70 Results for Credentialing Specialist Jobs in Usa

Add your latest resume to match with open positions.

Credentialing Specialist

Greenwood Village, CO
remote
Temporary to Hire
27 - 28 USD / Hourly
Credentialing Specialist We are looking for a detail-oriented Credentialing Specialist for a contract-to-hire opportunity. This Credentialing Specialist role is ideal for someone who can manage provider enrollment and credentialing activities with accuracy, discretion, and strong follow-through. The position supports timely submission of documentation, coordination across internal teams, and consistent maintenance of records and reporting. If you have direct experience credentialing other doctors, providers, etc. rather than patients (as this is not a patient enrollment or patient credentialing role), then keep on reading! Responsibilities: • Prepare and submit payer enrollment documents and other required applications in both digital and paper formats with a high level of accuracy. • Process credentialing and contracting requests by coordinating required information and ensuring materials are complete before submission. • Partner with Operations, Legal, and Compliance teams to collect licenses, certifications, and supporting records needed for provider files. • Maintain organized, up-to-date status tracking for assignments within company-approved systems and follow items through to completion. • Safeguard sensitive information while updating provider and organizational records as changes occur. • Support research efforts, compile relevant data, and help produce reports that assist with credentialing and enrollment activities. • Contribute to special assignments and provide additional administrative support based on business needs. • Follow established company policies, procedures, and quality standards in all daily work.
2026-10-30T00:00:00Z

Credentialing Specialist

Long Beach, CA
onsite
Temporary to Hire
22 - 28 USD / Hourly
A Healthcare Company in Long Beach in looking to hire a Credentialing Specialist to support provider enrollment and credentialing activities. The Credentialing Specialist is ideal for someone who can step into a fast-paced healthcare environment to help maintain accurate, compliant credentialing records. The Credentialing Specialist will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation. Key Responsibilities:• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-10-29T00:00:00Z

Credentialing Specialist

Indianapolis, IN
remote
Temporary / Contract
22 - 24 USD / Hourly
We are looking for a Credentialing Specialist to support a healthcare organization through a Contract assignment. This position focuses on reviewing documentation, coordinating verification activities, and helping maintain accurate provider or business records in a regulated environment. The role suits someone who can manage detailed information, communicate effectively with internal and external contacts, and apply strong analytical judgment in day-to-day work. Responsibilities:<ul><li>Perform primary source verification (PSV) of healthcare provider credentials, including medical licenses, education, board certifications, work history, and other required qualifications.</li><li>Contact primary sources, such as state licensing boards, educational institutions, and certification organizations, to validate provider credentials and qualifications.</li><li>Verify provider information in accordance with The Joint Commission (TJC) and/or NCQA standards, organizational policies, and regulatory requirements.</li><li>Review credentialing and recredentialing applications for completeness, accuracy, and required supporting documentation.</li><li>Track expiring licenses, certifications, and other credentials to ensure providers remain compliant with established requirements.</li><li>Maintain accurate provider credentialing files, databases, and documentation to support audits and accreditation reviews.</li><li>Follow up on missing, expired, or discrepant information and coordinate with providers and internal credentialing teams to resolve issues.</li><li>Ensure verification dates, results, and supporting documentation are properly recorded and maintained for compliance purposes.</li></ul>
2026-10-27T00:00:00Z

Credentialing Specialist

Sacramento, CA
onsite
Temporary to Hire
29 - 35 USD / Hourly
We are looking for a Credentialing Specialist to support provider enrollment and credentialing operations for a healthcare organization in Sacramento, California. This contract opportunity with permanent potential is ideal for someone who can manage detailed compliance documentation, maintain accurate records, and coordinate efficiently with providers and internal leadership. In this role, you will help keep credentialing activities moving on schedule while ensuring regulatory and organizational standards are met. Responsibilities: • Manage initial and ongoing credentialing activities for medical staff and advanced practice providers, ensuring each file moves through the process accurately and within expected timelines. • Review applications for completeness, follow up with practitioners on missing items, and document outstanding requirements or compliance gaps that need resolution. • Maintain provider records in the credentialing database with a high degree of accuracy, including updates related to recredentialing and ongoing status tracking. • Track time-sensitive documents such as licensure, liability coverage, DEA registrations, certifications, and immunization records to help prevent lapses in compliance. • Prepare verified credentialing files for leadership review by organizing supporting documentation and confirming that all required elements are included. • Communicate regularly with provider offices and internal stakeholders to support a smooth credentialing process and respond to questions or requests for clarification. • Monitor proctoring, peer review, and other ongoing provider oversight activities, escalating issues when additional follow-up is needed. • Process affiliation verifications, produce case logs when requested, and assist with special projects or additional assignments from departmental leadership.
2026-10-27T00:00:00Z

