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19 results for Credentialing Specialist in Novato Ca

Credentialing Specialist <p>Robert Half Healthcare Group has an immediate opening for a Credentialing Specialist for one of our leading healthcare clients! </p><p>The Credentialing Specialist will assist in all aspects of the Credentialing Department functions, including coordinating, monitoring and maintaining the credentialing and recredentialing processes of health care providers to ensure they meet the requirements of the health plan's credentialing policies and regulatory agencies (i.e., Medi-Cal, NCQA, DHS, DMHC, and CMS). </p> Medical Biller <p>Are you looking for a career in Healthcare? Robert Half is hiring for a Medical Billing Specialist to join our client's team! The Medical Billing Specialist will be responsible for managing and overseeing the billing process for our client's healthcare services. This role requires a high level of accuracy, a deep understanding of medical billing procedures, and a commitment to maintaining compliance with healthcare regulations. The ideal candidate will have experience in medical billing, excellent communication skills, and the ability to work independently in a fast-paced environment.</p><p><br></p><p>Key Responsibilities:</p><p>·      Prepare and submit accurate medical claims to insurance companies and patients.</p><p>·      Verify patient insurance coverage and eligibility.</p><p>·      Review and process insurance claims to ensure proper coding and billing.</p><p>·      Follow up on unpaid or denied claims to ensure timely reimbursement.</p><p>·      Communicate with insurance companies and patients to resolve billing issues.</p><p>·      Maintain patient billing records and ensure their confidentiality.</p><p>·      Generate and distribute billing statements to patients.</p><p>·      Assist with financial reporting and analysis related to billing activities.</p><p>·      Stay updated on changes in billing regulations and practices.</p> HR Coordinator <p>Robert Half is currently seeking a detail-oriented, experienced HR Coordinator with a strong focus on Benefits Administration. This role will sit on-site with our local client in Oakland.</p><p><br></p><p>Responsibilities:</p><p>·      Administer employee benefit programs which include health, dental, vision, life insurance, and retirement plans.</p><p>·      Coordinate and conduct employee information presentations, enrolment, and training sessions regarding health benefits packages.</p><p>·      Act as a liaison between employees and insurance providers to resolve benefits-related issues and ensure effective utilization of plans and positive employee relations.</p><p>·      Update and maintain accurate employee benefits data in the HRIS system.</p><p>·      Coordinate daily benefits processing, manage benefits enrollment and programs, and handle leaves of absence.</p><p>·      Ensure compliance with federal, state, and local legal requirements by studying existing and new legislation, enforcing adherence to requirements, and advising management on needed actions.</p><p>·      Prepare and distribute all benefits-related paperwork and communication materials.</p><p>·      Prepare reports and participate in benefits and compensation surveys as required.</p> HR Services Specialist <p>We are offering a contract employment opportunity for a Sr. HR Consultant specializing in HR Program Management. This role will play a pivotal role in shaping and executing impactful HR programs that drive business success, enhance productivity, and boost employee engagement. This position offers the unique opportunity to develop and refine HR initiatives from inception while continuously improving existing processes. In this role, you will collaborate with global colleagues across HR and other key business functions to solve complex challenges, deliver operational excellence, and enhance our HR service offerings.</p><p><strong>Key Responsibilities</strong></p><ul><li>Lead the design, execution, and operation of scalable HR programs, including compensation, benefits, workforce planning, and HR operations.</li><li>Drive complex, cross-functional HR projects, ensuring alignment with business needs and regional requirements.</li><li>Partner with Finance, Legal, Marketing, and other business units to provide HR solutions and strategic support.</li><li>Assess and refine HR programs, identifying opportunities for enhancement and collaborating across functions to optimize processes and tools.</li><li>Manage project timelines, ensuring timely execution, stakeholder alignment, and clear communication.</li><li>Develop and implement communication plans and change management strategies to support HR initiatives.