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5 results for Credentialing Specialist in Westborough, MA

Medical Billing Specialist

Providence, RI
onsite
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a Medical Billing Specialist to support billing operations for a Contract position based in Providence, Rhode Island. This role focuses on accurate claim processing, insurance follow-up, and account review within a healthcare setting. The ideal candidate brings hands-on medical billing experience, strong attention to detail, and the ability to work effectively with clinical teams and payer contacts. Responsibilities: • Maintain accurate patient insurance details and demographic information to support clean claim submission and reduce billing delays. • Enter charges for assigned programs in a timely manner while ensuring coding and billing data are complete and correct. • Communicate with insurance carriers to address claim issues, clarify coverage questions, and help resolve reimbursement concerns. • Advise program leaders and clinical staff on billing expectations, documentation needs, and payer-related procedures. • Track high-dollar balances and unusual account activity, then escalate trends and concerns to the Billing Manager. • Review receivables aging on a routine basis to help ensure claims are submitted and worked within payer filing deadlines. • Research payer policies and billing rules independently to maintain compliance and improve claim accuracy. • Use Inovalon and related billing tools to manage account activity, document follow-up, and support day-to-day revenue cycle tasks.
2026-09-09T00:00:00Z

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. Responsibilities: • Prepare, review, and submit medical claims to insurance carriers with close attention to accuracy and compliance. • Apply appropriate coding and billing practices to support proper claim processing and reimbursement. • Investigate denied, rejected, or underpaid claims and take corrective action to support resolution. • Follow up with payers and patient accounts to address outstanding balances and collection activity. • Use EPACES and related billing systems to verify claim status, eligibility, and payment details. • Maintain organized billing documentation and update account records to reflect claim activity and payment outcomes.
2026-09-09T00:00:00Z

Patient Access Specialist

Milford, NH
onsite
Temporary to Hire
17.5 - 19.45 USD / Hourly
Patient Access Representative Full Time - Monday-Friday - 7:30am-4:00pm We are looking for a Patient Access Specialist to support patient intake and account setup for a hospital in New Hampshire. This contract opportunity with potential for a permanent role is ideal for someone who combines strong administrative accuracy with a compassionate approach to patient interactions. In this role, you will help ensure registration, insurance verification, documentation, and payment-related activities are completed correctly while maintaining compliance with organizational and regulatory standards. Responsibilities:• Manage patient admissions and pre-registration activities by gathering demographic details, insurance information, and required documentation before scheduled services.• Create and update patient accounts with a high level of accuracy, including medical record assignment, order processing, and data entry needed for timely service delivery.• Review insurance eligibility and benefit information, apply the correct plan details in the system, and support accurate billing and clean claim performance.• Discuss financial responsibility with patients or guarantors, collect point-of-service payments and overdue balances, and explain available payment arrangements when appropriate.• Guide patients, guardians, or guarantors through consent paperwork and required notices, ensuring signatures, supporting documentation, and educational materials are completed and distributed properly.• Perform medical necessity screening for applicable services, communicate potential coverage limitations to Medicare patients, and document required notices in accordance with established procedures.• Deliver courteous and empathetic service during in-person and phone interactions while following departmental policies and patient experience expectations.• Use auditing and reporting tools to identify account issues, correct registration errors, and help maintain documentation quality across accounts, departments, and facilities.• Provide audit results and related statistical information to leadership to support performance standards and operational accuracy.
2026-08-27T00:00:00Z

Benefits Specialist

Springfield, MA
onsite
Temporary / Contract
28 - 34 USD / Hourly
We are looking for an experienced Benefits Specialist to support a broad range of people operations. This position is ideal for someone who is detail oriented and can balance employee support, HR administration, and benefits coordination while maintaining organized processes and strong compliance practices. The role will partner with leaders and employees to address workplace matters, oversee core HR activities, and help ensure a positive and efficient employee experience. Apply today! Responsibilities:• Guide employees and supervisors on workplace concerns, policy interpretation, and employee relations matters with sound judgment.• Oversee day-to-day HR administration, including maintaining personnel records, processing status changes, and ensuring documentation is accurate and up to date.• Coordinate benefits-related activities such as enrollments, changes, and employee inquiries while helping staff understand available programs.• Manage onboarding activities for new hires, including pre-employment coordination, orientation support, and completion of required HR paperwork.• Administer leave of absence processes by tracking requests, communicating requirements, and supporting employees through each stage of the leave cycle.• Maintain and update HRIS data to support reporting accuracy, employee record integrity, and efficient HR operations.• Partner with management to resolve employee issues, recommend appropriate actions, and promote a respectful and compliant work environment.• Prepare HR reports, monitor key employee data, and support audits or process updates related to human resources programs.
2026-08-27T00:00:00Z

Office/Medical Billing Specialist

Methuen, MA
onsite
Temporary / Contract
27 - 32 USD / Hourly
We are looking for a Office/Medical Billing Specialist to support financial operations for a healthcare setting in Massachusetts. This Contract position focuses on billing accuracy, benefit coordination, account maintenance, and responsive service for residents and families. The ideal candidate brings hands-on experience with medical billing workflows, government program eligibility processes, and account reconciliation while working effectively in a fast-paced business office environment. Responsibilities:• Oversee Medicaid application processing, periodic eligibility reviews, and continued benefit administration to help maintain uninterrupted coverage.• Keep resident census information current by coordinating admissions, transfers, discharges, and related financial records with accuracy.• Generate private-pay billing statements and patient liability invoices, while handling payment posting, collection efforts, and follow-up on outstanding balances.• Submit consolidated billing claims, research discrepancies, and work through billing issues to support timely resolution.• Prepare daily bank deposits, verify balances, reconcile deposit activity, and complete electronic submissions accurately.• Address questions from residents and family members regarding invoices, account status, and other financial matters in a clear and attentive manner.• Maintain resident personal needs accounts and perform regular reconciliations to ensure proper documentation and account accuracy.• Support the Business Office Manager with month-end close activities, audit preparation, reporting tasks, and additional office initiatives as needed.
2026-09-01T00:00:00Z