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61 results for Credentialing Specialist in Usa

Credentialing Specialist
  • Colorado Springs, CO
  • onsite
  • Temporary to Hire
  • 22 - 25 USD / Hourly
  • <p>We are looking for a detail-oriented Credentialing Specialist to support a local organization in Colorado Springs, Colorado. This part-time role offers approximately 20 hours per week and is a contract opportunity with potential for a permanent position for someone who enjoys combining customer service, administrative coordination, and accurate record management. The ideal candidate brings strong computer skills, a high level of organization, and an understanding of military culture, programs, or processes to help participants successfully navigate certification and training support.</p><p><br></p><p>Responsibilities:</p><p>• Create funding quotes and assemble supporting paperwork for certification and training requests with careful attention to accuracy.</p><p>• Turn approved requests into completed orders, verifying that information meets program guidelines and documentation standards.</p><p>• Process payments and keep internal records current, organized, and compliant with established procedures.</p><p>• Communicate with participants to explain program steps, required documents, and important timelines in a clear and helpful manner.</p><p>• Monitor due dates for exams, training resources, and submissions, and send timely reminders to keep participants on track.</p><p>• Upload transcripts, certificates, grades, and related materials into the appropriate systems and portals.</p><p>• Coordinate the delivery of digital course content and other program materials to participants as needed.</p><p>• Support reporting, administrative tasks, and ongoing updates to operating procedures while contributing to team training efforts.</p>
  • 2026-10-07T00:00:00Z
Credentialing Specialist
  • Long Beach, CA
  • onsite
  • Temporary / Contract
  • 26 - 28 USD / Hourly
  • <p>A healthcare company is looking for an experienced <strong>Credentialing Specialist</strong> to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. The Credentialing Specialist is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
  • 2026-09-28T00:00:00Z
Credentialing Specialist
  • Santa Rosa, CA
  • onsite
  • Temporary / Contract
  • 21.375 - 24.75 USD / Hourly
  • We are looking for a Credentialing Specialist to support a healthcare organization in California through a contract assignment. This position focuses on managing provider credentialing and enrollment activities, maintaining accurate records, and helping the organization stay aligned with payer and regulatory standards. The ideal candidate brings hands-on experience with credentialing workflows, strong follow-through, and the ability to work closely with providers, internal teams, and external partners.<br><br>Responsibilities:<br>• Manage initial credentialing, recredentialing, and enrollment activities for physicians and other clinical staff across a range of payer networks and programs.<br>• Communicate with insurance brokers regarding liability coverage updates and ensure related documentation remains current.<br>• Monitor credentialing standards and ongoing maintenance obligations for relevant healthcare entities, keeping records aligned with applicable requirements.<br>• Prepare, collect, and submit enrollment packets, supporting documents, and payer-specific forms for public and commercial health plans.<br>• Maintain and update credentialing and enrollment information within CredentialStream and VerityStream to ensure complete and accurate provider data.<br>• Support audit readiness and site visit preparation by organizing files, verifying documentation, and responding to credentialing-related requests.<br>• Conduct routine follow-up between credentialing cycles to track expirations, renewals, and changes involving licenses and other compliance-related records.<br>• Coordinate required classes, employee enrollment activities, and completion tracking in partnership with internal stakeholders, including Human Resources.<br>• Work directly with providers to gather needed information, answer questions, and guide them through credentialing and enrollment processes.
