20 Results for Medical Collections Specialist Jobs in Pasadena, CA

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Medical Insurance Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
25.01 - 33.91 USD / Hourly
A Hospital in Los Angeles is seeking an experienced Medical Insurance Collections Specialist to join its revenue cycle team. The Medical Insurance Collections Specialist role will focus on insurance follow-up and collections for HMO and PPO payers, with an emphasis on resolving outstanding balances, researching claim issues, and securing timely reimbursement. The ideal candidate for the Medical Insurance Collections Specialist role will also have experience working with UB04 claims in a hospital setting. Key Responsibilities:<ul><li>Perform insurance collections follow-up on outstanding hospital claims with a focus on HMO and PPO payers. </li><li>Contact insurance companies and payers to obtain claim status, secure payment, and resolve unpaid or underpaid accounts. </li><li>Review and work hospital UB04 claims to ensure accurate billing and proper reimbursement..</li><li>Investigate and resolve claim denials, rejections, underpayments, and payment delays. </li><li>Submit corrected claims, supporting documentation, and appeals as needed to facilitate payment resolution. </li><li>Follow up on aged accounts receivable and maintain productivity in line with departmental goals. </li><li>Document all collection activity, account updates, and payer communications in the billing system.</li><li>Collaborate with billing, coding, and patient financial services teams to resolve claim discrepancies and improve reimbursement outcomes. </li><li>Monitor payer trends and escalate recurring issues impacting collections. </li></ul> Qualifications:<ul><li>3+ years of experience in medical insurance collections, insurance follow-up, or healthcare accounts receivable..</li><li>Hospital billing or collections experience required. </li><li>Strong knowledge of HMO and PPO insurance plans, payer guidelines, and reimbursement processes. </li><li>Experience working with UB04 claims required. </li><li>Familiarity with denial management, appeals, and claim resolution processes</li><li>Strong attention to detail, organizational skills, and ability to manage a high-volume workload..</li><li>Excellent communication and problem-solving skills..</li><li>Proficiency with hospital billing systems and electronic medical records preferred.</li></ul>
2026-10-15T00:00:00Z

Medical Biller Collector

Los Angeles, CA
onsite
Temporary / Contract
25 - 32.01 USD / Hourly
We are looking for an experienced Medical Biller Collector to support a healthcare organization’s revenue cycle operations in Los Angeles, California. This Medical Biller Collector position is ideal for someone who understands hospital insurance follow-up, knows how to work complex outstanding claims, and can drive timely reimbursement through accurate research and persistent payer communication. The Medical Biller Collector will play an important part in reducing aged receivables, addressing claim barriers, and partnering with internal teams to improve payment outcomes. Responsibilities:• Pursue follow-up activities on unpaid and underpaid hospital insurance claims, with particular attention to major commercial and government payer accounts.• Review UB04 claim details for accuracy and take action to correct billing issues that may delay or prevent reimbursement.• Analyze denials, rejected claims, partial payments, and stalled accounts to identify root causes and move balances toward resolution.• Prepare and submit corrected claims, reconsiderations, and appeal documentation to support payment recovery.• Manage aging accounts receivable by prioritizing outstanding balances and maintaining production standards established by the department.• Record account activity, payer responses, and collection progress thoroughly within the billing platform.• Work closely with billing, coding, and patient financial services partners to resolve discrepancies affecting claim payment.• Track recurring payer behavior and elevate persistent reimbursement issues when broader action is needed.
2026-10-02T00:00:00Z

Medical Biller/Collector

Los Angeles, CA
onsite
Temporary / Contract
26.12 - 30.19 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payersFollow up on unpaid, denied, or underpaid claims and resolve billing discrepanciesWork accounts receivable reports and maintain collection efforts to reduce outstanding balancesInvestigate claim rejections and denials, and take corrective action for resubmission or appealPost payments, adjustments, and denials as neededCommunicate with payers, patients, and internal staff regarding billing questions and account resolutionMaintain compliance with billing regulations, payer requirements, and organizational policiesSupport revenue cycle activities including claims review, payment reconciliation, and account researchDocument collection activity and account status updates accurately in the billing system
2026-10-02T00:00:00Z

