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19 results for Credit Collections Specialist in Fallbrook, CA

Accounts Receivable Specialist
  • Irvine, CA
  • onsite
  • Temporary to Hire
  • 29 - 34 USD / Hourly
  • <p>Are you an Accounts Receivable professional with experience supporting <strong>B2B customers within a manufacturing environment</strong>? Our client, a growing and established manufacturer in Irvine, is seeking an <strong>Accounts Receivable Specialist</strong> to join their team. This is an excellent opportunity for someone who enjoys building customer relationships, driving collections efforts, resolving account issues, and contributing directly to the company&#39;s cash flow and financial success.</p><p>Responsibilities</p><ul><li>Manage <strong>B2B collections</strong> activities for manufacturing customers, following up on past-due balances and maintaining strong customer relationships.</li><li>Respond to customer requests for <strong>invoices, statements, proof of delivery, and account documentation</strong> in a timely manner.</li><li>Investigate and resolve <strong>billing discrepancies, payment issues, deductions, and account disputes</strong> by partnering with customers and internal departments.</li><li>Monitor customer aging reports and outstanding balances to ensure timely collections and healthy cash flow.</li><li>Maintain accurate customer account records, including contact information, payment terms, and account status updates.</li><li>Apply cash receipts, reconcile customer accounts, and assist with resolving unapplied payments.</li><li>Utilize <strong>Excel and Sage 500</strong> to track receivables, analyze account activity, and support reporting needs.</li><li>Collaborate with accounting, customer service, operations, and sales teams to resolve issues and improve the customer experience.</li></ul><p>What We&#39;re Looking For</p><ul><li>3+ years of <strong>Accounts Receivable</strong>, <strong>B2B Collections</strong>, or related accounting experience.</li><li>Experience working within a <strong>manufacturing, distribution, or industrial</strong> environment.</li><li>Strong understanding of <strong>commercial collections</strong>, customer account reconciliations, AR aging, and billing support.</li><li>Experience researching and resolving customer payment and invoice discrepancies.</li><li>Proficiency with <strong>Microsoft Excel</strong> and ERP systems; <strong>Sage 500</strong> experience is highly preferred.</li><li>Excellent communication and customer service skills with the ability to build relationships with business customers.</li></ul><p><br></p>
  • 2026-09-11T00:00:00Z
Accounts Receivable Specialist
  • Dana Point, CA
  • onsite
  • Temporary / Contract
  • 25.3365 - 32 USD / Hourly
  • <p>We are looking for an Accounts Receivable Specialist to join a team in Mission Viejo on a Contract to Permanent basis. This opportunity is ideal for someone who is highly organized, comfortable handling financial records, and confident working with customer accounts in a fast-paced setting. The role focuses on maintaining accurate receivables activity, supporting billing and payment processes, and ensuring customer information is recorded correctly.</p><p><br></p><p>Responsibilities:</p><p>• Establish and maintain job records within the company system with close attention to accuracy and completeness.</p><p>• Apply incoming payments to the appropriate customer accounts and reconcile cash activity in a timely manner.</p><p>• Create and update customer profiles to ensure billing and account information remains current.</p><p>• Perform high-volume data entry related to receivables, payments, and account documentation.</p><p>• Support billing operations by preparing, reviewing, and processing account-related transactions.</p><p>• Monitor outstanding balances and assist with commercial collections efforts to encourage prompt payment.</p><p>• Recent QuickBooks Enterprise and/or QuickBooks Online to manage receivables activity and maintain financial records is required. </p>
  • 2026-09-12T00:00:00Z
Collections Specialist
  • Orange, CA
  • onsite
  • Temporary to Hire
  • 25 - 27 USD / Hourly
  • We are looking for a Collections Specialist to join a growing organization in Orange, California on a contract basis with the potential for a permanent position. This position supports the accounts receivable function by helping maintain healthy cash flow, addressing overdue balances, and partnering with internal teams to resolve billing concerns. The ideal candidate brings strong follow-through, sound judgment, and the ability to communicate effectively with clients while managing multiple priorities in a fast-moving environment.<br><br>Responsibilities:<br>• Review outstanding customer balances, prioritize follow-up activity, and communicate with clients to secure timely payment.<br>• Investigate billing variances, partial payments, and disputed charges by coordinating with internal partners such as billing and customer-facing teams.<br>• Keep thorough documentation of account status, collection outreach, promised payment dates, and issue resolution progress.<br>• Analyze aging information and provide regular updates on delinquent accounts, collection trends, and recovery expectations to leadership.<br>• Take action on open receivables to help shorten payment cycles and improve overall accounts receivable performance.<br>• Assist with applying incoming payments and reconciling account activity when support is needed across the receivables process.<br>• Contribute to month-end activities by sharing account updates and expected collections tied to overdue balances.<br>• Handle customer interactions with professionalism and a service-minded approach while working toward payment resolution.
