<p>A respected healthcare organization is seeking an experienced <strong>Credentialing Manager</strong> to lead credentialing operations and provider data management for its Long Beach, California team. In this leadership role, you'll oversee the full credentialing lifecycle—including provider onboarding, recredentialing, enrollment support, and data integrity—while ensuring compliance with regulatory requirements and health plan standards. You'll also collaborate with cross-functional leaders to optimize processes, strengthen audit readiness, and drive operational excellence across the credentialing function.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Lead and mentor the credentialing and provider data team, setting daily priorities and ensuring efficient operations.</li><li>Oversee provider onboarding, recredentialing, payer enrollment, and privileging activities to support a seamless provider experience.</li><li>Ensure compliance with accreditation standards, delegated credentialing requirements, and applicable state and federal regulations.</li><li>Review credentialing files, provider rosters, and supporting documentation to maintain complete, accurate, and up-to-date records.</li><li>Monitor team productivity, turnaround times, and workflow performance, proactively resolving issues that impact service levels.</li><li>Prepare for internal and external audits by conducting routine reviews, identifying gaps, and implementing corrective actions.</li><li>Partner with leadership to enhance credentialing policies, reporting capabilities, and operational workflows.</li><li>Safeguard provider data integrity across systems to support accurate reporting, compliance, and downstream operational needs.</li></ul><p><strong>Benefits:</strong> Comprehensive Health, Dental, and Vision insurance, 401(k) retirement plan, and Paid Sick Time.</p>
<p>A healthcare company is looking for a <strong>Medical Staff Coordinator </strong>to support credentialing and medical staff administration for a healthcare organization in California. This Medical Staff Coordinator position focuses on overseeing provider appointments, renewals, and clinical privilege documentation while maintaining alignment with hospital standards and regulatory requirements. The Medical Staff Coordinator offers the opportunity to work closely with physicians, leadership teams, and internal departments in a fast-moving hospital environment where accuracy, organization, and service are essential.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Oversee the full credentialing cycle for physicians and advanced practice providers, including new appointments, reappointments, and updates to clinical privileges.</p><p>• Examine application materials for accuracy and completion, and follow up to obtain missing records or supporting documents.</p><p>• Conduct and record primary source verification activities such as license reviews, education and training confirmation, board status checks, reference checks, malpractice history, and sanction screenings.</p><p>• Track expiration dates and renewal schedules to help maintain uninterrupted credentialing status for providers.</p><p>• Assemble and organize credentialing files for presentation to department leadership, credentialing committees, executive medical staff committees, and governing bodies.</p><p>• Coordinate requests involving revised or newly requested clinical privileges and ensure documentation is routed appropriately.</p><p>• Maintain precise provider information within credentialing systems and prepare reports, meeting materials, and survey-ready documentation for leadership review.</p><p>• Work collaboratively with Human Resources, provider enrollment teams, risk management, and department leaders to support onboarding and ongoing compliance.</p><p>• Uphold confidentiality standards while delivering responsive and courteous service to providers, hospital leadership, and other stakeholders.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>A healthcare company is looking for a detail-oriented <strong>Medical Records Clerk</strong> to support a high-volume surgery center in Orange, California. This Medical Records Clerk position is ideal for someone who is comfortable working with both paper and electronic records and can keep files organized in a fast-paced clinical setting. The Medical Records Clerk in this role will help maintain accurate record storage, support daily document handling, and contribute to smooth medical records operations,</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Organize, sort, and file patient charts and related documentation with a high level of accuracy.</p><p>• Retrieve records as needed to support staff requests and daily department workflows.</p><p>• Maintain orderly medical record storage systems for both physical files and electronic documentation.</p><p>• Review documents for proper classification and place materials in the correct location based on established filing methods.</p><p>• Assist with record management tasks that support the department during a 2-3 month contract assignment.</p><p>• Use electronic medical record systems such as Allscripts and Cerner to locate, verify, and manage patient information.</p><p>• Ensure confidential health information is handled in accordance with privacy and security standards.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off.</p>
