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6 results for Insurance Verification Specialist in Irvine, CA

Medical Credentialing Specialist

Santa Monica, CA
onsite
Temporary to Hire
31.97 - 45 USD / Hourly
A National Hospital System in in Los Angeles is in the immediate need of a Medical Credentialing Specialist to support credentialing and privileging activities for physician staff. This Medical Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The Medical Credentialing Specialist must bring prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care. MD Staff Software is a MUST. Key Responsibilities:• Oversee the end-to-end credentialing cycle for physicians, including new appointments, renewals, and ongoing status maintenance.• Review and validate provider documentation such as licenses, education, certifications, employment history, and references.• Administer privilege requests and updates by tracking clinical privileges and ensuring alignment with governing bylaws and organizational standards.• Maintain complete and current practitioner files within the MD Staff platform, ensuring data accuracy and documentation readiness.• Track expiring credentials and follow up proactively to obtain renewed licenses, certifications, and other required materials before deadlines.• Assemble credentialing packets and prepare supporting materials for review by committees, leadership groups, and governing bodies.• Help uphold adherence to accreditation and regulatory expectations, including Joint Commission standards and internal medical staff requirements.• Serve as a point of contact for physicians, department leaders, and stakeholders regarding application progress, missing items, and approval status.• Contribute to audits, survey preparation, policy revisions, and process improvement initiatives related to medical staff services. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-18T00:00:00Z

Insurance Authorization Coordinator

San Bernardino, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for a highly organized Insurance Authorization Coordinator to support hospital authorization activities in San Bernardino, California. This Contract position focuses on securing retroactive approvals, maintaining complete documentation, and working closely with clinical and administrative teams to help prevent reimbursement delays. The ideal candidate brings strong knowledge of insurance authorization workflows, sound judgment when handling payer issues, and a careful approach to record accuracy and compliance. Responsibilities: • Prepare and submit retroactive authorization requests for hospital services, ensuring each case includes complete and accurate supporting information. • Monitor open, pending, and denied authorization cases, and take timely action to follow up with payers and internal stakeholders. • Partner with care teams and administrative staff to gather clinical records and other required documents needed for review. • Communicate with insurance representatives by phone and in writing to clarify case details, address discrepancies, and obtain determinations. • Maintain organized and up-to-date authorization records within hospital systems, including scanned documents and status updates. • Review requests against hospital guidelines and applicable regulatory standards to support compliant processing practices. • Track payer responses and escalate urgent or complex cases when additional review is needed to avoid delays in approval. • Keep current with changes in authorization procedures, including Treatment Authorization Request processes and payer-specific requirements.
2026-05-13T00:00:00Z

Quality Specialist

Santa Ana, CA
onsite
Temporary / Contract
48 - 55 USD / Hourly
*Email valerie.montoya@rht(.com) for consideration* Robert Half is seeking a Quality Specialist to support manufacturing by leading nonconformance triage and MRB (Material Review Board) activities. This role is a blend of hands-on inspection and quality decision-making, focused on quickly evaluating issues, determining disposition, and working cross-functionally to resolve defects. This position plays a key role in improving production flow by reducing unnecessary MRB cases and driving efficient resolution of quality issues. Perform hands-on inspection of mechanical and electronic components (PCBA, assemblies, machined parts)Sit at triage stations to evaluate nonconforming parts in real timeDetermine appropriate disposition:<ul><li>Rework / fix</li><li>Escalate to MRB</li><li>Return to supplier</li><li>Support and progressively take ownership of the MRB process</li><li>Act as a secondary decision-maker on nonconformance disposition</li><li>Partner with Manufacturing and Quality Engineers to troubleshoot issues</li><li>Participate in root cause analysis and corrective actions</li><li>Support RMA and supplier-related quality activities as needed</li><li>Ensure accurate documentation and traceability of nonconforming materials</li><li>Help improve processes to reduce defects and improve throughput</li></ul>
2026-05-01T00:00:00Z