Credentialing Coordinator II

Minnetonka, MN
onsite
Temporary / Contract
20 - 23 USD / Hourly
We are looking for a Credentialing Coordinator II to support credentialing operations. This position focuses on maintaining accurate provider data, coordinating documentation workflows, and helping ensure compliance with established credentialing standards. The ideal candidate brings strong organizational skills, clear communication, and the ability to manage high-volume administrative tasks with accuracy and consistency. Responsibilities:• Maintain and update credentialing records in internal systems, ensuring provider information is complete, current, and accurately documented.• Review submitted materials for completeness, follow up on missing items, and coordinate timely collection of required documentation.• Perform quality checks and audits on files to confirm alignment with credentialing policies, regulatory guidelines, and internal standards.• Support training efforts by sharing process guidance, answering workflow-related questions, and helping promote consistency across credentialing activities.• Track incoming documents, receipts, and submissions while organizing digital content within designated content management systems.• Communicate with internal teams and external contacts to resolve discrepancies, clarify requirements, and keep credentialing tasks moving forward.• Assist with hiring and onboarding-related credentialing steps when provider or staff documentation must be verified before activation.• Use internet-based resources and credentialing tools to research, validate, and confirm provider and organizational information as needed.
2026-10-23T00:00:00Z

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. Responsibilities: • Oversee customer receivables by monitoring open balances, following up on past-due invoices, and keeping account activity current and accurate. • Evaluate new and existing customer credit profiles, recommend appropriate terms and limits, and take action on holds when risk warrants further review. • Research billing concerns, disputed charges, and payment variances to bring accounts into balance and resolve issues promptly. • Prepare and distribute customer account statements, apply incoming payments, record cash activity, and maintain supporting documentation for credits and rebates. • Handle sales tax administration by maintaining exemption records, supporting tax filings, monitoring nexus-related requirements, and assisting with Avalara processes. • Create journal entries and contribute to monthly close tasks by ensuring financial data is recorded completely and on schedule. • Provide support for reporting, forecasting, audit preparation, and inventory-related accounting activities as needed. • Work closely with sales and customer service teams to address account questions while preserving strong client relationships and service levels. • Maintain organized financial records and identify opportunities to improve accuracy, efficiency, and consistency within credit and collections workflows.
2026-10-06T00:00:00Z

Credit and Collections Specialist

Knoxville, TN
onsite
Permanent / Full Time
52000 - 54000 USD / Yearly
Robert HAlf is currently recruiting for a Credit and Collections Specialist to support accounts receivable activities and help maintain healthy customer credit practices for our Knoxville, Tennessee operation. This position focuses on evaluating credit information, following up on commercial accounts, and keeping documentation accurate across financial systems. The ideal candidate brings strong attention to detail, sound judgment, and the ability to communicate effectively with internal teams and customers. Responsibilities:• Review customer credit submissions, verify supporting information, and assist with decisions related to commercial account approval.• Monitor outstanding balances, contact business customers regarding overdue invoices, and work toward timely resolution of open receivables.• Maintain complete and accurate records of credit files, collection activity, and account updates within designated systems.• Analyze account status and payment trends to identify risk concerns and recommend appropriate follow-up actions.• Support daily credit and collections operations by coordinating with sales, customer service, and finance teams.• Prepare reporting and account summaries using available tools to improve visibility into receivables performance and collection efforts.• Use business systems such as D365 and AS400 to manage account details, payment activity, and documentation.• Contribute to process consistency by ensuring account handling aligns with company credit policies and documentation standards. The position will require 1+ years of collections experience. The position is 100% onsite and will require someone to live in the local Knoxville or surrounding areas. For immediate consideration please contact Lisa Coker at 865-370-2084 to set up an interview
2026-10-27T00:00:00Z