Accounts Receivable Collections Specialist

El Segundo, CA
onsite
Temporary / Contract
28 - 32 USD / Hourly
We are looking for an AR Collections Specialist to support receivables management for a long-term contract opportunity in El Segundo, California. This position focuses on reducing outstanding balances, reviewing account activity, and working closely with internal teams and customers to improve cash collection results. The ideal candidate brings strong experience in account reconciliation, aging analysis, and effective collections communication within a fast-paced finance environment. Responsibilities: • Manage assigned accounts receivable portfolios by following up on past-due balances and driving timely payment resolution. • Review aging reports and reconcile account discrepancies to ensure balances are accurate and collection efforts are properly prioritized. • Communicate directly with customers to resolve overdue invoices, discuss payment status, and negotiate appropriate collection outcomes. • Partner with sales, operations, and finance teams to address billing concerns and reduce exposure to credit risk. • Prepare account analyses, collection updates, and related reporting to support management review and decision-making. • Evaluate delinquent accounts to determine next steps, including continued internal follow-up or referral to an outside collection agency when appropriate. • Contribute to special assignments and provide additional finance support based on business needs and leadership direction.
2026-10-14T00:00:00Z

Medical Insurance Authorization Specialist

Los Angeles, CA
remote
Temporary / Contract
25 - 30 USD / Hourly
We are seeking a detail-oriented and organized Medical Insurance Verification Specialist / Authorization Specialist to join our healthcare team. In this role, the Medical Insurance Verification Specialist / Authorization Specialist will verifying patient insurance coverage, obtaining prior authorizations, and ensuring accurate documentation to support timely billing and reimbursement. The ideal candidate has strong knowledge of insurance verification and authorization processes, excellent communication skills, and the ability to work efficiently in a fast-paced medical environment. Key Responsibilities: <ul><li>Verify patient insurance eligibility, benefits, and coverage prior to appointments, procedures, or treatment.</li><li>Obtain prior authorizations and pre-certifications from insurance carriers for medical services and procedures.</li><li>Review patient accounts for accuracy and completeness of insurance information.</li><li>Communicate with patients, providers, and insurance companies regarding authorization status, coverage details, and financial responsibility.</li><li>Follow up on pending, denied, or incomplete authorizations to ensure timely resolution. .</li><li>Maintain accurate and up-to-date records in the electronic medical record (EMR) and billing systems. Based on general knowledge.</li><li>Identify and resolve insurance-related issues that may delay patient care or reimbursement.</li><li>Ensure compliance with payer guidelines, internal procedures, and regulatory requirements.</li><li>Collaborate with front office, billing, and clinical teams to support smooth patient access and revenue cycle operations.</li></ul>This roles is remote in the CST/EST time zone. All equipment will be provided.
2026-10-16T00:00:00Z

Medical Billing Coordinator

Los Angeles, CA
onsite
Temporary / Contract
26.12 - 31.19 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 Hospital Medical Billing Coordinator to join its growing team. The ideal Hospital Medical Billing Coordinator should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Billing Coordinator 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. Medical appeals and denials experience is plus.Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Insurance follow up, appeals and denials.• 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.
2026-10-02T00:00:00Z

