Add your latest resume to match with open positions.

4 results for Credentialing Specialist in Westborough, MA

Medical Billing Specialist

Worcester, MA
onsite
Temporary / Contract
19.7885 - 22.913 USD / Hourly
We are looking for a Medical Billing Specialist to support a healthcare organization through a contract assignment. This position focuses on accurate billing operations, follow-up on outstanding accounts, and timely resolution of claim issues to help maintain steady revenue flow. The ideal candidate brings strong knowledge of medical billing practices and can manage denials, appeals, and related projects with a high level of accuracy and organization. Responsibilities: • Manage billing activity for medical claims, ensuring charges are processed accurately and submitted within required timelines. • Monitor accounts receivable balances and follow up on unpaid or underpaid claims to support prompt reimbursement. • Investigate denied claims, determine root causes, and prepare corrected submissions or formal appeals as needed. • Perform collection efforts on outstanding balances while maintaining clear communication with payers and relevant parties. • Review coding and claim details for completeness and accuracy before resubmission or escalation. • Use EPACES and related billing tools to verify claim status, eligibility, and payment information. • Assist with reporting, documentation, and special projects related to billing operations and revenue cycle performance.
2026-06-26T00:00:00Z

Patient Access Specialist

Nashua, NH
onsite
Temporary to Hire
17.25 - 20.25 USD / Hourly
3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! We are offering a contract to permanent employment opportunity for a Patient Access Specialist in Nashua, New Hampshire. In this role, you will be fundamental in providing quality services to patients by managing their admission processes and ensuring regulatory compliance within the healthcare industry. Responsibilities: • Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.• Adhere to organizational policies while delivering exceptional customer service with compassion.• Conduct pre-registration of patients' accounts prior to their visits, which may involve both inbound and outbound communication to gather demographic, insurance, and other patient information.• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.• Review responses in the insurance verification system, select the applicable insurance plan code, and enter benefit data to support Point of Service Collections and billing processes.• Use the Advance Beneficiary Notice (ABN) software to accurately screen medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed.• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.
2026-06-01T00:00:00Z

Patient Access Specialist

Nashua, NH
onsite
Temporary / Contract
17.25 - 18.25 USD / Hourly
We are seeking detail-oriented and compassionate Patient Access Specialists in Nashua, NH, 03060 to join our team in various departments including the Emergency Department (ED), Urgent Care, and Float Pool. In this role, you will be the first point of contact for patients and visitors, helping to ensure a smooth, positive experience from registration to discharge. Ideal candidates bring strong customer service skills, attention to detail, and the ability to thrive in fast-paced healthcare environments.Responsibilities:<ul><li>Greet and assist patients, families, and visitors in a courteous and professional manner.</li><li>Accurately collect and verify patient demographics, insurance, and financial information.</li><li>Perform registration, check-in/out, appointment scheduling, and admissions duties.</li><li>Explain required forms, hospital policies, and insurance processes to patients.</li><li>Maintain data entry accuracy within electronic health record systems.</li><li>Collaborate with clinical and administrative teams to ensure seamless patient flow.</li><li>Uphold patient confidentiality and compliance with HIPAA standards.</li><li>Adapt to fast-paced, high-volume settings and varying patient needs.</li><li>Provide exceptional customer service in high-stress situations.</li></ul>
2026-06-11T00:00:00Z

Training Specialist I

Providence, RI
remote
Temporary / Contract
22 - 24 USD / Hourly
We are looking for a Training Specialist I to support the design, coordination, and continuous improvement of learning programs for operational teams in Providence, Rhode Island. This Long-term Contract position is primarily remote, with occasional in-person meetings as needed to collaborate with stakeholders and support program delivery. The person in this role will help strengthen training effectiveness by tracking participation, evaluating outcomes, and partnering with leaders to address development needs across the organization. Responsibilities: • Partner with operational and product stakeholders to identify learning gaps and create effective training solutions that support current and future business needs. • Track attendance, assessment outcomes, and retraining needs, then prepare reports with recommendations to improve program performance. • Work closely with department leaders to roll out training initiatives and support ongoing refinements to learning practices. • Establish evaluation methods and assessment processes to measure training success and uncover opportunities for improvement. • Research and apply modern instructional approaches, learning tools, and system capabilities to enhance the overall training experience. • Build productive relationships with internal teams and external partners to exchange ideas and promote training best practices. • Prepare training materials, job aids, and procedural documentation that align with organizational policies and standard operating requirements. • Provide support during storm events or other emergency situations when business continuity and customer response efforts require additional coordination. • Attend in-person meetings or on-site sessions when requested to support collaboration, vendor engagement, or program-related activities.
2026-06-24T00:00:00Z