems such as Experian and Strata to assist in budgeting, forecasting, and productivity modeling.<br>• Identify opportunities to streamline processes and implement improvements to enhance operational efficiency.<br>• Maintain detailed records and reserves for contractual allowances to ensure financial accuracy.
  • 2026-03-27T00:00:00Z
Insurance Coverage Attorney
  • Seattle, WA
  • onsite
  • Permanent
  • 145000 - 190000 USD / Yearly
  • <p>A multi-office law firm in Seattle is seeking an experienced <strong>Insurance Coverage</strong> Attorney to join their team.</p><p><br></p><p>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.</p><p><br></p><p>They offer a flexible hybrid work structure, allowing attorneys to regularly work-from-home weekly if desired.</p>
  • 2026-03-17T00:00:00Z
Eligibility Specialist
  • Houston, TX
  • remote
  • Contract / Temporary to Hire
  • 22.8 - 26.4 USD / Hourly
  • <p>We are seeking an experienced and detail‑oriented <strong>RCM Reimbursement Specialist</strong> focused on <strong>Appeals and Denials</strong> to join our team on a <strong>contract-to-hire</strong> basis. This fully remote role is essential in maximizing reimbursement by following up on outstanding insurance balances, resolving unpaid claims, and managing appeals through multiple levels.</p><p>The ideal candidate thrives in a fast‑paced environment, is meticulous in their work, and has deep expertise in medical billing, payer processes, and denial management.</p><p><br></p><p><strong>Responsibilities</strong></p><ul><li>Resolve aged claims and appeals lacking payer responses through payer portals and outbound calls.</li><li>Identify claims requiring first, second, or third‑level appeals.</li><li>Support teammates with special projects and denial work queue management.</li><li>Prioritize an assigned work queue to ensure timely follow‑up while maximizing reimbursement opportunity.</li><li>Identify non‑payment trends and partner with Revenue Cycle leadership to escalate groups of claims to Market Access.</li><li>Investigate denial and non‑payment trends identified by Revenue Cycle Analytics and collaborate cross‑functionally to propose and implement solutions.</li><li>Communicate opportunities to improve upstream processes that may prevent future denials.</li><li>Engage patients when their involvement is required during the appeal process.</li><li>Collaborate professionally with Revenue Cycle team members and respond promptly to requests requiring assistance.</li></ul><p><br></p>
  • 2026-03-27T00:00:00Z
Eligibility Specialist
  • Port Saint Lucie, FL
  • onsite
  • Contract / Temporary to Hire
  • 19 - 21 USD / Hourly
  • We are looking for a detail-oriented Eligibility Specialist to join our team in Port St Lucie, Florida. In this Contract to permanent position, you will play a critical role in managing eligibility documentation and ensuring compliance for children in out-of-home care. This role requires a strong understanding of Medicaid processes, insurance follow-up, and preauthorization procedures.<br><br>Responsibilities:<br>• Prepare and compile comprehensive documentation to facilitate Title IV-E determinations for children entering out-of-home care.<br>• Enroll newly eligible Medicaid recipients into the Sunshine Child Welfare Specialty Plan.<br>• Identify and refer children potentially eligible for Social Security benefits to the Master Trust Specialist.<br>• Process and submit applications for all children under the supervision of CCKids.<br>• Monitor and manage Title IV-E determinations to prevent expiration and ensure timely re-determinations.<br>• Review, approve, and organize pre-adoption files submitted by Adoption Case Managers.<br>• Handle agreements, update placements and services, and coordinate with case managers on adoption case assignments and finalizations.<br>• Process new Title IV-E applications for children placed in adoption settings promptly and accurately.<br>• Assist case management teams in obtaining eligibility documentation for adoption cases or future eligibility reviews.<br>• Address inquiries about Medicaid billing, primary care physician changes, and related matters from foster parents, caregivers, case managers, and investigators.