Hospital Charge Capture Specialist

Tustin, CA
onsite
Temporary / Contract
29.12 - 43.01 USD / Hourly
The Hospital Charge Capture Specialist is responsible for accurately calculating, entering, reviewing, and reconciling charges associated with hospital outpatient procedures, including anesthesia, nerve blocks, recovery services, implants, and medical supplies. This position ensures charges are supported by appropriate documentation, assigned the correct HCPCS and revenue codes, and processed in accordance with established charging guidelines and applicable requirements.The specialist works closely with surgical services, billing, revenue cycle, and other hospital departments to resolve discrepancies, maintain accurate records, support reporting requirements, and promote complete and accurate reimbursement.Essential FunctionsCharge Calculation and Entry<ul><li>Calculate procedure time and input charges in accordance with established charging guidelines.</li><li>Calculate and enter charges for anesthesia and nerve blocks.</li><li>Calculate and enter recovery room charges.</li><li>Calculate implant and medical supply charges, ensuring the appropriate revenue codes are applied.</li><li>Enter appropriate HCPCS codes for implants and devices associated with outpatient cases.</li><li>Review and clear charges held in suspense in the Optimum system.</li><li>Oversee bill-only transactions, investigate discrepancies, and obtain missing bill sheets or supporting documentation.</li><li>Reconcile entered charges using CostFlex server reports and make corrections as necessary.</li></ul>Billing, Reporting, and Compliance<ul><li>Assist with resolving billing issues, including missing HCPCS codes, incorrect revenue codes, and incomplete charge documentation.</li><li>Maintain the Access database used for OSHPD reporting and hospital committee reporting.</li><li>Coordinate with the Revenue Cycle team to update charge tickets as needed.</li><li>Identify and communicate charge discrepancies, missing documentation, and opportunities to improve charge accuracy.</li><li>Maintain organized records and supporting documentation for reconciliation, reporting, and audit purposes.</li><li>Follow established hospital policies, procedures, charging guidelines, and applicable regulatory and billing requirements.</li><li>Maintain the confidentiality of patient, financial, and other sensitive information.</li></ul>
2026-10-14T00:00:00Z

Collections Specialist

Pasadena, CA
onsite
Temporary / Contract
20 - 22 USD / Hourly
Collections Specialist opportunity in a mid-sized services company. As a Collections Specialist, you will perform customer and/or commercial collections and resolve customer account issues. In this Collections Specialist position, you will report to the Collections Manager. This company offers a great work environment! Please email your resume and call 626.463.2030 for immediate consideration. Collections Outreach:· Contact customers with overdue payments through various channels such as phone calls, emails, and letters.· Implement effective collection strategies to recover outstanding balances.Negotiation and Resolution:· Negotiate payment arrangements and terms with customers who are experiencing financial difficulties.· Resolve disputes and address customer inquiries related to overdue payments.Payment Reconciliation:· Reconcile customer payments with outstanding balances.· Ensure accuracy in recording and tracking payments received.Documentation and Record Keeping:· Maintain detailed and organized records of customer interactions, payment arrangements, and collection activities.· Document any agreements made with customers regarding payment plans.Reporting and Analysis:· Generate and analyze reports on accounts receivable aging and collection performance.· Provide insights into trends, challenges, and potential areas for improvement.Credit Risk Assessment:· Assess the creditworthiness of customers and recommend appropriate credit limits.
2026-10-05T00:00:00Z

Collections Specialist

Santa Fe Springs, CA
onsite
Temporary to Hire
26 - 28 USD / Hourly
We are looking for a Business to Business Collections Specialist to support accounts receivable efforts for a wholesale distribution organization in Santa Fe Springs, California. This position is ideal for someone with strong commercial collections experience who can balance persistence with professionalism while helping maintain healthy customer accounts. The role focuses on following up on open balances, researching payment issues, and partnering with customers and internal teams to improve collection results. Responsibilities:• Review a portfolio of customer accounts each day to track aging balances and prioritize collection activity.• Reach out to customers regarding past-due invoices and drive prompt payment through consistent, thorough follow-up.• Research account history, billing records, and prior transactions to determine the cause of outstanding balances.• Address invoice disputes and payment concerns by coordinating with the appropriate internal stakeholders and customers.• Investigate and help resolve credit-related issues that may affect collection timelines or account standing.• Maintain accurate notes, payment updates, and status changes within account records and related databases.• Prepare regular reports that summarize collection efforts, account trends, and progress against assigned goals.• Support cash collection objectives by managing workload effectively and escalating higher-risk accounts when needed.
2026-10-16T00:00:00Z

Hospital Medical Biller

Los Angeles, CA
onsite
Temporary / Contract
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 Hospital Medical Biller to join its growing team. The ideal Hospital Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Hospital 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. Medical appeals and denials experience is plus. Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Insurance follow up, appeals and denials. • 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.
2026-10-16T00:00:00Z

