Medical Insurance Enrollment Specialist Job at Robert Half (Buena Park)

Part-Time Bilingual Spanish Insurance Enrollment Specialist

A Healthcare Company is seeking a Part-Time Bilingual Spanish Insurance Enrollme...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ year of experience in one or more of the following areas: Medical front desk, Patient access, Insurance enrollment
Strong communication and customer service skills
Detail-oriented with the ability to manage high-volume workflows
Strong organizational skills and ability to maintain accurate records
Basic computer proficiency and data entry skills
Bilingual in Spanish and English required

Job Responsibility

Guide patients through Covered California and Medi-Cal enrollment processes
Assist patients with applications, eligibility verification, and plan selection
Educate patients on insurance options, benefits, and coverage details in a clear and supportive manner
Verify documentation and ensure accuracy and completeness of all enrollment records
Provide in-person and phone support to patients with questions related to enrollment and coverage
Track enrollment activity and maintain accurate records in internal systems
Conduct follow-up with patients regarding renewals, missing documents, and incomplete applications
Support outreach efforts and community enrollment initiatives as needed
Collaborate with internal staff to help resolve enrollment issues and ensure a positive patient experience

What we offer

Medical Insurance
Dental Insurance
Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Parttime

Enrollment Specialist

A Health Plan in Buena Park for a Part Time Enrollment Specialist who is Bilingu...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bilingual in Spanish is a MUST
At least 1 year of experience in medical front desk, patient access, or insurance enrollment roles
Familiarity with health insurance programs such as Covered California and Medi-Cal is preferred
Strong communication and interpersonal skills to assist diverse patient populations
High attention to detail and the ability to manage multiple tasks efficiently in a fast-paced environment
Proficiency in computer data entry and maintaining organized records
Bilingual Spanish skills are preferred and may be required depending on client needs
Experience with annual and open enrollment processes is an advantage
Strong commitment to providing exceptional customer service.

Job Responsibility

Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal
Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions
Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies
Maintain up-to-date records of enrollment activity and manage data entry into internal systems
Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes
Collaborate with community outreach teams to support enrollment initiatives and drive awareness
Deliver excellent customer service by addressing patient inquiries and concerns promptly
Stay informed about changes in health insurance policies to provide accurate guidance to patients.

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement

Parttime

Enrollment Specialist

We are looking for a dedicated Enrollment Specialist to join our team in Buena P...

Location

United States , Buena Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 1 year of experience in medical front desk, patient access, or insurance enrollment roles
Familiarity with health insurance programs such as Covered California and Medi-Cal is preferred
Strong communication and interpersonal skills to assist diverse patient populations
High attention to detail and the ability to manage multiple tasks efficiently in a fast-paced environment
Proficiency in computer data entry and maintaining organized records
Bilingual Spanish skills are preferred and may be required depending on client needs
Experience with annual and open enrollment processes is an advantage
Strong commitment to providing exceptional customer service.

Job Responsibility

Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal
Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions
Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies
Maintain up-to-date records of enrollment activity and manage data entry into internal systems
Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes
Collaborate with community outreach teams to support enrollment initiatives and drive awareness
Deliver excellent customer service by addressing patient inquiries and concerns promptly
Stay informed about changes in health insurance policies to provide accurate guidance to patients.

What we offer

Medical, Dental and Vision Insurance
401K Retirement
Sick Time Off
Tuition Reimbursement.

Credentialing Enrollment Specialist

Location

United States , Charlotte

Salary:

24.10 - 36.15 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High school diploma or GED required
Bachelor's degree preferred
Three years' experience in a role that performs or supports provider credentialing, privileging, and/or enrollment in either a hospital, managed care plan or CMS environment
Knowledge of and experience with personal computers, Windows and Microsoft applications, copier and fax machines and multi-line telephone
Experience in typing, word processing, and business correspondence
Certification through National Association of Medical Staff Services (NAMSS) as Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) preferred

Job Responsibility

Performs primary source verifications of documentation required for managed care credentialing and re-credentialing of MGD providers
Provides issue resolution and support regarding billing issues as they relate to provider enrollment and credentialing for MGD providers and the Central Billing Office
Enters provider data in the ECHO database according to established departmental processes and provides feedback to other System entities as to the status of the applicants
Performs follow-up on needed information (expired licenses, board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner
Prepares physician files for file audits by managed care organizations, Corporate Compliance and accreditation entities
Conducts practice site visits for practices within MGD
Facilitates communication tools and or activities to maintain timely and accurate flow of information to Managed Care Organizations (MCOs) and the System
Reviews hard copy and electronic provider directories and other information produced by managed care organizations reflecting MGD and the System's demographics and participation
Provides Team member support to the CPN Credentialing and Quality Review Committee

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Medical Staff Credentialing Specialist and Coordinator

The Medical Staff Credentialing Specialist and Coordinator assists the Medical D...