Credit Specialist

Brea, CA
onsite
Temporary to Hire
26 - 27 USD / Hourly
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. Responsibilities:• Reconcile assigned customer accounts by reviewing chargebacks, short payments, and other account discrepancies to ensure records remain accurate.• Investigate overdue invoices and follow up with customers to secure payment or determine the cause of delayed remittance.• Analyze customer deductions, validate supporting documentation, and work toward timely resolution of disputed items.• Review account standing and release orders for shipment when credit conditions and payment status support approval.• Prepare recurring updates for leadership that highlight collection activity, aging trends, cash expectations, and past-due balances.• Partner with teams across sales, sales support, and accounting to address billing questions and resolve account-related issues efficiently.• Provide guidance to colleagues within the credit function when training support is needed or assigned by management.• Offer backup assistance for select supervisory tasks when department leadership is unavailable.• Contribute to additional credit and collections activities as needed to support departmental priorities and service levels.
2026-10-15T00:00:00Z

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. Responsibilities: • 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. • Track pending submissions and conduct regular follow-up to help move paperwork through approval stages without unnecessary delays. • Manage agent profile updates and contract revisions while identifying practical ways to simplify and improve the overall process. • Use working knowledge of insurance-related products, services, and procedures to investigate issues and support timely resolution for agents. • Meet established service expectations by handling tasks efficiently, maintaining organized records, and prioritizing deadlines effectively. • Navigate carrier portals and follow carrier-specific procedures to complete submissions, verify status updates, and address processing issues. • Partner closely with colleagues to support shared objectives, provide backup when needed, and contribute to a positive team environment. • 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 can combine consultative customer support with strong attention to detail while helping clients understand available options. The role focuses on guiding borrowers through eligibility reviews, enrollment steps, and required documentation with professionalism and care. Responsibilities: • Speak with prospective clients to understand their student loan situations and provide informed guidance on repayment and forgiveness pathways. • Evaluate borrower financial details and loan records to identify programs that may align with eligibility criteria. • Lead clients through each stage of the enrollment process, including gathering, organizing, and preparing required documents. • Record client communications, application details, and status updates accurately in the company system. • Handle sensitive personal and financial information in accordance with established policies and regulatory standards. • Provide clear, supportive service that helps clients feel informed, respected, and confident throughout the process. • Work closely with cross-functional teams to keep enrollment activities moving efficiently and ensure timely follow-up. • Achieve performance goals related to quality, responsiveness, and productivity while maintaining a client-focused approach.
2026-10-30T00:00:00Z

Medical Billing Specialist

Jackson, MI
onsite
Temporary to Hire
18.05 - 20.9 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support patient account operations in Michigan. This contract opportunity with permanent potential is ideal for someone who can manage billing activity with accuracy, stay current on payer requirements, and provide responsive support to both patients and internal teams. The person in this role will help keep claims moving efficiently, address account discrepancies, and contribute to timely reimbursement across medical and dental services. Responsibilities: • Process insurance payments, denials, and related remittance activity by retrieving information from payer portals and entering it accurately into the practice management system. • Investigate outstanding or missing reimbursements by coordinating with clearinghouses and insurance carriers to resolve payment issues and posting discrepancies. • Reconcile account activity, including payer recoupments, credit balances, and daily deposits, while maintaining complete records of payment transactions for review. • Review patient accounts for billing readiness by confirming demographics, coverage details, and required documentation, and partner with clinical staff to resolve missing information. • Follow up on unpaid or delayed claims within filing deadlines to reduce aging accounts receivable and improve collection outcomes. • Respond to patient billing inquiries, explain charges, address account concerns, and arrange payment plans when appropriate. • Support provider enrollment and credentialing work by preparing applications, maintaining contract and provider records, and tracking status updates to protect reimbursement. • Assist with coding and documentation review activities to help ensure billed services are supported, compliant, and properly recorded. • Provide administrative support for dental billing processes such as authorization-related documentation, treatment plan coordination, claim attachments, and point-of-service payment collection.
2026-10-27T00:00:00Z

