Credentialing Specialist

Employer: Robert Half International

Contract / Temporary

$22.00 – $24.00 / Hourly

Description

This is a 100% remote, long term contract-to-hire opportunity.

Candidate can sit anywhere in the U.S.

Robert Half is seeking a detail-oriented Credential Specialist to support a large company in the healthcare industry. The Credentialing Specialist works with data collection, data entry and tracking documents necessary to verify credentials of practitioners and facilities.

The Credentialing Specialist works closely with the Credentialing Manager in providing the highest level of service in the accurate and timely processing of credentialing applications.

Job Duties:

  • Conducts initial and ongoing demographic and other relevant data collection
  • Performs data entry of confidential provider and facility information, ensures accuracy of data, and conducts periodic audits to validate data
  • Supports the preparation of monthly Credentials Committee documents
  • Compiles appropriate post-committee documentation and uploads completed file to credentialing data warehouse.
  • Follows internal policies and procedures as they relate to direct and delegated credentialing contracts.

Requirements:

  • Skill in high volume, accurate output
  • Demonstrated knowledge of PC applications such as Word, Excel, and Outlook
  • Demonstrated knowledge of credentialing software preferred.
  • Ability to analyze problems and formulate plans, reports, and recommend solutions and courses of action
  • Communication skills at a level to convey terminology to office staff of varying levels of training
  • Ability to work with frequent interruptions
  • Ability to maintain confidentiality of patient, provider, company and all related entity business matters
  • Ability to manage detail and work with accuracy
  • Ability to acquire knowledge of technical resources within the organization to access information
  • Ability to work independently and assess appropriate information to be conveyed to different levels of management
  • Skill in working with a team; ability to collaborate on projects with colleagues
  • Ability to establish and maintain cooperative working relationships with individuals at all levels including providers and clinic staff
  • Skill in working effectively under deadlines and changing priorities

APPLY HERE

Research Specialist (part-time, remote)

On-Ramps is a search and consulting firm that serves mission-driven organizations in the social sector. Over the past 15 years, we have developed a rigorous candidate recruitment and selection process and a track record of successful placements who make a lasting impact at their respective organizations. Based in NYC (but currently working remotely), we are a growing, diverse team of 35+ recruiters, research specialists, and administrative coordinators who are deeply committed to serving our clients.

Our mission:

  • We advance equity and inclusion in talent to better enable leaders and organizations to achieve transformational impact.

Our values:

  • Equity: We believe transformational impact cannot occur without pursuing equity. As such, we strive to advance equity in the values, policies, and practices that shape our work and culture
  • Service: We work in service to our clients, engaging in authentic thought partnership and dialogue in pursuit of our mission.
  • Integrity: We center trust and transparency in our work, maintaining a high degree of responsibility to fulfill our promises to our clients, candidates, and team.
  • Collaboration: We are most impactful when we collectively drive toward aspirational outcomes and show up for each other as colleagues and partners

To learn more, check us out at: https://www.on-ramps.com/about-us

ABOUT THE POSITION

Research Specialists contribute to the success of On-Ramps’ client engagements by driving high-quality research on prospective candidates. Research Specialists collaborate with search teams by providing behind-the-scenes sourcing support, with the ultimate goal of producing viable candidates and generating robust and diverse candidate pipelines.

This position is an excellent fit for someone with a research orientation, persistence, and a desire to do work with social impact. The role is structured to offer independence and flexibility, as well as the opportunity to contribute to the success of social sector organizations across the country.

As a Research Specialist, you will be staffed to 2-3 searches at a time. On each search, you will:

  • Become quickly and deeply informed about the organization and role
  • Contribute to development of sourcing strategy for the search
  • Drive and evolve individual components of sourcing strategy
  • Develop industry map to inform sourcing strategy, as relevant
  • Generate robust and diverse pools of prospective candidates using LinkedIn Recruiter and strategic online research
  • Seek and receive feedback from search teams and modify sourcing accordingly
  • Collaborate with search teams to coordinate efficient outreach to candidates
  • Research and stay up to date on social sector organizations and sector developments

Research Specialists are required to commit to a minimum of 18 hours per week.

