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3 results for Credentialing Specialist in El Monte, CA

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. <br> 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. <br> 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.
  • 2026-05-21T00:00:00Z
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.<br><br>Key Responsibilities:<br><br>Submit accurate and timely medical claims to insurance carriers and government payers<br>Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies<br>Work accounts receivable reports and maintain collection efforts to reduce outstanding balances<br>Investigate claim rejections and denials, and take corrective action for resubmission or appeal<br>Post payments, adjustments, and denials as needed<br>Communicate with payers, patients, and internal staff regarding billing questions and account resolution<br>Maintain compliance with billing regulations, payer requirements, and organizational policies<br>Support revenue cycle activities including claims review, payment reconciliation, and account research<br>Document collection activity and account status updates accurately in the billing system
  • 2026-06-02T00:00:00Z
Hospital Medical Collections Specialist
  • Van Nuys, CA
  • onsite
  • Temporary to Hire
  • 23.12 - 30.12 USD / Hourly
  • <p>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. </p><p><br></p><p>Responsibilities:</p><p>• Pursue payment on outstanding hospital accounts by conducting thorough follow-up with insurance carriers and other payers to secure accurate and timely reimbursement.</p><p>• Review inpatient and outpatient claims to identify billing issues, payment delays, denials, and underpayments, then take appropriate action to move accounts toward resolution.</p><p>• Manage collection activity across a range of payer types, including Medicare managed care, Medi-Cal managed care, commercial plans, and HMO or PPO coverage.</p><p>• Prepare and submit appeals, reconsiderations, and supporting documentation to challenge denied or incorrectly processed claims.</p><p>• Investigate account discrepancies by analyzing billing records, payer responses, and remittance details to determine the next steps for resolution.</p><p>• Coordinate with internal teams to correct claim information, resolve documentation gaps, and improve the collection of hospital receivables.</p><p>• Maintain detailed account notes and status updates to ensure clear documentation of collection efforts and payer communications.</p>
  • 2026-06-05T00:00:00Z