<p>We are looking for a detail-oriented Data/Intake Specialist to join our team in Waipahu, Hawaii. This Contract to permanent position is ideal for someone with strong data entry and reconciliation skills who thrives in a collaborative environment. The role involves ensuring the accuracy and integrity of data while supporting process improvements across the team. Due to the nature of the work and onsite requirements, preference will be given to Hawaii residents. Applicants should be able to reliably commute or reside within the region to meet business needs. All qualified applicants are encouraged to apply by calling us at 808-531-0800.</p><p><br></p><p>Responsibilities:</p><p>• Accurately process and input incoming data into designated databases and software systems.</p><p>• Conduct thorough reviews of data to ensure completeness, accuracy, and consistency.</p><p>• Identify and resolve discrepancies or errors in data entry to maintain data integrity.</p><p>• Collaborate with team members to gather necessary information and clarify data requirements.</p><p>• Develop and maintain documentation for data intake processes and procedures.</p><p>• Uphold confidentiality and security standards for handling sensitive information.</p><p>• Assist in implementing best practices for data management and workflow optimization.</p><p>• Perform account reconciliations, including accounts payable and receivable tasks.</p><p>• Provide support to team members and contribute to continuous process improvements.</p>
The Client Intake and Matter Specialist supports the firm’s financial and administrative operations by reviewing, analyzing, and setting up new client and matter requests. This position ensures that all information entered into the firm’s systems is accurate, compliant with internal standards, and aligned with client-specific requirements. The role also maintains the quality and consistency of client and matter data throughout the lifecycle of each engagement. TKey Responsibilities Client & Matter Setup Review incoming intake requests submitted through the firm’s internal workflow system. Evaluate engagement documents to determine the appropriate fee arrangements, rates, billing formats, staffing assignments, and any client‑specific instructions. Configure new clients and matters in the firm’s financial platform, including: Billing options and rate structures UTBMS phase/task/activity codes Client hierarchy and address information E‑billing requirements and related settings Ongoing Matter Maintenance Process updates such as reopenings, modifications, and closures in accordance with established procedures. Work closely with revenue leadership, pricing, billing, and collections teams to implement annual rate adjustments across clients and matters. Monitor existing records for accuracy and consistency, making corrections when needed. Compliance & Data Quality Ensure that all matter setups comply with client guidelines, billing rules, and outside counsel expectations. Identify missing or unclear information and follow up with attorneys and support staff to complete the intake process. Support data cleanup projects, system upgrades, and process improvements. Prepare and analyze Excel reports to validate data quality and address discrepancies. Escalate complex or exceptions‑based issues to management as appropriate.
<p>We are looking for a dedicated Enrollment Specialist to join our team in Buena Park, California. The Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs like Covered California and Medi-Cal. This is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal.</p><p>• Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions.</p><p>• Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies.</p><p>• Maintain up-to-date records of enrollment activity and manage data entry into internal systems.</p><p>• Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes.</p><p>• Collaborate with community outreach teams to support enrollment initiatives and drive awareness.</p><p>• Deliver excellent customer service by addressing patient inquiries and concerns promptly.</p><p>• Stay informed about changes in health insurance policies to provide accurate guidance to patients.</p><p><br></p><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are seeking an organized Enrollment Coordinator to support client re-enrollment processes. This role involves re-engaging clients, collecting and submitting required documentation, maintaining accurate records, and providing ongoing support to ensure program compliance and client success. If you have excellent communication skills and a passion for delivering exceptional service, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><ul><li>Recruit and re-enroll clients into a work program.</li><li>Maintain consistent communication with clients following re-enrollment.</li><li>Collect and organize required documentation from clients on a quarterly basis.</li><li>Ensure timely and accurate submission of all paperwork to meet program requirements.</li><li>Provide support and guidance to clients throughout the re-enrollment process.</li><li>Monitor client progress and address any concerns or questions as needed.</li><li>Maintain accurate client records and update them regularly.</li></ul><p><br></p>
We are looking for a dedicated and adaptable Admissions Representative to join our team in Minneapolis, Minnesota. In this role, you will support the admissions and records operations by maintaining production goals while ensuring a positive experience for applicants and learners. This is a long-term contract position that offers the opportunity to contribute to continuous improvement efforts and skill development in a dynamic higher education environment.<br><br>Responsibilities:<br>• Achieve and maintain production targets to meet departmental goals and service level agreements.<br>• Cross-train on workflows outside of your primary area to provide broad operational support.<br>• Address escalated issues and work to resolve applicant and learner concerns effectively.<br>• Collaborate with various internal departments to identify process improvement opportunities.<br>• Participate in quality assurance activities to identify and resolve process defects.<br>• Support training initiatives by serving as a subject matter expert or trainer for team members.<br>• Contribute to knowledge management by maintaining accurate process documentation and job aids.<br>• Engage in problem-solving projects to enhance efficiency and the overall user experience.<br>• Take part in leadership and skill development activities to strengthen operational skills and team collaboration.<br>• Act as a subject matter expert on enterprise-wide initiatives and departmental teams.