  • 2026-09-11T00:00:00Z
Accounts Payable Specialist
  • Chino, CA
  • onsite
  • Temporary / Contract
  • 23.75 - 27.5 USD / Hourly
  • We are looking for an experienced Accounts Payable Specialist to support a utilities and infrastructure organization in Chino, California. This Contract position is well suited for a detail oriented individual who can manage invoice workflows, maintain accurate coding, and help ensure timely vendor payments. The ideal candidate brings strong accounts payable knowledge, sound judgment, and the ability to work efficiently in a fast-paced environment.<br><br>Responsibilities:<br>• Process a high volume of vendor invoices with accuracy, ensuring charges are assigned to the correct accounts and cost categories.<br>• Review supporting documentation, verify payment details, and resolve discrepancies before invoices are approved for payment.<br>• Prepare and execute ACH payments and check runs in accordance with established schedules and internal controls.<br>• Maintain complete and organized accounts payable records to support reporting, audits, and month-end activities.<br>• Communicate with vendors and internal teams to answer payment questions, research outstanding items, and address account issues promptly.<br>• Monitor invoice status from receipt through payment, helping to keep transactions current and compliant with company procedures.<br>• Assist with process-related tasks tied to invoice handling and payment operations as needed by the accounting team.
  • 2026-09-05T00:00:00Z
Accounts Payable Specialist
  • Costa Mesa, CA
  • onsite
  • Temporary / Contract
  • 27 - 32 USD / Hourly
  • <p>We are looking for a eager and fast aced Accounts Payable Specialist to join our team in Costa Mesa, California. In this long-term contract position, you will play a vital role in managing and processing high-volume invoices while ensuring compliance with company policies and procedures. This role requires a proactive approach to problem-solving and excellent organizational skills to maintain accurate financial records.</p><p><br></p><p>Responsibilities:</p><p>• Process a large volume of invoices, including PO-based, non-PO, and recurring invoices, with precision and adherence to company guidelines.</p><p>• Perform comprehensive 3-way matching by verifying purchase orders, receiving documentation, and invoices to ensure accuracy in pricing, quantities, and terms.</p><p>• Review invoices for proper general ledger coding, cost center allocation, tax compliance, and ensure routing for approvals according to company hierarchy.</p><p>• Investigate and resolve invoice discrepancies by coordinating with Purchasing, Receiving, Inventory Control, and vendors to reconcile issues.</p><p>• Conduct regular reviews of vendor statements to ensure all invoices are accounted for, processed, and paid on time.</p><p>• Support month-end closing activities by preparing accruals, reviewing aging reports, performing reconciliations, and reporting outstanding liabilities.</p><p>• Maintain organized digital records of invoices, purchase orders, receipts, and other supporting documentation in compliance with audit requirements.</p><p>• Utilize ORACLE systems effectively to process approvals and manage accounts payable workflows.</p><p>• Collaborate with internal teams to improve efficiency in invoice processing and payment cycles.</p><p>• Ensure compliance with internal controls and company policies throughout all accounts payable processes</p>
  • 2026-09-11T00:00:00Z
Accounts Payable Specialist
  • Santa Ana, CA
  • onsite
  • Temporary to Hire
  • 28 - 31 USD / Hourly
  • We are looking for an Accounts Payable Specialist to join our team in Santa Ana, California on a contract basis with the potential for a permanent position. This position is well suited for someone who enjoys keeping financial operations organized, accurate, and moving on schedule in a fast-paced environment. The role offers broad exposure across accounts payable, vendor coordination, expense review, purchasing support, and month-end accounting activities within an IT software organization.<br><br>Responsibilities:<br>• Manage the full accounts payable workflow, including invoice receipt, account coding, approval tracking, and final payment processing.<br>• Set up and maintain supplier profiles, collect required tax documentation such as W-9 forms, and support the onboarding of new vendors.<br>• Oversee recurring payment cycles by preparing ACH and check run activity and ensuring vendors are paid correctly and on time.