4 results for Credentialing Specialist in Wilmington, DE

Credentialing Specialist

Philadelphia, PA
remote
Temporary
21 - 22 USD / Hourly
We are looking for a meticulous Credentialing Specialist to join our team located in the Greater Philadelphia Region. In this Credentialing Specialist contract role, you will play a critical part in ensuring that healthcare providers meet all necessary legal and detailed requirements. Your expertise will help maintain compliance and uphold high standards within the credentialing process. Here’s how you’ll contribute each day: • Manage the credentialing and re-credentialing processes for healthcare providers, ensuring compliance with all regulations.• Verify and validate the qualifications, certifications, and licenses of physicians and other providers.• Maintain accurate and up-to-date records in the credentialing database.• Collaborate with internal teams and external organizations to resolve any credentialing-related issues.• Prepare and review applications for credentialing and re-credentialing.• Ensure timely submission of documentation to meet deadlines and regulatory requirements.• Monitor changes in credentialing standards and implement updates as needed.• Provide support during audits and inspections related to credentialing.• Communicate effectively with providers to address inquiries and clarify credentialing requirements.• Ensure adherence to organizational policies and procedures throughout the credentialing process.
2026-03-27T00:00:00Z

Medical Billing Specialist

Philadelphia, PA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
Robet Half is looking for a skilled Medical Billing Specialist to join to join a team based in Philadelphia, Pennsylvania. This contract Medical Billing Specialist position as potential for long-term employment and is ideal for professionals who excel in managing medical billing processes and ensuring the accuracy of patient and insurance data. The successful Medical Billing Specialist candidate will play a critical role in maintaining efficient billing workflows and supporting compliance with healthcare regulations. If you are looking for an opportunity to get your career moving in the right direction and put your talents to the test then click the apply button today. If you have any questions, please contact Robert Half at 215-568-4580 and mention JO#03720-0013410775. As a Medical Billing Specialist Your Responsibilities will include but are not limited to:• Accurately input patient demographic, insurance, and billing information into electronic medical record and billing systems. • Review and validate documentation such as Explanation of Benefits (EOBs), charge tickets, and encounter forms for completeness and correctness. • Apply knowledge of medical codes to ensure accurate data entry and validation. • Investigate and resolve discrepancies in patient accounts, insurance details, or claims. • Prepare billing data for claim submission while adhering to established guidelines. • Maintain compliance with healthcare privacy policies and organizational standards. • Collaborate with billing teams, clinical staff, and front office personnel to address documentation issues. • Support the optimization of billing workflows to enhance operational efficiency. • Assist in audits, reporting, and specialized data cleanup projects as needed.
2026-03-30T00:00:00Z

Credit & Collections Specialist

Conshohocken, PA
onsite
Permanent
55000 - 65000 USD / Yearly
Robert Half has partnered with a thriving manufacturing company on their search for an experienced Credit & Collections Specialist. The responsibilities for this role will consist of: evaluating credit applications, monitoring customer credit limits, collecting outstanding payments, resolving billing issues, assisting with charge backs, updating credit profiles, collaborating with sales and management on credit decisions and terms, analyze customer accounts, recommending accounts for third-party collections, arranging debt payoffs, and ensuring compliance with policies and applicable credit/collections laws and regulations. Ultimately, this Credit & Collections Specialist will process payments and refunds, update account records, and provide assistance where collection efforts are needed. Primary Duties· Create and maintain credit history records· Set up new client accounts· Document daily collection activity· Complete collection effort calls· Reviewing and approving credit holds· Generate legal collections documents· Spreadsheet Maintenance· Perform payment reconciliations· Assist customer service department· Develop and schedule payment plans
2026-03-26T00:00:00Z

Medical Biller/Collections Specialist

Mount Laurel, NJ
onsite
Temporary
24 - 27.5 USD / Hourly
We are looking for an experienced Medical Biller/Collections Specialist to join our team on a long-term contract basis. This position is located in Mt Laurel Township, New Jersey, and offers an opportunity to contribute your expertise in medical billing and collections while ensuring compliance with Medicare and Medicaid regulations. If you have a strong background in billing and appeals, we encourage you to apply. Responsibilities:• Accurately process medical billing for Medicare and Medicaid claims, ensuring compliance with regulatory standards.• Handle accounts receivable tasks, including tracking and resolving outstanding balances.• Investigate and manage medical denials, implementing solutions to ensure proper claim resolution.• Prepare and submit medical appeals to recover denied or underpaid claims.• Conduct hospital billing operations, maintaining accuracy and consistency in documentation.• Communicate with insurance providers to address claim discrepancies and secure timely reimbursements.• Maintain detailed records of billing and collection activities for auditing purposes.• Collaborate with healthcare providers and administrative teams to streamline billing processes.• Identify opportunities to improve efficiency within the billing and collections workflow.• Provide regular updates on accounts and collections to management.
2026-03-20T00:00:00Z