We are looking for an Admissions Representative to join our team in Long Beach, California. In this role, you will provide guidance and support to prospective students as they navigate the financial aid process. This is a long-term contract position within the education industry, offering an opportunity to make a meaningful impact on students' academic journeys.<br><br>Responsibilities:<br>• Assist students throughout the financial aid application process to ensure they have the resources needed to succeed.<br>• Provide exceptional customer service by addressing student concerns with clarity, empathy, and professionalism.<br>• Identify and resolve obstacles that may hinder students from starting or continuing their education.<br>• Educate students on available financial assistance options, including federal aid, scholarships, and institutional programs.<br>• Collaborate with Admissions, Student Services, and other departments to enhance overall student satisfaction and success.<br>• Maintain accurate records of student interactions and financial aid processes.<br>• Stay up-to-date on financial aid regulations and best practices to provide accurate information.<br>• Conduct outreach efforts to prospective students to promote available programs and resources.<br>• Ensure compliance with Title IV regulations when assisting students with financial aid applications.
<p>Our healthcare team is seeking a detail-oriented Medical Insurance Enrollment Specialist with at least two years of experience and fluency in Spanish and English. The ideal candidate is passionate about helping patients navigate insurance processes and enjoys a fast-paced, supportive environment.</p><p><strong>Responsibilities:</strong></p><ul><li>Process and review medical insurance enrollments for new and existing patients</li><li>Verify insurance coverage, eligibility, and benefits with various payers</li><li>Collaborate with patients, providers, and insurers to resolve enrollment questions and discrepancies</li><li>Maintain accurate and timely data entry in healthcare management systems</li><li>Communicate benefits information and enrollment outcomes to patients in both Spanish and English</li><li>Ensure compliance with HIPAA and company privacy policies</li><li>Provide exceptional customer service while assisting patients with insurance inquiries</li></ul><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<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>
<p>Robert Half is partnered with an innovative and growing law firm seeking an Attorney to support its Intake / Sales Function. </p><p><br></p><p>This is a 100% remote position and this role offers a unique opportunity to advise clients growing their healthcare businesses. You're not cold calling, your role is to respond to client outreach and meet the client on an intake video meeting where you will understand their legal and business needs, provide initial legal advice and advise on how the firm can support them meet their legal needs on an innovative flat fee basis. </p><p><br></p><p>There is commission/bonus on top of the listed base salary.</p><p><br></p><p><br></p>
<p>We are offering a long-term contract employment opportunity for a Patient Access Specialist in Lewiston, Maine. This role is in the healthcare industry where you will be interacting with customers and patients, managing their accounts, and handling their inquiries. </p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Engage in patient-facing activities and provide a high level of customer service.</p><p>• Process patient credit applications with accuracy and efficiency.</p><p>• Responsible for answering inbound calls and dealing with patient queries promptly.</p><p>• Maintain an up-to-date record of patient credit information.</p><p>• Perform authorizations, benefit functions, and billing functions as part of the role.</p><p>• Participate in clinical trial operations as required.</p><p>• Monitor patient accounts and take necessary actions based on account status.</p>