<br>• Support month-end and year-end close tasks by preparing accounts payable reports, assisting with general ledger reconciliations, and recording journal entries as needed.<br>• Administer purchasing activity in Coupa by coordinating purchase order routing, monitoring workflow status, and assisting with related system tasks.<br>• Review employee expense submissions for accuracy, proper documentation, and compliance with internal policies before processing reimbursement.<br>• Work closely with accounting team members during audit activities by gathering backup documentation and responding to financial record requests.<br>• Investigate invoice and payment discrepancies, resolve vendor issues, and recommend process improvements that strengthen efficiency and accuracy.
  • 2026-09-11T00:00:00Z
Accounts Receivable Clerk
  • Fallbrook, CA
  • onsite
  • Temporary / Contract
  • 24 - 29 USD / Hourly
  • <p>A growing manufacturing company is looking for a detail-oriented <strong>Accounts Receivable Clerk</strong> to join its accounting team. This is an excellent opportunity for someone who enjoys working with numbers, staying organized, and keeping the cash flow side of the business moving. You&#39;ll work closely with the accounting, customer service, sales, and operations teams to make sure invoices are accurate, payments are posted correctly, and customer accounts stay current.</p><p><strong>What You&#39;ll Do</strong></p><ul><li>Process and post daily customer payments</li><li>Enter and maintain invoices within the accounting system</li><li>Apply ACH, wire, check, and credit card payments to customer accounts</li><li>Reconcile customer accounts and research discrepancies</li><li>Assist with daily cash application</li><li>Review invoices for accuracy before distribution</li><li>Maintain accurate customer account records</li><li>Respond to basic customer billing questions</li><li>Research short payments, credits, and unapplied cash</li><li>Assist with AR aging reports and follow up on past-due balances</li><li>Communicate with sales and customer service regarding account issues</li><li>Assist with month-end AR reconciliations and reporting</li><li>Maintain organized documentation for customer transactions</li></ul><p><br></p>
  • 2026-09-09T00:00:00Z
Accounts Receivable Clerk
  • Irvine, CA
  • onsite
  • Temporary / Contract
  • 23.75 - 25 USD / Hourly
  • <p>We are looking for a Bookkeeper to join a retail organization in Irvine, California on a Contract basis. This position focuses on maintaining accurate receivables records, supporting timely payment activity, and helping keep customer accounts current. The ideal candidate brings hands-on experience with billing, cash application, and commercial collections, along with strong attention to detail and follow-through.</p><p><br></p><p>Responsibilities:</p><p>• Manage daily accounts receivable activities, including reviewing open balances and keeping customer account records accurate and up to date.</p><p>• Apply incoming payments to the appropriate customer invoices and investigate discrepancies to ensure proper cash posting.</p><p>• Conduct commercial collection efforts through attentive follow-up with customers regarding past-due balances and payment commitments.</p><p>• Prepare and process billing transactions while verifying invoice details for accuracy and completeness.</p><p>• Reconcile account activity by researching short payments, unapplied cash, and other exceptions that affect outstanding balances.</p><p>• Partner with internal teams to resolve billing or payment issues that may delay collection and account resolution.</p><p>• Monitor aging reports and prioritize collection actions to help reduce overdue receivables.</p><p>• Maintain organized documentation of payment activity, collection outreach, and account adjustments for reporting and audit support.Bookk</p>
  • 2026-09-11T00:00:00Z
Accounts Receivable Clerk
  • Oceanside, CA
  • onsite
  • Temporary / Contract
  • 26 - 30 USD / Hourly