</li><li>Document and standardize HR processes for improved efficiency and consistency.</li><li>Present HR initiatives and insights to diverse audiences, adapting communication to various organizational levels.</li><li>Work closely with technical and business teams to define and implement functional and system requirements.</li><li>Continuously assess and enhance HR Services based on stakeholder feedback, leveraging data-driven decision-making to optimize service delivery.</li></ul><p><strong>Skills & Qualifications</strong></p><ul><li>Strong understanding of HR programs, policies, and industry best practices.</li><li>Excellent problem-solving and critical thinking abilities.</li><li>Ability to thrive in a dynamic, global, matrixed environment and effectively manage change.</li><li>Strong verbal and written communication skills with the ability to engage and influence diverse stakeholders.</li><li>Proven experience in HR program management, including strategic planning, prioritization, and multitasking in fast-paced settings.</li><li>Analytical mindset with proficiency in data-driven decision-making.</li><li>Demonstrated ability to work cross-functionally and influence key stakeholders.</li><li>Experience working in a SaaS-based HR environment.</li></ul><p><strong>Requirements</strong></p><ul><li>Ability to operate effectively in a fast-paced, ever-evolving environment while bringing stakeholders along the journey.</li><li>Proven ability to manage multiple projects while maintaining attention to detail and meeting deadlines.</li><li>Expertise in project and program management frameworks, tools, and methodologies.</li><li>Experience leading and operationalizing key HR programs such as pay planning cycles, benefits harmonization, and workforce planning.</li><li>Track record of successfully delivering multi-functional HR projects that meet business objectives and timelines.</li></ul> Payroll Specialist <p>We are offering a contract for a Payroll Specialist role in Hayward, California. This role will be primarily focused on managing various payroll responsibilities for a dynamic workforce, including both union and non-union personnel. The position requires maintaining confidentiality and ensuring compliance with all relevant regulations. The workplace is an office environment.</p><p><strong>** For immediate consideration, apply and contact Julian Sanchez on LinkedIn **</strong></p><p>Key responsibilities: </p><p><br></p><p>• Oversee the processing of weekly payroll for a diverse workforce, ensuring accurate and timely issuance of checks and direct deposits.</p><p>• Manage the maintenance of employee profiles and payroll information, such as union rates & fringes and payroll tax rates.</p><p>• Handle weekly payroll tax, garnishment, and 401k payments with precision.</p><p>• Prepare and submit weekly, quarterly, and annual payroll tax reports to the relevant governmental agencies.</p><p>• Oversee unemployment claims, union reporting, and audits, including OCIP and other payroll forms.</p><p>• Ensure strict compliance with union, state, and local agency requirements, including the processing of certified payroll reports.</p><p>• Collaborate with the accounting department to ensure the accuracy of payroll invoicing and reconciliation.</p><p>• Maintain confidentiality of employee data and protect payroll operations.</p><p>• Assist in resolving employee benefit issues as needed.</p> Contracts Administrator <p>Are you an experienced contracts professional ready to take on meaningful work at one of California's largest transit entities? Our client is looking for a wonderful contracts specialist/administrator to join their procurement team. In this role, you’ll manage the entire contract lifecycle—from creation and negotiation to compliance, renewals, and closure. You’ll play a key part in supporting essential operations while enjoying excellent benefits, professional growth, and a collaborative work environment.</p><p><strong>What You’ll Do</strong></p><ul><li>Oversee contract creation, negotiation, and execution for varied projects.</li><li>Manage bids, proposals, and vendor selection, ensuring compliance with District and federal regulations.</li><li>Analyze specifications, negotiate terms, monitor performance, and identify cost-saving opportunities.</li><li>Solve contract disputes, recommend solutions, and ensure successful outcomes.</li><li>Prepare essential documentation, reports, and maintain contract records.</li><li>Stay updated on procurement trends and bring innovative practices to the team.