  • 2026-10-07T00:00:00Z
Credentialing Specialist
  • El Segundo, CA
  • onsite
  • Temporary / Contract
  • 24 - 28 USD / Hourly
  • <p>A healthcare company is looking for an experienced <strong>Credentialing Specialist</strong> to join our team in El Segundo, California. The Credentialing Specialist will support a high-volume credentialing workload and requires someone who can step in quickly, work independently, and maintain accuracy in a fast-paced healthcare environment. </p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Manage end-to-end credentialing activities for healthcare providers, ensuring files are complete, accurate, and processed within required timelines.</p><p>• Review applications and supporting documentation for initial credentialing and recredentialing, following established healthcare and payer standards.</p><p>• Communicate with providers, internal departments, and external organizations to obtain missing information and resolve credentialing issues efficiently.</p><p>• Track application progress, maintain organized records, and provide status updates on outstanding items and completion timelines.</p><p>• Verify licenses, certifications, education, work history, and other required documentation to support provider enrollment and compliance.</p><p>• Assist with reducing credentialing backlogs by prioritizing urgent files and handling a high volume of cases with strong attention to detail.</p><p>• Support ongoing process documentation and identify file discrepancies or workflow gaps that may affect credentialing completion.</p><p>• Ensure all credentialing activities align with internal policies, regulatory requirements, and healthcare industry best practices.</p><p><br></p><p><strong>Benefits: </strong>Health, Dental, Vision, 401k, and Sick Time Off.</p>
  • 2026-10-08T00:00:00Z
Eligibility Specialist
  • Cleveland, OH
  • onsite
  • Temporary / Contract
  • 19 - 20 USD / Hourly
  • We are looking for an Eligibility Specialist to join an organization in Cleveland, Ohio as part of a long-term contract assignment. This on-site opportunity is well suited for someone who can guide applicants through intake and eligibility review while delivering responsive, thoughtful support in a fast-paced service environment. The role focuses on processing client information accurately, maintaining organized records, and helping ensure timely access to community assistance programs. Candidates with experience in eligibility determination, case management, intake coordination, or customer-facing support will be especially well positioned for success.<br><br>Responsibilities:<br>• Conduct intake interviews with applicants, gather required documentation, and explain program guidelines in a clear and supportive manner.<br>• Review applications for completeness and evaluate submitted information to determine eligibility in accordance with established policies and timelines.<br>• Enter, update, and maintain client records across Microsoft Office tools, Salesforce, Excel, and related content management systems with a high degree of accuracy.<br>• Manage a steady volume of cases in a production-driven setting while maintaining quality standards and strong attention to detail.<br>• Organize and retrieve client files, including work involving document imaging, microfilm, or other recordkeeping systems as needed.<br>• Communicate with clients, colleagues, and internal teams to resolve missing information, clarify case details, and move applications toward completion.<br>• Support office-based operations during the initial training period and contribute to consistent, dependable service delivery in an on-site environment.<br>• Assist with additional program duties tied to ongoing funding needs and operational continuity as assigned.
  • 2026-10-02T00:00:00Z
Credit and Collections Specialist
  • Muskegon, MI
  • onsite
  • Permanent / Full Time
  • 57000 - 70000 USD / Yearly
  • We are looking for a detail-oriented Credit and Collections Specialist to support financial operations for a manufacturing company in Muskegon, Michigan. This role focuses on strengthening cash flow, evaluating customer creditworthiness, and maintaining accurate receivables and tax records. The ideal candidate brings strong analytical judgment, a customer-focused approach, and the ability to collaborate across accounting, sales, and service teams.<br><br>Responsibilities:<br>• Oversee customer receivables by monitoring open balances, following up on past-due invoices, and keeping account activity current and accurate.<br>• Evaluate new and existing customer credit profiles, recommend appropriate terms and limits, and take action on holds when risk warrants further review.<br>• Research billing concerns, disputed charges, and payment variances to bring accounts into balance and resolve issues promptly.<br>• Prepare and distribute customer account statements, apply incoming payments, record cash activity, and maintain supporting documentation for credits and rebates.<br>• Handle sales tax administration by maintaining exemption records, supporting tax filings, monitoring nexus-related requirements, and assisting with Avalara processes.<br>• Create journal entries and contribute to monthly close tasks by ensuring financial data is recorded completely and on schedule.<br>• Provide support for reporting, forecasting, audit preparation, and inventory-related accounting activities as needed.<br>• Work closely with sales and customer service teams to address account questions while preserving strong client relationships and service levels.<br>• Maintain organized financial records and identify opportunities to improve accuracy, efficiency, and consistency within credit and collections workflows.