<p>We are seeking an experienced Revenue Cycle Analyst to join our healthcare finance team. The Revenue Cycle Analyst will be responsible for analyzing and improving revenue cycle processes, ensuring the organization's financial health while minimizing inefficiencies. The Revenue Cycle Analyst role requires strong analytical skills, healthcare billing knowledge, and the ability to collaborate across departments to optimize performance. This role is ideal for someone who possesses a Certified Coding Specialist (CCS) as this role will focus on coding denial management.</p><p><br></p><p>Key Responsibilities:</p><ul><li>Perform data analysis to identify trends, issues, and opportunities for improvement within the revenue cycle processes, including billing, coding, collections, and reimbursements.</li><li>Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting.</li><li>Collaborate with cross-functional teams, such as billing and collections, to streamline processes and improve revenue cycle operations.</li><li>Research industry regulations and payer policies to ensure compliance and optimize reimbursements.</li><li>Provide regular reporting to department leaders on revenue cycle performance, including key performance indicators (KPIs).</li><li>Support system upgrades and technology implementation to enhance revenue cycle efficiency.</li><li>Identify and resolve discrepancies in payments or coding to reduce denials and delays in reimbursements.</li><li>Conduct root cause analysis for claim denials and develop strategies for resolution.</li><li>Participate in budgeting and forecasting to align revenue cycle goals with financial strategies.</li></ul><p><br></p>
<p>A Hospital in Los Angeles is in the immediate need of a Medical Insurance Collections Specialist to support its hospital-based revenue cycle team. The Medical Insurance Collections Specialist role is ideal for someone who understands insurance follow-up, hospital claims, denials management, appeals and reimbursement workflows in a fast-paced healthcare setting. The Medical Insurance Collections Specialist will help drive payment resolution by researching claim issues, addressing payer delays, resolve denials and working closely with internal teams to improve collection results.</p><p><br></p><p>Responsibilities:</p><p>• Manage follow-up activities for unpaid or underpaid hospital insurance claims, with attention to high-volume payer accounts and timely reimbursement.</p><p>• Review UB04 hospital claims for accuracy, completeness, and billing compliance before pursuing collection resolution.</p><p>• Research denials, rejections, delayed payments, and partial reimbursements to determine the next steps needed for account resolution.</p><p>• Prepare and submit corrected claims, appeal packages, and supporting documents to resolve outstanding balances efficiently.</p><p>• Work aging accounts receivable inventories and maintain daily productivity aligned with departmental expectations.</p><p>• Record all account actions, payer conversations, and status updates clearly within the billing system.</p><p>• Partner with billing, coding, and patient financial services teams to resolve claim discrepancies and reduce reimbursement barriers.</p><p>• Track recurring payer issues and escalate patterns that negatively affect collection performance or payment turnaround times.</p>
<p>We are looking for an experienced Medical Biller Collector to join a Surgery Center in Encino. The Medical Biller Collector is ideal for someone with a strong background in healthcare billing and insurance collections who can manage claims activity accurately and follow revenue cycle processes from submission through reimbursement. The Medical Biller Collector position supports surgical and outpatient services by ensuring charges, coding, and payer information are handled correctly and in a timely manner.</p><p><br></p><p>Responsibilities:</p><p>• Manage end-to-end billing and collections for surgical and related service charges, ensuring timely claim processing and payment resolution.</p><p>• Confirm patient coverage, referral or authorization status, and payer details through electronic health record systems and insurer portals before claims are transmitted.</p><p>• Enter billing information, post charges, and maintain accurate account records to support clean claim submission.</p><p>• Conduct follow-up with insurance carriers on outstanding claims, denials, and unpaid balances across multiple plan types and procedures.</p><p>• Review rejected or denied claims, correct billing or coding issues, and resubmit documentation to support reimbursement.</p><p>• Audit provider documentation and operative reports to confirm services are fully supported before charges are released for billing.</p><p>• Assign appropriate diagnosis, procedure, medication, and supply codes based on clinical documentation and established coding standards.</p><p>• Evaluate explanation of benefits statements and payer responses to identify discrepancies, underpayments, or additional appeal opportunities.</p>