</li></ul><p><br></p> Medical Billing Specialist We are looking for a meticulous and well-organized Medical Billing Specialist to join our team in San Francisco, California. As a Medical Billing Specialist, your primary role will be to manage our accounts receivable follow-up procedures, ensure the accuracy of medical billing, and handle customer inquiries promptly and professionally.<br><br>Responsibilities:<br><br>• Oversee the processing of medical claims via the EPIC system.<br>• Handle denied claims, identify the cause of denial, and execute the necessary measures.<br>• Correct and resubmit claims as required.<br>• Scrutinize insurance guidelines to guarantee precise billing and payment.<br>• Evaluate claims for underpayments and implement necessary actions.<br>• Provide support for various billing and accounting duties.<br>• Utilize Excel Formulas to maintain accurate customer credit records.<br>• Monitor customer accounts and take appropriate action based on Revenue Cycle Processes.<br>• Ensure efficient and accurate processing of customer credit applications.<br>• Resolve customer inquiries professionally and in a timely manner. HR Generalist <p>We are in the process of recruiting an HR Generalist for our team situated in Concord, California. The role involves managing a variety of HR functions, including the full-cycle recruitment process, tier one employee relations, and compliance.. The HR Generalist will be a critical team member, as they will be responsible for supporting business goals by aligning HR initiatives with the needs of our team. </p><p><br></p><p>Responsibilities:</p><p>• Serve as a key point of contact for employees, fostering a positive work environment and resolving any concerns.</p><p>• Onboarding.</p><p>• Provide guidance on HR policies, initiatives, and practices to managers as a trusted advisor.</p><p>• Facilitate and manage internal investigations, addressing concerns, and recommending appropriate actions.</p><p>• Support employee benefits processes, including open enrollment and life event changes.</p><p>• Ensure compliance with labor laws and maintain required postings.</p><p>• Assist employees with leave of absence requests and accommodations.</p><p>• Oversee the offboarding process of staff and process final payroll documents.</p><p>• Maintain accurate employee records and HRIS data.</p><p>• Manage HR projects and contribute to a collaborative team environment.</p> HR Coordinator <p><strong>Part Time Hybrid Role - 20 hours a week on site Tuesdays and Wednesdays. </strong></p><p><br></p><p><br></p><p>Robert Half is working with a growing Biotechnology company in South San Francisco. Our client will be mass hiring this year and needs your support to assist with interview coordination<strong>. </strong>This role focuses on heavy interview scheduling. You will also be interacting with the candidates directly, so a strong sense of professionalism and customer service is a must. Please find the details of the role below and if interested, apply now! We are looking to have interviews next week. Do not wait, apply now!</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Prepare and route job requisitions</li><li>Organize candidates’ data (e.g., resumes, assignments and contact details) in internal databases</li><li>Coordinate interviews and contact applicants, as needed</li><li>Check-in and host onsite interviews</li><li>Assist with new hire onboarding (e.g., preparing necessary paperwork and scheduling trainings)</li><li>Other duties as assigned</li></ul> HR Generalist (Operations) <p>We are in search of an HR Generalist (Operations) to be a part of our team in Napa, California. In this role, you will be focusing on aspects like human resources administration, hiring processes, compliance, and onboarding. This job offers a short term contract employment opportunity where you will be utilizing your skills in Microsoft Excel and Microsoft Office Suites. 3+ months and hybrid 2 days a week</p><p><br></p><p>Responsibilities:</p><p>• Oversee all aspects of human resources administration, ensuring smooth operations</p><p>• Efficiently handle the hiring processes, from job posting to conducting interviews</p><p>• Ensure all HR activities are in compliance with the company's regulations and industry standards</p><p>• Manage the onboarding process for new hires, ensuring a smooth transition into the company</p><p>• Utilize Microsoft Excel and Microsoft Office Suites for HR tasks such as data entry and report generation</p><p>• Maintain effective communication with all levels of staff regarding HR policies and procedures</p><p>• Monitor and manage employee records, updating them as necessary.