We are looking for a compassionate and detail-oriented Patient Access Specialist to join our healthcare team in Roanoke, Virginia. In this role, you will be the first point of contact for patients, ensuring a seamless and positive experience by assisting with registrations, appointments, and other administrative tasks. This is a Contract to permanent position, offering an excellent opportunity to grow within a supportive and dynamic environment.<br><br>Responsibilities:<br>• Greet patients and visitors warmly, fostering a welcoming and detail-oriented atmosphere.<br>• Complete patient registration accurately, including verifying insurance information and updating records.<br>• Schedule and confirm appointments, ensuring efficient coordination with clinical staff.<br>• Process payments, collect co-pays, and reconcile daily transactions with accuracy.<br>• Collaborate with administrative and clinical teams to maintain smooth patient flow throughout the facility.<br>• Uphold patient confidentiality by adhering to all privacy and security regulations.<br>• Respond to patient inquiries and concerns with empathy, escalating issues to appropriate personnel when necessary.<br>• Assist with verifying medical insurance coverage and resolving related issues.<br>• Provide general support to ensure the overall efficiency of patient access operations.
<p>3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! </p><p><br></p><p>We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.</p><p>• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.</p><p>• Adhere to organizational policies while delivering exceptional customer service with compassion.</p><p>• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.</p><p>• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.</p><p>• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.</p><p>• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.</p><p>• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.</p><p>• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.</p>
<p>We are looking for a Patient Access Specialist to join our healthcare team in Bakersfield, California. In this role, you will play a critical part in ensuring a seamless patient experience by managing registration, scheduling, and insurance verification processes. This position is ideal for individuals with a strong background in patient-facing roles and excellent organizational skills.</p><p><br></p><p>Responsibilities:</p><p>• Facilitate patient registration by accurately collecting and inputting necessary information into the healthcare system.</p><p>• Assist patients with inquiries and provide guidance regarding appointments and services.</p><p>• Schedule patient visits while coordinating effectively to avoid conflicts or delays.</p><p>• Verify medical insurance details to ensure coverage and address any discrepancies.</p><p>• Serve as the first point of contact for patients, delivering exceptional service and maintaining a welcoming environment.</p><p>• Maintain patient records with precision, ensuring compliance with healthcare regulations.</p><p>• Collaborate with healthcare providers and administrative staff to support efficient workflows.</p><p>• Address any patient concerns or issues promptly, ensuring their needs are met.</p><p>• Monitor and update patient scheduling systems to reflect real-time changes.</p><p>• Uphold confidentiality and protect sensitive patient information in all interactions.</p>
We are looking for a detail-oriented and compassionate Patient Access Specialist to join our healthcare team in Roanoke, Virginia. In this role, you will be the first point of contact for patients, ensuring a welcoming and efficient experience. This is a Contract to permanent position, offering the opportunity to grow within a dynamic and patient-focused environment.<br><br>Responsibilities:<br>• Greet patients and visitors with a friendly and detail-oriented demeanor, ensuring a positive first impression.<br>• Perform accurate patient registration, including verifying and updating insurance and personal information.<br>• Schedule and confirm appointments, coordinating follow-ups as needed.<br>• Process payments, collect co-pays, and ensure all financial transactions are properly recorded.<br>• Collaborate with clinical and administrative teams to ensure seamless patient flow and communication.<br>• Maintain strict confidentiality and adhere to all privacy regulations to safeguard patient information.<br>• Address patient inquiries and concerns with empathy, escalating issues to the appropriate team member when necessary.<br>• Ensure all records and documentation are accurate and up-to-date, supporting efficient operations.