  • <p>A busy construction organization is adding an <strong>Accounts Receivable Clerk</strong> to its accounting team. This position is ideal for someone who likes a fast-paced environment and enjoys seeing how accounting connects to real projects. You&#39;ll support the accounting department with <strong>customer billing, payment posting, project documentation, and collections follow-up</strong>, while working alongside project managers and operations.</p><p><strong>Day-to-Day Responsibilities</strong></p><ul><li>Prepare and process customer invoices for active projects</li><li>Post incoming customer payments</li><li>Maintain accurate AR records by project and customer</li><li>Review billing documentation for completeness</li><li>Assist with progress billing and project-related invoicing</li><li>Track outstanding invoices and past-due balances</li><li>Research payment discrepancies and billing questions</li><li>Coordinate with project managers regarding missing billing information</li><li>Process credit memos and account adjustments</li><li>Reconcile customer statements</li><li>Maintain supporting documentation for customer accounts</li><li>Assist with monthly AR reporting and aging analysis</li><li>Follow up with customers regarding outstanding balances</li><li>Help ensure billing is completed accurately and on schedule</li></ul>
  • 2026-09-09T00:00:00Z
Billing Analyst
  • Costa Mesa, CA
  • remote
  • Temporary to Hire
  • 30.4475 - 38.46 USD / Hourly
  • <p>We are looking for a Billing Analyst to join a team in Costa Mesa, California on a contract-to-permanent basis. This position focuses on billing accuracy, payroll and timekeeping review, and financial analysis that supports timely invoicing and reliable reporting. The ideal candidate brings strong Excel skills, a sharp eye for detail, and the ability to work across departments to resolve discrepancies and improve operational performance.</p><p><br></p><p>Responsibilities:</p><p>• Generate and finalize client invoices with a strong focus on accuracy, completeness, and established billing timelines.</p><p>• Review billing activity against timesheets, payroll records, project data, and receivables to confirm that charges are supported and correctly recorded.</p><p>• Track uninvoiced work, identify missing items, and follow up to ensure all eligible revenue is captured.</p><p>• Examine timecards, employee assignments, and pay-related details to detect errors before payroll is processed.</p><p>• Perform regular reconciliations across billing, payroll, accounts receivable, and timekeeping data to maintain consistency across systems.</p><p>• Investigate exceptions and discrepancies related to billing, payroll, or time entry, then coordinate corrections with internal stakeholders.</p><p>• Maintain billing schedules, client documentation, purchase orders, contracts, and other records required to meet customer-specific invoicing standards.</p><p>• Prepare recurring analyses and reports on utilization, variances, unbilled revenue, and related financial metrics for leadership review.</p><p>• Communicate with clients, project leaders, and internal teams to address questions, resolve issues, and support efficient financial operations.</p><p><br></p><p><strong>PLEASE DO NOT CALL INTO THE OFFICE, WE WILL REACH OUT TO ALL VIABLE CANDIDATES***</strong></p>
  • 2026-09-11T00:00:00Z
Accounting Specialist
  • Santa Ana, CA
  • onsite
  • Temporary / Contract
  • 21 - 26 USD / Hourly
  • We are looking for an Accounting Specialist to support high-volume financial operations for a long-term contract assignment based in Santa Ana, California. This role will focus on processing incoming sales-related orders, maintaining accurate receivables activity, and ensuring timely handling of cash applications, reconciliations, and related account activity. The ideal candidate brings strong transactional accounting experience, works comfortably in a fast-paced environment, and can manage detailed financial records with accuracy using NetSuite.<br><br>Responsibilities:<br>• Process a high volume of sales-related orders and coordinate financial documentation to ensure transactions are recorded accurately and efficiently.<br>• Manage accounts receivable activities, including posting payments, applying cash, and maintaining accurate customer account balances.<br>• Perform daily and periodic cash reconciliations to verify recorded transactions and resolve discrepancies promptly.<br>• Review and process payment receipts while ensuring supporting records are complete and properly aligned with customer accounts.<br>• Investigate and address chargebacks, refunds, and collection-related items to support timely account resolution.<br>• Monitor transactional activity for accuracy and follow up on outstanding items to maintain clean and current financial records.<br>• Use NetSuite to enter, track, and update accounting data while supporting consistent reporting and account maintenance.
