Results for Credentialing Specialist Jobs in Inglewood, CA

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Credentialing Specialist

Long Beach, CA
onsite
Temporary to Hire
22 - 28 USD / Hourly
A Healthcare Company in Long Beach in looking to hire a Credentialing Specialist to support provider enrollment and credentialing activities. The Credentialing Specialist is ideal for someone who can step into a fast-paced healthcare environment to help maintain accurate, compliant credentialing records. The Credentialing Specialist will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation. Key Responsibilities:• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-10-09T00:00:00Z

Credit Specialist

Brea, CA
onsite
Temporary to Hire
26 - 27 USD / Hourly
We are looking for a Credit Specialist to join an electronic components manufacturing organization in Brea, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced finance environment and can confidently manage account reconciliations, payment issues, and deduction research. The person in this role will help maintain accurate customer account balances, support healthy cash flow, and collaborate with internal partners to resolve billing-related concerns. Responsibilities:• Reconcile assigned customer accounts by reviewing chargebacks, short payments, and other account discrepancies to ensure records remain accurate.• Investigate overdue invoices and follow up with customers to secure payment or determine the cause of delayed remittance.• Analyze customer deductions, validate supporting documentation, and work toward timely resolution of disputed items.• Review account standing and release orders for shipment when credit conditions and payment status support approval.• Prepare recurring updates for leadership that highlight collection activity, aging trends, cash expectations, and past-due balances.• Partner with teams across sales, sales support, and accounting to address billing questions and resolve account-related issues efficiently.• Provide guidance to colleagues within the credit function when training support is needed or assigned by management.• Offer backup assistance for select supervisory tasks when department leadership is unavailable.• Contribute to additional credit and collections activities as needed to support departmental priorities and service levels.
2026-10-15T00:00:00Z

Medical Insurance Authorization Specialist

Los Angeles, CA
remote
Temporary / Contract
25 - 30 USD / Hourly
We are seeking a detail-oriented and organized Medical Insurance Verification Specialist / Authorization Specialist to join our healthcare team. In this role, the Medical Insurance Verification Specialist / Authorization Specialist will verifying patient insurance coverage, obtaining prior authorizations, and ensuring accurate documentation to support timely billing and reimbursement. The ideal candidate has strong knowledge of insurance verification and authorization processes, excellent communication skills, and the ability to work efficiently in a fast-paced medical environment. Key Responsibilities: <ul><li>Verify patient insurance eligibility, benefits, and coverage prior to appointments, procedures, or treatment.</li><li>Obtain prior authorizations and pre-certifications from insurance carriers for medical services and procedures.</li><li>Review patient accounts for accuracy and completeness of insurance information.</li><li>Communicate with patients, providers, and insurance companies regarding authorization status, coverage details, and financial responsibility.</li><li>Follow up on pending, denied, or incomplete authorizations to ensure timely resolution. .</li><li>Maintain accurate and up-to-date records in the electronic medical record (EMR) and billing systems. Based on general knowledge.</li><li>Identify and resolve insurance-related issues that may delay patient care or reimbursement.</li><li>Ensure compliance with payer guidelines, internal procedures, and regulatory requirements.</li><li>Collaborate with front office, billing, and clinical teams to support smooth patient access and revenue cycle operations.</li></ul>This roles is remote in the CST/EST time zone. All equipment will be provided.
2026-10-16T00:00:00Z

Benefits Specialist

Los Angeles, CA
onsite
Temporary to Hire
32 - 42 USD / Hourly
Key responsibilities: Benefits Administration and Employee Support - Serve as a primary point of contact for employee benefits inquiries through email and ServiceNow, researching and resolving enrollment and claims issues - Administer life events in Workday, including leave of absence events, from initiation through completion and close-out - Review and approve dependent eligibility in Workday and process Evidence of Insurability approvals and denials - Prepare benefit verification letters, new hire enrollment reminders, and The Hartford conversion letters - Process child support orders (medical support) in coordination with Payroll Billing, Premium Reconciliation and COBRA - Reconcile and process monthly carrier invoices - Manage premium receipts and deposits, arrears clearance, and late-premium notices for employees on leave - Administer COBRA end to end, including WageWorks reconciliation and auditing COBRA files against Workday to resolve discrepancies Audits, Reporting and Payroll Integration - Partner with Payroll each semi-monthly and biweekly pay cycle to ensure benefit retros and arrears are processed accurately - Run and analyze recurring audit reports, including retro recalculation by pay date, benefit status events, terminated employees with benefits, and dependent validation - Audit passive life events (coverage end dates, overage dependents, ACA eligibility) - Track part-time faculty benefit eligibility - Audit carrier integration files (including The Hartford) and resolve discrepancies - Prepare the VOP report for the Jesuit community with Payroll Open Enrollment - Coordinate benefits fair logistics, including carrier invitations, catering, and event setup - Provide administrative and employee support throughout the Open Enrollment period
2026-09-30T00:00:00Z

Quality Assurance Specialist

Irvine, CA
remote
Temporary / Contract
24.7 - 27 USD / Hourly
We are looking for a detail-oriented Quality Assurance Specialist to support documentation accuracy and compliance efforts in Irvine, California. This Long-term Contract position focuses on reviewing records, identifying gaps, and helping maintain high standards across quality assurance and audit activities. The ideal candidate is organized, discreet with sensitive information, and comfortable contributing to both compliance-related reviews and administrative support tasks. Responsibilities: • Examine session notes, treatment records, and supporting documentation to verify alignment with payer expectations and regulatory standards. • Perform audits of records to detect omissions, inconsistencies, and incomplete information requiring follow-up. • Maintain organized audit files and tracking systems to ensure documentation is accessible, current, and properly recorded. • Assist with compliance, quality assurance, and operational assignments that support ongoing departmental objectives. • Handle confidential materials with care while following company policies and applicable regulatory guidelines. • Provide administrative coordination for auditing and compliance activities, including record management and status tracking.
2026-10-15T00:00:00Z

5 results for Credentialing Specialist in Inglewood, CA