We are looking for a Medical Billing Specialist to join our team in Shelton, Washington in a contract capacity with the potential for a permanent role. This onsite position supports a tribal healthcare setting and plays an important role in keeping billing operations accurate, timely, and compliant. The person in this role will help manage claims, authorizations, referrals, and revenue cycle activities while working closely with patients, providers, and payers. This opportunity is ideal for someone who is comfortable balancing billing detail, insurance coordination, and patient support in a fast-paced clinic environment.<br><br>Responsibilities:<br>• Oversee the full claims process for medical, dental, Medicare, Medicaid, and commercial coverage, from submission through payment resolution.<br>• Review remittance details, post payments accurately, and investigate denied, rejected, or underpaid claims to secure proper reimbursement.<br>• Track outstanding receivables, follow up on unpaid balances, and take timely action to reduce aging accounts.<br>• Confirm insurance information, patient demographics, and service authorization needs before billing or referral processing begins.<br>• Obtain and manage prior approvals for services while coordinating with clinics, insurers, and external care providers.<br>• Support compliant billing practices by maintaining accurate documentation and applying appropriate coding and privacy standards.<br>• Coordinate referral-related activities, including eligibility review, purchase order processing, claim support, and follow-up with outside providers when needed.<br>• Assist patients with billing questions, insurance-related concerns, and benefit enrollment support, including Healthplanfinder guidance.<br>• Contribute to reporting, audit preparation, reconciliations, and general front-office coverage as needed to support clinic operations.
<p>Payroll Specialist – General Job Description</p><p>Position Summary</p><p>We are seeking an experienced <strong>Payroll Specialist</strong> to support day-to-day payroll operations for a workforce of approximately <strong>550 employees</strong>. This role will work closely with the payroll team to ensure accurate and timely processing, maintain compliance with applicable payroll regulations, and provide additional support during a <strong>UKG implementation and go-live</strong>.</p><p>The ideal candidate will have strong hands-on payroll experience, including <strong>union payroll</strong>, and be highly proficient with <strong>UKG</strong>. This position may have the potential to transition from temporary to permanent.</p><p>Key Responsibilities</p><ul><li>Process payroll for approximately 550 employees across multiple union contracts.</li><li>Review and process employee timesheets, ensuring accuracy and compliance with company policies and union requirements.</li><li>Support payroll operations during UKG implementation and go-live.</li><li>Reconcile year-to-date employee hours and payroll-related data as needed.</li><li>Process payroll-related accounts payable transactions.</li><li>Manage payroll deductions and payments related to long-term and short-term disability programs.</li><li>Administer payroll items associated with employee medical programs and benefits.</li><li>Process employee garnishments accurately and in accordance with applicable regulations.</li><li>Ensure compliance with federal, state, and local payroll requirements, including tax calculations, L&I requirements, and compensatory time.</li><li>Research and resolve payroll discrepancies and employee payroll questions.</li><li>Troubleshoot payroll system issues and assist with process improvements within UKG.</li><li>Maintain accurate payroll records and documentation.</li><li>Partner closely with payroll, HR, accounting, and other internal teams as needed.</li></ul><p>Software</p><ul><li><strong>UKG</strong></li></ul><p><br></p>
<p>We are looking for a Payroll Specialist to support payroll operations in Kenmore, Washington. This contract opportunity with potential for a long-term role is ideal for someone who can manage full-cycle payroll with accuracy, maintain compliance across multiple states, and serve as a dependable resource for employees and managers. The role follows a hybrid schedule with time split between remote work and on-site collaboration.</p><p><br></p><p>Responsibilities:</p><p>• Manage the complete semi-monthly payroll cycle, from gathering and validating pay data through final submission, distribution, and post-payroll reporting.</p><p>• Maintain payroll records and update employee information related to earnings, deductions, taxes, leave balances, direct deposit details, and benefit elections.</p><p>• Review timekeeping entries, new employee setup, and payroll changes to confirm accuracy, completeness, and timely approval before each payroll deadline.</p><p>• Investigate payroll discrepancies, resolve routine issues, and escalate complex compliance or system concerns when needed.</p><p>• Act as a key point of contact for staff and supervisors by answering questions related to pay, tax withholding, deductions, timecards, and payroll procedures.</p><p>• Support payroll tax compliance for employees in Washington, California, and other applicable jurisdictions, including reporting and related documentation.</p><p>• Assist with payroll audits, reconciliations, and year-end activities such as W-2 preparation and payroll record balancing.</p><p>• Partner with Finance and IT to improve payroll workflows, strengthen controls, and assist with system testing, updates, and payroll-related process enhancements.</p>