<p>An Eye Surgical Center in Downtown Los Angeles is in the need of a Medical Biller Collector who is looking to make a big step in their career! The Medical Biller Collector will be task with following up with insurance companies on unpaid claims, sending out claims for services rendered, self-pay collections, financial counseling and assisting with various tasks. This amazing company is looking for a Medical Biller Collector who want to be groomed for a supervisor or management role. </p>
<p>A Regional Healthcare Organization is in the need of a Clinic Manager . The Clinic Manager is responsible for the direct oversight and successful implementation, maintenance, and expansion of high-quality patient care services in a highly efficient and financially productive manner at the clinic they manage. The Clinic Manager is expected to ensure all the organization’s goals, objectives, needs, and expectations are met and is responsible for the success of the clinic business operations.</p><p><strong> </strong></p><p><strong>Primary Duties and Responsibilities</strong></p><ul><li>Achieve financially successful and net revenue positive overseen clinic(s).</li><li>Meet or Outperform overseen clinic business, productivity and financial goals.</li><li>Meet or Outperform overseen clinic revenue and expenditure budget targets.</li><li>Meet or Outperform target provider productivity goals.</li><li>Responsible for all aspects of clinic operations logistics and infrastructure.</li><li>Responsible for the immediate and successful remedying any productivity or financial shortfalls.</li><li>Successfully implement and expand all Relevant Designated scope of patient care services which may include but is not limited to Medical, Mental Health, Ob/Gyn, Endocrinology, Dental, Optometry, & Nutrition.</li><li>Ensure patients have optimized access to quality care and services with target low telephonic wait times, short next available appointments, low waiting room times & low patient processing times.</li><li>Responsible for the implementation and maintaining active status of all payor programs.</li><li>Responsible for the licensing and certification of overseen clinic site and programs.</li><li>Management of all clinic site staff including training, development, recruitment, credentialing, privileging, staff alignment, job duty adherence, performance assessment and disciplinary management.</li><li>Resolve and prevent any issues which restrict, obstruct, or negatively impact clinic operations, its goals or its objectives.</li><li>Meet or Outperform Quality Management goals including: Quality Improvement goals, Quality Assurance preventative and corrective actions, Utilization Management goals, and Credentialing & Privileging compliance.</li><li>Review and approve all Operations related business, financial, productivity, efficiency, quality, and utilization reports.</li><li>Responsible for the facility management of overseen clinic.</li><li>Responsible for maintaining and enforcing clinic audit and regulatory compliance for governmental agencies, health plans and payor programs and for achieving high audit scores.</li><li>Must be aware of new and upcoming changes affecting clinic operations.</li><li>Initiate, develop, participate, and expand in productive collaborative strategic partnerships.</li><li>Must have detailed working knowledge of all relevant policies & procedures and the NECC Employee Handbook.</li><li>Perform other duties as assigned by the Operations Director.</li></ul><p> <strong>Schedule:</strong></p><ul><li>Monday through Friday from 8:00AM - 5:00PM (accessibility after hours for clinical emergencies).</li></ul><p><br></p>
<p>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.</p><p><br></p><p>Responsibilities:</p><p>• Manage authorization and precertification requests for scheduled and unscheduled services across a range of government and commercial health plans.</p><p>• Confirm active medical insurance coverage, benefit levels, and service-specific requirements before care is delivered to reduce claim and scheduling issues.</p><p>• Evaluate provider orders and supporting clinical records to prepare complete submissions that align with payer criteria.</p><p>• Track open requests, communicate with insurers, and take timely action to obtain determinations within required turnaround times.</p><p>• Share updates on approval, denial, or pending status with care teams, schedulers, physicians, and patients as needed.</p><p>• Investigate barriers that could interrupt treatment timelines and work with internal and external parties to resolve them quickly.</p><p>• Record authorization activity, follow-up efforts, and outcomes accurately within the electronic medical record and related billing systems.</p><p>• Assist with reconsiderations or appeals when requests are postponed or denied, using documentation that supports medical necessity.</p><p>• Stay informed on changing payer rules, regulatory expectations, and authorization workflows while protecting patient confidentiality at all times.</p>