Medical Billing Specialist

Fort Lauderdale, FL
remote
Temporary to Hire
25.65 - 29.7 USD / Hourly
We are looking for a detail-oriented Certified Professional Coder to join a healthcare team in Boca Raton, Florida in a contract-to-permanent capacity. This role focuses on accurate coding, billing support, and claim-related documentation while helping maintain compliance with healthcare standards and reimbursement guidelines. The ideal candidate is comfortable working in a fast-paced environment, partnering with providers and care teams, and keeping current with evolving coding practices. Responsibilities:• Review clinical documentation to determine appropriate medical codes and ensure billing accuracy across assigned encounters.• Enter claim and encounter details into required systems and prepare supporting records with a high degree of precision.• Collaborate with physicians, primary care providers, and care coordination staff to address coding questions and support risk adjustment activities.• Deliver guidance and training on documentation quality, diagnosis selection, and level-of-service coding in alignment with established standards.• Track updates to coding regulations and apply current guidance to daily work to support compliant billing practices.• Code patient encounters within expected turnaround times while maintaining a strong standard of accuracy.• Investigate and resolve coding-related inquiries from multiple provider offices and communicate findings clearly.• Protect patient privacy, follow organizational policies, and complete additional related duties as needed.C
2026-10-31T00:00:00Z

Medical Billing Specialist

Milwaukee, WI
onsite
Temporary / Contract
0 - 0 USD / Yearly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Milwaukee, Wisconsin. This Long-term Contract opportunity is ideal for someone who can step into a fast-paced billing environment, help reduce aged receivables, and keep daily revenue cycle activity moving efficiently. You will partner with billing and finance leaders to improve claim turnaround, address payment issues, and strengthen overall billing performance. Responsibilities: • Review, prepare, and submit medical claims with accuracy to ensure timely reimbursement across multiple payer types, including commercial plans and government programs. • Investigate billing discrepancies, make necessary claim updates, and resubmit corrected claims to minimize delays in payment. • Apply incoming payments, balance billing records, and reconcile account activity to maintain accurate financial data. • Track and work denied or underpaid claims by identifying root causes, pursuing corrections, and coordinating next steps for resolution. • Conduct consistent insurance follow-up and collection efforts to reduce outstanding accounts receivable balances. • Respond to patient billing questions professionally and provide clear guidance on charges, payments, and account status. • Assist with appeals, reimbursement recovery efforts, and supporting documentation needed to secure appropriate payment. • Maintain organized billing records and ensure documentation is complete, current, and aligned with compliance expectations. • Collaborate with the Billing Manager and finance team to address backlog challenges and support ongoing revenue cycle improvement initiatives.
2026-10-29T00:00:00Z

Medical Billing Specialist

New Orleans, LA
onsite
Temporary to Hire
21 - 23 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join a healthcare team in a contract-to-permanent position located in New Orleans, Louisiana. This role focuses on accurate claim processing, timely follow-up on unpaid balances, and effective resolution of billing issues across medical and dental accounts. The ideal candidate brings strong knowledge of insurance verification, coding support, and reimbursement workflows while maintaining a high standard of accuracy and customer service. Responsibilities:• Prepare, review, and submit medical and dental claims to insurance carriers with close attention to accuracy and compliance.• Investigate denied, rejected, or underpaid claims and take appropriate action through corrections, appeals, or rebilling activities.• Follow up on outstanding accounts to support collections efforts and help reduce aging receivables.• Verify patient coverage, benefits, and plan details to ensure claims are billed correctly the first time.• Apply knowledge of medical coding and dental terminology to support proper documentation and reimbursement.• Communicate with insurance representatives, patients, and internal staff to resolve billing discrepancies and payment questions.• Maintain organized billing records, update account information, and track claim status through resolution.• Use Microsoft Excel and related systems to monitor billing activity, reconcile data, and prepare routine reports.
2026-10-12T00:00:00Z

Medical Billing Specialist

Temperance, MI
onsite
Temporary / Contract
19 - 22 USD / Hourly
Are you an experienced Medical Biller available for contract work in Temperance MI. If so, this role might be ideal for you. Our client in Temperance is in need of a Medical Billing Specialist to assist with medical and dental billing. Monday - Friday 9am - 5pm. This role is FULLY ONSITE only. NO remote option. Pay up to $22/hr depending on experience. Qualifications Medical and Billing Coding experience of 1 year or more Knowledge of insurance E-Clinical Works (ECW) experience preferred Knowledge of CPT and ICD10 Coding. Working knowledge of coding, billing and collection of claims. Strong organizational skills with solid problem solving skills. Proficient computer skills and EMR experience. Billing and Coding Certificate required Associate Degree / Certificate from a technical school for billing and /or coding.
2026-10-11T00:00:00Z

