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4 results for Credentialing Specialist in Westborough, MA

Enrollment Specialist

Braintree, MA
onsite
Permanent / Full Time
70000 - 80000 USD / Yearly
We are looking for an Enrollment Specialist to support individuals and families as they move through the enrollment process to become a beneficiary at a non-profit. This role is ideal for someone who combines strong administrative ability with compassionate communication and can help explain complex planning options in a clear, approachable way. The successful candidate will coordinate documentation, respond to inquiries, and help ensure each new account is opened accurately and efficiently within a mission-driven nonprofit environment. Responsibilities:• Serve as a primary point of contact for individuals, family members, and community professionals, providing responsive and respectful support throughout the enrollment journey.• Build a strong working knowledge of pooled and standalone special needs trusts, along with related future-planning resources for people with disabilities and their families.• Translate trust-related information into simple, easy-to-understand guidance so prospective beneficiaries and their support networks can make informed decisions.• Oversee the full intake and onboarding process for new beneficiaries by gathering required paperwork, tracking outstanding items, and keeping enrollment steps on schedule.• Partner with leadership as needed to review new referrals, address onboarding obstacles, and help coordinate assignment of accounts to the appropriate service coordinator.• Monitor inbound calls, emails, and other requests to identify common questions, referral patterns, and emerging service needs, then communicate those trends to the team.• Maintain accurate records for new beneficiary accounts, including service coordinator assignment details, investment selection information, welcome materials, and related documentation.• Support smooth communication across departments to ensure new account information is shared accurately and follow-up actions are completed in a timely manner.
2026-08-03T00:00:00Z

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.
2026-07-16T00:00:00Z

Electronic Medical Records Specialist

Lynn, MA
onsite
Temporary / Contract
25.65 - 29.7 USD / Hourly
We are looking for an Electronic Medical Records Specialist to support accurate and efficient management of patient health information for a healthcare team in Lynn, Massachusetts. This Long-term Contract position focuses on maintaining electronic charts, ensuring record integrity, and helping staff access documentation in a timely manner. The ideal candidate is organized, detail-oriented, and experienced with electronic medical record platforms in a medical records environment. Responsibilities: • Maintain, review, and organize patient medical files within electronic medical record systems to ensure accuracy and completeness. • Process requests for chart updates, document retrieval, and record corrections while following established privacy and compliance standards. • Enter, scan, and index clinical and administrative documentation into patient charts with a high level of attention to detail. • Support healthcare staff by locating and providing medical record information needed for patient care, audits, and operational needs. • Monitor record quality by identifying missing, duplicate, or inconsistent information and taking appropriate follow-up action. • Work within EMR platforms such as Allscripts and Cerner to manage patient information and support day-to-day records activities. • Assist with record maintenance tasks related to electronic documentation workflows and system-based record organization. • Help ensure all medical records activities are completed in accordance with healthcare policies, retention guidelines, and confidentiality requirements.
2026-08-13T00:00:00Z

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.
2026-07-23T00:00:00Z