  • 2026-09-11T00:00:00Z
Accounting Specialist
  • San Diego, CA
  • onsite
  • Temporary / Contract
  • 26 - 30 USD / Hourly
  • <p>A GREAT ROLE FOR THE ACCOUNTANT WHO WANTS MORE THAN TRANSACTIONAL WORK.</p><p>A growing technology company in <strong>Rancho Bernardo</strong> is adding an <strong>Accounting Specialist</strong> to its corporate accounting team. This position will work across general ledger activity, reconciliations, close support, reporting, and accounting operations.</p><p>You&#39;ll have the opportunity to work closely with the Senior Accounting team while gaining exposure to several areas of the business. The ideal candidate is someone who can independently manage their workload, catch inconsistencies, and isn&#39;t afraid to dig into a number that doesn&#39;t make sense.</p><p><strong>WHAT YOU&#39;LL BE WORKING ON</strong></p><ul><li>Prepare and post journal entries</li><li>Complete monthly bank and balance sheet reconciliations</li><li>Assist with month-end and year-end close</li><li>Maintain supporting schedules for assigned accounts</li><li>Review general ledger transactions for accuracy</li><li>Research discrepancies and make necessary corrections</li><li>Assist with accruals, prepaid expenses, and fixed assets</li><li>Prepare recurring accounting reports</li><li>Assist with intercompany transactions</li><li>Review expense activity and supporting documentation</li><li>Support audit and tax requests</li><li>Maintain organized accounting files</li><li>Assist with process improvement initiatives</li><li>Provide backup support across the accounting department</li><li>Handle special projects assigned by Accounting leadership</li></ul><p><br></p>
  • 2026-09-03T00:00:00Z
Legal Billing Specialist - Must Have Legal Exp.
  • La Jolla, CA
  • remote
  • Temporary / Contract
  • 30 - 35 USD / Hourly
  • <p>We are seeking an experienced <strong>Legal Billing Specialist</strong> for a fully remote, temp-to-hire opportunity. The ideal candidate will have strong law firm billing experience and be comfortable managing a high volume of client invoices in a deadline-driven environment.</p><p><strong>IMPORTANT: Candidates MUST have prior legal billing experience. Medical billing or general billing experience will not be considered.</strong></p><p><br></p><p>Key Responsibilities</p><ul><li>Prepare and process <strong>80–100+ client invoices per week</strong></li><li>Manage full-cycle client billing within a legal services environment</li><li>Review attorney time, expenses, and billing details for accuracy</li><li>Process electronic and client-specific billing requirements</li><li>Research and resolve billing discrepancies and client inquiries</li><li>Work closely with attorneys, paralegals, and accounting teams to resolve billing issues</li><li>Maintain accurate billing records and meet strict billing deadlines</li></ul><p><br></p>
  • 2026-09-03T00:00:00Z
Client Experience Specialist
  • Cardiff-by-the-Sea, CA
  • onsite
  • Temporary / Contract
  • 24 - 28 USD / Hourly
  • <p><strong>YOU&#39;RE NOT JUST ANSWERING THE PHONE — YOU&#39;RE THE FACE OF THE COMPANY.</strong></p><p>A growing healthcare services organization in <strong>Oceanside</strong> is searching for a <strong>Client Experience Specialist</strong> to join its customer support team.</p><p>We&#39;re looking for someone who genuinely enjoys helping people and knows how to turn a frustrating customer interaction into a positive experience. You&#39;ll communicate with clients throughout the day while coordinating appointments, resolving issues, updating records, and working behind the scenes with internal departments.</p><p>This is a strong opportunity for someone who wants to take their customer service experience into a more professional <strong>client services or operations environment</strong>.