Quality Specialist

Santa Ana, CA
onsite
Temporary / Contract
45 - 60 USD / Hourly
We are looking for a Quality Specialist to join the Product Quality Team in Santa Ana. This Quality Specialist is responsible for monitoring, inspecting, and proposing measures to correct or improve the incoming inspection process to meet quality standards. They are a highly motivated team player willing to support a fast-paced team environment. They will partner across the organization and help prioritize process and product quality issues that impact the effectiveness of the incoming materials inspection process, as well as provide support for end-of-line supplier inspection.As a quality specialist, they are also responsible for monitoring, inspecting, and proposing measures to correct or improve final product quality standards. This role will focus on both product quality issues and process issues that impact efficiencies and completeness of inspection operations. WHAT YOU’LL DO:<ul><li>Manage the site Materials Review Board (MRB) process</li><li>Inspect and verify non-conforming parts at the site and at supplier sites as assigned</li><li>Partner with the site Supplier Quality Engineering organization to support supplier quality control</li><li>Assist in root cause analysis</li><li>Assist in dispositioning non-conforming material and ensure tasks are completed in a timely manner</li><li>Manage internal re-work to support dispositions</li><li>Ensure data collection and entry are accurate and complete for the MRB process</li><li>Communicate process performance and quality issues to key stakeholders to drive improvements</li><li>Execute vendor return material authorizations (RMA) in partnership with warehouse and buyers to ensure material leaves the MRB area for suppliers</li><li>Perform verification of First Article Inspection (FAI) on incoming material and coordinate acceptance of FAI data submitted by suppliers</li><li>Manage quality containment processes for material, tooling, and inspection equipment involved in non-conformances impacting production capacity and capability</li><li>Create inspection plans for incoming material, in-process inspection steps, and end-of-line inspection, as directed by product quality engineers; execute inspection as needed</li><li>Train technicians and inspectors to execute inspection plans and data capture in the process</li><li>Propose, develop, and implement quality assurance policies and procedures and review them with product quality engineers</li><li>Review and propose continuous improvement projects for productivity gains, quality improvements, and benefits to company quality policy</li><li>Deep dive into data and traceability investigations to identify trends, oddities, inconsistencies, and variation impacting the effectiveness of processes, procedures, and product quality</li></ul>
2026-05-02T00:00:00Z

Quality Inspector

Santa Ana, CA
onsite
Temporary / Contract
35 - 40 USD / Hourly
Robert Half is currently seeking a Quality Inspector to support our manufacturing team by performing detailed inspections of electronic assemblies and components. This role is responsible for ensuring products meet defined quality standards and specifications through accurate, consistent inspection and documentation. This is a hands-on, production-floor role requiring strong attention to detail and the ability to work independently using established standards. *Email valerie.montoya@rht(.com) for consideration* Perform inspection of:<ul><li>Printed Circuit Board Assemblies (PCBA)</li><li>Wire harnesses and flex circuits</li><li>Mechanical components (as needed)</li><li>Inspect to industry standards such as IPC-A-610</li><li>Interpret engineering drawings, work instructions, and specifications</li><li>Identify and document nonconforming parts</li><li>Make pass/fail determinations based on defined criteria</li><li>Escalate defects and quality issues to appropriate teams</li><li>Support incoming, in-process, and final inspections</li><li>Maintain accurate inspection records and data</li></ul>
2026-05-01T00:00:00Z

Routing Specialist

South Gate, CA
onsite
Temporary to Hire
21 - 24 USD / Hourly
We are looking for a Routing Specialist to support logistics operations in California. This contract opportunity with potential for a permanent position is ideal for someone who can organize transportation activity, maintain shipment visibility, and keep delivery plans on schedule in a fast-moving environment. The role works closely with drivers, warehouse teams, and business partners to improve routing efficiency, track freight activity, and maintain accurate operational records. Responsibilities: • Build and adjust daily routing plans to improve transit efficiency and support on-time delivery performance. • Use Excel and logistics systems to track shipments, analyze transportation data, and prepare operational reports. • Coordinate with drivers, dispatch, warehouse staff, and external partners to keep freight moving according to schedule. • Monitor loads in transit, identify service disruptions early, and take action to resolve delays or exceptions. • Maintain organized records related to routes, shipment activity, billing details, and transportation costs. • Communicate status updates clearly to internal stakeholders and customers while supporting a high level of service. • Support compliance with transportation procedures, customer requirements, and applicable industry regulations. • Work within business platforms such as ERP, CRM, and CargoWise to manage logistics information accurately.
2026-05-15T00:00:00Z