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7 results for Credentialing Auditor in Monterey Park, CA

Credentialing Manager

Long Beach, CA
onsite
Temporary / Contract
32 - 45 USD / Hourly
A healthcare company is looking for an experienced Credentialing Manager to lead credentialing and provider data activities for a healthcare organization in Long Beach, California. This Credentialing Manager position will guide daily operations related to provider onboarding, recredentialing, enrollment support, and data accuracy while maintaining adherence to regulatory and health plan standards. The Credentialing Manager also partners with internal leaders to strengthen workflows, support audit readiness, and promote consistent credentialing practices across the function. Key Responsibilities:• Direct the day-to-day work of credentialing and provider data staff, setting priorities and providing operational guidance.• Lead provider onboarding, reappointment cycles, payer enrollment activity, and privileging coordination to keep processes moving efficiently.• Maintain compliance with applicable accreditation standards, delegated credentialing obligations, and state and federal regulations.• Review credentialing records, provider rosters, and supporting documentation to ensure information remains complete, current, and accurate.• Track team volume and turnaround times, remove workflow obstacles, and support timely resolution of credentialing issues.• Prepare the department for internal and external reviews by conducting audits and addressing gaps before formal assessments occur.• Work with leadership to refine credentialing policies, improve reporting, and enhance departmental procedures.• Oversee provider data integrity across systems and records to support reliable downstream use and regulatory reporting. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-21T00:00:00Z

Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
22 - 28 USD / Hourly
A healthcare company is looking for Credentialing Specialist to join a healthcare organization in El Segundo, California. This Credentialing Specialist is ideal for someone who can quickly step into a busy environment and provide hands-on support to a credentialing team managing a significant workload. The Credentialing Specialist is fully onsite and offers the chance to contribute immediately while helping maintain accurate, timely provider credentialing operations. Key Responsibilities:• Manage credentialing and recredentialing activities for physicians and other healthcare providers, ensuring files are complete, accurate, and submitted on schedule.• Review applications, supporting documents, and licensure records to verify compliance with organizational, payer, and regulatory standards.• Follow up with providers, payers, and internal teams to obtain missing information and resolve outstanding credentialing issues efficiently.• Maintain organized credentialing records and update tracking systems to reflect application status, expirations, and renewals.• Prioritize a high-volume backlog of provider files and move cases forward with strong attention to deadlines and detail.• Coordinate with department stakeholders to support daily credentialing operations and help improve workflow consistency as needs are identified. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-28T00:00:00Z

Medical Credentialing Specialist

El Segundo, CA
onsite
Temporary / Contract
23.12 - 28 USD / Hourly
We are seeking a detail-oriented Medical Credentialing Specialist to support the credentialing and recredentialing process for healthcare providers. This role is responsible for ensuring providers meet all regulatory, accreditation, and payer requirements so they can deliver services and receive reimbursement. .Key Responsibilities:<ul><li>Manage the initial credentialing and recredentialing process for physicians, nurses, and allied health professionals. </li><li>Verify provider qualifications, including licenses, certifications, education, work history, malpractice coverage, and references. </li><li>Prepare and submit credentialing applications to hospitals, health plans, and insurance networks. </li><li>Maintain accurate provider records and ensure all documentation is current and compliant. </li><li>Track application status and follow up with payers, licensing boards, and other agencies as needed. </li><li>Monitor expiration dates for licenses, DEA registrations, board certifications, and insurance documents. </li><li>Ensure compliance with internal policies, payer standards, NCQA, CMS, and other regulatory guidelines. </li><li>Serve as a point of contact for providers and internal departments regarding credentialing status and requirements. </li><li>Assist with audits and reporting related to provider enrollment and credentialing files. .</li></ul>
2026-08-14T00:00:00Z

Audit Supervisor

Riverside, CA
onsite
Permanent / Full Time
100000 - 115000 USD / Yearly
Prestigious Inland Empire CPA firm has an outstanding opportunity to join their company as an Audit Senior or Manager to work with firm Staff and Partners. This is an excellent firm where the new candidate will find a very detail oriented environment, highly educated and intelligent teammates, where your contributions will be recognized, and where you will have a broad client base in many varied industries with a heavy focus in manufacturing. The ideal candidate with have 3+ years of public accounting experience with an audit/accounting (AA) focus but including some individual and corporate tax knowledge. This individual will be assigned or lead on client audits and reviews and will develop the ability to perform all aspects of an audit. This firm is growing very quickly and provides excellent detail oriented growth and advancement opportunity. The Partners wants a person on their team who has high personal standards, good team working skills, excellent accounting education and understanding, and who enjoys client contact. Company provides excellent medical benefits and detail oriented training. Firm pays market wages depending upon experience plus time and a half for all overtime required. Outstanding verbal and written communication skills are required as are excellent Excel and computer skills. Requirements: 2+ years of public accounting experience for Senior, 5+ years of experience for Manager CPA license or CPA Candidate Experience in commercial audits and reviews required - in the construction, manufacturing, distribution industries a plus. Strong computer, communication and people development skills, including training and instruction A strong team leader with the ability to supervise staff, manage projects and work professionally with partners, staff, and clients. Ability to stay current on all general detail oriented pronouncements and developments, and interact with peer review auditorsIf you are currently registered with Robert Half, contact your Recruiting Manager. Please reference job order number 00500-120616. All applicants must be currently authorized to work in the United States. If you are not currently registered with Robert Half, please contact your Recruiter or call Yvette Merk at (909) 493-6082 immedIately!
2026-08-11T00:00:00Z