We are looking for a Benefits Specialist to support a broad range of employee benefit and leave programs for an organization based in Seattle, Washington. This Long-term Contract position focuses on delivering reliable day-to-day benefits administration, answering employee questions, and helping maintain compliance with applicable regulations. The role also contributes to open enrollment activities, vendor coordination, documentation updates, and continuous improvement across benefits and leave processes.<br><br>Responsibilities:<br>• Act as a primary resource for health, welfare, and retirement programs by guiding employees and internal partners on eligibility, coverage details, plan rules, and related support needs.<br>• Manage daily benefits operations, including coordination with payroll and external providers to help ensure accurate and timely program administration.<br>• Monitor and respond to benefits-related inquiries covering topics such as enrollment for new employees, qualifying life events, and annual enrollment support.<br>• Help maintain regulatory adherence by reviewing benefit records, supporting required testing activities, and partnering with compliance stakeholders on federal and state requirements.<br>• Assist with open enrollment by preparing updates, validating system changes, coordinating with vendors, and helping deliver clear employee communications.<br>• Keep benefit systems, plan documentation, and employee-facing resources current so information remains accurate and accessible.<br>• Evaluate existing workflows and recommend practical improvements that strengthen efficiency, accuracy, and service quality.<br>• Create, refine, and maintain standard operating procedures for benefits and leave administration to support consistency across ongoing processes.<br>• Oversee benefits payroll and arrears-related files, working closely with leave specialists to confirm accurate deductions and timely direct billing activities.<br>• Partner with the leave administration team on leave programs, policy documentation, employee communications, reconciliation efforts, and payroll recovery support when needed.
<p>We are seeking a detail-oriented <strong>Accounts Payable Specialist</strong> to support the day-to-day accounting operations of a growing construction organization. This position will be responsible for processing a high volume of vendor and subcontractor invoices, maintaining accurate records, and ensuring payments are processed accurately and on time.</p><p>Responsibilities</p><ul><li>Process high-volume accounts payable invoices from vendors, subcontractors, and suppliers</li><li>Code invoices accurately to the appropriate general ledger accounts, projects, jobs, and cost codes</li><li>Match invoices to purchase orders, contracts, and receiving documentation</li><li>Review invoices for accuracy, proper approvals, and supporting documentation</li><li>Assist with three-way matching and resolve invoice or purchase order discrepancies</li><li>Enter and maintain vendor information within the accounting system</li><li>Prepare weekly check runs, ACH payments, and other vendor payments</li><li>Reconcile vendor statements and research outstanding or missing invoices</li><li>Communicate with vendors and internal project teams regarding invoice and payment questions</li><li>Track subcontractor invoices and supporting documentation</li><li>Assist with lien releases, certificates of insurance, W-9s, and other construction-related vendor documentation</li><li>Support job costing and ensure expenses are accurately assigned to projects</li><li>Assist with credit card and employee expense reconciliations</li><li>Maintain organized AP records and documentation for audits and month-end close</li><li>Assist the accounting team with additional projects and general accounting responsibilities as needed</li></ul><p><br></p>
