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3 results for Insurance Verification Specialist in Irvine, CA

Medical Insurance Collections Specialist

Buena Park, CA
onsite
Temporary
23.02 - 29.11 USD / Hourly
A Healthcare Company is seeking an experienced and motivated Medical Insurance Collections Specialist to join our team. This role is ideal for professionals with a strong background in medical billing and insurance collections who thrive in a fast-paced healthcare environment. Bilingual fluency in English and Spanish is required to support our diverse patient and client population.Responsibilities:<ul><li>Manage accounts receivable and pursue outstanding medical insurance claims from payers</li><li>Communicate effectively with insurance companies, patients, and internal teams to resolve outstanding balances</li><li>Conduct thorough follow-up on unpaid or underpaid claims, ensuring timely reimbursements</li><li>Interpret EOBs (Explanation of Benefits) and remittance advice</li><li>Accurately document collection efforts and outcomes in the billing system</li><li>Negotiate payment arrangements and address denials or appeals</li><li>Ensure compliance with state, federal, and company guidelines regarding patient confidentiality and collections practices</li></ul>
2026-04-06T00:00:00Z

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.
2026-04-10T00:00:00Z

Audit/Compliance Specialist

Los Angeles, CA
onsite
Temporary
60 - 70 USD / Hourly
We are looking for a highly skilled Audit/Compliance Specialist to join our team on a contract basis in Los Angeles, California. In this role, you will focus on ensuring compliance with financial regulations, particularly in anti-money laundering (AML) and sanctions screening. This position offers an excellent opportunity to contribute to the financial services industry through detailed evaluations and process improvements. Responsibilities:• Conduct thorough quality assurance reviews of alerts, investigations, and regulatory filings to ensure compliance with internal policies and external regulations.• Evaluate the effectiveness of anti-money laundering (AML) and sanctions screening processes, identifying potential gaps or areas for improvement.• Prepare detailed reports outlining findings from quality assessments and provide actionable recommendations for enhancing compliance procedures.• Collaborate with teams to deliver feedback and support continuous improvement initiatives.• Monitor adherence to regulatory requirements and industry standards, including those outlined by governing bodies.• Analyze financial reporting and auditing processes to ensure alignment with compliance objectives.• Oversee month-end close activities, ensuring accuracy and compliance with regulatory expectations.• Utilize ERP solutions and accounting systems to manage compliance-related data efficiently.• Support OFAC processes as well as review EDD, CDD efforts• Stay updated on changes in financial regulations and recommend adjustments to compliance strategies as needed.
2026-04-14T00:00:00Z