LOCATION: This position is remote from one of the following states: New Jersey, New York, North Carolina, Pennsylvania, Virginia

CANDIDATE REQUIREMENTS:

  • At least five years of professional experience, ideally in research, recruitment, or social sector organizations
  • Passion for working with innovative social sector organizations
  • Strong strategic thinking skills, with the ability to efficiently scale learning curves and incorporate new learnings
  • Ability to efficiently digest and synthesize information to drive strategies that produce results
  • Strong task and project management skills, with the ability to work effectively across multiple projects
  • Acute attention to detail
  • Strong verbal and written communications skills
  • Results orientation and drive to succeed
  • High level of integrity, accountability, and judgment
  • A commitment to On-Ramps’ core values

COMPENSATION AND BENEFITS:

$30 per hour, a 401K plan with up to 4% match

APPLY HERE

Support Services Specialist, Special Risk

Wellfleet, a Berkshire Hathaway company, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace.

Founded in 1993 as Consolidated Health Plans (CHP), Wellfleet, headquartered in Springfield, Mass., is one of the nation’s leading providers of health and accident insurance products to the higher education market.

The ideal candidate will be responsible for supporting all functions of the Special Risk team including but not limited to data entry, policy issue and changes, applications, billing/invoicing, and assist with agent and client questions. Must possess good typing and communication skills, be a detail-oriented problem solver with good time management skills and sense of urgency. 

In this role, you will…

  • Create & check new and renewal applications for Special Risk policies
  • Assist with Special Risk policies, both new & renewals
  • Mail certificates, invoice & claim forms to each policyholder as it renews
  • Assist with bill for premium, audit premium collection
  • Maintain policy files and all correspondence to and from agents.
  • Support with quotations based on information supplied by agent/broker and/or clients. 
  • Onboard new brokers and support existing broker relationships.
  • Ensure and maintain production of sales records accordingly and timely
  • Adhere to deadlines/turnaround times
  • Keep supervisor informed of any issues that may arise
  • Perform other duties as assigned

We are looking for candidates with…

  • The ability to multi-task
  • Computer literacy skills with attention to detail
  • Good organizational skills with the ability to work independently and as a member of the team
  • Excellent verbal and written communication skills
  • Detail orientated problem solver with good time management skills

Why Wellfleet?

Here at Wellfleet, we foster a culture of growth that enables engaged and high-performing professionals to be empowered to deliver our mission and vision.

Our employees are a team devoted to providing customer service that exceeds expectations of our members and clients. Successful team members continually look for ways to improve product delivery and value.

Wellfleet offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, 401K retirement plan, short- and long-term disability coverage, flexible/dependent care spending account, tuition reimbursement, and business casual dress.

Are you interested in exploring a career at Wellfleet? Explore our open positions.

APPLY HERE

Claims Specialist

Wellfleet, a Berkshire Hathaway company, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace.

Founded in 1993 as Consolidated Health Plans (CHP), Wellfleet, headquartered in Springfield, Mass., is one of the nation’s leading providers of health and accident insurance products to the higher education market.

Come join our team! We are hiring a Claims Specialist to join the growing Claims Department of a national health insurance company. The ideal candidate will have a background in insurance and claims processing experience. They will support the timely adjudication of claims supported by our different product lines.

In this role, you will…

Learn the basics of insurance  
Understand the products serviced at Wellfleet
Learn how to navigate the LuminX claim system
Understand the claim adjudication process;

To process claims in accordance with the plan document in a timely and accurate manner.
Performing detailed analysis of medical treatment submitted for payment
Investigation and administer the terms of coverage
Communicate with Policyholders, Claimants, Providers and Agents as required

Manage Individual mailbox according to company standards
> Meet and/or exceed productivity standards

> Meet and/or exceed accuracy standards

Maintain a working knowledge of State/Federal insurance regulations and mandates
Respond to email inquiries from providers and claimants

Demonstrate the ability to comprehend and interpret documents, such as training manuals, correspondence, brochures, policies etc.

