7 results for Credentialing Specialist in Pasadena, CA

Medical Eligibility Specialist

Long Beach, CA
onsite
Contract / Temporary to Hire
18.2115 - 23 USD / Hourly
A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. Responsibilities:• Conduct financial screenings for incoming clients to determine eligibility and financial liability.• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.• Maintain and update client financial records in electronic health record systems.• Organize and track annual re-evaluations of client financial information.• Follow up with clinical staff to ensure completion of required documentation for financial folders.• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).• Audit financial folders upon client discharge to ensure compliance and accuracy.
2026-03-18T00:00:00Z

Medical Billing Specialist

La Puente, CA
onsite
Contract / Temporary to Hire
23.75 - 28.23 USD / Hourly
A Larger Medical Center in the La Puente Area is in the need of a d Medical Billing Specialist with strong Medi-Cal insurance experience. The Medical Billing Specialist will play a key part in managing the revenue cycle and ensuring accurate billing for Medi-Cal programs. The Medical Billing Specialist must have expertise to maintain compliance with provider guidelines and optimize reimbursement processes. Experience in OBGYN and/or Perinatal Services is a bit plus. Responsibilities:• Verify patient eligibility for Medi-Cal and confirm Managed Care Plan assignments for services rendered.• Prepare and submit claims accurately using appropriate coding and modifiers, including electronic equivalents of CMS-1500 forms.• Post payments, reconcile accounts, and ensure adjustments and write-offs align with contractual requirements.• Analyze denied or underpaid claims, identify issues, and resubmit them to secure proper reimbursement.• Manage appeals by reviewing Explanation of Benefits and engaging with the appeals process to resolve claim discrepancies.• Maintain secure and compliant records of Protected Health Information used in billing activities.• Assist healthcare providers with billing inquiries and support case management practices to enhance revenue.• Ensure all billing activities align with Medi-Cal Provider Manual and Managed Care Plan guidelines.• Collaborate with internal teams to streamline billing processes and improve efficiency.
2026-03-19T00:00:00Z

Credentials Coordinator

Los Angeles, CA
onsite
Temporary
30.7 - 34.62 USD / Hourly
Our client is looking for a Credentialing Coordinator! The Credentialing Coordinator performs core functions within the credentialing lifecycle, including provider onboarding, credential verification, and maintenance of credentialing records. The Credentialing Coordinator role supports the medical staff services department by ensuring accurate and timely processing of credentialing documentation while maintaining compliance with regulatory standards and organizational policies. Job Requirements: <ul><li>Manage credentialing lifecycle processes including initial appointments, reappointments, privileging, and focused professional practice evaluations (FPPE)/proctoring.</li><li>Collect required documentation and conduct primary source verification to ensure provider credential files are complete and compliant.</li><li>Maintain accurate, organized, and error-free credentialing files, ensuring timely processing and updates.</li><li>Support provider onboarding by coordinating computer access, training, orientation, and ID badging.</li><li>Maintain working knowledge of medical staff bylaws, rules, regulations, and regulatory agency requirements.</li><li>Assist with the maintenance and accuracy of the medical staff credentialing database.</li><li>Ensure strict confidentiality regarding all medical staff and credentialing information.</li><li>Perform additional duties as assigned.</li></ul>
2026-03-11T00:00:00Z

Insurance Verification Specialist

Torrance, CA
onsite
Temporary
21 - 30 USD / Hourly
We are seeking an Insurance Verification Specialist to join a dynamic healthcare team in Los Angeles, California. This position is ideal for professionals who excel in a fast-paced medical setting and are committed to ensuring accurate and efficient patient insurance processing. The Insurance Verification Specialist plays a vital role in supporting patient access to care and helping the clinic maintain smooth, compliant operations. Key Responsibilities:<ul><li>Verify patient insurance coverage and eligibility with carriers for medical services.</li><li>Obtain pre-authorizations or referrals as required by insurance providers.</li><li>Accurately document insurance details and update patient records in the system.</li><li>Communicate benefit information, coverage details, or out-of-pocket requirements to patients as needed.</li><li>Collaborate with clinical and administrative staff to resolve insurance issues and support timely patient scheduling.</li><li>Assist with claim submissions by ensuring all required information is documented and filed appropriately.</li><li>Maintain strict compliance with HIPAA regulations and office confidentiality standards.</li><li>Support the front office team by answering patient or carrier questions and handling related administrative tasks.</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-12T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary
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.
2026-03-16T00:00:00Z

Auditing Specialist

Pasadena, CA
onsite
Contract / Temporary to Hire
23.75 - 27.5 USD / Hourly
We are looking for a detail-oriented Auditing Specialist to join our team in Pasadena, California, on a Contract to permanent employment basis. This role involves supporting the Payroll Compliance Audit department by managing administrative tasks, processing audit data, preparing official correspondence, and ensuring timely audit closures. The ideal candidate will thrive in a fast-paced environment and demonstrate consistent accuracy in their work while collaborating across departments. Responsibilities: • Draft, edit, and distribute official correspondence, ensuring completion within one business day of request. • Collect necessary data from Pension Accounting and provide it to the requesting party promptly. • Update various systems, including Digital Shelves, Letters Log, and T2, following audit closures. • Prepare audit submissions for review, billing, and processing with attention to detail. • Calculate interest amounts upon request and log audit payments accurately. • Submit audit closures and release related transmittal forms within specified timelines. • Respond to Imaging requests by collecting files and coordinating with the Data Maintenance team for archiving. • Record and communicate task progress through workflow tracking systems to ensure transparency. • Coordinate with peers, supervisors, and department leadership to maintain smooth workflows. • Manage supply orders to ensure adequate stock levels and occasionally assist with additional audit processing tasks.
2026-03-18T00:00:00Z

Head Start Enrollment Specialist

Los Angeles, CA
onsite
Temporary
19 - 22 USD / Hourly
Operations - Inventory Specialist 100% Onsite - Location: Los AngelesWhat We're Looking For:We are seeking an Inventory Specialist to facilitate the recording, tracking, accounting, and reporting of the agency's assets inventory.The best suited candidate will:<ul><li>Count, record, track, and classify assets.</li><li>Update asset management system for type, quantity, location, and value of capitalized and controlled assets, making appropriate data base changes pursuant to classification criteria and control procedures.</li><li>Identify and correct discrepancies in coding of assets.</li><li>Identify assets previously not recorded and barcode non-coded assets.</li><li>Track and record transfers of assets between organizational units</li><li>Identify and record records to archive.</li><li>Assist with records management.</li><li>Participate in staff development activities to improve job-related skills.</li><li>Establish and maintain effective working relationships with supervisors and coworkers.</li><li>Perform other duties as assigned.</li></ul>
2026-03-09T00:00:00Z