We are looking for a compassionate and detail-oriented Patient Access Specialist to join our team in Roanoke, Virginia. In this role, you will play a vital part in ensuring a seamless and positive experience for patients and visitors by managing essential administrative and front-desk tasks. This is a Contract to permanent position, offering the opportunity to transition into a long-term role in a dynamic healthcare setting.<br><br>Responsibilities:<br>• Greet patients and visitors warmly, fostering a welcoming and attentive environment.<br>• Handle patient registration processes, including verifying insurance details and updating records accurately.<br>• Schedule and confirm patient appointments while managing follow-up communications efficiently.<br>• Process payments and manage co-pays, ensuring all daily financial transactions are accurate and balanced.<br>• Collaborate with clinical and administrative teams to streamline patient flow and improve overall service.<br>• Maintain strict adherence to confidentiality policies to ensure the privacy and security of patient information.<br>• Respond to patient questions and concerns with empathy, escalating issues to the appropriate team members when necessary.<br>• Monitor and manage patient data to ensure compliance with healthcare regulations and standards.<br>• Provide general information and assistance to patients, ensuring their needs are met promptly and courteously.
We are looking for a dedicated Patient Access Specialist to join our team in Lewiston, Maine. In this long-term contract position, you will play a key role in ensuring seamless admission processes for patients receiving hospital services. This role requires a commitment to providing exceptional customer service, adhering to organizational policies, and maintaining regulatory compliance.<br><br>Responsibilities:<br>• Accurately assign medical record numbers (MRNs) and perform compliance checks while delivering clear patient instructions.<br>• Collect and verify insurance details, process physician orders, and utilize overlay tools to ensure accurate data entry.<br>• Pre-register patient accounts prior to visits, including outbound calls to gather demographic and financial information.<br>• Explain consent forms, patient education documents, and other required materials to patients, guarantors, or legal guardians, obtaining necessary signatures.<br>• Review insurance eligibility responses and input benefit data to support billing processes and improve claim accuracy.<br>• Screen medical necessity for Medicare patients using designated software and distribute required forms as needed.<br>• Collect point-of-service payments, address past-due balances, and offer payment plan options to patients.<br>• Conduct audits of patient accounts to ensure compliance with quality standards and provide statistical data to department leadership.<br>• Maintain accountability for meeting point-of-service goals and delivering compassionate customer service.
<p>The Leave of Absence (LOA) Specialist is responsible for administering and managing all aspects of employee leave programs. This role ensures a smooth, compliant, and employee-centered leave process while partnering closely with HR, managers, and external vendors.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Administer end-to-end leave of absence processes, including FMLA, state leaves, disability, and company-sponsored leave programs</li><li>Serve as the primary point of contact for employees and managers regarding leave policies, eligibility, and procedures</li><li>Review, track, and maintain accurate leave documentation and records in compliance with applicable laws and internal policies</li><li>Coordinate with third-party administrators, payroll, and benefits teams to ensure accurate leave processing and pay continuity</li><li>Monitor leave timelines, extensions, and return-to-work processes, including accommodations when applicable</li><li>Ensure compliance with federal, state, and local regulations, including FMLA, ADA, and other applicable leave laws</li><li>Provide guidance to managers on employee leave situations and best practices</li><li>Identify opportunities for process improvement and contribute to HR projects and initiatives</li><li>Maintain confidentiality while handling sensitive employee information</li></ul><p><strong>Benefits: </strong>Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.</p>
<p>We are looking for a dedicated Talent Acquisition Specialist to join our team in Baton Rouge, Louisiana. In this short-term contract to permanent position, you will play a critical role in sourcing, attracting, and selecting top talent for our organization. This role offers the opportunity to make a lasting impact on our workforce while contributing to the overall success of our team.</p><p><br></p><p>Responsibilities:</p><p>• Manage the full-cycle recruitment process, including sourcing, screening, interviewing, and onboarding candidates.</p><p>• Develop and implement effective talent acquisition strategies to attract high-quality candidates.</p><p>• Build and maintain strong relationships with hiring managers to understand their staffing needs and provide tailored recruiting solutions.</p><p>• Utilize various sourcing methods, including job boards, social media, and networking, to identify potential candidates.</p><p>• Promote the organization's employer brand to enhance visibility and attract top talent.</p><p>• Maintain accurate records of recruitment activities and track key performance metrics.</p><p>• Ensure compliance with all employment laws and company policies throughout the recruitment process.</p><p>• Collaborate with HR and management teams to align recruitment efforts with organizational goals.</p><p>• Stay updated on industry trends and best practices in talent acquisition to continuously improve processes.</p><p>• Assist with workforce planning and forecasting to ensure future staffing needs are met.</p>