<p>We are seeking a detail-oriented <strong>Accounts Payable Specialist</strong> to support the finance and accounting operations of a government or public sector organization. This position will be responsible for processing invoices, maintaining accurate financial records, supporting vendor payments, and ensuring transactions comply with established policies, procedures, and regulatory requirements.</p><p>Responsibilities</p><ul><li>Process accounts payable invoices accurately and in a timely manner</li><li>Review invoices for proper coding, approvals, supporting documentation, and compliance with internal policies</li><li>Match invoices to purchase orders, contracts, and receiving documentation</li><li>Enter invoices and payment information into the accounting or ERP system</li><li>Prepare and process check runs, ACH payments, and other vendor payments</li><li>Maintain accurate vendor records, including W-9s and required documentation</li><li>Reconcile vendor statements and research invoice or payment discrepancies</li><li>Communicate with vendors and internal departments regarding payment status and invoice questions</li><li>Assist with purchase order tracking and procurement-related documentation</li><li>Ensure expenditures are coded accurately to the appropriate department, fund, program, grant, or general ledger account</li><li>Support grant-funded and restricted-fund accounting as needed</li><li>Maintain organized documentation in accordance with public records and audit requirements</li><li>Assist with month-end and year-end close activities</li><li>Support internal and external audits by providing invoices, payment records, and supporting documentation</li><li>Assist with 1099 reporting and other year-end AP requirements</li><li>Follow established government purchasing, payment, and internal control procedures</li><li>Provide general accounting and administrative support to the finance department as needed</li></ul><p><br></p>
We are looking for an Accounts Payable Specialist to support a busy accounting function in Tacoma, Washington. This Long-term Contract position is ideal for someone who brings strong invoice processing experience, sound judgment with account coding, and a consistent focus on accuracy and deadlines. The person in this role will work closely with vendors and internal teams to keep payments, reconciliations, and reporting activities organized and up to date.<br><br>Responsibilities:<br>• Oversee day-to-day accounts payable activities, including vendor record maintenance, invoice intake, payment preparation, statement balancing, and year-end 1099 support.<br>• Review invoices and check requests for completeness, assign appropriate general ledger codes, and route items through the proper approval process.<br>• Process electronic payments and scheduled check runs while ensuring transactions are recorded accurately and on time.<br>• Investigate payment exceptions, resolve invoice discrepancies, and communicate with vendors and employees to address outstanding questions.<br>• Prepare accounts payable journal entries, reconcile related balances, and make corrections when inconsistencies are identified.<br>• Contribute to month-end close by supporting accrual preparation, account analysis, and recurring financial reporting.<br>• Assist with budget-related expense reviews and provide accounts payable documentation needed for audits and internal reporting.<br>• Maintain credit card administration records, track continuing education payments, and manage document retention, archiving, and disposal in line with established schedules.<br>• Participate in team meetings, follow organizational policies and compliance standards, and provide additional accounting support as needed.
We are looking for an Accounts Payable Specialist to support a fast-paced finance team in Tukwila, Washington. This Contract position is ideal for someone who thrives in a high-volume environment, maintains strong accuracy, and can manage payables activity across multiple business entities. The person in this role will help keep invoice processing and vendor payments on track while providing dependable support to internal stakeholders.<br><br>Responsibilities:<br>• Process a large volume of invoices by reviewing documentation, entering records into the accounts payable system, and confirming complete and accurate information.<br>• Assign correct general ledger accounts and cost centers to invoices to support accurate financial reporting and payment processing.<br>• Route invoices for approval and follow up with designated decision-makers to keep payment timelines moving efficiently.<br>• Distinguish transactions across more than 20 entities and ensure each invoice is recorded and paid under the appropriate business unit.<br>• Prepare weekly payment batches, including check runs and related disbursement activities, to support on-time vendor payments each Friday.<br>• Respond to questions from employees and vendors regarding invoice status, payment details, and accounts payable system usage.<br>• Maintain organized payable records and support consistent documentation practices for audits and internal review.<br>• Assist with electronic payment activities, including ACH-related processing, as needed within established procedures.
