11 Results for Enrollment Eligibility Specialist Jobs in Los Angeles, CA

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Credentialing Specialist

Long Beach, CA
onsite
Temporary / Contract
26 - 28 USD / Hourly
A healthcare company is looking for an experienced Credentialing Specialist to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. The Credentialing Specialist is responsible for managing provider onboarding, recredentialing, payer enrollment support, and provider record maintenance while ensuring compliance with regulatory, accreditation, and health plan requirements. The Credentialing Specialist will also collaborate with internal teams to improve workflows, maintain audit readiness, and promote accurate, consistent credentialing practices. Key Responsibilities:<ul><li>Manage day-to-day credentialing activities for providers, including initial appointments, reappointments, and related follow-up tasks.</li><li>Coordinate provider onboarding, recredentialing cycles, payer enrollment support, and privileging documentation to ensure timely processing.</li><li>Maintain compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation for completeness, accuracy, and timely updates.</li><li>Monitor credentialing volume, track turnaround times, and help resolve issues that may delay provider processing.</li><li>Conduct routine audits of credentialing records and assist with preparation for internal and external audits or delegated reviews.</li><li>Partner with leadership and cross-functional teams to support process improvements, policy updates, and reporting needs.</li><li>Maintain provider data integrity across systems to support accurate reporting, downstream operations, and compliance requirements.</li></ul>Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-09-28T00:00:00Z

Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
24 - 28 USD / Hourly
A healthcare company is seeking an experienced Credentialing Specialist to join its team in El Segundo, California. The Credentialing Specialist will bring strong high-volume credentialing experience, including knowledge of ABA provider credentialing processes, and will help bring structure and organization to a busy department. Key Responsibilities:<ul><li>Process provider, physician, and ABA practitioner credentialing files from intake through completion, ensuring accuracy and timely follow-up.</li><li>Review applications, supporting documents, licensure records, and certifications to confirm all required information is complete, current, and compliant.</li><li>Manage initial credentialing and re-credentialing activities by tracking renewal timelines and coordinating document collection ahead of deadlines.</li><li>Communicate with providers, clinicians, internal departments, and external entities to resolve missing information and clear outstanding items.</li><li>Support credentialing functions related to ABA services, including working with behavior analysts, therapists, and related provider documentation as needed.</li><li>Maintain organized credentialing records and update status details across departmental systems and tracking tools.</li><li>Prioritize backlog work effectively while meeting established turnaround times in a fast-paced healthcare environment.</li><li>Assist with credentialing-related process improvement, clean-up efforts, and additional departmental support needs as identified.</li></ul> Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-10-05T00:00:00Z

Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
24 - 28 USD / Hourly
A healthcare company is looking for an experienced Credentialing Specialist to join our team in El Segundo, California. The Credentialing Specialist will support a high-volume credentialing workload and requires someone who can step in quickly, work independently, and maintain accuracy in a fast-paced healthcare environment. Key Responsibilities:• Manage end-to-end credentialing activities for healthcare providers, ensuring files are complete, accurate, and processed within required timelines.• Review applications and supporting documentation for initial credentialing and recredentialing, following established healthcare and payer standards.• Communicate with providers, internal departments, and external organizations to obtain missing information and resolve credentialing issues efficiently.• Track application progress, maintain organized records, and provide status updates on outstanding items and completion timelines.• Verify licenses, certifications, education, work history, and other required documentation to support provider enrollment and compliance.• Assist with reducing credentialing backlogs by prioritizing urgent files and handling a high volume of cases with strong attention to detail.• Support ongoing process documentation and identify file discrepancies or workflow gaps that may affect credentialing completion.• Ensure all credentialing activities align with internal policies, regulatory requirements, and healthcare industry best practices. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-10-05T00:00:00Z