We are looking for a highly skilled Talent Acquisition Specialist to join our team in Kingston, Rhode Island. This long-term contract position offers an opportunity to manage and enhance recruitment processes while contributing to the growth of the organization. The ideal candidate will excel in sourcing top talent, fostering positive candidate experiences, and maintaining compliance with hiring standards.<br><br>Responsibilities:<br>• Oversee the entire recruitment cycle, from crafting job postings and sourcing candidates to conducting interviews and coordinating offers.<br>• Develop and implement innovative sourcing strategies using platforms like job boards, social media, and referrals to attract a diverse pool of candidates with relevant experience.<br>• Assess candidate skills and compatibility with role requirements through structured evaluations and interviews.<br>• Ensure a seamless and attentive experience for candidates by maintaining clear and timely communication throughout the hiring process.<br>• Utilize the applicant tracking system to accurately record recruitment activities and analyze metrics for process improvements.<br>• Stay updated on and adhere to federal, state, and organizational regulations, policies, and ethical hiring practices.<br>• Collaborate with HR colleagues and administrative teams to ensure smooth onboarding and consistent recruitment processes.
<p>We are looking for a detail-oriented Talent Acquisition Specialist to join our team in Portland, Maine. This contract position offers a hybrid work environment, allowing for a mix of remote and in-office work. The role involves supporting our talent acquisition efforts through system management, process improvements, and collaboration with HR and Talent teams.</p><p><br></p><p>Responsibilities:</p><ul><li>Facilitate interview logistics by coordinating scheduling, align interviewer availability, and distribute relevant materials to assessors.</li><li>Provide a welcoming interface for prospective hires, delivering timely communications and guidance that represent our organization’s values throughout the interview process.</li><li>Oversee the integrity of applicant tracking by routinely managing data entries, requisition information, and workflow statuses within the applicant tracking system; generate custom reports for recruitment analysis and decision support.</li><li>Collaborate with HR Operations to help new team members acclimate smoothly, ensuring onboarding steps are completed efficiently and effectively.</li><li>Continually review recruitment and candidate management processes to pinpoint areas for improvement; implement initiatives that strengthen operational efficiency and recruiter resources.</li><li>Engage across various HR and Talent teams to contribute expertise and drive progress on wide-ranging talent-related projects.</li><li>Provide operational support for Talent Acquisition through the administration of documentation, records, and internal communications.</li><li>Assist in talent identification by leveraging multiple sourcing strategies and platforms to connect with candidates who meet position requirements.</li></ul><p><br></p>
We are looking for an experienced Claims Specialist to join our team in Duncan, South Carolina. In this role, you will manage and oversee the full lifecycle of worker's compensation claims, ensuring efficient processing and resolution. This position requires expertise in claims management, risk reduction strategies, and effective communication with claimants and stakeholders.<br><br>Responsibilities:<br>• Handle a high volume of worker's compensation claims from initiation to final resolution, ensuring compliance with applicable regulations.<br>• Conduct thorough investigations and audits to assess claims and mitigate risks.<br>• Collaborate with employees, insurers, and claimants to resolve claims efficiently and effectively.<br>• Provide expert guidance on risk management strategies to help clients minimize future liabilities.<br>• Analyze claims data to identify trends and recommend improvements to reduce overall risk exposure.<br>• Facilitate the claims adjudication process, ensuring timely and accurate processing.<br>• Assist in preparing reports and documentation for audits and compliance purposes.<br>• Serve as a key point of contact for claimants, addressing inquiries and providing support throughout the claims process.<br>• Work closely with internal teams to ensure seamless communication and resolution of claims.