Medical Billing Specialist

Fayetteville, NC
onsite
Temporary / Contract
14 - 17 USD / Hourly
We are looking for a Medical Billing Specialist to support a healthcare facility in Fayetteville, North Carolina. This Long-term Contract opportunity is well suited for someone who can manage billing activities with accuracy, maintain organized financial records, and help keep reimbursement processes moving efficiently. The ideal candidate will bring strong attention to detail, a solid understanding of medical billing practices, and the ability to work effectively in a fast-paced healthcare setting. Responsibilities:• Prepare, review, and submit medical claims accurately and on schedule to support timely reimbursement.• Investigate billing discrepancies, resolve claim issues, and follow up on unpaid or denied accounts.• Maintain complete and organized billing documentation while ensuring information is updated correctly in billing systems.• Coordinate with internal staff, insurers, and patients when needed to clarify charges, coverage, or account questions.• Apply payments, reconcile account activity, and monitor outstanding balances to keep records current.• Support compliance with healthcare billing standards, payer requirements, and internal documentation procedures.
2026-10-16T00:00:00Z

Medical Billing Specialist

Spring, TX
onsite
Temporary / Contract
19 - 23 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a Contract position based onsite in Spring, Texas. This role focuses on maintaining accurate billing activity, resolving claim issues, and helping keep reimbursement processes on track through careful follow-up and documentation. The ideal candidate brings hands-on experience in medical billing, strong knowledge of coding and insurance procedures, and the ability to work effectively in a fast-paced team environment. Responsibilities: • Manage day-to-day medical billing tasks, including claim submission, payment posting, and account follow-up to support timely reimbursement. • Review billing records for accuracy and apply appropriate medical coding information to help reduce processing delays and errors. • Investigate rejected or denied claims, identify root causes, and take corrective action to improve claim resolution outcomes. • Post insurance payments accurately and reconcile billing activity to maintain complete and current account records. • Communicate with insurance carriers and use payer portals to verify claim status, clarify issues, and support collections efforts. • Monitor accounts receivable and follow up on outstanding balances to help improve recovery and reduce aging accounts. • Maintain organized documentation within billing systems and support accurate recordkeeping across daily workflows. • Use billing platforms and office software effectively, including tools such as Epic, Tebra, Google Docs, Microsoft 365, and related applications as needed.
2026-10-30T00:00:00Z

Medical Billing Specialist

Beaverton, OR
onsite
Temporary / Contract
27 - 29 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a Contract assignment in Beaverton, Oregon. This position focuses on accurate billing operations, claims resolution, and coding support within a medical office environment. The ideal candidate brings hands-on experience with government payers and can independently investigate billing issues to help keep reimbursement processes on track. Responsibilities: • Process medical billing transactions accurately and efficiently for assigned accounts. • Enter billing, coding, and claim-related information into AdvancedMD and other relevant systems. • Review unpaid claims and take timely action to secure resolution and reimbursement. • Investigate denied claims, identify root causes, and complete appropriate follow-up activities. • Apply medical coding updates, including assigning codes for newly introduced testing services. • Work with Medicare, Medicaid, and Tricare claims in accordance with payer-specific requirements. • Maintain organized billing documentation and update account records to reflect follow-up activity.
2026-10-30T00:00:00Z

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. Responsibilities: • Generate and submit clean, accurate claims for services rendered while meeting established billing timelines. • Investigate unpaid, rejected, or denied claims and take appropriate action to secure resolution and reimbursement. • Communicate with insurers, Medicaid, managed care organizations, and other funding sources to address denials, payment variances, recoupments, and claim corrections. • Review ERAs and EOBs and post payments, contractual adjustments, and denials with a high level of accuracy. • Analyze billing and reimbursement discrepancies, reconcile accounts, and support financial closeout activities across applicable contract arrangements. • Maintain organized billing documentation, contract-related records, and workflow processes in alignment with company standards and regulatory requirements. • Partner with clinical, admissions, finance, and case management teams to resolve billing concerns and improve claim outcomes. • Safeguard patient, financial, and organizational information by following privacy requirements and confidentiality standards.
2026-10-22T00:00:00Z