<p>We are partnering with a growing organization in Tukwila seeking an experienced <strong>Accounts Payable Specialist</strong> to provide immediate support to the accounting team. This role is ideal for someone who enjoys working in a fast-paced environment, can manage a high volume of invoices and email communication, and takes pride in accuracy, organization, and customer service.</p><p>Responsibilities</p><ul><li>Process a high volume of vendor invoices accurately and efficiently.</li><li>Review, code, and enter invoices into the accounting system.</li><li>Match invoices to purchase orders and supporting documentation.</li><li>Prepare, process, and distribute vendor payments and checks.</li><li>Monitor and respond to high-volume Accounts Payable email inquiries through Microsoft Outlook.</li><li>Research and resolve invoice discrepancies and vendor payment issues.</li><li>Communicate professionally with vendors and internal departments regarding payment status and documentation needs.</li><li>Maintain organized AP records and supporting documentation.</li><li>Assist with month-end AP activities and account reconciliations as needed.</li><li>Support additional accounting and administrative projects as assigned.</li></ul><p><br></p>
We are looking for an Accounts Payable Specialist to join a growing finance team in Everett, Washington in a contract capacity with the potential for a permanent role. This position is ideal for someone who thrives in a high-volume environment, enjoys bringing structure to daily processes, and can manage vendor payments with accuracy and urgency. You will play a key role in supporting end-to-end accounts payable activities, including invoice processing, coding, reconciliations, and credit card expense administration. This onsite role offers the opportunity to contribute to the development of a stronger AP function while partnering closely with accounting and cross-functional teams.<br><br>Responsibilities:<br>• Process a high volume of vendor invoices each week while maintaining accuracy in coding, approvals, and payment timing.<br>• Manage full-cycle accounts payable activities from invoice receipt through payment completion and record maintenance.<br>• Review and reconcile credit card transactions, identify exceptions, and help resolve declined or incomplete charges.<br>• Support vendor payment activity, including ACH transactions and follow-up on outstanding payment questions.<br>• Assist with building and improving accounts payable workflows to create a more efficient and scalable process.<br>• Collaborate with accounting staff and internal departments to resolve discrepancies, obtain approvals, and keep transactions moving.<br>• Perform reconciliations related to payables and ensure supporting documentation is complete and audit-ready.<br>• Use AP automation tools such as Tipalti and Ramp to manage invoices, payments, and related records effectively.
<p>We are looking for an Accounts Payable Specialist to join a growing finance team in Seattle, Washington in a contract capacity with the potential to become permanent. This position is ideal for someone who enjoys bringing structure to high-volume payables work, improving day-to-day efficiency, and partnering across departments to keep financial operations moving smoothly. The role is fully onsite and offers the opportunity to contribute to the development of a stronger accounts payable function while supporting vendor payments, reconciliations, and credit card activity.</p><p><br></p><p>Responsibilities:</p><p>• Manage the full accounts payable cycle from invoice receipt through payment, ensuring accuracy, timeliness, and proper documentation.</p><p>• Review and assign general ledger coding for invoices, expense items, and vendor charges in line with company policies.</p><p>• Process a high weekly volume of payables while maintaining strong attention to detail and meeting internal deadlines.</p><p>• Support vendor payment activity, including ACH transactions and coordination of credit card-related expenses.</p><p>• Reconcile statements, payment records, and account activity to identify discrepancies and resolve issues promptly.</p><p>• Work within systems such as Tipalti and Ramp to administer invoice workflows, payment processing, and related records.</p><p>• Partner with accounting and cross-functional teams to improve procedures, streamline approvals, and strengthen workflow consistency.</p><p>• Assist in organizing and shaping accounts payable processes as the team expands and formalizes its operating structure.</p>
<p>We are looking for a Patient Access Specialist to support front-end patient access operations for a short-term Contract position. This role focuses on creating a smooth experience for patients by coordinating registration, appointment-related support, and insurance-related intake activities. The ideal candidate is organized, service-oriented, and comfortable handling administrative tasks in a healthcare setting while maintaining accuracy and professionalism.</p><p><br></p><p>Responsibilities:</p><p>• Welcome and guide patients through registration and intake steps to ensure accurate record creation and updates.</p><p>• Coordinate appointment-related activities, including scheduling support and confirmation of necessary demographic and coverage details.</p><p>• Review insurance information and verify benefits to help prevent delays in care or billing issues.</p><p>• Assist patients with access-related questions and provide clear direction on required forms, documentation, and next steps.</p><p>• Maintain complete and accurate patient records while following healthcare privacy standards and internal procedures.</p><p>• Use administrative systems and service platforms, including ServiceNow, to document requests, resolve issues, and track workflow items.</p><p>• Communicate with clinical staff, payers, and internal teams to address registration discrepancies and support timely patient access services.</p>