  • 2026-03-25T00:00:00Z
Insurance Referral Coordinator
  • Cincinnati, OH
  • onsite
  • Temporary
  • 19 - 22 USD / Hourly
  • <p>We are looking for a dedicated Insurance Referral Coordinator to join our client&#39;s team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care.</p><p><br></p><p>Responsibilities:</p><p>• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.</p><p>• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.</p><p>• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.</p><p>• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.</p><p>• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.</p><p>• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.</p><p>• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.</p><p>• Provide support in identifying process improvements to streamline prior authorization workflows.</p>
  • 2026-03-25T00:00:00Z
Insurance Referral Coordinator
  • Kingsburg, CA
  • onsite
  • Temporary
  • 19 - 23 USD / Hourly
  • We are looking for a dedicated Insurance Referral Coordinator to join our team in Kingsburg, California. This role focuses on supporting patients with referrals, pre-authorizations, and guiding them through the process to ensure high-quality care. As this is a long-term contract position, you will have the opportunity to make a meaningful impact on patient satisfaction and healthcare coordination.<br><br>Responsibilities:<br>• Facilitate the referral process by assisting patients with completing necessary documentation and addressing any related inquiries.<br>• Coordinate and verify insurance referrals to ensure proper authorization and compliance with healthcare policies.<br>• Schedule and confirm patient appointments while maintaining accurate records in the system.<br>• Educate patients on referral processes and pre-authorization requirements to provide clarity and enhance their experience.<br>• Collaborate with healthcare providers to process referrals efficiently and ensure timely patient care.<br>• Maintain up-to-date patient medical records and ensure the accurate documentation of referral details.<br>• Monitor referral statuses and follow up with patients and providers when necessary.<br>• Support patients by checking them in and addressing any concerns related to insurance or appointments.<br>• Review and verify referral authorization details to ensure alignment with healthcare standards.<br>• Assist in coordinating care between patients and providers to optimize service delivery.
  • 2026-03-25T00:00:00Z
Insurance Referral Coordinator
  • Oakland, CA
  • onsite
  • Temporary
  • 23.75 - 26 USD / Hourly
  • <p>We are looking for 10 dedicated Insurance Referral Coordinators to join our healthcare client in Oakland, California. In this is a 3–4-month contract role, you will play a vital part in ensuring seamless coordination of patient care by managing insurance referrals and related administrative tasks. This position offers an excellent opportunity to grow within the healthcare industry while working in a collaborative and dynamic environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>• Coordinate referral appointments for patients, ensuring all necessary details are accurately documented.</p><p>• Maintain and update patient records to reflect referral and insurance information.</p><p>• Verify insurance eligibility and benefits to support patient care processes.</p><p>• Obtain prior authorizations for referrals and procedures as required.</p><p>• Make outbound calls to patients and providers, with an average of 60+ calls daily.</p><p>• Provide administrative support to the healthcare team, ensuring efficient workflow.</p><p>• Deliver exceptional customer service to patients and providers, addressing inquiries promptly.</p><p>• Collaborate with colleagues to streamline referral generation and authorization processes.</p><p><br></p><p><strong>Scope of Assignment</strong></p><ul><li>Focus exclusively on scheduling external referrals currently pending (approximately 2,500 referrals).</li><li>Contact specialty offices to secure appointments.</li><li>Document scheduling activity accurately in the EMR system and Transportation Calendar.</li><li>Collaborate with internal teams to ensure referral progression.</li></ul><p><br></p><p><strong>Productivity Expectations</strong></p><ul><li>GOAL: Schedule of <strong>30 appointments per day</strong>.</li><li>Meet or exceed daily outreach and documentation targets.</li><li>Contribute to measurable reduction of referral backlog within the 90-day assignment period.</li><li>Maintain accuracy and timeliness in documentation to support regulatory compliance.</li></ul><p>If you are interested in this role please apply today and call us at (510) 470-7450</p>
  • 2026-03-24T00:00:00Z
Insurance Follow Up Specialist/Charge Entry
  • Hoffman Estates, IL
  • onsite
  • Temporary
  • 19.95 - 21 USD / Hourly
  • We are looking for a detail-oriented Insurance Follow Up Specialist/Charge Entry expert to join our team in Hoffman Estates, Illinois. In this role, you will play a key part in ensuring accurate data entry and charge processing for radiology services while maintaining a high standard of conduct. This is a long-term contract position designed for individuals with strong organizational skills and expertise in electronic medical records.<br><br>Responsibilities:<br>• Perform accurate data entry tasks, including patient registration, demographic updates, and insurance information input.<br>• Process radiology charge entries with precision and verify the accuracy of all submitted batches.<br>• Reconcile completed batches to ensure audit compliance before moving on to the next assignment.<br>• Post charges promptly and efficiently, adhering to established protocols.<br>• Coordinate with relevant teams to resolve discrepancies or errors in data entry.<br>• Utilize electronic medical records (EMR) systems to manage and update patient information.<br>• Demonstrate a high standard of conduct while interacting with patients and team members.<br>• Ensure compliance with organizational standards and procedures throughout the charge entry process.<br>• Identify opportunities for process improvements and contribute to operational efficiency.<br>• Handle sensitive patient information with utmost confidentiality and security.