Medical Billing Specialist

Fayetteville, NC
onsite
Temporary / Contract
14 - 17 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support billing operations for a healthcare facility in Fayetteville, North Carolina. This Long-term Contract position is ideal for someone who can manage claim processing accurately, follow up on outstanding balances, and help maintain efficient revenue cycle activities. The person in this role will work closely with internal teams to help ensure billing records are complete, timely, and compliant with healthcare billing standards. Responsibilities:• Prepare and submit medical claims with a high level of accuracy to support timely reimbursement• Review billing documentation for completeness and resolve discrepancies before claim submission• Monitor unpaid or denied claims and take appropriate follow-up actions to improve collections• Communicate with insurance carriers, patients, and internal staff to address billing questions and payment issues• Post payments, adjustments, and other billing updates while maintaining organized account records• Assist with account reconciliation and help identify billing trends or recurring issues that affect revenue cycle performance
2026-10-16T00:00:00Z

Medical Billing Specialist

Knoxville, TN
onsite
Temporary to Hire
17 - 18 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. 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. Key Responsibilities: 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: 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: In-house training on medical codes In-house training on billing software
2026-10-28T00:00:00Z

Medical Billing Specialist

Moline, IL
onsite
Temporary to Hire
18 - 22 USD / Hourly
Advance Your Medical Billing Career Robert Half is partnering with a respected healthcare organization in the Quad Cities area to identify an experienced Medical Billing Specialist. 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. If you have a strong understanding of medical billing, insurance reimbursement, and claims processing, we'd love to connect with you. What You'll Do<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> Why This Opportunity?✅ Stable healthcare organization with a patient-focused mission✅ Opportunity to make a direct impact on revenue cycle performance✅ Collaborative team environment✅ Full-time, long-term career opportunity✅ Competitive compensation and benefits package Ready to Learn More? If you're passionate about healthcare administration and enjoy solving reimbursement challenges while helping organizations maintain financial excellence, we'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!
2026-10-28T00:00:00Z

Credit & Collections Specialist

West Conshohocken, PA
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
2026-10-14T00:00:00Z

Medical Denials Specialist

Los Angeles, CA
onsite
Temporary / Contract
28 - 35 USD / Hourly
Our client is seeking a detail-oriented Medical Denials Specialist with strong experience in insurance collections to join their healthcare revenue cycle team. This role is responsible for researching, appealing, and resolving denied medical claims to ensure maximum reimbursement from insurance carriers. The ideal candidate will have a solid understanding of payer guidelines, claims follow-up, and the collections process within a medical billing environment.Key Responsibilities:<ul><li>Review and analyze denied, underpaid, and rejected insurance claims</li><li>Investigate denial reasons and take appropriate corrective action</li><li>Prepare and submit claim appeals with supporting documentation</li><li>Perform follow-up with commercial insurers, government payers, and other third-party payers</li><li>Work insurance aging reports and prioritize outstanding accounts for collection</li><li>Resolve claim edits, authorization issues, coding discrepancies, and eligibility problems</li><li>Document all account activity accurately and thoroughly in the billing system</li><li>Collaborate with billing, coding, and provider office teams to identify denial trends and improve reimbursement</li><li>Maintain knowledge of payer rules, reimbursement policies, and regulatory requirements</li><li>Meet productivity and collection goals while ensuring accuracy and compliance</li></ul>
2026-10-20T00:00:00Z

Physician Onboarding Specialist

Las Vegas, NV
onsite
Temporary / Contract
25 - 30 USD / Hourly
We are looking for a Physician Onboarding Specialist to join a healthcare-focused team in Las Vegas, Nevada on a Contract basis. In this role, you will help physician practices move through onboarding by managing support requests, updating critical records, and ensuring each step is completed accurately. This opportunity is well suited for someone who thrives in a structured, fast-paced environment and can work confidently with sensitive information while delivering attentive customer support. Responsibilities: • Manage daily onboarding activities and support requests to keep physician practices on track for launch readiness • Complete assigned work by following established procedures, checklists, and standardized operating guidelines • Accurately enter, review, and maintain provider and practice information within internal systems and case records • Update onboarding tasks, document progress clearly, and keep detailed notes for each case handled • Resolve routine issues by applying approved processes and escalate exceptions when additional support is needed • Safeguard confidential healthcare and business data by handling records in line with compliance and privacy expectations • Communicate with customers in a calm, respectful manner to address concerns and reduce friction during onboarding • Support high-volume operational workflows while maintaining consistency, accuracy, and timely completion of tasks
2026-10-28T00:00:00Z

70 results for Credentialing Specialist in Usa