  • 2026-10-06T00:00:00Z
Medical Authorizations Specialist
  • Los Angeles, CA
  • onsite
  • Temporary / Contract
  • 24.07 - 30.12 USD / Hourly
  • <p>A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.</p><p>• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.</p><p>• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.</p><p>• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.</p><p>• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.</p><p>• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.</p><p>• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.</p><p>• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.</p><p>• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.</p>
  • 2026-09-28T00:00:00Z
Credit Specialist
  • Brea, CA
  • onsite
  • Temporary to Hire
  • 26 - 27 USD / Hourly
  • <p>We are looking for a Credit Specialist to join an electronic components manufacturing organization in Brea, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced finance environment and can confidently manage account reconciliations, payment issues, and deduction research. The person in this role will help maintain accurate customer account balances, support healthy cash flow, and collaborate with internal partners to resolve billing-related concerns.</p><p><br></p><p>Responsibilities:</p><p>• Reconcile assigned customer accounts by reviewing chargebacks, short payments, and other account discrepancies to ensure records remain accurate.</p><p>• Investigate overdue invoices and follow up with customers to secure payment or determine the cause of delayed remittance.</p><p>• Analyze customer deductions, validate supporting documentation, and work toward timely resolution of disputed items.</p><p>• Review account standing and release orders for shipment when credit conditions and payment status support approval.</p><p>• Prepare recurring updates for leadership that highlight collection activity, aging trends, cash expectations, and past-due balances.</p><p>• Partner with teams across sales, sales support, and accounting to address billing questions and resolve account-related issues efficiently.</p><p>• Provide guidance to colleagues within the credit function when training support is needed or assigned by management.</p><p>• Offer backup assistance for select supervisory tasks when department leadership is unavailable.</p><p>• Contribute to additional credit and collections activities as needed to support departmental priorities and service levels.</p>
  • 2026-10-01T00:00:00Z
Licensing Specialist
  • Monticello, MN
  • onsite
  • Temporary to Hire
  • 19.95 - 23.1 USD / Hourly
  • We are looking for a Licensing Specialist to support agent onboarding and contracting activities while delivering a high level of service throughout the process. This contract opportunity with potential for a permanent role is based in Minnesota and is ideal for someone who enjoys administrative coordination, problem-solving, and improving day-to-day workflows. The person in this role will help maintain accurate contracting records, respond to agent needs, and contribute to a collaborative team focused on timely, efficient execution.<br><br>Responsibilities:<br>• Prepare and submit contracting packets, licensing documents, and related forms for new and existing agents and agencies with a strong focus on accuracy and completeness.<br>• Track pending submissions and conduct regular follow-up to help move paperwork through approval stages without unnecessary delays.<br>• Manage agent profile updates and contract revisions while identifying practical ways to simplify and improve the overall process.<br>• Use working knowledge of insurance-related products, services, and procedures to investigate issues and support timely resolution for agents.<br>• Meet established service expectations by handling tasks efficiently, maintaining organized records, and prioritizing deadlines effectively.<br>• Navigate carrier portals and follow carrier-specific procedures to complete submissions, verify status updates, and address processing issues.<br>• Partner closely with colleagues to support shared objectives, provide backup when needed, and contribute to a positive team environment.<br>• Communicate professionally through email and other channels to answer questions, provide status updates, and ensure a smooth experience for agents.
