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6 results for Credentialing Specialist in Manchester, NH

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We are in search of a skilled Credentialing Specialist to join our team in Southborough , Massachusetts. The successful candidate will play a critical role in the precise processing of credentialing applications and rosters with funders, insurance firms, other payers, and regulatory bodies. This role is pivotal in ensuring that the organization is appropriately reimbursed for the services rendered by its clinical staff.

Responsibilities:

• Collect, review, and validate credentials for healthcare providers, including licenses, certifications, and education.

• Maintain and update credentialing databases and files for all healthcare providers, ensuring all required documents are current and complete.

• Adhere to all applicable laws, regulations, and industry standards (e.g., NCQA, CMS, etc.) associated with credentialing.

• Generate and maintain reports related to credentialing status and compliance and communicate any issues or discrepancies to management.

• Assist with the enrollment of providers and group facilities into insurance networks and maintain active status with payer organizations.

• Act as a liaison between healthcare providers, insurance companies, and internal departments to resolve credentialing issues or questions.

• Participate in internal and external audits of credentialing files, ensuring accurate and timely completion of necessary documentation.

• Stay informed of changes in regulatory requirements and best practices to ensure the credentialing process remains efficient and compliant.

• Uphold the dignity and respect of individuals we support and ensure they are treated in accordance with our Human Rights policies.

• Adhere to all principles related to the Advocates Way.

• Promote cultural diversity, inclusion, and equity.

• Perform all duties in accordance with the agency’s policies and procedures.

FOR immediate consideration please call me AND Leave a message if needed 508-205-2127 Eric Lebow

• Minimum of 5 years experience as a Credentialing Specialist or a similar role in the healthcare industry.

• Proficiency in computerized billing systems and electronic health record (EHR) systems.

• Experience with Epic Software is a must.

• Solid understanding and experience in accounting functions, specifically in the healthcare setting.

• Expertise in medical credentialing and medical billing is essential.

• Proficiency in Microsoft Excel.

• Demonstrated experience in handling various billing functions.

• Familiarity with contractual billing, electronic billing, healthcare billing, insurance billing, Medicaid billing, medical insurance billing, Medicare billing, patient billing, physician billing, and third-party billing.

FOR immediate consideration please call me AND Leave a message if needed 508-205-2127 Eric Lebow

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use.

6 results for Credentialing Specialist in Manchester, NH

Credentialing Specialist We are in search of a skilled Credentialing Specialist to join our team in Southborough , Massachusetts. The successful candidate will play a critical role in the precise processing of credentialing applications and rosters with funders, insurance firms, other payers, and regulatory bodies. This role is pivotal in ensuring that the organization is appropriately reimbursed for the services rendered by its clinical staff. Responsibilities: • Collect, review, and validate credentials for healthcare providers, including licenses, certifications, and education.• Maintain and update credentialing databases and files for all healthcare providers, ensuring all required documents are current and complete.• Adhere to all applicable laws, regulations, and industry standards (e.g., NCQA, CMS, etc.) associated with credentialing.• Generate and maintain reports related to credentialing status and compliance and communicate any issues or discrepancies to management.• Assist with the enrollment of providers and group facilities into insurance networks and maintain active status with payer organizations.• Act as a liaison between healthcare providers, insurance companies, and internal departments to resolve credentialing issues or questions.• Participate in internal and external audits of credentialing files, ensuring accurate and timely completion of necessary documentation.• Stay informed of changes in regulatory requirements and best practices to ensure the credentialing process remains efficient and compliant.• Uphold the dignity and respect of individuals we support and ensure they are treated in accordance with our Human Rights policies.• Adhere to all principles related to the Advocates Way.• Promote cultural diversity, inclusion, and equity.• Perform all duties in accordance with the agency’s policies and procedures. FOR immediate consideration please call me AND Leave a message if needed 508-205-2127 Eric Lebow

Human Resources Business Partner Robert Half is working with a respected manufacturing client on the North Shore seeking a Human Resources Business Partner to join its team. This is a direct-hire opportunity reporting into the Senior Human Resources Manager, joining a well established team. The selected candidate must have proven experience in employee relations and performance management. Our client is looking for a Human Resources professional who can look at HR from a big picture while also being very hands on. In addition to employee relations and performance management, the selected candidate should also have experience with recruiting and employment law. A Bachelors Degree is required. Prior experience in a manufacturing or technology environment is preferred. If interested and qualified please apply ASAP. We're looking to schedule interviews ASAP. You can also email resumes direct to Bill.Nichols@roberthalf. Thanks!