</p> HR Generalist <p>We are offering an exciting opportunity for an HR Generalist that can be located anywhere in the San Francisco Bay Area as this role is mostly remote. This role is pivotal in our team, acting as the first point of contact for employees, and responsible for a range of HR functions from onboarding to offboarding, performance management, and benefits coordination. </p><p><br></p><p>Responsibilities </p><p>• Act as the primary contact for employees, addressing inquiries and concerns promptly and efficiently</p><p>• Carry out the entire cycle of onboarding and offboarding processes for employees</p><p>• Manage and coordinate benefits, including disability insurance </p><p>• Oversee and maintain compliance with HR policies and procedures</p><p>• Facilitate new employee orientation to foster positive attitude towards organizational objectives</p><p>• Utilize ADP - Financial Services and ADP Workforce Now for various HR tasks</p><p>• Conduct performance reviews and implement performance management strategies</p><p>• Handle employee relations, ensuring a positive work environment and addressing any issues that arise</p><p>• Oversee FMLA related matters and ensure all regulations are met</p><p>• Communicate effectively with all levels within the organization, promoting a transparent and inclusive culture.</p> Recruiter <p>We are offering a contract employment opportunity for a dedicated Recruiter at our Walnut Creek, California location. In this role, you will be primarily focused on identifying and attracting talent for entry-level Customer Care positions across Northern California and Hawaii. Your responsibilities will include sourcing candidates, screening resumes, conducting interviews, and facilitating the hiring process.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Utilize CRM and Applicant Tracking System to manage candidate data and recruitment processes</p><p>• Engage in cold calling activities to source candidates for customer care positions</p><p>• Implement principles of diversity and inclusion throughout the recruitment process</p><p>• Conduct background checks for potential hires as part of the screening process</p><p>• Guide candidates through the onboarding process ensuring a smooth transition into their roles</p><p>• Maintain a high level of organization and detail-orientation in handling a high volume of open requisitions</p><p>• Leverage your strong interpersonal skills to build rapport with candidates and stakeholders</p><p>• Utilize Workday software for efficient recruitment and time management</p><p>• Understand and perform benefit functions related to recruitment and hiring</p><p>• Apply recruitment sourcing strategies to attract a diverse range of candidates</p> HR Business Partner <p>We are offering a long-term contract employment opportunity for an Sr. HR Business Partner to join our team based in Dublin, California. In this role, you will be working closely with a team of 12 to support a workforce of up to 600-1300 employees. This is a crucial role in our HR team, where your responsibilities will involve enhancing HR best practices, fostering a positive work culture, and handling labor relations issues.</p><p><br></p><p>Responsibilities: </p><p><br></p><p>• Play a key role in building a stronger HR foundation and creating best practices</p><p>• Foster a 'Just Culture' model, emphasizing persistence in every HR interaction</p><p>• Support the HR team in managing day-to-day HR operations and providing support for manager groups on individual coaching, training, and conflict management</p><p>• Handle labor relations issues, including going over union contracts and Collective Bargaining Agreements (CBA)</p><p>• Work closely with a designated group of managers to provide guidance and support on labor relations issues and conflict management</p><p>• Conduct thorough Employee Relations investigations and foster a positive healthcare culture on nursing floors</p><p>• Engage in project work to contribute to the growth of the HR department, including creating standard operating procedures (SOPs) and exploring alternative work schedules</p><p>• Collaborate with the labor relations board, leadership, and stakeholders on various projects</p><p>• Implement strategies to minimize turnover and enhance employee retention, staying updated on industry salary and benefit trends</p><p>• Utilize Workday HRIS for various HR-related tasks, though this is not a hard requirement</p> Lead Recruiter <p>We are hiring for a contract Recruiter for a non-profit organization in the San Jose area. This is likely to be a 3-5 month contract position with the possibility of extending or being a contract to hire position. You will need to be on-site 3 days a week in north San Jose and work with the recruiting team to help the organization identify, attract, and retain top talent in the marketplace to support their mission-driven work. </p><p><br></p><p>Job Function Details: </p><p>• Help represent the organization's mission statement, company culture, and be the welcoming first contact for candidates when hiring for open roles</p><p>• Develop and execute effective recruitment strategies to attract top talent</p><p>• Collaborate with hiring managers to understand staffing needs and develop job descriptions</p><p>• Source candidates through multiple channels, including job boards, social media, networking events, and partnerships with community organizations.