5 results for Insurance Verification Specialist in Irvine, CA

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary
19.7885 - 25 USD / Hourly
We are looking for a meticulous and organized Insurance Authorization Coordinator to join our team on a contract basis in San Bernardino, California. In this role, you will be responsible for managing retroactive insurance authorizations and ensuring compliance with healthcare regulations. The ideal candidate will have hands-on experience with the Treatment Authorization Request (TAR) process and a strong background in healthcare billing and insurance coordination. Responsibilities: • Process and submit retroactive insurance authorizations for hospital services, ensuring accuracy and timeliness. • Monitor and follow up on pending and denied authorizations to secure approvals efficiently. • Collaborate with clinical and administrative teams to collect and verify required medical documentation. • Communicate with insurance companies to resolve issues and obtain necessary approvals. • Maintain compliance with hospital policies, as well as state and federal healthcare regulations. • Accurately record and update information within hospital information systems. • Stay informed on updates and best practices related to the Treatment Authorization Request (TAR) process. • Assist with administrative tasks, such as scanning and organizing documentation, to support the authorization process. • Handle inbound and outbound calls related to authorization inquiries and resolutions.
2026-04-02T00:00:00Z

Credentialing Specialist

West Hollywood, CA
onsite
Temporary
25 - 45 USD / Hourly
The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.<ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-21T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-04-03T00:00:00Z

Loan Servicing Specialist

Hawthorne, CA
onsite
Temporary
21 - 23 USD / Hourly
Join a dynamic financial services team dedicated to improving members’ financial well-being. As a Loan Servicing Specialist II, you will empower individuals through personalized solutions and foster a culture of innovation, accountability, and professional growth. Integrity and exceptional service are central to every interaction, allowing you to make an immediate impact on clients’ financial journeys within the community.Role Overview:As a Loan Servicing Specialist, you will be a valued member of the Loan Servicing team, responsible for processing a variety of consumer and mortgage loan servicing requests. Your focus is on accuracy, completeness, and timeliness while supporting both the Loan Servicing and Lending Departments. The role includes managing collateral loan titles and ensuring compliance with DMV regulations across all 50 states, as well as tracking collateral protection insurance issues to maintain the integrity of loan records.Your expertise in lending standards and legal compliance will allow you to address complex and routine member and partner inquiries with professionalism and efficiency, consistently maintaining organizational policies and industry regulations.Qualifications:<ul><li>3–5 years’ direct experience in financial services, with a focus on consumer and/or mortgage loan servicing; minimum of 1 year processing DMV documentation across multiple states.</li><li>Strong working knowledge of lending products including secured/unsecured loans, auto loans, credit cards, and lines of credit.</li><li>In-depth familiarity with loan servicing guidelines and regulatory requirements under NCUA and CFPB.</li><li>Proficiency in Dealertrack System for processing title paperwork and managing collateral loans.</li><li>Excellent organizational, written, and verbal communication skills.</li><li>High attention to detail and ability to manage multiple competing priorities.</li><li>High school diploma required.</li><li>Proficiency in Windows, Microsoft Word, Excel, and internet navigation.</li><li>Ability to handle confidential information and maintain professionalism.</li><li>Commitment to providing exceptional member service.</li></ul>
2026-04-02T00:00:00Z

Routing Specialist

South Gate, CA
onsite
Contract / Temporary to Hire
20 - 24 USD / Hourly
We are looking for a highly organized Routing Specialist to join our logistics team in South Gate, California. This Contract to permanent opportunity offers a chance to play a key role in managing and optimizing transportation schedules for a leading logistics company. The ideal candidate will excel in coordinating routes, leveraging advanced Excel skills, and ensuring seamless communication across teams. Responsibilities: • Develop and implement efficient routing plans to streamline delivery schedules and enhance operational performance. • Utilize advanced Excel functions, such as pivot tables and VLOOKUPs, for data analysis, shipment tracking, and reporting. • Coordinate with drivers, dispatchers, and warehouse staff to ensure timely and accurate deliveries. • Monitor shipments in real-time and resolve any delays or issues proactively to maintain service quality. • Maintain comprehensive records of routes, schedules, and transportation costs for accurate reporting and analysis. • Communicate effectively with internal teams and external partners to ensure alignment on logistics operations. • Ensure all transportation activities comply with company policies and industry regulations. • Provide support in managing business systems, including ERP and CRM tools, to enhance operational efficiency. • Collaborate with the billing team to ensure accurate invoicing and documentation of services.
2026-04-03T00:00:00Z