<p>We are looking for an AP/Payroll Specialist to support core accounting operations in Redmond, Washington. This role combines accounts payable, union payroll, and construction-related financial administration in a fast-paced environment. The ideal candidate brings strong attention to detail, sound judgment, and the ability to manage multiple priorities while partnering closely with the broader accounting team.</p><p><br></p><p>Responsibilities:</p><p>• Manage end-to-end accounts payable activities, including weekly payment processing and timely disbursements to subcontractors.</p><p>• Administer weekly payroll for employees represented by the Carpenters Union, ensuring accuracy and compliance with applicable rules.</p><p>• Verify invoices, account coding, and backup documentation before releasing payments.</p><p>• Maintain complete and accurate payroll and accounting records within Foundation software and related systems.</p><p>• Support billing and accounts receivable tasks, including coordination across roughly 5 to 10 active contracts at any given time.</p><p>• Contribute to job costing, project accounting, and the review of schedule-driven financial information tied to construction work.</p><p>• Investigate payroll, payables, and accounting discrepancies, then take initiative to resolve issues efficiently.</p><p>• Prepare Excel-based reports, reconciliations, and data reviews to support ongoing financial tracking and analysis.</p><p>• Assist with quarterly tax-related activities based on experience and business needs.</p><p>• Collaborate with the Controller, Assistant Controller, and administrative staff to improve workflows and take on expanded ownership as processes develop.</p><p><br></p><p>The salary range for this position is $85,000 to $95,000.</p><p><br></p><p>Benefits:</p><p>Health Coverage: 100% company-paid medical, dental and vision coverage for the employee</p><p>Retirement: 401(k)</p><p>PTO: 2 weeks</p><p>Holidays: 7-8 paid holidays </p><p>Sick Time: 52 hours annually</p><p><br></p>
<p>We are seeking a <strong>Billing Customer Service Representative</strong> to provide phone-based support to customers with billing questions, payments, and account inquiries. This role is ideal for someone who is customer-focused, organized, comfortable working across multiple systems, and able to manage a high volume of requests while maintaining accuracy.</p><p><br></p><p>Key Responsibilities</p><ul><li>Answer incoming customer calls regarding billing questions and account balances</li><li>Research and resolve billing and account inquiries</li><li>Set up and maintain customer payment plans</li><li>Process customer payments accurately</li><li>Print and mail billing statements as needed</li><li>Navigate multiple systems to research account information and document customer interactions</li><li>Maintain accurate records and provide professional, timely customer service</li><li>Assist with additional billing and administrative tasks as needed</li></ul><p><br></p>
<p>We are looking for a remote Medical Billing Specialist to support patient account inquiries for a health insurance-focused organization serving Everett Washington. This Long-term contract opportunity is ideal for someone who can communicate clearly with patients through digital channels, investigate billing concerns thoroughly, and maintain accurate records in billing and electronic health systems. The role is fully remote and follows Monday through Friday business hours, with a strong emphasis on professionalism, responsiveness, and patient confidentiality.</p><p><br></p><p>Responsibilities:</p><p>• Respond to patient billing questions submitted through the patient portal, providing clear and timely updates on balances, statements, insurance activity, and available payment arrangements.</p><p>• Review account details to research billing concerns, identify inconsistencies, and coordinate with appropriate internal teams to bring issues to resolution.</p><p>• Document each patient interaction, outcome, and required follow-up activity accurately within the electronic health record and related billing platforms.</p><p>• Evaluate incoming inquiries to determine urgency, complexity, and whether escalation is needed to leadership, coding specialists, providers, or other support groups.</p><p>• Route messages that require clinical or specialized review according to established workflows, compliance standards, and organizational guidelines.</p><p>• Work closely with revenue cycle staff, clinic personnel, providers, and insurance contacts to resolve account issues efficiently and improve the patient experience.</p><p>• Manage a high volume of electronic communications while meeting service expectations and maintaining strong attention to detail.</p><p>• Handle sensitive financial and health information with discretion, ensuring all communications align with privacy and confidentiality requirements.</p>