Sr. Auditor

Irvine, CA
remote
Temporary / Contract
50 - 70 USD / Hourly
We are looking for an experienced Sr. Auditor to support a contract engagement based in Irvine, California. This Contract position focuses on strengthening financial and operational audit activities, evaluating controls, and identifying areas of risk across key business processes. The ideal candidate brings a strong background in Sarbanes-Oxley compliance and can translate audit results into practical recommendations that improve accountability and performance. Responsibilities: • Lead financial and operational audit reviews to assess control effectiveness, process integrity, and compliance with established standards. • Develop risk-based audit plans that align testing activities with priority business areas and regulatory obligations. • Perform Sarbanes-Oxley control assessments, including walkthroughs, testing procedures, and documentation of results. • Analyze audit evidence, identify control gaps or exceptions, and clearly communicate findings to relevant stakeholders. • Prepare concise audit reports that outline observations, root causes, business impact, and recommended corrective actions. • Partner with cross-functional teams to monitor remediation efforts and verify timely resolution of identified issues. • Maintain thorough workpapers and audit documentation to support conclusions and satisfy internal or external review requirements.
2026-08-26T00:00:00Z

Audit Staff Public

Torrance, CA
onsite
Permanent / Full Time
71000 - 85000 USD / Yearly
We are looking for an Audit Staff Public team member to join a growing team in Torrance, California. This role supports financial statement audits and related assurance work for clients while contributing to accurate reporting, strong compliance, and timely project delivery. The ideal candidate brings public accounting experience, sound knowledge of audit procedures, and the ability to communicate effectively in Japanese when working with clients and internal stakeholders. Responsibilities<ul><li>Execute the day-to-day activities of attestation and non-attestation engagements of various clients</li><li>Detect and communicate accounting and auditing matters to seniors, managers, and partners</li><li>Identify performance improvement opportunities</li><li>Intermingle with U.S. and Japanese based clients to help ensure the information flow from the client to the audit team is efficient</li><li>Interact with clients to help ensure the information flow from the client to the team is efficient</li><li>Work on non-attestation services such as bookkeeping, miscellaneous tax (property tax, sales tax etc.), payroll, and some other consulting services</li><li>Understand and utilize Audit Methodology</li></ul>
2026-08-06T00:00:00Z

Insurance Verifier

Encino, CA
onsite
Temporary to Hire
24 - 27 USD / Hourly
A healthcare company is looking for an Insurance Verifier to support pre-service financial clearance for surgical patients in California. This Insurance Verifier focuses on confirming coverage details, identifying authorization needs, and helping patients understand their expected financial responsibility before scheduled procedures. The Insurance Verifier will work closely with clinical, scheduling, and revenue cycle teams to reduce avoidable claim issues and keep cases on track for timely treatment. Key Responsibilities:• Conduct pre-procedure insurance reviews to confirm active coverage and validate plan benefits for scheduled surgical services.• Assess deductibles, copayments, coinsurance amounts, out-of-pocket limits, and any exclusions that may affect patient liability.• Determine when prior authorization or referral approval is required and record all supporting details for follow-up by the appropriate teams.• Examine scheduled services and provider documentation to ensure payer rules and coverage criteria are satisfied before the surgery date.• Prepare clear cost estimates for patients and explain expected financial obligations with professionalism and empathy.• Enter complete and accurate verification findings into the electronic medical record and related practice management tools.• Partner with scheduling, admissions, clinical, and billing personnel to resolve benefit discrepancies or missing information ahead of treatment.• Escalate potential coverage concerns quickly so patients and care teams can address issues before delays or cancellations occur.• Maintain thorough records of payer communications, verification activity, and authorization status while following applicable compliance standards. Benefits: Health, Dental, Vision, 401k, and Sick Time Off.
2026-08-21T00:00:00Z