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3 results for Credentialing Specialist in Bloomington, MN

Credit Specialist

Apple Valley, MN
onsite
Temporary / Contract
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Credit Specialist to join our team in Apple Valley, Minnesota. In this long-term contract role, you will play a pivotal part in managing and resolving negative account balances while ensuring compliance with established credit policies. This position offers the opportunity to work in the financial services industry, leveraging your expertise to address backlog issues and maintain operational efficiency. Responsibilities: • Review and analyze accounts to identify negative balances caused by Courtesy Pay transactions. • Calculate fees and losses associated with negative accounts and process charge-offs accordingly. • Manage general ledger entries and ensure proper documentation and transfer of financial data. • Close accounts with negative balances and notify customers through formal communication channels. • Verify open credit cards and assess limits to determine necessary account closures. • Maintain accurate records in spreadsheets and generate letters to inform customers of account status. • Support the team in catching up on backlog caused by increased negative accounts. • Ensure consistent adherence to company policies and procedures regarding credit management. • Collaborate with team members to streamline processes and improve efficiency in handling accounts. • Perform additional duties as assigned to support the credit management function.
2026-05-18T00:00:00Z

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.
2026-05-15T00:00:00Z

Professional Coding Specialist

Saint Paul, MN
remote
Temporary / Contract
25 - 33 USD / Hourly
Robert Half is partnering with a St. Paul, Minnesota based healthcare client that is in search of a Professional Coding Specialist in a fully remote capacity for 3+ months. Candidates with prior hospital coding experience that have supported physician groups, specialty clinics or who have done complex chart review to ensure all codes are captured are encouraged to apply. The ideal candidate will bring strong outpatient coding knowledge, sound judgment, and a well rounded understanding of the full revenue cycle process. Key Responsibilities<ul><li>Analyze and interpret complex medical records and physician notes to assign accurate procedure and diagnosis codes.</li><li>Apply evaluation and management, diagnostic, and procedural coding standards.</li><li>Ensure codes are accurately assigned for insurance claim processing and reimbursement.</li><li>Identify and resolve coding and billing errors with strong attention to detail.</li><li>Ensure coding practices align with hospital policies and government regulations.</li><li>Communicate clearly with staff across diverse departments and functions regarding coding issues.</li><li>Handle both routine and complex coding concerns using sound problem-solving skills.</li><li>Maintain productivity and manage workload independently with strong organizational skills.</li><li>Adapt to changing responsibilities and evolving job requirements.</li><li>Collaborate with team members while also working effectively with minimal supervision.</li><li>Take a proactive approach to completing assignments accurately and on time.</li></ul>
2026-05-26T00:00:00Z