  • 2026-10-06T00:00:00Z
Enrollment Specialist
  • Huntington Beach, CA
  • onsite
  • Temporary / Contract
  • 23.75 - 27.5 USD / Hourly
  • We are looking for an Enrollment Specialist to support individuals exploring federal student loan repayment and forgiveness solutions in Huntington Beach, California. This Contract position is ideal for someone who combines strong customer service skills with the ability to explain complex program details in a clear and supportive way. The person in this role will evaluate client information, guide applicants through each stage of enrollment, and help ensure an organized and positive experience from initial consultation through document completion.<br><br>Responsibilities:<br>• Speak with prospective clients to understand their student loan concerns and recommend appropriate federal repayment or forgiveness pathways based on their situation.<br>• Explain program guidelines, qualification standards, and possible relief opportunities in a way that is accurate, transparent, and easy for borrowers to understand.<br>• Assess financial details and loan-related information to identify eligibility and next steps for enrollment.<br>• Support clients throughout the application process by coordinating required paperwork, gathering documents, and helping prepare submission materials.<br>• Record client conversations, status updates, and enrollment details accurately within company systems while maintaining complete and organized files.<br>• Handle sensitive personal and financial information in accordance with established policies, privacy expectations, and applicable regulatory requirements.<br>• Provide attentive, empathetic service that builds confidence and encourages informed decision-making.<br>• Partner with internal departments to keep enrollment documentation moving efficiently and to help deliver a smooth client experience.<br>• Achieve productivity, quality, and service expectations while maintaining a consultative and client-focused approach.
  • 2026-10-08T00:00:00Z
Enrollment Specialist
  • Greenwood Village, CO
  • onsite
  • Temporary / Contract
  • 25 - 25 USD / Hourly
  • <p>We are seeking a highly organized Healthcare Enrollment and Credentialing Specialist to oversee provider enrollment, credentialing, and contracting processes. </p><p><br></p><p>This role is responsible for preparing and submitting payer applications, maintaining credentialing records and documentation, ensuring compliance with regulatory requirements, and facilitating accurate and timely provider onboarding.</p><p><br></p><p>Support provider enrollment, credentialing, recredentialing, and contracting activities with commercial, Medicare, and Medicaid payers.</p><p><br></p><p>Complete and submit enrollment and credentialing applications, ensuring accuracy, completeness, and timely processing.</p><p><br></p><p>Gather, verify, and maintain provider documentation, including licenses, certifications, insurance, and compliance records.</p><p><br></p><p>Track application progress, follow up on outstanding items, and resolve discrepancies to ensure successful enrollment and credentialing outcomes.</p><p><br></p><p>Maintain accurate records, databases, and reports while supporting audits, compliance initiatives, and special projects.</p><p><br></p><p>Collaborate with internal teams and external payer representatives to facilitate provider onboarding and credentialing activities.</p><p><br></p><p>Ensure confidentiality, accuracy, and adherence to company policies and regulatory requirements in a fast-paced, high-volume environment.</p>
  • 2026-09-18T00:00:00Z
Medical Billing Specialist
  • French Camp, CA
  • onsite
  • Temporary to Hire
  • 20.9 - 24.2 USD / Hourly
  • <p>We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks.</p><p><br></p><p>Responsibilities:</p><p>• Handle specialized and intricate billing processes, including accounts receivable and appeals management.</p><p>• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.</p><p>• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.</p><p>• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.</p><p>• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.</p><p>• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.</p><p>• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.</p><p>• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.</p><p>• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.</p><p>• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.</p><p>For immediate consideration please contact Cortney at 209-225-2014</p>
  • 2026-10-07T00:00:00Z
Medical Billing Specialist
  • Encino, CA
  • onsite
