Credentialing Specialist Jobs in Westborough, MA

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Patient Access Specialist

Mildford, 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.
2026-10-30T00:00:00Z

Patient Access Specialist

Nashua, NH
onsite
Temporary / Contract
17.25 - 21.25 USD / Hourly
We are looking for a Patient Access Specialist to support patient-facing operations across urgent care and outpatient laboratory settings in Nashua, NH. This Long-term Contract opportunity is ideal for someone who enjoys helping patients, managing front-end access tasks, and working in a fast-paced healthcare environment. The role includes a rotating schedule that may involve weekdays, alternating weekends, and on-call coverage after training. Candidates with customer service experience and familiarity with healthcare registration systems will be well positioned for success. Responsibilities:• Welcome patients and visitors professionally, creating a positive first impression in urgent care and outpatient lab environments.• Complete registration activities accurately, including demographic updates, insurance verification, and collection of required intake information.• Coordinate patient access workflows by confirming eligibility, securing authorizations when needed, and supporting benefit-related inquiries.• Respond to inbound phone calls and patient questions with professionalism, clarity, and a service-oriented approach.• Use electronic health record and patient access platforms to document activity, maintain records, and support efficient scheduling and check-in processes.• Assist with billing-related intake tasks by ensuring account information is complete and aligned with organizational standards.• Support rotating coverage needs, including alternating weekend schedules and on-call responsibilities following training.• Work collaboratively with clinical and administrative teams to maintain smooth patient flow and timely service delivery.
2026-11-04T00:00:00Z

Patient Access Specialist

Nashua, NH
onsite
Temporary to Hire
17.5 - 20 USD / Hourly
We are looking for a Patient Access Specialist to support patient intake and registration activities for a healthcare organization in Nashua, New Hampshire. This Contract to permanent opportunity is ideal for someone who combines strong customer service skills with accuracy in administrative and financial processes. In this role, you will help create a smooth patient experience by verifying information, explaining required documentation, and supporting compliant account setup before and during service. Responsibilities: • Manage patient admissions, registration, and pre-registration activities for scheduled and walk-in services while ensuring records are complete and accurate. • Verify demographic and insurance details, assign or confirm medical record numbers, and enter information correctly to support billing and claim accuracy. • Review physician orders and medical necessity criteria, identify documentation needs, and provide patients with clear instructions related to their visit. • Explain consent forms, notices, and patient education materials to patients or authorized representatives, obtain required signatures, and document completion appropriately. • Conduct inbound and outbound calls to gather missing account information, discuss patient financial responsibility, and collect point-of-service payments or outstanding balances when applicable. • Use insurance verification tools to confirm eligibility, select the correct coverage plan, and record benefit details that support reimbursement and clean claim submission. • Deliver compassionate, service-focused interactions that align with organizational standards for patient satisfaction and clear, accurate communication. • Monitor account quality through audits and reporting tools, correct registration issues, and share accurate data with leadership to maintain compliance and performance standards.
2026-10-30T00:00:00Z

Benefits Specialist

Boston, MA
onsite
Temporary / Contract
36.1 - 41.8 USD / Hourly
We are looking for a Benefits Specialist to support leave of absence and accommodation programs for a healthcare organization in Boston, Massachusetts. This Long-term Contract position focuses on guiding employees and managers through benefit-related processes with accuracy, discretion, and timely communication. The role will help maintain compliance with applicable leave regulations, collective bargaining requirements, and internal policies while ensuring complete documentation and dependable recordkeeping. Responsibilities: • Oversee employee leave cases from intake through return-to-work, ensuring each request is reviewed, documented, and managed in accordance with applicable laws, policies, and labor agreement provisions. • Coordinate federal, state, parental, and other protected leave programs by issuing required paperwork, reviewing certifications, and communicating approval, denial, or next-step requirements to employees. • Partner with employees and supervisors to secure complete medical documentation, monitor deadlines, and support smooth transitions back to active work status, including fitness-for-duty clearance when needed. • Administer workplace accommodation requests by engaging with employees and leaders, preparing written follow-up communications, and tracking the status of each case through resolution. • Maintain accurate records for leave balances, usage, accrual activity, and case status while ensuring confidential medical files are handled in line with established privacy standards. • Prepare recurring and ad hoc reports that highlight leave and accommodation activity, identify patterns, and support operational review or decision-making. • Manage benefit-related premium collection for employees who are away from work on approved leave or workers’ compensation and coordinate related updates as needed. • Monitor paid parental leave, sick-leave programs, and catastrophic illness leave requests, including approvals, usage tracking, payroll notifications, and policy-related administrative actions. • Review questionable leave activity, work with supervisors to address concerns, and assist in resolving cases that may involve misuse or noncompliance.
2026-11-03T00:00:00Z

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.
2026-10-22T00:00:00Z

5 results for Credentialing Specialist in Westborough, MA