<p>A leading hospital in the Valley is seeking a detail-oriented Medical Billing Specialist to join its revenue cycle team. This role is responsible for ensuring accurate and timely claim submission, follow-up, and resolution of managed care billing issues. The ideal candidate will have strong knowledge of medical billing processes, payer requirements, and accounts receivable follow-up within a hospital environment. </p><p><br></p><p>Key Responsibilities:</p><ul><li>Demonstrate the ability to determine the accuracy of pertinent medical, coding, eligibility, authorization, demographic, and financial information, and make any required corrections.</li><li>Determine payer documentation requirements for payment and ensure all necessary supporting documentation is available for claim submission. </li><li>Transmit and submit clean claims to payers within three working days of receipt, while maintaining a productivity standard of 200 claims per day. </li><li>Update the computer system to reflect claim submission and transmission activity. </li><li>Review payer correspondence and provide corrections and/or additional documentation within three working days. </li><li>Review payment data for suspensions, underpayments, and denials, and submit appropriate responses, including corrected insurance forms and rebills as needed. </li><li>Review bi-monthly accounts receivable reports to identify claims that have been submitted but remain unresolved or unacknowledged, as well as claims that have not yet been submitted, and take appropriate action to ensure timely resolution. </li><li>Prepare adjustments needed to ensure account balances reflect payable amounts and forward them to management for review and authorization. </li></ul><p><br></p>
<p>A healthcare company is seeking an experienced <strong>Medical Credentialing Specialist</strong> to join our Medical Staff Services department. This Medical Credentialing Specialist is responsible for managing the full credentialing lifecycle for physicians and advanced practice providers, with a primary focus on initial appointments, reappointments, and clinical privileges. The Medical Credentialing Specialist is detail-oriented, highly organized, and experienced in navigating the complex regulatory requirements governing hospital credentialing. This position requires prior experience using <strong>MD-Staff software</strong> to support credentialing, privileging, and provider data management.</p><p><br></p><p><strong>Key Responsibilites</strong>:</p><ul><li>Manage the credentialing and privileging process for physicians and allied health professionals, including initial appointments, reappointments, temporary privileges, and privilege modifications, using <strong>MD-Staff</strong> to maintain accurate and current provider records.</li><li>Review applications for completeness, obtain required documentation, and perform all primary source verifications, including licensure, education, training, board certification, DEA registration, references, malpractice history, NPDB queries, and sanctions/exclusion screenings.</li><li>Prepare and maintain credentialing files, reports, and committee-ready documentation in <strong>MD-Staff</strong> for review by Department Chairs, the Credentials Committee, Medical Executive Committee (MEC), and Governing Board, while tracking expiration dates and reappointment timelines to ensure continuous compliance.</li><li>Ensure adherence to Medical Staff Bylaws, hospital policies, CMS Conditions of Participation, The Joint Commission standards, and all applicable state and federal regulations.</li><li>Partner with Human Resources, Provider Enrollment, Risk Management, department leaders, and hospital leadership to support provider onboarding, reporting, committee materials, accreditation readiness, and high-quality service to providers and stakeholders.</li></ul><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off. </p>
<p>A Hospital in Los Angeles is seeking a Medical Collections Specialist with experience in credit balances. The Medical Collections Specialist must be successful with investigating, tracking, and resolving denied medical insurance claims. The Medical Collections Specialist must have 2 years medical billing and medical insurance collections experience,</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Investigating and resolving denied claims from various insurance providers.</li><li>Reviewing credit balances and denials management. </li><li>Conduct thorough and detailed review of patient bills, insurance benefits, and medical records to identify discrepancies and ensure proper billing.</li><li>Follow up on outstanding claim denials and secure reimbursement where possible.</li><li>Liaise with insurance companies, healthcare providers, and patients to rectify claims denials and resolve discrepancies.</li><li>Responsible for identifying patterns and trends in claim denials and propose solutions for reducing denial rates.</li><li>Submit appeals and reconsideration requests to insurance companies for denied claims.</li><li>Strong understanding of HMO and PPO.</li></ul>