Contracts Administrator We are in search of a meticulous Contracts Administrator to be a part of our team. Operating from Boston, Massachusetts, the Contracts Administrator will be expected to manage customer contracts, maintain precise records, and handle customer inquiries. This role is a long term contract employment opportunity. Responsibilities: • Administer customer contracts, ensuring they are processed accurately and efficiently. • Ascertain the maintenance of precise customer contract records. • Review and extract vital terms from various contracts, organizing and escalating them as necessary. • Utilize Adobe Acrobat for document review and amendments. • Experience with SharePoint administration and construction of contract-related content. • Perform auditing and billing functions as part of contract administration. • Ensure compliance with contract terms and conditions. • Use CRM and Deltek Costpoint for managing contracts and customer relationships. • Liaise with DCAA for contract-related matters. • Undertake contract amendments as and when required.

Technical Recruiter Position Overview: We are seeking a highly motivated and driven Technical Recruiter to work on a strategic contract project for our client. This individual will be responsible for sourcing and recruiting highly skilled technical professionals from three specific companies. The ideal candidate will have a proven track record in technical recruiting, with understanding of the technical skill sets required for success in these roles. This position requires persistence, excellent organizational skills, and the ability to manage multiple sourcing efforts concurrently. Key Responsibilities: • Source, engage, and recruit highly skilled technical professionals from targeted companies. • Build and maintain a pipeline of experience in candidates with expertise in the specified technical skill sets. • Conduct initial screenings and assess candidates' qualifications, technical expertise, and cultural fit. • Collaborate with hiring managers to understand role requirements, team dynamics, and desired skill sets. • Utilize creative sourcing methods, including social media, job boards, and networking events, to identify top talent. • Manage candidate relationships throughout the recruiting process, ensuring clear communication and a positive candidate experience. • Maintain an organized tracking system for candidate status and sourcing efforts. Qualifications: • Proven experience as a Technical Recruiter or similar role, with a focus on sourcing and placing technical talent. • Exceptional organizational and time management skills, with the ability to prioritize and manage multiple tasks simultaneously. • Strong interpersonal and communication skills, with the ability to engage and build rapport with candidates at all levels. • Ability to work independently and as part of a team in a remote setting, with one day in the office per week. • Persistence and drive to source and engage top candidates. • Proficiency in LinkedIn Recruiter

Benefits Analyst We are offering an exciting opportunity for a Benefits Analyst in the Newton Highlands, Massachusetts. This role primarily focuses on managing and enhancing employee benefits programs in the financial services industry. You will be part of a team responsible for maintaining accurate records, assisting employees, ensuring compliance with regulations, and improving benefits communications and reporting. Responsibilities: • Administer employee benefits programs, including medical, dental, vision, FSA, 401k, and more. • Keep track of benefits eligibility and assist employees with their inquiries. • Maintain precise records in HR systems for efficient management. • Ensure all processes are compliant with state and federal regulations. • Collaborate with other HR functions for seamless operations. • Handle processes related to COBRA administration. • Contribute to the improvement of benefits communications and reporting. • Manage and resolve customer inquiries using CRM. • Monitor customer accounts and take appropriate actions. • Process customer credit applications using software like ADP - Financial Services, ADP Workforce Now, and Ceridian.

Fund & Benefits Admin ** Fund Administrator & Benefits Manager** Our client is seeking a meticulous and proactive Fund Administrator & Benefits Manager to manage eligibility, billing, and enrollment processes while providing outstanding support to participants. In this role, you will oversee tasks such as enrolling new participants, maintaining accurate records, processing COBRA documentation, and managing short-term disability applications. You'll act as the primary point of contact for eligibility inquiries, ensuring timely updates to vendors and participant census information. If you're organized, detail-oriented, and passionate about providing exceptional service, we invite you to join our team and make a meaningful impact! ((Boston, Onsite – Parking, up to $65K – Great Benefits!!))<ul><li>High school diploma required. Bachelor’s degree preferred.</li><li>2+ years of employee benefits administration, operations and/or customer service experience</li><li>Experience in Taft-Hartley or collectively bargained environment a plus</li><li>Knowledge of health plan enrollment processes and eligibility rules, including the ability to interpret, analyze and document eligibility and billing information and resolve complex eligibility issues</li><li>Understanding of HIPAA rules and regulations. </li><li>Technically proficient in MS Office suite, specifically Excel and Word</li></ul>