  • 2026-03-24T00:00:00Z
Insurance Authorization Coordinator
  • Pewaukee, WI
  • onsite
  • Contract / Temporary to Hire
  • 23 - 25 USD / Hourly
  • We are looking for a dedicated Insurance Authorization Coordinator to join our team in Pewaukee, Wisconsin. In this Contract to permanent position, you will play a critical role in managing insurance-related tasks and ensuring accurate billing practices for ambulance services. This role requires a detail-oriented individual with strong communication skills and a solid understanding of medical insurance processes.<br><br>Responsibilities:<br>• Analyze denied or underpaid claims and prepare detailed appeals with supporting documentation to secure proper reimbursement.<br>• Verify patient insurance coverage, benefits, and authorization requirements before or after transport to ensure claims are submitted accurately.<br>• Handle inbound calls from patients to address account balances, explain charges, and provide guidance on payment options or necessary corrections.<br>• Document all actions, conversations, and next steps thoroughly in the billing system to maintain accurate account records.<br>• Collaborate with team members and supervisors to gather required information, clarify service details, and resolve payer concerns.<br>• Ensure compliance with industry regulations and internal procedures to maintain adherence to billing standards.<br>• Utilize billing software and payer portals effectively to process claims and manage account information.<br>• Conduct additional tasks as needed to support the billing department and overall operations.
  • 2026-03-17T00:00:00Z
Payments Claim Specialist
  • Los Angeles, CA
  • onsite
  • Temporary
  • 20 - 23 USD / Hourly
  • <p>We are looking for a detail-oriented Payments Claim Specialist to join our team in Los Angeles, CA, This position offers an excellent opportunity to contribute to claim administration and payment processing operations in the fraud department within a dynamic and fast-paced environment. The ideal candidate will demonstrate expertise in handling disputes, ensuring compliance with regulatory standards, and maintaining high-quality standards in financial processes.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage claims related to payments, ensuring accuracy and adherence to established policies.</p><p>• Conduct thorough investigations of disputes and chargebacks to resolve issues promptly.</p><p>• Monitor and enforce compliance with regulatory requirements related to claim administration.</p><p>• Prepare detailed reports and metrics to track progress and performance.</p><p>• Collaborate with clients to address concerns and maintain strong relationships.</p><p>• Perform quality checks on claims to ensure accuracy and compliance with procedures.</p><p>• Review ledgers, debits, and credits to identify and address discrepancies.</p><p>• Support fraud investigations by analyzing claims and payment processes.</p><p>• Maintain organized records and documentation for auditing and reporting purposes.</p>
  • 2026-03-11T00:00:00Z
Credentialing Specialist
  • Philadelphia, PA
  • remote
  • Temporary
  • 21 - 22 USD / Hourly
  • <p>We are looking for a meticulous Credentialing Specialist to join our team located in the Greater Philadelphia Region. In this Credentialing Specialist contract role, you will play a critical part in ensuring that healthcare providers meet all necessary legal and detailed requirements. Your expertise will help maintain compliance and uphold high standards within the credentialing process.</p><p><br></p><p>Here’s how you’ll contribute each day: </p><p>• Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.</p><p>• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.</p><p>• Maintain accurate and up-to-date records in the credentialing database.</p><p>• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.</p><p>• Prepare and review applications for credentialing and re-credentialing.</p><p>• Ensure timely submission of documentation to meet deadlines and regulatory requirements.</p><p>• Monitor changes in credentialing standards and implement updates as needed.</p><p>• Provide support during audits and inspections related to credentialing.</p><p>• Communicate effectively with providers to address inquiries and clarify credentialing requirements.</p><p>• Ensure adherence to organizational policies and procedures throughout the credentialing process.</p>
  • 2026-03-27T00:00:00Z
Credentialing Specialist
  • Somerville, NJ
  • onsite
  • Temporary
  • 25 - 30 USD / Hourly
