We are looking for a detail-oriented Legal Billing Specialist to join our team in Manchester, New Hampshire. This role involves managing the preparation, review, and submission of client invoices while ensuring accuracy, compliance with billing guidelines, and adherence to firm policies. The ideal candidate will collaborate with attorneys, legal assistants, and finance personnel to support efficient billing operations and maintain confidentiality.<br><br>Responsibilities:<br>• Prepare, review, and process client invoices on a monthly and ad hoc basis for assigned attorneys and practice groups.<br>• Ensure all invoices meet client-specific billing guidelines, engagement terms, and firm policies.<br>• Collaborate with attorneys and legal staff to edit and finalize pre-bills.<br>• Submit invoices using electronic billing platforms such as Legal Tracker, CounselLink, and TyMetrix.<br>• Monitor invoice statuses, addressing rejections, reductions, and appeals as needed.<br>• Investigate and resolve billing discrepancies, including write-offs and adjustments.<br>• Handle special billing requests, alternative fee arrangements, and customized client formats.<br>• Assist with month-end and year-end billing processes, including related reporting.<br>• Maintain confidentiality of both client and firm financial data.<br>• Support additional accounting tasks and initiatives as required.
We are looking for a Patient Access Specialist to support front-end patient registration and account setup for a healthcare organization in New Hampshire. This contract-to-permanent opportunity is ideal for someone who combines strong administrative accuracy with a patient-focused approach and can help create a smooth experience from pre-registration through admission. In this role, you will handle essential intake, insurance, and documentation tasks while ensuring compliance with hospital standards and regulatory expectations.<br><br>Responsibilities:<br>• Manage patient admissions and pre-registration activities by confirming demographic details, entering account information, and preparing records ahead of scheduled visits.<br>• Gather and update insurance information, review coverage responses, and record benefit details accurately to support billing quality and timely claims processing.<br>• Communicate with patients and guarantors by phone and in person to explain financial responsibility, collect point-of-service payments, and discuss outstanding balances or payment arrangements when needed.<br>• Review physician orders and supporting documentation to ensure required information is complete, compliant, and properly processed for care delivery.<br>• Explain treatment-related consent materials and patient notices, obtain required signatures, and provide mandated educational documents in a clear and thorough manner.<br>• Perform medical necessity checks and assist Medicare patients with required acknowledgement forms when services may not meet coverage guidelines.<br>• Assign and maintain accurate patient identifiers and use registration tools carefully to reduce duplicate or incorrect records.<br>• Apply quality review and auditing practices to identify account issues, make corrections, and provide accurate reporting data to Patient Access leadership.<br>• Deliver compassionate, service-oriented support in every interaction while following organizational policies, performance standards, and regulatory requirements.
<p>3rd Shift (Night Shift) Patient Access Specialist! 11:00pm-7:00am - Multiple Openings! </p><p><br></p><p>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.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Ensure precise assignment of MRNs and carry out medical necessity and compliance checks.</p><p>• Efficiently handle incoming, outgoing, and inter-office calls via the telephone switchboard.</p><p>• Adhere to organizational policies while delivering exceptional customer service with compassion.</p><p>• 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.</p><p>• Inform patients, guarantors, or legal guardians about general consent for treatment forms, obtain necessary signatures, and distribute patient education documents.</p><p>• 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.</p><p>• 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.</p><p>• Utilize auditing and reporting systems for quality assurance to correct accounts, including those from other employees, departments, and facilities.</p><p>• Conduct account audits to ensure all forms are completed accurately and timely, meeting audit standards, and provide statistical data to Patient Access leadership.</p>
We are looking for an Accounting Specialist to support day-to-day financial operations for a Long-term Contract position based in Danvers, Massachusetts. This opportunity is well suited for someone who brings strong experience across payables, receivables, billing, and account reconciliation, and who can maintain accuracy in a high-volume accounting environment. The role will contribute to donation and gift-related accounting activity while helping ensure timely processing and reliable financial records.<br><br>Responsibilities:<br>• Process invoices, payment requests, and disbursements with close attention to accuracy, approvals, and established accounting procedures.<br>• Support gift and donation-related accounting tasks, including proper recording, tracking, and reconciliation of incoming funds and related transactions.<br>• Assist with accounts receivable activity by applying payments, reviewing outstanding balances, and helping maintain current customer or donor accounts.<br>• Prepare and manage billing transactions, ensuring charges are entered correctly and supporting documentation is complete.<br>• Reconcile account activity on a routine basis to identify discrepancies, research variances, and help resolve issues promptly.<br>• Maintain organized financial records and documentation to support reporting, audits, and internal review needs.<br>• Collaborate with accounting team members and business partners to address transaction questions and improve day-to-day workflow efficiency.<br>• Contribute to general accounting support as needed, including data entry, transaction review, and assistance with periodic close activities.
<p>Nashua, NH - ON-SITE - Patient Access Specialist - 3rd Shift Position</p><p>Hours 11:00am-7:00pm - Multiple Openings </p><p><br></p><p>We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. This Contract to permanent position focuses on ensuring seamless patient admissions and delivering exceptional service while adhering to organizational policies and regulatory standards. As part of the healthcare industry, this role plays a vital part in supporting patients and maintaining efficient processes.</p><p><br></p><p>Responsibilities:</p><p>• Accurately assign medical record numbers (MRNs) and verify medical necessity to ensure compliance with regulations.</p><p>• Deliver clear instructions to patients, collect insurance details, and process physician orders while maintaining a high level of customer service.</p><p>• Meet point-of-service collection targets and pre-register patient accounts by gathering demographic, insurance, and financial information through inbound and outbound calls.</p><p>• Explain and obtain signatures for consent and treatment forms, ensuring patients understand their rights and responsibilities.</p><p>• Verify insurance eligibility and input benefit data to support billing processes and enhance claims accuracy.</p><p>• Utilize software tools to identify potential non-payment issues for Medicare patients, distribute required forms, and provide necessary documentation.</p><p>• Conduct audits on patient accounts to ensure accuracy and compliance with quality standards, offering feedback to leadership as needed.</p><p>• Maintain a compassionate and detail-oriented approach in all patient interactions, aligning with organizational goals and customer service expectations.</p><p>• Provide patient education materials and ensure all required documentation is completed promptly and correctly.</p>
<p>We are looking for a detail-oriented Part-Time Payroll Specialist to support payroll operations for a financial services organization in Concord, New Hampshire. This Long-term Contract position is ideal for someone who can manage payroll activities accurately and efficiently across a large employee population while maintaining compliance with multi-state requirements. The right candidate will bring hands-on experience with full-cycle payroll processing, strong familiarity with Paylocity, and the ability to contribute to benefits-related payroll support.</p><p><br></p><p>Responsibilities:</p><p>• Administer end-to-end payroll processing for employees, ensuring timely and accurate pay each cycle.</p><p>• Manage payroll activities across multiple states while applying current tax, wage, and compliance requirements.</p><p>• Maintain and audit payroll records for a workforce of more than 50 employees to verify accuracy and completeness.</p><p>• Use Paylocity to enter, review, and reconcile payroll data, deductions, taxes, and adjustments.</p><p>• Partner with internal stakeholders to address payroll discrepancies, respond to employee questions, and resolve issues efficiently.</p><p>• Support benefits-related payroll entries, including deductions, updates, and related reconciliations.</p><p>• Review payroll reports and perform quality checks to identify variances before final submission.</p><p>• Assist with payroll-related process updates or system-related changes as needed to maintain smooth operations.</p>