  • Temporary to Hire
  • 24.91 - 30.12 USD / Hourly
  • <p>We are looking for an experienced Medical Billing Specialist to join a healthcare organization in California. This Medical Billing Specialist opportunity is ideal for someone with a strong background in surgical and ambulatory facility billing who can support accurate claim processing and healthy revenue cycle performance. The Medical Billing Specialist will work closely with payers, patients, and internal teams to resolve billing issues, improve reimbursement outcomes, and maintain compliant account documentation.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit facility claims for surgical services with careful attention to completeness, accuracy, and payer-specific rules.</p><p>• Review procedure details, patient information, coverage data, and required authorizations before releasing claims for billing.</p><p>• Apply appropriate coding elements, including diagnosis and procedure codes, modifiers, and revenue details, to support proper reimbursement.</p><p>• Enter and reconcile insurance payments, patient payments, adjustments, and other account activity in a timely manner.</p><p>• Analyze remittance documents and explanation of benefits statements to identify denials, short payments, and billing variances.</p><p>• Pursue outstanding receivables by contacting payers, researching account status, and escalating issues affecting reimbursement.</p><p>• Investigate rejected claims and denial trends, then prepare corrected submissions, reconsiderations, or appeals when needed.</p><p>• Monitor aging reports and organize follow-up efforts based on deadlines, claim value, and collection priorities.</p><p>• Communicate with insurance representatives, physician offices, patients, and internal departments to address account questions and resolve discrepancies.</p><p>• Maintain complete billing records while following healthcare privacy standards and current reimbursement regulations.</p>
  • 2026-09-29T00:00:00Z
Medical Billing Specialist
  • North Canton, OH
  • onsite
  • Temporary to Hire
  • 17 - 19 USD / Hourly
  • We are looking for a Medical Billing Specialist to join a healthcare team in North Canton, Ohio in a contract position with the potential to become permanent. This onsite position offers a steady Monday through Friday schedule and is well suited for someone who brings prior experience in medical billing or claims processing. The person in this role will work closely with an experienced team member while helping maintain accurate billing activity, timely claim follow-up, and dependable account resolution.<br><br>Responsibilities:<br>• Prepare and submit medical claims accurately and in a timely manner to support efficient reimbursement.<br>• Review billing documentation and coding details to help reduce errors and prevent payment delays.<br>• Investigate denied, rejected, or unpaid claims and take appropriate action to resolve outstanding issues.<br>• Communicate with insurance carriers, patients, and internal staff to clarify billing questions and support account follow-up.<br>• Maintain organized billing records and update account information within EPACES and related systems as needed.<br>• Assist with collection efforts by monitoring balances and pursuing appropriate next steps for open receivables.<br>• Partner with experienced team members to learn established workflows and contribute to daily onsite billing operations.
  • 2026-09-30T00:00:00Z
Medical Billing Specialist
  • Philadelphia, PA
  • 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.<br><br>Responsibilities:<br>• Process and submit medical claims for multiple payer categories, ensuring each submission is complete, accurate, and aligned with insurance guidelines.<br>• Investigate unpaid, delayed, or denied claims and work with payer representatives to drive resolution and secure payment.<br>• Review billing records for errors or inconsistencies, make necessary corrections, and promptly refile claims when needed.<br>• Monitor payer-specific rules, reimbursement terms, coding standards, and applicable billing regulations to maintain compliance.<br>• Coordinate with internal teams such as coding, registration, and clinical staff to gather information needed for clean claim processing.<br>• Respond to insurance requests and provide supporting documentation to address claim questions or outstanding issues.<br>• Record account activity, update claim status notes, post remittance details, and reconcile payer and patient balances.<br>• Contribute to denial review efforts and support audit-related activities by maintaining thorough and accurate billing documentation.