</p><p><br></p><p><strong>YOUR DAY-TO-DAY</strong></p><ul><li>Serve as a primary point of contact for clients</li><li>Respond to phone, email, and online inquiries</li><li>Schedule and coordinate appointments</li><li>Answer questions regarding services and accounts</li><li>Resolve customer concerns professionally</li><li>Document client interactions accurately</li><li>Follow up on open requests and outstanding issues</li><li>Coordinate with internal departments to resolve problems</li><li>Maintain customer information in company systems</li><li>Process service requests and updates</li><li>Identify recurring customer issues and communicate trends to management</li><li>Assist with reports and administrative projects</li><li>Maintain confidentiality of client information</li><li>Provide a consistently positive customer experience</li></ul>
  • 2026-09-02T00:00:00Z
Customer Experience Specialist
  • San Diego, CA
  • onsite
  • Temporary to Hire
  • 19 - 22 USD / Hourly
  • We are looking for a compassionate Customer Experience Specialist to support a mission-driven non-profit organization in San Diego, California. This contract opportunity with permanent potential is ideal for someone who enjoys helping others, handling high-volume inbound inquiries, and connecting community members with appropriate services and support. In this role, you will serve as a key point of contact, deliver thoughtful assistance across multiple communication channels, and maintain accurate records in web-based platforms.<br><br>Responsibilities:<br>• Handle incoming calls and inquiries with professionalism, empathy, and a strong focus on resolving client needs efficiently.<br>• Record client conversations, outcomes, and follow-up details in CRM and other web-based systems with a high degree of accuracy.<br>• Guide individuals to relevant programs, benefits, and community resources based on their questions and circumstances.<br>• Work closely with internal departments to coordinate responses and ensure each case is addressed in a timely manner.<br>• Maintain current knowledge of organizational services, referral options, and support resources to provide reliable information.<br>• Deliver a consistently positive customer experience through phone, chat, and written communication.<br>• Use tools and platforms such as Avaya CMS, CRM applications, and standard Microsoft Office programs to manage daily tasks effectively.
  • 2026-09-11T00:00:00Z
Customer Experience Specialist
  • San Diego, CA
  • onsite
  • Temporary to Hire
  • 19 - 22 USD / Hourly
  • We are looking for a compassionate Customer Experience Specialist to support community members through a high-volume contact center in San Diego, California. This contract opportunity is ideal for someone who enjoys helping others, communicating clearly, and connecting people with the right services and support. The role sits within a mission-focused non-profit environment where each interaction contributes to stronger outcomes for individuals and families. You will serve as a trusted first point of contact while maintaining accurate records and delivering attentive, empathetic service.<br><br>Responsibilities:<br>• Handle incoming calls and inquiries with courtesy, empathy, and a strong service mindset.<br>• Provide clear guidance, helpful information, and appropriate referrals based on each caller’s needs.<br>• Record customer interactions thoroughly and accurately in web-based platforms and CRM systems.<br>• Stay informed on available programs, community resources, and organizational services to ensure accurate support.<br>• Work closely with internal departments to coordinate responses and resolve client concerns effectively.<br>• Maintain high-quality communication standards across phone and digital channels.<br>• Assist with questions related to benefits, billing, and general service support as needed.<br>• Use contact center and business systems such as Avaya CMS, Epic Software, and other computer applications to manage daily work.