<p>We are looking for a welcoming and organized detail-oriented individual to support front-desk operations for a busy healthcare setting in Huntington Beach, California. The Medical Receptionist plays an important role in creating a smooth patient experience by managing arrivals, coordinating appointments, and helping administrative workflows stay on track. The Medical Receptionist will work closely with the reception team of three to ensure patients are assisted promptly and accurately throughout the check-in process.</p><p><br></p><p>Responsibilities:</p><p>• Greet patients upon arrival and complete the check-in process efficiently while maintaining a courteous and attentive presence.</p><p>• Confirm insurance details and review health plan information to help ensure accurate patient registration.</p><p>• Collect copayments/deductibles and support front-desk financial procedures in line with office expectations.</p><p>• Prepare and organize patient charts ahead of scheduled visits so care teams have needed information ready.</p><p>• Arrange new, follow-up, and rescheduled appointments while helping maintain an orderly provider calendar.</p><p>• Partner with other reception staff to keep daily front-office operations running smoothly and consistently.</p><p>• Assist with outreach activities related to quality measures and attestation follow-up when needed.</p><p>• Respond to routine patient questions in person or by phone and direct concerns to the appropriate team members.</p>
<p>We are seeking a detail-oriented Medical Collector to support revenue cycle operations through insurance follow-up and patient collections. This role will focus on resolving outstanding balances, contacting insurance carriers regarding claim status, denials, underpayments and payment issues, and working directly with patients to collect balances and explain account details. </p><p><strong>Key Responsibilities</strong></p><ul><li>Follow up with medical insurance payers on outstanding claims, denied claims, underpayments and aged accounts receivable. </li><li>Contact patients regarding balances due and arrange payment collection in a professional and customer-focused manner. </li><li>Review explanations of benefits, remittance details and account activity to determine next steps for collection. </li><li>Investigate claim rejections, denials and payment discrepancies and take appropriate action for resolution. </li><li>Submit appeals, corrected claims or supporting documentation as needed to secure reimbursement. </li><li>Document all collection activity, payer communication and patient interactions accurately in the billing system. </li><li>Work closely with billing, payment posting and customer service teams to resolve account issues. </li><li>Maintain productivity and quality standards while managing a high-volume work queue. </li><li>Ensure collection practices comply with payer requirements, timely filing guidelines and HIPAA standards. </li></ul><p><strong>Work Arrangement:</strong> On-site for the first 3 months, then hybrid based on performance and business needs. </p><p><br></p>
<p>A Healthcare Company is looking for a detail-oriented <strong>Health Information Data Entry Clerk</strong> to support accurate and timely maintenance of patient records in Pomona, California. This Health Information Data Entry Clerk position plays an important role in keeping healthcare information current, organized, and secure across electronic record systems and internal databases. The Health Information Data Entry Clerk is comfortable working with sensitive information, completing high-volume data entry tasks, and coordinating with multiple departments to ensure record accuracy.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Input patient demographic, clinical, insurance, and billing details into electronic health record platforms and related databases with a high degree of accuracy.</p><p>• Examine source documents before entry to confirm records are complete, legible, and ready for processing.</p><p>• Maintain current patient files by revising information promptly when updates or corrections are received.</p><p>• Validate entered information by checking for missing details, inconsistencies, and data quality issues.</p><p>• Digitize and organize medical documents by scanning, indexing, and attaching files to the appropriate electronic records.</p><p>• Investigate discrepancies in patient or claims-related information and escalate unresolved concerns to the appropriate lead or supervisor.</p><p>• Work closely with clinical, billing, and administrative teams to clarify documentation and resolve record-related questions.</p><p>• Conduct routine record reviews and support reporting activities to help identify errors, trends, and compliance needs.</p><p>• Protect confidential health information by following privacy, security, and documentation standards at all times.</p><p><br></p><p><strong>Benefits:</strong> Health, Dental, Vision, 401k, and Sick Time Off. </p>