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6 results for Credentialing Specialist in Concord, CA

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-07-06T00:00:00Z

Healthcare Data Management Specialist

Palo Alto, CA
onsite
Temporary / Contract
50 - 74 USD / Hourly
About the RoleWe are seeking a detail-oriented Master Data Management (MDM) Analyst to support data integrity, reporting, pricing management, and supply chain operations for a leading healthcare organization in Palo Alto, California. This hybrid contract role is responsible for maintaining accurate master data, supporting ERP systems, managing pricing and vendor information, and delivering reporting and analytics that drive informed business decisions. Working closely with Supply Chain, IT, Purchasing, Accounts Payable, and external vendors, this position plays a key role in supporting inventory management, supply chain automation, vendor management, recall processes, and cost-reduction initiatives. Key Responsibilities<ul><li>Serve as the primary point of contact for master data management activities, issue resolution, and data-related inquiries.</li><li>Create, update, maintain, and audit master data in accordance with established business rules and governance standards.</li><li>Ensure all master data requests are properly reviewed, approved, and documented.</li><li>Analyze, cleanse, and validate data to improve data quality and system accuracy.</li><li>Generate scheduled and ad hoc reports to support operational and strategic decision-making.</li><li>Collaborate with IT teams to resolve system issues, implement enhancements, and improve reporting functionality.</li><li>Maintain pricing files and pricing agreements to ensure alignment with contract terms.</li><li>Conduct pricing analysis and benchmarking to identify savings opportunities.</li><li>Support vendor management, recall management, inventory processes, and non-labor expense reduction initiatives.</li><li>Monitor key performance indicators (KPIs) and recommend process improvements that strengthen data governance and operational efficiency.</li><li>Educate end users on master data processes, standards, and best practices.</li></ul>
2026-07-16T00:00:00Z

Certified Payroll Specialist

Walnut Creek, CA
onsite
Temporary / Contract
30 - 45 USD / Hourly
We are seeking an experienced Certified Payroll & Prevailing Wage Specialist to join our clients team. This role is responsible for administering certified payroll for public works projects while ensuring compliance with federal, state, and local prevailing wage regulations. The ideal candidate has a strong understanding of California public works requirements, Davis-Bacon Act compliance, and labor compliance reporting. This position works closely with payroll, project management, accounting, human resources, subcontractors, and government agencies to ensure payroll accuracy and regulatory compliance. Responsibilities<ul><li>Process weekly certified payroll for multiple public works projects.</li><li>Prepare and submit certified payroll reports (CPRs) accurately and on time.</li><li>Ensure compliance with:</li><li>California Prevailing Wage Laws</li><li>Davis-Bacon Act</li><li>DIR (Department of Industrial Relations) requirements</li><li>Federal, state, and local labor compliance regulations</li><li>Review wage determinations and assign appropriate prevailing wage classifications.</li><li>Verify fringe benefit calculations and employer contributions.</li><li>Maintain accurate employee classifications, work hours, and project assignments.</li><li>Audit payroll records to ensure prevailing wage compliance.</li><li>Coordinate apprentice utilization and apprenticeship reporting requirements.</li><li>Process fringe benefit credits and travel/subsistence requirements when applicable.</li><li>Respond to labor compliance audits and agency inquiries.</li><li>Work with subcontractors to collect, review, and monitor certified payroll submissions.</li><li>Assist with employee payroll corrections and restitution calculations when necessary.</li><li>Maintain organized payroll and compliance documentation.</li><li>Stay current on prevailing wage legislation and labor law updates.</li></ul>
2026-07-10T00:00:00Z