  • 2026-09-11T00:00:00Z
Accounting Operations Specialist
  • Fallbrook, CA
  • onsite
  • Temporary / Contract
  • 29 - 33 USD / Hourly
  • <p>A growing manufacturing company in <strong>Fallbrook </strong>is looking for an <strong>Accounting Operations Specialist</strong> to support the intersection of Finance, Purchasing, Inventory, and Operations.</p><p>This is a particularly good role for someone who likes <strong>reconciliations, financial data, inventory, reporting, and process improvement</strong>, but doesn&#39;t want to spend their entire day processing invoices.</p><p><strong>Your responsibilities</strong></p><ul><li>Review financial and operational data for accuracy</li><li>Reconcile inventory and accounting records</li><li>Assist with month-end accounting activities</li><li>Analyze discrepancies between operational and financial systems</li><li>Maintain accounting-related reports and schedules</li><li>Assist with inventory valuation and adjustments</li><li>Support purchasing and receiving reconciliation</li><li>Review transaction coding and documentation</li><li>Assist with journal entries and account reconciliations</li><li>Track operational expenses</li><li>Prepare recurring management reports</li><li>Work with Purchasing and Warehouse teams to resolve discrepancies</li><li>Support internal controls and documentation</li><li>Identify opportunities to improve financial workflows</li><li>Assist with audits and special accounting projects</li></ul><p><br></p><p><br></p>
  • 2026-09-01T00:00:00Z
Grievance and Appeals Specialist
  • San Bernardino, CA
  • onsite
  • Temporary to Hire
  • 27.37 - 35.91 USD / Hourly
  • <p>A Healthcare Plan in San Bernardino is in need of a Grievance and Appeals Specialist with strong health plan industry experience to join their team. The Grievance and Appeals Specialist is responsible for reviewing, investigating, and resolving member and provider grievances and appeals in compliance with regulatory requirements and internal policies. The Grievance and Appeals Specialist candidate will have hands-on experience working within EZ-CAP and a solid understanding of health plan operations.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Review, research, and process member and provider grievances and appeals accurately and within required turnaround times</li><li>Use EZ-CAP to document, track, and manage case activity</li><li>Analyze case details, benefits, claims, authorizations, and supporting documentation to determine appropriate resolutions</li><li>Ensure all grievances and appeals are handled in accordance with health plan policies, CMS, DMHC, and other applicable regulatory guidelines</li><li>Communicate with internal departments, providers, and members regarding case status and resolution</li><li>Prepare written correspondence for grievance and appeal determinations</li><li>Maintain complete, accurate, and audit-ready documentation</li><li>Identify trends or recurring issues and escalate as needed</li></ul>
  • 2026-09-11T00:00:00Z
Grievance and Appeals Specialist
  • San Bernardino, CA
  • onsite
  • Temporary / Contract
  • 27.01 - 32.12 USD / Hourly
  • <p>Our client is seeking an experienced <strong>Grievance and Appeals Specialist</strong> with strong health plan industry experience to join their team. The Grievance and Appeals Specialist is responsible for reviewing, investigating, and resolving member and provider grievances and appeals in compliance with regulatory requirements and internal policies. The Grievance and Appeals Specialist candidate will have hands-on experience working within EZ-CAP and a solid understanding of health plan operations.</p><p>Key Responsibilities:</p><ul><li>Review, research, and process member and provider grievances and appeals accurately and within required turnaround times</li><li>Use EZ-CAP to document, track, and manage case activity</li><li>Analyze case details, benefits, claims, authorizations, and supporting documentation to determine appropriate resolutions</li><li>Ensure all grievances and appeals are handled in accordance with health plan policies, CMS, DMHC, and other applicable regulatory guidelines</li><li>Communicate with internal departments, providers, and members regarding case status and resolution</li><li>Prepare written correspondence for grievance and appeal determinations</li><li>Maintain complete, accurate, and audit-ready documentation</li><li>Identify trends or recurring issues and escalate as needed</li></ul><p><br></p>
  • 2026-09-08T00:00:00Z