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6 results for Credentialing Specialist in Irvine, CA

Medical Enrollment Specialist

Buena Park, CA
onsite
Temporary
21 - 28 USD / Hourly
Our healthcare team is seeking a detail-oriented Medical Insurance Enrollment Specialist with at least two years of experience and fluency in Spanish and English. The ideal candidate is passionate about helping patients navigate insurance processes and enjoys a fast-paced, supportive environment.Responsibilities:<ul><li>Process and review medical insurance enrollments for new and existing patients</li><li>Verify insurance coverage, eligibility, and benefits with various payers</li><li>Collaborate with patients, providers, and insurers to resolve enrollment questions and discrepancies</li><li>Maintain accurate and timely data entry in healthcare management systems</li><li>Communicate benefits information and enrollment outcomes to patients in both Spanish and English</li><li>Ensure compliance with HIPAA and company privacy policies</li><li>Provide exceptional customer service while assisting patients with insurance inquiries</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-17T00:00:00Z

Enrollment Specialist

Buena Park, CA
onsite
Contract / Temporary to Hire
24 - 29 USD / Hourly
We are looking for a dedicated Enrollment Specialist to join our team in Buena Park, California. The Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs like Covered California and Medi-Cal. This is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Key Responsibilities:• Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal.• Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions.• Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies.• Maintain up-to-date records of enrollment activity and manage data entry into internal systems.• Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes.• Collaborate with community outreach teams to support enrollment initiatives and drive awareness.• Deliver excellent customer service by addressing patient inquiries and concerns promptly.• Stay informed about changes in health insurance policies to provide accurate guidance to patients. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-16T00:00:00Z

Medical AR Insurance Specialist

Los Angeles, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialistwill focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. Responsibilities:• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.• Investigate and resolve written-off accounts to maximize revenue recovery.• Process approximately 50-60 claims per day with attention to detail and accuracy.• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.• Handle medical denials and appeals, ensuring timely and effective resolution.• Review and manage accounts associated with various insurance carriers.• Analyze and document collection efforts for reporting and compliance purposes.• Maintain up-to-date knowledge of relevant medical billing and insurance policies.• Communicate effectively with internal teams to coordinate account resolution strategies.
2026-04-17T00:00:00Z

Medical AR Insurance Specialist

Los Angeles, CA
onsite
Temporary
23.75 - 28 USD / Hourly
We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialist will focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. This role is a hybrid tole. Responsibilities:• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.• Investigate and resolve written-off accounts to maximize revenue recovery.• Process approximately 50-60 claims per day with attention to detail and accuracy.• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.• Handle medical denials and appeals, ensuring timely and effective resolution.• Review and manage accounts associated with various insurance carriers.• Analyze and document collection efforts for reporting and compliance purposes.• Maintain up-to-date knowledge of relevant medical billing and insurance policies.• Communicate effectively with internal teams to coordinate account resolution strategies.
2026-04-17T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary
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. 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. 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.
2026-04-15T00:00:00Z

Medical Billing Specialist - Hospital

Los Angeles, CA
onsite
Temporary
25.12 - 31.91 USD / Hourly
A Hospital in Los Angeles that is dedicated to highest level of patient care is seeking a Medical Billing Collections Specialist to join its hospital team. This role focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in UB-04 claims processing. Key Responsibilities:<ul><li>Manage and process collections for medical insurance claims, including HMO and PPO plans.</li><li>Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely.</li><li>Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.</li><li>Communicate effectively with internal departments and external payers to resolve outstanding accounts.</li><li>Ensure compliance with all HIPAA, insurance, and regulatory requirements.</li><li>Maintain accurate records and documentation of claim statuses within systems.</li></ul>
2026-04-03T00:00:00Z