Location

United States , Medina

Salary:

50000.00 - 60000.00 USD / Year

Orleans Community Health

Expiration Date

Until further notice

Requirements

Associates Degree or Certified Provider Credentialing Specialist (CPCS)
A minimum of 2-3 Years Credentialing experience is preferred
Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience
Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers
Understanding of Malpractice insurance coverages and policies
Knowledge and understanding of credentialing process
Ability to organize and prioritize work and manage multiply priorities
Ability to research and analyze data
Ability to work independently with minimal supervision
Ability to establish and maintain effective working relationships with providers, management, staff and external contacts

Job Responsibility

Compiles and maintains current and accurate data for all providers
Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
Maintains corporate provider contract files
Maintains knowledge of current health plan and agency requirements for credentialing providers
Sets up and maintains provider information in online credentialing databases and system
Tracks license and certification expirations for all providers to ensure timely renewals
Ensures practice addresses are current with health plans, agencies and other entities
Audits health plan directories for current and accurate provider information
Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs

What we offer

vacation and sick time
health, dental and vision
pension and retirement plan
competitive wages, with superior pension and retirement plans with employer contributions
12% shift differential for working evening and night shifts
excellent vacation, holiday and sick leave package
tuition assistance
free parking

Fulltime

Medical Accounts Receivable Specialist

This contract-to-permanent position involves managing the full insurance revenue...

Location

United States , Bellevue

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in healthcare, dental, or medical insurance accounts receivable and revenue cycle management
Proficiency in handling accounts receivable, cash applications, and billing functions
Solid understanding of health care revenue cycle processes, including collections and cash activity
Strong analytical skills to identify issues and implement solutions for claim denials and payment discrepancies
Familiarity with payor-specific regulations and contractual requirements
Ability to manage provider credentialing and enrollment processes efficiently
Excellent communication and collaboration skills to work effectively across teams and departments
Strong attention to detail and organizational skills to maintain compliance and ensure accuracy in all tasks

Job Responsibility

Oversee insurance accounts receivable processes from initial charge posting to final resolution
Investigate and resolve unpaid, underpaid, or denied claims promptly and accurately
Ensure claims meet payor guidelines and adhere to clean-claim standards to prevent revenue loss
Post payments and adjustments with precision and reconcile explanation of benefits to maintain accuracy
Monitor credentialing timelines for providers, ensuring timely enrollment and re-credentialing with contracted payors
Identify and address root causes of claim denials, implementing corrective measures to mitigate recurring issues
Maintain compliance with state regulations, payor contracts, and internal revenue integrity standards
Track and report key revenue cycle metrics, such as denial rates, days in accounts receivable, and net collection ratios
Collaborate with operations leadership and care center teams to resolve reimbursement issues and streamline processes
Serve as the primary liaison for credentialing matters, audits, and compliance reviews related to provider enrollment

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Credentialing Specialist

We are seeking a Credentialing Specialist for a short term contract in Nashville...

Location

United States , Nashville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent (Associate’s or Bachelor’s degree in Healthcare Administration or related field preferred)
1–3 years of experience in healthcare credentialing, provider enrollment, or medical staff services
Knowledge of payer enrollment processes (Medicare, Medicaid, commercial payers)
Familiarity with credentialing standards and regulatory requirements
Proficiency with credentialing software, provider databases, and Microsoft Office (Excel, Word, Outlook)
Strong organizational skills with high attention to detail
Excellent written and verbal communication skills

Job Responsibility

Coordinate and process initial credentialing, recredentialing, and payer enrollment for healthcare providers
Collect, verify, and maintain provider documentation including licenses, certifications, education, training, work history, NPIs, and DEA registrations
Prepare and submit credentialing and enrollment applications to insurance payers, hospitals, and regulatory bodies
Monitor credential expirations and proactively manage renewals to maintain continuous provider eligibility
Maintain accurate and up‑to‑date credentialing records in credentialing software and internal databases
Serve as a liaison between providers, payers, medical staff offices, and internal departments
Track application statuses, follow up on outstanding items, and resolve credentialing or enrollment issues
Ensure compliance with CMS, NCQA, Joint Commission, state, and payer credentialing requirements
Support audits and accreditation reviews by preparing and providing credentialing documentation
Maintain strict confidentiality of sensitive provider information

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Payroll & Benefits Specialist

We are looking for a Payroll & Benefits Specialist to support payroll operations...

Location

United States , Lockport

Salary:

60000.00 - 75000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

Experience managing full-cycle payroll in a detail-oriented business environment
Working knowledge of multi-state payroll practices and related compliance requirements
Background processing payroll for employee populations ranging from approximately 100 to 500 employees
Proficiency with payroll and HRIS platforms, including ADP Workforce Now or comparable systems
Strong understanding of payroll data maintenance, deductions, tax withholdings, and garnishment processing
Ability to handle confidential information with discretion and a high level of accuracy
Solid problem-solving skills with the ability to reconcile discrepancies and respond effectively to employee inquiries

Job Responsibility

Manage end-to-end weekly payroll processing, ensuring timely and accurate pay distribution for employees
Update and review payroll records related to hiring activity, separations, compensation adjustments, tax elections, garnishments, and benefit deductions
Examine timekeeping information before each payroll cycle and resolve inconsistencies to maintain accurate wage payments
Investigate payroll variances, answer employee questions, and correct issues related to pay, deductions, and withholdings
Produce payroll reports that summarize earnings, deductions, accruals, and labor-related data for internal review and reporting needs
Assist with month-end, quarter-end, and year-end payroll activities, including audits, reconciliations, and year-end tax document preparation
Maintain payroll practices in alignment with applicable federal, state, and local wage and hour regulations
Oversee benefit administration for programs such as medical, dental, vision, retirement-related offerings, life insurance, disability coverage, and employee leave plans
Coordinate benefit enrollment changes, support employee questions regarding coverage, and help ensure accurate deductions and eligibility tracking

What we offer

Medical, dental, vision, FSA, Life and disability insurance, Leave programs (FMLA, ADA)

Fulltime

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Medical Insurance Enrollment Specialist

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