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3 results for Credentialing Specialist in Westborough, MA

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.
2026-04-24T00:00:00Z

Benefits Specialist

Boston, MA
remote
Temporary / Contract
27.7115 - 32.087 USD / Hourly
We are looking for a Benefits Specialist to support employee benefits administration for a long-term contract opportunity based in Boston, Massachusetts. This role is ideal for someone who brings strong knowledge of benefits operations and can manage employee support with accuracy, discretion, and a service-focused approach. The position will oversee core benefits activities, including leave coordination and COBRA-related processes, while helping maintain consistent and compliant administration. Responsibilities: • Administer day-to-day benefits programs and ensure employees receive accurate support regarding available plans and coverage options. • Coordinate enrollments, status changes, and terminations across benefit offerings while maintaining complete and reliable records. • Manage COBRA-related activities, including required notifications, participant tracking, and ongoing compliance with program guidelines. • Support leave of absence administration by tracking cases, communicating with employees, and coordinating with internal and external partners as needed. • Assist with compensation and benefits processes by helping organize data, validate updates, and support routine program administration. • Respond to employee questions about benefits in a timely and thorough manner, providing clear guidance on policies and procedures. • Review benefits information for accuracy, resolve discrepancies, and help ensure smooth execution of recurring administrative tasks.
2026-05-08T00:00:00Z

Benefits Specialist

Boston, MA
onsite
Temporary / Contract
35.15 - 40.7 USD / Hourly
We are looking for a Benefits Specialist to support employee benefit and retirement programs for a healthcare organization in Boston, Massachusetts. This Long-term Contract position focuses on delivering accurate benefits administration, assisting employees with plan-related questions, and helping maintain compliance across leave and retirement processes. The ideal candidate brings strong attention to detail, clear communication skills, and hands-on experience managing benefits data in a fast-paced environment. Responsibilities: • Administer employee benefit programs, including health, dental, vision, life, disability, and retirement offerings, while maintaining accurate participant records. • Support onboarding activities by explaining benefit options to new employees and providing enrollment guidance during orientation. • Review benefits information for accuracy, complete routine audits, and correct discrepancies before updates are shared with external providers. • Serve as a point of contact for employees and managers by addressing questions related to coverage, eligibility, status updates, and claim concerns. • Coordinate benefit enrollments, process qualifying life event changes, and ensure timely communication with insurance carriers and plan partners. • Manage leave and disability documentation for medical, personal, and accommodation-related requests while helping ensure proper handling of each case. • Interpret applicable policies and regulatory considerations connected to leave administration and disability programs. • Assist with retirement plan administration by responding to 401(k) questions, supporting contribution changes, and coordinating annual catch-up enrollment activity. • Contribute to open enrollment planning and execution, including distribution of materials and support for employee elections. • Partner with internal teams on workers’ compensation updates and prepare reports or billing documentation related to benefit allocations and program costs.
2026-05-06T00:00:00Z