</p><p>• Screen resumes, conduct initial interviews, and coordinate the interview process with hiring teams.</p><p>• Facilitate and enhance the candidate experience from initial contact through onboarding.</p><p>• Maintain applicant tracking systems and recruitment records to ensure compliance and efficiency.</p><p>• Assist with employer branding initiatives to increase awareness of the organization's mission and career opportunities.</p><p>• Track and report recruitment metrics to assess hiring effectiveness and improve processes.</p><p><br></p><p>Qualifications:</p><p>• Bachelor’s degree in Human Resources, Business Administration, or related field (or equivalent experience)</p><p>• Proven experience in full-cycle recruitment, preferably in the non-profit sector</p><p>• Strong interpersonal and communication skills, with the ability to engage candidates from diverse backgrounds</p><p>• Familiarity with applicant tracking systems (ATS) and recruitment software</p><p>• Knowledge of labor laws and best practices in hiring and talent management</p><p>• Passion for non-profit work and commitment to the organization’s mission</p><p>• Ability to multitask, prioritize, and work effectively in a fast-paced environment</p><p><br></p><p>Systems:</p><p>• Experience utilizing HR and applicant tracking systems - Ideally Paycom software experience</p> Sr. Tax Advisor <p>Ren Friedman is seeking a highly skilled and client-focused Senior Tax Advisor to join her clients dynamic and growing advisory team. This position is responsible for providing expert tax preparation, tax planning, and strategic advisory services to clients while driving exceptional client satisfaction and retention. In this collaborative, team-oriented environment, you'll play a key role in business growth and career development opportunities.</p><p><br></p><p>Key Responsibilities:</p><p>Tax Preparation and Planning</p><ul><li>Prepare individual (1040), partnership (1065), S-Corp (1120S), C-Corp (1120), trust (1041), and gift (709) tax returns for clients and their associated businesses and entities.</li><li>Provide secondary support in the preparation of gift tax (709) and foundation (990) returns, along with payroll, sales tax, and foreign asset reporting.</li><li>Respond to client inquiries related to retirement planning, asset sales, business formation, and dissolution.</li><li>Review and address tax notices and audit responses from federal and state authorities.</li><li>Amend tax returns as necessary.</li><li>Identify and recommend proactive tax planning opportunities that align with clients' comprehensive financial plans (e.g., retirement account strategies).</li><li>Ensure tax strategies are seamlessly integrated with clients' broader investment and financial goals.</li></ul><p>If interested in this role, please reach out to Ren Friedman via LinkedIn</p> Workplace Coordinator <p>We are seeking a highly organized and responsible individual to join our team in the capacity of Workplace coordinator. The successful candidate will lead the charge to ensure a conducive and efficient working environment for our employees.</p><p><br></p><p>Responsibilities:</p><p>·      Oversee all office facilities activities such as maintenance, cleaning, catering, and security, ensuring a safe and comfortable workplace.</p><p>·      Coordinate office moves and changes including layout planning, equipment relocations and setup.</p><p>·      Manage incoming and outgoing mail and couriers.</p><p>·      Act as a point of contact for staff in regards to health & safety procedures and facilities-related inquiries.</p><p>·      Assist in the onboarding process for new hires by providing necessary resources and coordinating proper workstation setup.</p><p>·      Manage vendor relationships, negotiate contracts, and ensure services are performed as expected.</p><p>·      Conduct regular facilities inspections and report any issues to senior management.</p> Benefits Consultant <p>As a Benefits Consultant you will be the subject matter expert overseeing all benefits-related functions, ensuring smooth administration of employee benefits programs and compliance with company policies. This role involves managing leaves of absence (LOA), workers' compensation, 401(k) plans, and leading open enrollment processes. You will collaborate with employees, vendors, and internal teams to provide comprehensive benefits support.