Medical Billing Specialist

Encino, CA
onsite
Temporary to Hire
24.91 - 30.12 USD / Hourly
We are looking for an experienced Medical Billing Specialist to join a healthcare organization in California. This Medical Billing Specialist opportunity is ideal for someone with a strong background in surgical and ambulatory facility billing who can support accurate claim processing and healthy revenue cycle performance. The Medical Billing Specialist will work closely with payers, patients, and internal teams to resolve billing issues, improve reimbursement outcomes, and maintain compliant account documentation. Responsibilities:• Prepare and submit facility claims for surgical services with careful attention to completeness, accuracy, and payer-specific rules.• Review procedure details, patient information, coverage data, and required authorizations before releasing claims for billing.• Apply appropriate coding elements, including diagnosis and procedure codes, modifiers, and revenue details, to support proper reimbursement.• Enter and reconcile insurance payments, patient payments, adjustments, and other account activity in a timely manner.• Analyze remittance documents and explanation of benefits statements to identify denials, short payments, and billing variances.• Pursue outstanding receivables by contacting payers, researching account status, and escalating issues affecting reimbursement.• Investigate rejected claims and denial trends, then prepare corrected submissions, reconsiderations, or appeals when needed.• Monitor aging reports and organize follow-up efforts based on deadlines, claim value, and collection priorities.• Communicate with insurance representatives, physician offices, patients, and internal departments to address account questions and resolve discrepancies.• Maintain complete billing records while following healthcare privacy standards and current reimbursement regulations.
2026-09-29T00:00:00Z

Medical Billing Specialist

Los Angeles, CA
onsite
Temporary to Hire
25 - 32 USD / Hourly
A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Medical Biller to join its growing team. The ideal Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medicare billing is a big plus. Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Review explanations of benefits.• Determine the patient's financial status and capability to pay their bills.• Apply appropriate codes to billable goods and services.• Address and resolve patient complaints regarding bills.• Maintain confidentiality and comply with all federal and state health information privacy laws.• Monitor and record late payments.• Regularly report to the Billing Manager.
2026-10-05T00:00:00Z

Medical Authorizations Specialist

Los Angeles, CA
onsite
Temporary / Contract
24.07 - 30.12 USD / Hourly
A Hospital in Los Angeles is looking for an experienced Medical Authorizations Specialist to support patient access and revenue cycle operations for a healthcare organization. The Medical Authorizations Specialist position focuses on securing timely insurance approvals, insurance verifications confirming coverage details, and helping patients move forward with needed services without unnecessary delays. The Medical Authorizations Specialist candidate brings strong payer knowledge, sound judgment, and a patient-centered approach in a fast-moving hospital or clinical environment. Responsibilities:• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.
2026-09-28T00:00:00Z

Benefits Specialist

Los Angeles, CA
onsite
Temporary to Hire
32 - 42 USD / Hourly
Key responsibilities: Benefits Administration and Employee Support - Serve as a primary point of contact for employee benefits inquiries through email and ServiceNow, researching and resolving enrollment and claims issues - Administer life events in Workday, including leave of absence events, from initiation through completion and close-out - Review and approve dependent eligibility in Workday and process Evidence of Insurability approvals and denials - Prepare benefit verification letters, new hire enrollment reminders, and The Hartford conversion letters - Process child support orders (medical support) in coordination with Payroll Billing, Premium Reconciliation and COBRA - Reconcile and process monthly carrier invoices - Manage premium receipts and deposits, arrears clearance, and late-premium notices for employees on leave - Administer COBRA end to end, including WageWorks reconciliation and auditing COBRA files against Workday to resolve discrepancies Audits, Reporting and Payroll Integration - Partner with Payroll each semi-monthly and biweekly pay cycle to ensure benefit retros and arrears are processed accurately - Run and analyze recurring audit reports, including retro recalculation by pay date, benefit status events, terminated employees with benefits, and dependent validation - Audit passive life events (coverage end dates, overage dependents, ACA eligibility) - Track part-time faculty benefit eligibility - Audit carrier integration files (including The Hartford) and resolve discrepancies - Prepare the VOP report for the Jesuit community with Payroll Open Enrollment - Coordinate benefits fair logistics, including carrier invitations, catering, and event setup - Provide administrative and employee support throughout the Open Enrollment period
2026-09-30T00:00:00Z

