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2 results for Credentialing Specialist in Reading, PA

Credit & Collections Specialist
  • West Conshohocken, PA
  • onsite
  • Permanent / Full Time
  • 0 - 0 USD / Yearly
  • <p>Robert Half has partnered with a thriving manufacturer on their search for an experienced Credit &amp; 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 &amp; Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed.</p><p><br></p><p>How you will make an impact</p><p>·      Review and assess customer credit applications, financial statements, and payment history to establish appropriate credit limits </p><p>·      Monitor accounts receivable aging and proactively follow up on past-due balances </p><p>·      Perform collections activities via phone, email, and written correspondence </p><p>·      Investigate and resolve billing discrepancies, short payments, and disputes </p><p>·      Maintain accurate and up-to-date customer credit files and account records </p><p>·      Collaborate with sales, customer service, and accounting teams to address account issues </p><p>·      Recommend accounts for credit holds or escalation based on risk assessment </p><p>·      Prepare and analyze reports related to credit exposure, delinquency trends, and collections performance </p><p>·      Support month-end close activities, including reconciliation of A/R accounts </p><p>·      Ensure compliance with company policies and applicable regulations</p>
  • 2026-09-14T00:00:00Z
Medical Insurance Claims Specialist
  • Wernersville, PA
  • remote
  • Temporary / Contract
  • 22 - 27 USD / Hourly
  • We are looking for a detail-oriented Medical Insurance Claims Specialist to support a fast-moving admissions environment in Wernersville, Pennsylvania. This Long-term Contract position focuses on confirming insurance coverage, reviewing benefit details, and communicating findings that help determine treatment access. The ideal candidate is comfortable managing a high volume of requests, navigating payer portals, and following up directly with insurance carriers when additional clarification is needed.<br><br>Responsibilities:<br>• Review incoming admission-related requests and confirm insurance coverage, benefit levels, and eligibility details for prospective patients.<br>• Access multiple payer systems and online resources to gather accurate policy information and document findings clearly for the admissions team.<br>• Communicate deductible, coverage, and benefit information promptly so teams can make informed decisions about treatment coordination.<br>• Contact insurance providers by phone when portal information is incomplete, inconsistent, or requires confirmation.<br>• Partner closely with admissions and call center staff to support timely responses in a high-volume, fast-paced setting.<br>• Perform ongoing reverification of existing cases throughout the week to ensure coverage information remains current and accurate.<br>• Manage a steady workload of insurance reviews each day while maintaining attention to detail and turnaround expectations.<br>• Record verification outcomes thoroughly and escalate discrepancies or unresolved issues to the appropriate internal contacts as needed.
  • 2026-10-02T00:00:00Z