We are looking for a highly organized and detail-oriented Credentialing Specialist to join our team on a contract basis in Austin, Texas. In this role, you will play a key part in ensuring providers meet all necessary qualifications and compliance standards. This position offers an opportunity to contribute to the healthcare industry by managing credentialing and re-credentialing processes with precision and professionalism.<br><br>Responsibilities:<br>• Oversee the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulatory requirements.<br>• Maintain accurate and up-to-date records of provider credentials and certifications.<br>• Review and verify provider applications, including licenses, certifications, and education histories.<br>• Collaborate with internal teams and external organizations to resolve any discrepancies in credentialing documentation.<br>• Ensure timely submission of re-credentialing applications to avoid lapses in provider credentials.<br>• Communicate effectively with providers to gather necessary documentation and clarify credentialing requirements.<br>• Monitor and track credentialing deadlines to ensure compliance with organizational and industry standards.<br>• Stay updated on changes in credentialing processes and regulatory standards.<br>• Provide regular updates and reports on credentialing status to management.
<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>
<p>The Privileging Coordinator is responsible for all aspects of the privileging processes for all medical providers who provide care at Health Care Center. The Privileging Coordinator also maintains up-to-date data for each provider in online systems while ensuring timely renewal of licenses and certifications.</p><p>Essential Functions</p><p>• Compiles, evaluates, coordinates, and maintains current and accurate data and credentials for all clinicians. Enables timely onboarding of providers and ongoing maintenance of credentialing thereafter.</p><p>• Completes Primary Source Verification on all clinicians.</p><p>• Sets up and maintains provider information in online CAQH databases and system.</p><p>• Tracks and monitors license, DEA, board certification expirations for all providers to ensure timely renewals.</p><p>• Maintains files and processes applications for appointment and reappointment of privileges to the Health Care Center.</p><p>• Provides Cerner Access to all Providers and Staff for medical records.</p><p>• Monitors NPDB/OIG for any adverse actions or reprimands against any provider.</p><p>• Prepares files for board meetings.</p><p>• Provides privileging verification.</p><p>• Maintains essential lists and reports necessary for reporting to various outside agencies and entities in accordance with federal, state, or local laws.</p><p>• Maintains regular and predictable attendance.</p><p>• Performs other duties as required.</p><p><br></p>
<p>Enrollment Specialist </p><p><br></p><p><br></p><p>We are looking for a Enrollment Specialist to join our team in Greenwood Village, Colorado. This is a contract-to-permanent position within the detail-oriented services industry, offering an opportunity to play a pivotal role in ensuring smooth credentialing processes for healthcare providers. The ideal candidate will bring a blend of organizational skills, attention to detail, and familiarity with healthcare credentialing standards.</p><p><br></p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Accurately prepare and submit both paper and electronic forms related to payor credentialing.</p><p><br></p><p>• Complete contracting credentialing requests with precision and adherence to assigned deadlines.</p><p><br></p><p>• Coordinate with Operations, Legal, and Compliance teams to collect necessary licensing and documentation.</p><p><br></p><p>• Track and manage credentialing workflows using company-provided software tools.</p><p><br></p><p>• Safeguard confidentiality while maintaining up-to-date company information.</p><p><br></p><p>• Conduct research, compile data, and create detailed reports as required.</p><p><br></p><p>• Participate in special projects and handle additional tasks as assigned.</p><p><br></p><p>• Follow all company policies and procedures to ensure compliance and consistency.</p>