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6 results for Credentialing Specialist in Los Angeles, CA

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary / Contract
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.
2026-06-15T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 28.99 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-06-29T00:00:00Z

Medical Biller/Collections Specialist

Pomona, CA
onsite
Temporary / Contract
19.7885 - 22.913 USD / Hourly
We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment. Responsibilities:• Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.• Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.• Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.• Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.• Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.• Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.• Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.• Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.
2026-06-29T00:00:00Z

Inpatient Coding Specialist

Los Angeles, CA
remote
Temporary / Contract
27 - 50 USD / Hourly
We are looking for an Inpatient Coding Specialist to support accurate inpatient coding and clinical data abstraction for a Contract position. In this role, you will evaluate inpatient medical records, assign diagnosis and procedure codes, and help ensure compliant reimbursement and reporting. The position requires close attention to documentation quality, regulatory standards, and timely account completion across the revenue cycle. Responsibilities:• Examine inpatient charts and translate clinical documentation into accurate diagnosis and procedure codes using applicable classification systems and grouping methodologies.• Determine the appropriate reimbursement grouping for each account while confirming discharge status, admission source details, and present-on-admission indicators are recorded correctly.• Abstract required clinical and demographic data elements according to facility guidelines and regulatory reporting expectations.• Review physician and care team documentation for completeness, identify missing or conflicting information, and pursue clarification when needed to support code assignment.• Manage discharged-not-billed work queues to help move accounts through the revenue cycle within established turnaround expectations.• Partner with clinical documentation improvement staff and providers to strengthen record completeness and support accurate severity and reimbursement outcomes.• Apply coding, billing, and data collection rules consistently to maintain compliance with state, federal, and payer requirements.• Use coding and validation tools such as Epic, 3M applications, encoders, audit platforms, and standard office software to verify information and complete assigned work.• Maintain productivity and quality benchmarks while working independently, organizing priorities effectively, and resolving issues that affect coding accuracy or timeliness.
2026-06-29T00:00:00Z

Medical Revenue Cycle Specialist

Van Nuys, CA
onsite
Temporary / Contract
25 - 29 USD / Hourly
A Medical Center in Los Angeles is seeking a dedicated and driven Medical Revenue Cycle Specialist to join its respectable hospital. The Medical Revenue Cycle Specialist must have extensive knowledge and first-hand experience in dealing with insurance denials management and UB04. The Medical Revenue Cycle Specialist role demands an individual who can demonstrate an exceptional understanding of the medical billing and collections process and the critical thinking skills needed to navigate this challenging landscape.Responsibilities:1. Hospital insurance knowledge of entire billing and collection processes2. Using effective strategies for insurance denials management3. Thorough understanding of the UB04 form and its intricacies4. Resolving patient’s billing complaints and issues5. Communicating insurance coverage and patient liability to patients and staff6. Applying payments, adjustments, and denials to patient accounts7. Identifying and resolving payment discrepancies and reviewing accounts for collection8. Documenting all conversations, emails, and actions taken on account
2026-06-29T00:00:00Z

Quality Assurance Specialist

Irvine, CA
onsite
Temporary / Contract
25 - 28 USD / Hourly
We are seeking a detail-oriented Temporary Administrative Compliance Coordinators to support critical audit and compliance initiatives over a 3–4 month period. This role will assist with reviewing documentation, validating records, preparing for audits, and supporting various compliance-related projects. The ideal candidate will possess strong organizational skills, exceptional attention to detail, and the ability to accurately review high volumes of information while identifying gaps, inconsistencies, and compliance concerns. Duties:<ul><li>Review and audit session notes, treatment documentation, and related records to ensure compliance with payer and regulatory requirements (training provided).</li><li>Organize, maintain, and track audit-related documentation and records.</li><li>Identify missing information, documentation gaps, and inconsistencies within records.</li><li>Support compliance, quality assurance, and operational projects as assigned.</li><li>Maintain confidentiality and handle sensitive information in accordance with company policies and regulatory standards.</li><li>Provide general administrative support related to compliance and auditing initiatives.</li></ul>
2026-06-29T00:00:00Z