Respond to customer service inquiry forms within 2 business days
Support the customer service team when required by answering incoming calls and providing issue resolution

Demonstrate a solid understanding of COB, Subrogation and HIPAA Privacy
Follow workflow as approved by management

Communicate issues, concerns etc. to supervisor
Perform other duties as assigned, or as situations dictates 

We are looking for candidates with…

A minimum of one years’ work experience in the insurance field

Knowledge of medical billing codes preferred

Possess effective communication skills and be patient, resilient and stress tolerant

Cooperative and enjoy working with others as part of a team

Mature, responsible and dependable with focus on attention to detail

Above average computer proficiency skills with ability to type

Why Wellfleet?

Here at Wellfleet, we foster a culture of growth that enables engaged and high-performing professionals to be empowered to deliver our mission and vision.

Our employees are a team devoted to providing customer service that exceeds expectations of our members and clients. Successful team members continually look for ways to improve product delivery and value.

Wellfleet offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, 401K retirement plan, short- and long-term disability coverage, flexible/dependent care spending account, tuition reimbursement, and business casual dress.

Are you interested in exploring a career at Wellfleet? Explore our open positions.

General:

Wellfleet is part of the MedPro Group family. As such, all Wellfleet team members are employees of MedPro Group Inc. We are an Equal Opportunity Employer.Remote work available.  

APPLY HERE

Administrative Coordinator (Part-Time)

ABOUT THE ORGANIZATION

On-Ramps is a search and consulting firm that serves mission-driven organizations in the social sector. Over the past 15 years, we have developed a rigorous candidate recruitment and selection process and a track record of successful placements who make a lasting impact at their respective organizations. Based in NYC (but currently working remotely), we are a growing, diverse team of 35+ recruiters, research specialists, and administrative coordinators who are deeply committed to serving our clients.

Our mission:

  • We advance equity and inclusion in talent to better enable leaders and organizations to achieve transformational impact.

Our values:

  • Equity: We believe transformational impact cannot occur without pursuing equity. As such, we strive to advance equity in the values, policies, and practices that shape our work and culture.
  • Service: We work in service to our clients, engaging in authentic thought partnership and dialogue in pursuit of our mission.
  • Integrity: We center trust and transparency in our work, maintaining a high degree of responsibility to fulfill our promises to our clients, candidates, and team.
  • Collaboration: We are most impactful when we collectively drive toward aspirational outcomes and show up for each other as colleagues and partners.

To learn more, check us out at: www.on-ramps.com

ABOUT THE POSITION

On-Ramps is seeking a part-time Administrative Coordinator to work up to 25 hours per week (preferably M-F, 5 hours per day) supporting specific members of our team to increase our efficiencies and embody our core values. This is an ideal opportunity for a detail-oriented, organized, and resourceful individual to contribute to the successful operation and growth of a dynamic firm.

Responsibilities include:

Administrative Support

  • Maintain meticulous ownership of ~5 (very busy) team members’ calendars, helping to balance commitments and priorities
  • Coordinate complex scheduling projects to meet client deadlines and expectations
  • Conduct reference check calls and synthesize the transcript for clients
  • Oversee and monitor team member travel as required (e.g., develop thorough itineraries, ensure that all reservations/arrangements are made accurately, develop contingency plans) when business travel is safe

Communications

  • Help manage On-Ramps’ virtual presence (e.g., manage job postings, email blasts, and social media posts)
  • Handle confidential and critical information with sensitivity and sound judgment
  • Take on special projects as needed, demonstrating flexibility, timeliness, and a service orientation

CANDIDATE REQUIREMENTS:

The ideal candidate will possess the following qualifications:

  • Track record of success within a fast-paced environment required; experience in entrepreneurial organizations and/or a support role preferred
  • Strong task and project management skills; ability to meet multiple concurrent deadlines, organize time and priorities, and work well as a member of a team
  • Advanced proficiency using Google Suite (e.g., Gmail, Docs, Sheets, Forms, Slides), Slack, and social media platforms (e.g., LinkedIn, Facebook, and Twitter)
  • Strong verbal and written communication skills, with exceptional detail-orientation
  • Exceptional interpersonal and relationship-building skills and customer service orientation; ability to collaborate and effectively interact with internal teams and diverse external stakeholders
  • Creativity, critical thinking, and problem-solving skills
  • High level of integrity, trust, accountability, and judgment
  • Interest in the social sector and exposure to non-profit organizations a plus, but not required

COMPENSATION AND BENEFITS:

$18 hourly – $20 hourly

APPLY HERE