We are looking for a Payroll Specialist to join a healthcare organization in Torrance, California on a Contract basis. This role supports payroll and people operations by managing compensation data, maintaining accurate employee records, and delivering dependable reporting for internal stakeholders. The position is ideal for someone who brings strong payroll experience, sharp analytical skills, and a high level of discretion when handling sensitive employee information.<br><br>Responsibilities:<br>• Administer payroll activities from data review through final validation to help ensure employees are paid correctly and on schedule.<br>• Maintain employee information in ADP Workforce Now and related digital files, including updates to compensation, status changes, and personal records.<br>• Investigate payroll variances, correct discrepancies, and coordinate with system support teams when technical issues affect payroll accuracy.<br>• Develop and update Excel-based trackers and reports to monitor payroll activity, HR metrics, and audit-ready records.<br>• Produce payroll summaries, data exports, and supporting documentation for leadership review and operational decision-making.<br>• Review onboarding paperwork for completeness and accuracy so new employee records and pay details are properly established.<br>• Respond to employee questions regarding pay, tax forms, deductions, and related HR matters in a clear and thorough manner.<br>• Support offboarding activities by coordinating final pay processing and preparing required benefits-related documentation.<br>• Assist with benefits administration by helping complete enrollments for new hires and qualifying life events within required timelines.<br>• Protect confidential payroll and personnel information while escalating material errors or concerns to People Operations leadership as needed.
<p>We are looking for an experienced Payroll Specialist to support payroll operations. This Long-term Contract position is ideal for someone who is detail oriented and can manage payroll activities with accuracy, maintain compliance across complex pay practices, and work confidently within a legacy payroll environment. The role requires strong analytical skills, sound judgment, and the ability to keep payroll cycles moving efficiently while partnering with internal stakeholders.</p><p><br></p><p>Responsibilities:</p><p>• Execute end-to-end payroll processing for employees using a legacy human resources and payroll platform.</p><p>• Examine payroll records, confirm data accuracy, and prepare finalized information for timely submission within established pay cycle deadlines.</p><p>• Carry out payroll support activities such as data entry, audit reviews, reconciliations, and correction of pay-related issues.</p><p>• Evaluate payroll results to verify compliance with institutional guidelines, labor agreements, and applicable wage and hour regulations.</p><p>• Research discrepancies involving earnings, deductions, retirement contributions, or other payroll elements and coordinate resolutions with HR, finance, and relevant departments.</p><p>• Maintain organized payroll files and supporting documentation to satisfy internal control standards and audit readiness expectations.</p><p>• Produce and assist with reports related to compensation, withholdings, deductions, and retirement-related payroll activity.</p><p>• Provide dependable operational coverage during critical payroll deadlines and high-volume processing periods.</p>
We are looking for a Payroll Specialist to support payroll operations for a school district in California. This Long-term Contract opportunity is ideal for someone who can partner with cross-functional teams, maintain payroll accuracy, and help improve day-to-day payroll processes. The role will focus on system-related payroll coordination, compliance, data accuracy, and user support in a dynamic public-sector environment.<br><br>Responsibilities:<br>• Partner with HR, finance, IT, and district stakeholders to gather payroll needs and translate them into effective system and process solutions.<br>• Oversee payroll-related setup, testing, and issue resolution within the Human Capital Management platform to support reliable processing.<br>• Manage data conversion activities, including validation and reconciliation, to help ensure employee and payroll records remain accurate and complete.<br>• Create user guides, reference materials, and training sessions for payroll team members and other system users.<br>• Act as the primary point of coordination between the district and external software providers to address technical or functional payroll issues.<br>• Monitor payroll activities for alignment with applicable regulations, internal policies, and required reporting standards.<br>• Provide ongoing support after implementation by identifying improvements, resolving system-related concerns, and assisting with enhancements.<br>• Review payroll workflows and recommend practical adjustments that strengthen efficiency, accuracy, and service delivery.