  • 2026-09-25T00:00:00Z
Medical Billing Specialist
  • Los Angeles, CA
  • onsite
  • Temporary to Hire
  • 25 - 32 USD / Hourly
  • <p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Medical Biller to join its growing team. The ideal Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medicare billing is a big plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients&#39; insurance coverage.</p><p>• Review explanations of benefits.</p><p>• Determine the patient&#39;s financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
  • 2026-10-05T00:00:00Z
Medical Billing Specialist
  • Fort Lauderdale, FL
  • remote
  • Temporary to Hire
  • 25.65 - 29.7 USD / Hourly
  • <p>We are looking for a Medical Billing Specialist to join a healthcare company on a contract basis with the potential for a permanent role. This position focuses on accurate coding, claim documentation, and billing support while partnering closely with providers and care teams to help maintain compliant reimbursement practices. The ideal candidate brings strong knowledge of medical terminology, coding workflows, and payer-related requirements, along with the ability to manage detailed work in a fast-paced setting.</p><p><br></p><p>Responsibilities:</p><p>• Examine clinical documentation to assign appropriate diagnostic and encounter codes in alignment with established classification standards and payer guidelines.</p><p>• Prepare and enter claim, encounter, and billing-related information into designated systems with a high degree of accuracy and completeness.</p><p>• Work directly with physicians, primary care providers, and care coordination staff to support risk adjustment coding and resolve documentation gaps in real time.</p><p>• Deliver guidance to clinical and administrative teams on coding accuracy, documentation quality, and proper level-of-service selection.</p><p>• Stay current on regulatory updates, code set revisions, and reimbursement rule changes to ensure billing practices reflect the latest requirements.</p><p>• Investigate coding and billing inquiries from multiple provider locations and provide timely, well-supported resolutions.</p><p>• Code patient encounters within required turnaround times while maintaining quality and compliance expectations.</p><p>• Protect patient privacy, follow organizational procedures, and carry out additional related duties as needed to support department operations.</p>
  • 2026-10-08T00:00:00Z
Medical Billing Specialist
  • North Charleston, SC
  • onsite
  • Temporary to Hire
  • 22.8 - 26.4 USD / Hourly
  • We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations in North Charleston, South Carolina. This contract-to-permanent opportunity is ideal for someone who can manage claims processing, payment posting, and account follow-up with accuracy and professionalism. The person in this role will work closely with internal teams and external payors to resolve billing issues, maintain compliant records, and help ensure timely reimbursement.<br><br>Responsibilities:<br>• Generate and submit clean, accurate claims for services rendered while meeting established billing timelines.<br>• Investigate unpaid, rejected, or denied claims and take appropriate action to secure resolution and reimbursement.<br>• Communicate with insurers, Medicaid, managed care organizations, and other funding sources to address denials, payment variances, recoupments, and claim corrections.<br>• Review ERAs and EOBs and post payments, contractual adjustments, and denials with a high level of accuracy.<br>• Analyze billing and reimbursement discrepancies, reconcile accounts, and support financial closeout activities across applicable contract arrangements.<br>• Maintain organized billing documentation, contract-related records, and workflow processes in alignment with company standards and regulatory requirements.<br>• Partner with clinical, admissions, finance, and case management teams to resolve billing concerns and improve claim outcomes.<br>• Safeguard patient, financial, and organizational information by following privacy requirements and confidentiality standards.
  • 2026-10-07T00:00:00Z
Medical Billing Specialist
  • Warwick, RI
  • onsite
  • Temporary / Contract
  • 19.7885 - 22.913 USD / Hourly
  • We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Warwick, Rhode Island. This Contract position is ideal for someone who can manage claims activity, follow billing guidelines, and work accurately in a fast-paced setting. The role will focus on maintaining clean billing records, resolving reimbursement issues, and helping ensure timely payment processing.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance carriers with close attention to accuracy and compliance.<br>• Apply appropriate coding and billing practices to support proper claim processing and reimbursement.<br>• Investigate denied, rejected, or underpaid claims and take corrective action to support resolution.<br>• Follow up with payers and patient accounts to address outstanding balances and collection activity.<br>• Use EPACES and related billing systems to verify claim status, eligibility, and payment details.<br>• Maintain organized billing documentation and update account records to reflect claim activity and payment outcomes.