</p><p>Key Responsibilities</p><ul><li>Serve as the primary Benefits SME, leading all benefit functions, including LOA management, workers' compensation, 401(k) administration, and open enrollment.</li><li>Plan and execute the open enrollment process (May-July), ensuring seamless communication and implementation.</li><li>Manage the full in-house LOA process, including eligibility inquiries, documentation, initiation, tracking, and return-to-work coordination.</li><li>Handle workers' compensation claims, including incident reporting, documentation, policy review, and acting as the liaison for third-party coordination.</li><li>Lead weekly new hire orientations to provide comprehensive benefits information.</li><li>Support the onboarding process by assisting with background checks and coordinating new hire paperwork.</li><li>Administer 401(k) plans, provide employee support, process updates, and coordinate with vendors.</li><li>Communicate with candidates to ensure the timely completion of required paperwork and update benefits information in HRIS.</li><li>Generate and analyze benefits-related reports within the HR system.</li><li>Conduct audits of employee data to ensure accuracy and compliance.</li><li>Maintain up-to-date employee records in HRIS and ensure compliance with data protection regulations.</li><li>Act as the main point of contact for all benefits-related inquiries, providing clear and timely responses to employees.</li></ul><p>Preferred Skills & Qualifications</p><ul><li>Strong understanding of benefits administration, including LOA, workers' compensation, and 401(k) plans.</li><li>Excellent problem-solving skills and attention to detail.</li><li>Ability to manage multiple responsibilities in a fast-paced environment.</li><li>Strong communication skills with the ability to engage and educate employees on benefits programs.</li><li>Experience working with HRIS systems and generating reports.</li><li>Knowledge of compliance regulations related to benefits administration.</li><li>Ability to work independently while collaborating effectively with HR and other teams.</li></ul><p><br></p> Human Resources (HR) Manager <p>We are inviting applications for a Human Resources / Inclusion Manager position in the heart of SAN FRANCISCO, California. You will be instrumental in developing and implementing diversity and inclusion strategies, maintaining a culturally competent work environment, and aligning workforce practices with our organization's values.</p><p><br></p><p>Responsibilities:</p><p><br></p><p>• Designing and implementing organization-wide diversity and inclusion strategies in collaboration with key stakeholders.</p><p>• Working closely with the Director of Human Resources and EDI to integrate inclusive practices across all departments.</p><p>• Ensuring compliance with HR policies and laws.</p><p>• Overseeing employee relations and resolving any arising issues.</p><p>• Managing all aspects of the hiring process, from job posting to onboarding.</p><p>• Developing and implementing performance management systems.</p><p>• Utilizing ADP - Payroll for effective payroll management.</p><p>• Communicating effectively with all levels of the organization to promote a positive work environment.</p> Sr. HR Operations Director We are in search of a Sr. HR Operations Director to add value to our team situated in South San Francisco, California. As a key member, you will be tasked with enhancing internal procedures and systems to match the growth of our organization, which operates in the biotech/tech industry. This role offers a long-term contract employment opportunity.<br><br>Responsibilities:<br><br>• Enhance and manage all facets of Human Resource operations, including collaboration with payroll, benefits, and employee life-cycle.<br>• Strengthen relationships with other departments and legal teams to ensure HR practices are compliant.<br>• Take charge as the HRIS administrator, guiding the team in the development and maintenance of Standard Operating Procedures (SOPs) and managing the total rewards structure.<br>• Implement HR initiatives that align with business objectives and operational excellence.<br>• Handle employee life-cycle, policies, data compliance, and other staff activities, in collaboration with key leadership.<br>• Manage and resolve any employee relations issues.<br>• Maintain meticulous records of employee performance and administer benefits.<br>• Utilize spreadsheets and excel formulas to maintain and analyze HR data.<br>• Experience with ADP Workforce Now is a plus, but not a mandatory requirement.