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4 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
2026-06-02T00:00:00Z

Credentials Coordinator

St. Helena, CA
onsite
Temporary / Contract
30 - 32 USD / Hourly
We are looking for a detail-oriented Credentials Coordinator for a Contract position based in Saint Helena, California. In this role, you will support the medical staff credentialing process by coordinating documentation, verifying qualifications, and helping ensure providers are cleared for appointment and privileging activities. This opportunity is well suited to someone who can manage sensitive information carefully, work within established compliance standards, and keep multiple credentialing tasks moving on schedule. Responsibilities: • Coordinate credentialing and recredentialing activities for physicians and allied health professionals, including gathering required documentation and tracking each file through completion. • Conduct primary source verification and review submitted materials to help ensure provider records are accurate, complete, and ready for processing. • Maintain organized credentialing files and databases, updating records promptly to support audits, reporting, and timely renewals. • Assist with privileging-related workflows and support evaluation or proctoring steps as required for medical staff appointments. • Guide providers through onboarding activities such as access setup, orientation coordination, required training, and identification badging. • Apply medical staff bylaws, internal policies, and regulatory standards when processing credentialing actions and maintaining documentation. • Safeguard confidential provider and medical staff information while handling sensitive records and correspondence. • Provide administrative support for additional credentialing or medical staff services tasks as needed to meet departmental priorities.
2026-05-15T00:00:00Z

Healthcare Data Management Specialist

Palo Alto, CA
onsite
Temporary / Contract
25 - 29 USD / Hourly
Our client, a leading healthcare organization in Palo Alto, is hiring a Healthcare Data Management Specialist to support their blood center operations. This is a detail-heavy, data entry-focused healthcare role working with confidential medical records and imaging systems. Healthcare Data Management & Imaging Specialist<ul><li>Accurately enter, update, and maintain donor and medical data within electronic databases and record systems </li><li>Review and correct discrepancies in medical history records and blood product documentation </li><li>Scan and image confidential medical records and donor charts into electronic imaging systems </li><li>Maintain organized filing systems and prepare records for off-site storage </li><li>Run reports, perform data audits, and ensure accuracy of donor information and documentation </li><li>Support DonorID (DID) system setup, maintenance, and data transfers between systems </li><li>Perform clerical duties including filing, record maintenance, answering phones, and document processing </li><li>Maintain confidentiality and compliance with HIPAA, safety regulations, and medical documentation standards </li><li>Work closely with clinical and laboratory staff to resolve documentation and data issues </li><li>Flexible schedule required, including evenings and weekends based on operational needs </li><li>Shift: Tuesday–Friday, 11:00AM–9:30PM (but need to be flexible based on the above)</li></ul>
2026-06-02T00:00:00Z

Medical Eligibility and Payment Posting Specialist

Pleasanton, CA
onsite
Temporary / Contract
27 - 33 USD / Hourly
We are looking for a Medical Eligibility and Payment Posting Specialist to support healthcare revenue cycle operations in Pleasanton, California. This Long-term Contract position focuses on verifying coverage, reviewing coding-related information, posting payments accurately, and helping ensure patient accounts are updated correctly. The ideal candidate brings strong knowledge of outpatient coding standards, insurance and Medicaid eligibility processes, and patient billing support within a medical environment. Responsibilities:• Verify insurance, Medicaid, and patient coverage details to confirm benefits and eligibility before services are processed.• Post payments to patient accounts with accuracy, reconcile transactions, and investigate discrepancies that affect account balances.• Review medical coding information using ICD-10 and CPT guidelines to support clean claim and billing workflows.• Prepare and distribute patient statements while helping resolve account questions related to charges, payments, and coverage.• Maintain complete and accurate documentation within billing and coding records to support compliance and audit readiness.• Coordinate with internal teams to address claim issues, eligibility questions, and payment posting exceptions in a timely manner.• Assist with updates to workflows or systems when needed as part of ongoing operational support responsibilities. If you are interested in this role, please apply today and call us at (510) 470-7450
2026-05-21T00:00:00Z