  • 2026-10-08T00:00:00Z
Medical Billing Specialist
  • Knoxville, TN
  • onsite
  • Temporary to Hire
  • 12.6635 - 14.663 USD / Hourly
  • Our client in the medical billing industry is seeking multiple Medical Billing Clerks to join their growing team. This is an excellent opportunity for candidates with experience in the medical field who are looking to build a long-term career with a company that offers strong training, stability, and an outstanding benefits package. <br> The Medical Billing Clerk will be responsible for supporting billing operations, assisting patients and insurance carriers, and ensuring claims are processed accurately and efficiently. The ideal candidate will have prior exposure to medical office or healthcare-related environments and be comfortable handling billing inquiries, claims follow-up, and payment discrepancies. <br> Key Responsibilities: <br> Process and submit medical claims to insurance companies Review accounts for billing accuracy and correct billing discrepancies Perform data entry related to patient information, charges, payments, and account updates Handle inbound and outbound customer service calls regarding billing questions and account status Interpret and explain Explanation of Benefits (EOBs) Work with insurance companies to resolve claim issues and payment delays Assist with collections activity on outstanding balances in a detail oriented manner Maintain accurate billing records and documentation Support internal billing functions and ensure timely claim submission and follow-up Qualifications: <br> Some prior experience working in the medical field is required Previous experience in medical billing, medical office support, or healthcare administration preferred Knowledge of medical billing terminology and Explanation of Benefits (EOBs) required Experience with customer phone support Strong data entry and administrative skills Requires all candidates required to undergo drug screening and all candidates required to undergo background check process  Familiarity with claims submissions and insurance company processes Ability to identify and resolve billing discrepancies detail oriented communication skills and strong attention to detail Comfortable handling some collections responsibilities Training Provided: <br> In-house training on medical codes In-house training on billing software
  • 2026-09-24T00:00:00Z
Medical Billing Specialist
  • Moline, IL
  • onsite
  • Temporary to Hire
  • 18 - 22 USD / Hourly
  • <p>Advance Your Medical Billing Career</p><p><br></p><p>Robert Half is partnering with a respected healthcare organization in the Quad Cities area to identify an experienced<strong> Medical Billing Specialist</strong>. This is an excellent opportunity for a billing professional who enjoys ownership of the revenue cycle, working denials and appeals, analyzing reimbursement issues, and driving successful insurance collections.</p><p><br></p><p>If you have a strong understanding of medical billing, insurance reimbursement, and claims processing, we&#39;d love to connect with you.</p><p><br></p><p><strong>What You&#39;ll Do</strong></p><ul><li>Submit medical claims electronically to commercial and government payers</li><li>Post insurance and patient payments accurately and timely</li><li>Research, resolve, and appeal denied or rejected claims</li><li>Follow up with insurance carriers regarding outstanding balances</li><li>Monitor and manage accounts receivable aging</li><li>Identify underpayments, overpayments, and reimbursement discrepancies</li><li>Process refunds and credit balances as needed</li><li>Partner with coding and business office teams to help ensure accurate claim submission</li><li>Support ongoing billing accuracy and compliance initiatives</li><li>Maintain confidentiality and compliance with HIPAA regulations</li></ul><p><br></p><p><strong>Why This Opportunity?</strong></p><p>✅ Stable healthcare organization with a patient-focused mission</p><p>✅ Opportunity to make a direct impact on revenue cycle performance</p><p>✅ Collaborative team environment</p><p>✅ Full-time, long-term career opportunity</p><p>✅ Competitive compensation and benefits package</p><p><br></p><p><strong>Ready to Learn More?</strong></p><p><br></p><p>If you&#39;re passionate about healthcare administration and enjoy solving reimbursement challenges while helping organizations maintain financial excellence, we&#39;d welcome the opportunity to discuss this position with you. Apply today to be considered. Candidates may also call our team direct at (563) 359-3995 to discuss your short- and long-term goals! </p>
  • 2026-10-02T00:00:00Z
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 Denials Specialist
  • Carmel, IN
  • onsite
  • Temporary / Contract
  • 18 - 24 USD / Hourly
