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9 results for Credentialing Specialist in Burbank, CA

Medical Credentialing Specialist

Santa Monica, CA
onsite
Temporary to Hire
31.97 - 45 USD / Hourly
A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care. MD Staff Software is a MUST. Key Responsibilities:• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.• Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-12T00:00:00Z

Credentialing Analyst

Long Beach, CA
onsite
Temporary to Hire
22.1635 - 28.91 USD / Hourly
A Healthcare Company in Long Beach in looking to hire a Credentialing Analyst to support provider enrollment and credentialing activities. The Credentialing Analyst is ideal for someone who can step into a fast-paced healthcare environment, work fully onsite Monday through Friday, and help maintain accurate, compliant credentialing records. The person in this role will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation. Key Responsibilities:• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-07T00:00:00Z

Enrollment Specialist

Buena Park, CA
onsite
Temporary to Hire
24 - 29 USD / Hourly
We are looking for a dedicated Enrollment Specialist to join our team in Buena Park, California. The Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs like Covered California and Medi-Cal. This is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Key Responsibilities:• 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. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-12T00:00:00Z

Part Time Medical Enrollment Specialist

Buena Park, CA
onsite
Temporary / Contract
20 - 28 USD / Hourly
A Health Plan in Buena Park for a Part Time Enrollment Specialist who is Bilingual in Spanish and English to join its team. The Part Time Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs such as Covered California and Medi-Cal. This Part Time Enrollment Specialist is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Bilingual in Spanish is a MUST. Key Responsibilities:• 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. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement. Please send your resume to Mike [dot] Romero [at] RobertHalf [dot] [com]
2026-05-12T00:00:00Z

Quality Specialist

Santa Ana, CA
onsite
Temporary / Contract
48 - 55 USD / Hourly
*Email valerie.montoya@rht(.com) for consideration* Robert Half is seeking a Quality Specialist to support manufacturing by leading nonconformance triage and MRB (Material Review Board) activities. This role is a blend of hands-on inspection and quality decision-making, focused on quickly evaluating issues, determining disposition, and working cross-functionally to resolve defects. This position plays a key role in improving production flow by reducing unnecessary MRB cases and driving efficient resolution of quality issues. Perform hands-on inspection of mechanical and electronic components (PCBA, assemblies, machined parts)Sit at triage stations to evaluate nonconforming parts in real timeDetermine appropriate disposition:<ul><li>Rework / fix</li><li>Escalate to MRB</li><li>Return to supplier</li><li>Support and progressively take ownership of the MRB process</li><li>Act as a secondary decision-maker on nonconformance disposition</li><li>Partner with Manufacturing and Quality Engineers to troubleshoot issues</li><li>Participate in root cause analysis and corrective actions</li><li>Support RMA and supplier-related quality activities as needed</li><li>Ensure accurate documentation and traceability of nonconforming materials</li><li>Help improve processes to reduce defects and improve throughput</li></ul>
2026-05-01T00:00:00Z

Quality Specialist

Santa Ana, CA
onsite
Temporary / Contract
45 - 60 USD / Hourly
We are looking for a Quality Specialist to join the Product Quality Team in Santa Ana. This Quality Specialist is responsible for monitoring, inspecting, and proposing measures to correct or improve the incoming inspection process to meet quality standards. They are a highly motivated team player willing to support a fast-paced team environment. They will partner across the organization and help prioritize process and product quality issues that impact the effectiveness of the incoming materials inspection process, as well as provide support for end-of-line supplier inspection.As a quality specialist, they are also responsible for monitoring, inspecting, and proposing measures to correct or improve final product quality standards. This role will focus on both product quality issues and process issues that impact efficiencies and completeness of inspection operations. WHAT YOU’LL DO:<ul><li>Manage the site Materials Review Board (MRB) process</li><li>Inspect and verify non-conforming parts at the site and at supplier sites as assigned</li><li>Partner with the site Supplier Quality Engineering organization to support supplier quality control</li><li>Assist in root cause analysis</li><li>Assist in dispositioning non-conforming material and ensure tasks are completed in a timely manner</li><li>Manage internal re-work to support dispositions</li><li>Ensure data collection and entry are accurate and complete for the MRB process</li><li>Communicate process performance and quality issues to key stakeholders to drive improvements</li><li>Execute vendor return material authorizations (RMA) in partnership with warehouse and buyers to ensure material leaves the MRB area for suppliers</li><li>Perform verification of First Article Inspection (FAI) on incoming material and coordinate acceptance of FAI data submitted by suppliers</li><li>Manage quality containment processes for material, tooling, and inspection equipment involved in non-conformances impacting production capacity and capability</li><li>Create inspection plans for incoming material, in-process inspection steps, and end-of-line inspection, as directed by product quality engineers; execute inspection as needed</li><li>Train technicians and inspectors to execute inspection plans and data capture in the process</li><li>Propose, develop, and implement quality assurance policies and procedures and review them with product quality engineers</li><li>Review and propose continuous improvement projects for productivity gains, quality improvements, and benefits to company quality policy</li><li>Deep dive into data and traceability investigations to identify trends, oddities, inconsistencies, and variation impacting the effectiveness of processes, procedures, and product quality</li></ul>
2026-05-02T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary / Contract
21 - 24 USD / Hourly
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
2026-05-08T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 28.99 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-05-13T00:00:00Z

Hospital Medical Collections Specialist

Van Nuys, CA
onsite
Temporary to Hire
23.12 - 30.12 USD / Hourly
A Hospital in the San Fernando Valley are looking for an experienced Hospital Medical Collections Specialist. The Hospital Medical Collections Specialist ideal for someone with a strong background in medical revenue cycle activities and a solid understanding of payer follow-up across government and commercial plans. The Hospital Medical Collections Specialist will help drive timely reimbursement by resolving outstanding accounts, addressing denials, and working through appeals for both inpatient and outpatient hospital claims. The hospital is open to candidates with at least 2 years of experience. Responsibilities:• Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement.• Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution.• Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage.• Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims.• Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution.• Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables.• Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications.
2026-05-14T00:00:00Z