Benefits Specialist

Irvine, CA
onsite
Temporary to Hire
34.257 - 39.666 USD / Hourly
We are looking for a Benefits Specialist to join a team in Irvine, California in a Contract to Permanent role. This position supports the delivery of employee benefits programs by helping with enrollments, employee inquiries, records management, and benefits system activity. The ideal candidate brings strong attention to detail, a service-oriented approach, and the ability to manage several priorities while contributing to a positive employee experience. Responsibilities: • Provide day-to-day support for health, retirement, life, disability, and voluntary benefit programs while ensuring employees receive accurate and timely assistance. • Investigate and resolve issues related to enrollments, eligibility, carrier connections, billing questions, and claims concerns. • Guide employees through benefits processes and help them use benefits administration tools effectively. • Process benefits-related events such as employee enrollments, life status changes, and open enrollment activities while monitoring deadlines and documentation requirements. • Partner with HR teams and internal stakeholders to verify data accuracy, reconcile records, and address discrepancies with carriers or system files. • Assist with audits, testing, troubleshooting, and ongoing maintenance for HRIS and benefits administration platforms, including support for system updates or implementations when needed. • Coordinate assigned benefits projects by tracking milestones, organizing communications, maintaining documentation, and following through on action items. • Contribute to process improvements, employee communications, wellness initiatives, and compliance reporting to strengthen consistency and engagement across the organization.
2026-09-18T00:00:00Z

Benefits Specialist

Brea, CA
onsite
Temporary / Contract
32 - 36 USD / Hourly
We are looking for someone with 2–4 years of hands-on employee benefits and/or HR experience who can jump in and support the Benefits Manager across a portfolio of approximately 23 brands.The ideal candidate will have experience with:• Medical, dental, vision, life, disability, 401(k), and voluntary benefits • New hire enrollment and qualifying life events • Open enrollment and benefits administration • Employee questions and benefits issue resolution • Eligibility, carrier, billing, claims, and enrollment discrepancies • HRIS and/or benefits administration systems • Benefits reporting, audits, and data reconciliation • Basic ACA compliance knowledge • Excel and Microsoft Office • Managing multiple projects, deadlines, and follow-ups • Working with HR, payroll, carriers, vendors, and employees
2026-09-18T00:00:00Z

Employee Relations Specialist

Beverly Hills, CA
onsite
Temporary / Contract
28 - 32 USD / Hourly
We are looking for an Employee Relations Specialist to support a long-term contract assignment in Beverly Hills that will last until February 2027 and may lead to fulltime work after that. This role focuses on fostering a fair, compliant, and respectful workplace by guiding employee relations matters, managing sensitive workplace concerns, and partnering with leaders on effective resolution strategies. The ideal candidate brings strong judgment, investigation experience, and knowledge of local employment law to help address complex people issues with professionalism and discretion. Responsibilities:• Conduct thorough reviews of employee concerns, workplace complaints, and potential policy violations, documenting findings and recommending appropriate next steps.• Advise managers and HR partners on employee relations matters, including conflict resolution, corrective action, and workplace conduct issues.• Lead and support investigations involving sensitive personnel situations while maintaining confidentiality and applying sound judgment throughout the process.• Partner with leadership to address performance-related concerns and help implement practical, compliant action plans for improvement.• Interpret and apply local employment law, internal policies, and labor-related guidelines to support consistent decision-making.• Prepare clear case summaries, investigation records, and related documentation to ensure accurate reporting and audit readiness.• Identify patterns in workplace issues and recommend proactive measures that strengthen employee experience and reduce organizational risk.
2026-10-02T00:00:00Z

Customer Service Billing Specialist

Torrance, CA
onsite
Temporary to Hire
21.85 - 25.3 USD / Hourly
We are looking for a detail-oriented Customer Service Billing Specialist to join a manufacturing team in California in a contract role with the potential to become permanent. This on-site position supports billing accuracy and customer satisfaction by handling credits, refunds, and order-related transactions in a fast-paced environment. The role works closely with accounting, customer service, sales, and distribution to investigate issues, maintain accurate records, and help keep daily operations running smoothly. Responsibilities: • Investigate customer credit and refund requests by gathering details, reviewing transaction history, and coordinating with internal departments to reach accurate resolutions. • Enter and process billing adjustments, credits, and refunds in the company’s billing platform with a high degree of accuracy and timeliness. • Maintain complete and organized records for all billing actions to support compliance, reporting, and audit readiness. • Assist with order entry and related order processing tasks when operational demand requires additional support. • Monitor transaction activity for inconsistencies and escalate recurring billing or order issues to the appropriate team leaders. • Collaborate with accounting, customer service, sales, and distribution teams to resolve customer account questions and improve issue turnaround time. • Verify billing data carefully during high-volume periods to help ensure accurate fulfillment and dependable customer service. • Contribute to efficient daily workflows by identifying errors quickly and supporting corrective action across the order lifecycle.
2026-10-02T00:00:00Z

11 results for Enrollment Eligibility Specialist in Los Angeles, CA