  • <p>We are seeking a detail-oriented <strong>Medical Denials Specialist</strong> to join our healthcare revenue cycle team. This role is responsible for reviewing, researching, and resolving denied or underpaid medical claims to support timely reimbursement and reduce revenue loss. The ideal candidate has strong knowledge of payer guidelines, appeals processes, and healthcare billing workflows.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Review denied, rejected, or underpaid insurance claims and identify root causes</li><li>Investigate payer denials related to coding, authorizations, eligibility, timely filing, medical necessity, and billing errors</li><li>Prepare and submit appeals with appropriate supporting documentation</li><li>Communicate with insurance carriers, patients, providers, and internal departments to resolve claim issues</li><li>Monitor and track denial trends and escalate recurring issues for process improvement</li><li>Maintain accurate and detailed account documentation in billing and practice management systems</li><li>Follow up on outstanding appeals and denied claims to ensure timely resolution</li><li>Partner with billing, coding, and patient access teams to reduce future denials</li><li>Ensure compliance with payer requirements, HIPAA, and internal policies</li></ul><p><br></p>
  • 2026-09-24T00:00:00Z
Medical Charge Entry Specialist
  • Indianapolis, IN
  • onsite
  • Temporary / Contract
  • 18 - 22 USD / Hourly
  • <p>We are seeking a detail-oriented <strong>Medical Charge Entry Specialist</strong> to support accurate and timely entry of patient charges, payments, and billing information into the practice management system. This role is critical to maintaining revenue cycle accuracy, ensuring compliance, and supporting clean claim submission.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Enter medical charges, procedure codes, diagnosis codes, and related billing information into the billing system with a high degree of accuracy.</li><li>Review charge documents for completeness, accuracy, and proper supporting documentation.</li><li>Verify patient demographics, insurance information, provider details, and dates of service before charge entry.</li><li>Identify and resolve charge discrepancies, missing information, and data entry errors in collaboration with clinical and billing teams.</li><li>Maintain productivity and accuracy standards for daily charge entry volumes.</li><li>Assist with corrections, rebills, and adjustments as needed.</li><li>Support claim preparation and help ensure timely submission of accurate claims.</li><li>Follow payer guidelines, billing procedures, and healthcare compliance requirements including HIPAA.</li><li>Document issues and communicate trends impacting billing accuracy or reimbursement.</li><li>Work closely with coders, billers, and front-office staff to support efficient revenue cycle operations.</li></ul><p><br></p>
  • 2026-09-24T00:00:00Z
Insurance Billing Specialist
  • Mundelein, IL
  • onsite
  • Permanent / Full Time
  • 60000 - 65000 USD / Yearly
  • <p><em>The salary range for this position is $60,000-$65,000 and it comes with benefits, including medical, vision, dental, life, and disability insurance. To apply to this hybrid role please send your resume to [email protected]</em></p><p><br></p><p><em>Is your current job giving “all-work-no-play” when it should be giving “work-life balance + above market pay rates”? </em></p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Ability to prioritize, multitask, manage a high volume of bills per month and meet deadlines.</li><li>Experience with various e-billing vendors (e.g., CounselLink, Bottomline Legal eXchange, Tymetrix, Collaborati, Legal Solutions Suite, Legal Tracker, etc.) and LEDES file knowledge required to perform duties and responsibilities, including but not limited to preparing and submitting bills, budgets, and timekeeper rates according to client requirements.</li><li>Management of timekeepers and coordinate/process appeals as required.</li><li>Ability to execute complex bills in a timely manner (i.e., multiple discounts by matter, split billing, preparation, submission and troubleshooting of electronic bills).</li><li>Monitor outstanding Work in Process (WIP) and Accounts Receivable (AR) balances. Collaborate with billing attorneys to ensure WIP is billed on a timely basis and AR balances are collected withina reasonable period. Follow up with billing attorney and client on all aged AR balances.</li><li>Follow up on collections as directed by either Attorneys or Accounting leadership in support of meeting firm’s financial goals.</li><li>Review and edit prebills in response to attorney requests.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Research and analyze deductions and provide best course of action for balances.</li><li>Process write-offs following Firm policy.</li><li>Ability to effectively interact and communicate with attorneys, legal administrative assistants, staff, and clients.</li><li>Assist with month-end close as needed.</li><li>Proactively monitor potential errors that may result in the rejection of e-bills.</li><li>Assume additional duties as needed or assigned</li></ul><p> </p>
  • 2026-09-11T00:00:00Z
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