Certified Payroll Specialist

Alameda, CA
onsite
Temporary / Contract
35 - 40 USD / Hourly
Are you a meticulous, detail-oriented payroll professional with a strong understanding of certified payroll and prevailing wage requirements? Robert Half is seeking a highly skilled Certified Payroll Specialist to join our client’s team. In this role, you will play a critical part in ensuring compliance with prevailing wage regulations, state and federal certified payroll reporting, and Department of Industrial Relations (DIR) guidelines.<ul><li> Prepare, process, and submit accurate certified payroll reports for construction and other prevailing wage projects per state, federal, and DIR guidelines.</li><li>Monitor and ensure compliance with prevailing wage laws and labor standards, investigating and resolving any discrepancies as needed.</li><li>Coordinate and manage all Department of Industrial Relations (DIR) submissions while staying updated on any changes to DIR reporting standards.</li><li>Utilize payroll systems/software to streamline processes and maintain accurate employee records and job/project-specific information.</li><li>Oversee payroll audits, reconcile discrepancies, and maintain proper documentation for DIR and certified payroll records.</li><li>Work closely with project managers, HR teams, accounting departments, and external auditors to ensure payroll compliance and timely reporting.</li><li>Stay current on labor laws, prevailing wage updates, union agreements, and certified payroll guidelines to serve as the subject matter expert.</li></ul>
2026-07-14T00:00:00Z

Quality Compliance Specialist

Petaluma, CA
onsite
Temporary / Contract
35.625 - 41.25 USD / Hourly
We are looking for a Quality Compliance Specialist to join a Contract assignment supporting quality and regulatory activities in Petaluma, California. This role blends compliance coordination, administrative support, and project-based work in a hybrid environment, making it well suited for someone who is organized, proactive, and comfortable improving processes. The ideal candidate brings experience with regulated products, strong documentation habits, and the technical confidence to manage information accurately while partnering with internal teams. Responsibilities: • Coordinate day-to-day quality and compliance activities to help maintain accurate records, timely follow-up, and consistent execution of required tasks. • Support coverage for a leave of absence by completing cross-training, learning current workflows, and ensuring continuity across compliance-related operations. • Maintain organized documentation, track open items, and capture guidance clearly so information can be referenced without repeated follow-up. • Partner with internal stakeholders to monitor regulatory and quality requirements associated with product distribution, including compliance considerations for yeast-related products. • Contribute to administrative and project coordination work by managing schedules, status updates, and task ownership across multiple priorities. • Identify opportunities to strengthen existing procedures and recommend practical improvements that increase consistency and efficiency. • Use business systems and digital tools effectively to manage records, reporting, and workflow updates in a hybrid work setting. • Serve as a reliable point of contact for compliance support, escalating issues appropriately and helping teams stay aligned with established processes.
2026-07-13T00:00:00Z

Medical Biller/ Collections Specialist

Berkeley, CA
onsite
Temporary / Contract
30 - 36 USD / Hourly
Position: Medical Biller / Collections SpecialistLocation: Berkeley, CACompensation: $30–$36/hour (DOE)Job Type: Contract About the RoleWe are seeking a detail-oriented Medical Biller / Collections Specialist to support the revenue cycle operations of a healthcare organization in Berkeley. This role is responsible for insurance billing, accounts receivable follow-up, denial management, and collections activities to ensure timely reimbursement and account resolution. The ideal candidate has experience working with commercial insurance, Medicare, Medi-Cal, and managed care plans, along with a strong understanding of medical billing and collections processes. This contract opportunity is well suited for a results-driven professional who enjoys investigating claims, resolving payment issues, and improving revenue cycle performance.Responsibilities<ul><li>Submit, review, and process medical claims while ensuring compliance with payer requirements, coding guidelines, and billing regulations.</li><li>Manage accounts receivable follow-up by researching unpaid claims, identifying denial trends, and pursuing timely reimbursement from insurance carriers.</li><li>Resolve claim denials, rejections, underpayments, and billing discrepancies through appeals, corrections, and payer communication.</li><li>Post insurance and patient payments, reconcile accounts, and maintain accurate documentation within billing and practice management systems.</li><li>Communicate with patients, providers, insurance representatives, and internal departments regarding account balances, payment arrangements, and billing inquiries.</li></ul>
2026-07-02T00:00:00Z