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2 results for Credentialing Specialist in Philadelphia, PA

Medical Billing Specialist

Philadelphia, Pennsylvania
onsite
Temporary / Contract
0 - 0 USD / Yearly
We are looking for a Medical Billing Specialist to support revenue cycle operations for a healthcare setting in Philadelphia, Pennsylvania. This Contract position focuses on accurate claim handling, payer follow-up, and timely reimbursement across multiple insurance types, including Keystone, auto, workers’ compensation, and commercial plans. The ideal candidate brings strong billing knowledge, sharp attention to detail, and the ability to manage claim activity efficiently in a fast-paced environment. Responsibilities: • Process and submit medical claims for multiple payer categories, ensuring each submission is complete, accurate, and aligned with insurance guidelines. • Investigate unpaid, delayed, or denied claims and work with payer representatives to drive resolution and secure payment. • Review billing records for errors or inconsistencies, make necessary corrections, and promptly refile claims when needed. • Monitor payer-specific rules, reimbursement terms, coding standards, and applicable billing regulations to maintain compliance. • Coordinate with internal teams such as coding, registration, and clinical staff to gather information needed for clean claim processing. • Respond to insurance requests and provide supporting documentation to address claim questions or outstanding issues. • Record account activity, update claim status notes, post remittance details, and reconcile payer and patient balances. • Contribute to denial review efforts and support audit-related activities by maintaining thorough and accurate billing documentation.
2026-09-25T00:00:00Z

Credit & Collections Specialist

West Conshohocken, Pennsylvania
onsite
Permanent / Full Time
0 - 0 USD / Yearly
Robert Half has partnered with a thriving manufacturer on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, applying daily payments, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed. How you will make an impact· Review and assess customer credit applications, financial statements, and payment history to establish appropriate credit limits · Monitor accounts receivable aging and proactively follow up on past-due balances · Perform collections activities via phone, email, and written correspondence · Investigate and resolve billing discrepancies, short payments, and disputes · Maintain accurate and up-to-date customer credit files and account records · Collaborate with sales, customer service, and accounting teams to address account issues · Recommend accounts for credit holds or escalation based on risk assessment · Prepare and analyze reports related to credit exposure, delinquency trends, and collections performance · Support month-end close activities, including reconciliation of A/R accounts · Ensure compliance with company policies and applicable regulations
2026-09-14T00:00:00Z