  • <p>We are looking for a detail-oriented Credentialing Specialist to join our team. In this long-term contract position, you will play a vital role in ensuring healthcare practitioners meet all credentialing and privileging requirements according to state, federal, and accreditation guidelines. This is an excellent opportunity to showcase your organizational skills and contribute to maintaining compliance and efficiency within the credentialing process.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Conduct thorough primary source verification to confirm education, licenses, and training credentials of healthcare practitioners.</li><li>Review and audit applications for accuracy and completeness, ensuring all required information is provided.</li><li>Manage and maintain credentialing records, privileging documentation, and enrollment files with precision.</li><li>Oversee provider enrollment processes for Medicaid, CAQH, and other healthcare systems, ensuring compliance with established procedures.</li><li>Upload and link critical documents in credentialing systems while maintaining accurate data entry.</li><li>Regularly update and audit on-call schedules to ensure accuracy and reliability.</li><li>Collaborate with physicians, advanced practice providers, hospital staff, and external organizations to address credentialing matters.</li><li>Ensure databases are consistently updated and maintained for seamless access and reporting.</li><li>Handle confidential information with discretion and professionalism, addressing urgent matters promptly.</li></ul><p><br></p>
  • 2026-03-26T00:00:00Z
Credentialing Specialist
  • West Hollywood, CA
  • onsite
  • Temporary
  • 25 - 45 USD / Hourly
  • <p>The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.</p><ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul><p><strong>Benefits:</strong> Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
  • 2026-03-21T00:00:00Z
Credentialing Specialist
  • Indianapolis, IN
  • remote
  • Temporary
  • 22.1635 - 25.663 USD / Hourly
  • <p>We are looking for a detail-oriented Credentialing Specialist to join our team on a contract basis. This role is ideal for someone with a strong background in credentialing processes and a commitment to ensuring compliance with industry standards. If you have a passion for accuracy and enjoy working in a fast-paced environment, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Coordinate and manage credentialing and re-credentialing applications for providers in compliance with organizational standards.</p><p>• Verify and maintain accurate records of provider qualifications, certifications, and licensure.</p><p>• Ensure timely completion of credentialing processes to meet operational deadlines.</p><p>• Communicate and collaborate with healthcare providers to address credentialing inquiries and resolve discrepancies.</p><p>• Conduct thorough reviews of applications to ensure all required documentation is received and properly filed.</p><p>• Maintain up-to-date knowledge of regulatory requirements related to credentialing processes.</p><p>• Prepare reports and updates on credentialing activities for internal stakeholders.</p><p>• Support audits and inspections by providing necessary documentation and information.</p><p>• Identify process improvements to streamline credentialing workflows and enhance efficiency.</p><p>• Assist with maintaining credentialing databases and systems for accuracy and accessibility</p>
  • 2026-03-27T00:00:00Z
Sr. Claims Specialist
  • Chicago, IL
  • remote
  • Temporary
  • 25 - 40 USD / Hourly
  • <p>We are looking for a fully remote Senior Workers’ Compensation Claims Specialist to assist our client with a long-term project. <u>Candidates must hold a valid New York adjuster&#39;s license.</u> This person will be responsible for managing a complex caseload of workers’ compensation claims from inception through resolution. This role ensures compliance with applicable laws and regulations, delivers excellent customer service, and works closely with internal stakeholders, injured employees, medical providers, and legal counsel to facilitate timely and cost-effective claim outcomes.</p><p><strong>Key Responsibilities</strong></p><ul><li>Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases.</li><li>Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability.</li><li>Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines.</li><li>Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments.</li><li>Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives.</li><li>Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed.</li><li>Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status.</li></ul><p><br></p>
  • 2026-03-25T00:00:00Z
Underwriting Support Specialist
  • Sacramento, CA
  • onsite
  • Temporary
  • 22.8 - 26.4 USD / Hourly
  • <p>We are looking for a detail-oriented Underwriting Assistant to join our team on a long-term contract basis in Sacramento, California. This role focuses on supporting project-based initiatives, including testing and documentation tasks, to ensure the accuracy and efficiency of submission processes. If you have a strong background in quality assurance and a keen eye for detail, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Review applications within the claims tool to confirm proper data upload and identify errors.</p><p>• Document error messages and provide detailed feedback to management based on testing outcomes.</p><p>• Analyze and summarize user experiences to support improvements in submission processes.</p><p>• Assist in proofreading and refining procedural documentation to ensure clarity and accuracy.</p><p>• Collaborate with team members to support various department projects as needed.</p><p>• Conduct backend testing to verify system functionalities and identify potential issues.</p><p>• Maintain organized project documentation for reference and future use.</p><p>• Communicate findings effectively to stakeholders and contribute to process enhancements.</p>
  • 2026-03-24T00:00:00Z
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