Medical Coder

Los Angeles, CA
remote
Temporary / Contract
27 - 44 USD / Hourly
Our client is seeking an experienced Medical Coder with a strong background in Orthopedic Surgery coding. This remote opportunity is ideal for a detail-oriented professional with expertise in code abstraction, Medi-Cal, and Hospital UB-04 billing and coding practices. Based on general knowledge.Key Responsibilities:<ul><li>Review and accurately assign medical codes for orthopedic surgery procedures, diagnoses, and related services. </li><li>Perform detailed code abstraction from clinical documentation. </li><li>Ensure coding compliance with payer, state, and federal regulations. </li><li>Apply knowledge of Medi-Cal guidelines and requirements. </li><li>Process and review coding related to Hospital UB-04 claims. </li><li>Collaborate with clinical and revenue cycle teams to resolve coding discrepancies and support clean claim submission. </li><li>Maintain accuracy and productivity standards in a remote work environment. </li></ul>
2026-10-02T00:00:00Z

Accounts Receivable Specialist

Encino, CA
onsite
Temporary to Hire
22.9615 - 25 USD / Hourly
We are looking for an Accounts Receivable Specialist to join a team in California in a contract capacity with the potential for a permanent position. This position centers on accurate cash application, timely reconciliation, and strong day-to-day support of receivables operations. The ideal candidate brings solid Excel expertise, attention to detail, and the ability to manage multiple payment channels while supporting internal and external account inquiries. Responsibilities: • Apply and reconcile incoming payments from wires, lockbox transactions, credit cards, and checks to maintain accurate receivables records. • Record cash activity promptly and assign receipts to the correct customer invoices and general ledger accounts. • Support deposit preparation by researching open items, identifying proper invoice matches, and coding funds appropriately. • Provide backup coverage for remote bank deposit processing, including scanned check deposits when needed. • Retrieve and review daily electronic payment activity from banking platforms, including wire transfers and lockbox accounts. • Coordinate the handling of return premiums with Accounts Payable and resolve offsetting invoice activity to keep accounts current. • Generate and circulate aging reports for the Accounts Receivable team and provide updates to underwriting partners upon request. • Prepare and send monthly broker statements, then follow up on outstanding balances to encourage timely payment. • Respond to customer and broker questions related to account balances, payments, and receivables activity. • Identify workflow challenges and recommend practical improvements that enhance efficiency and service quality.
2026-10-13T00:00:00Z

Accounts Receivable Specialist

Rancho Dominguez, CA
onsite
Temporary to Hire
28 - 33 USD / Hourly
We are looking for an Accounts Receivable Specialist to join a wholesale distribution team in California on a contract basis with the potential for a permanent position. This position will oversee the complete receivables process, combining cash application, collections, deduction review, and credit decision support in a high-volume environment. The role is well suited for someone who can work independently, manage detailed account activity, and stay highly organized in a spreadsheet-driven and paper-intensive setting. Responsibilities: • Manage the full accounts receivable cycle from invoice follow-up through payment posting, account review, and issue resolution. • Apply incoming payments accurately and maintain up-to-date customer account records across active domestic accounts. • Investigate retailer deductions and chargebacks, reconcile supporting details, and coordinate resolution of shortages, promotional allowances, and related claims. • Create and process credit memos in the system while ensuring documentation is complete and aligned with account activity. • Monitor aging and conduct commercial collections efforts with a focus on a concentrated group of key domestic customers. • Review overdue balances to help determine whether orders should be released or placed on credit hold based on payment status. • Use spreadsheets extensively to track receivables activity, analyze discrepancies, and support daily reporting through functions such as VLOOKUP. • Maintain accuracy in a paper-heavy workflow while working within legacy accounting software and related reporting tools.
2026-10-15T00:00:00Z

Accounts Receivable Specialist

Pasadena, CA
onsite
Temporary / Contract
25 - 26 USD / Hourly
The market is heating up for Accounts Receivable Specialists. Companies, small and large, are looking for skilled Accounts Receivable (A/R) Specialists for temporary and temporary to full-time opportunities. As an Accounts Receivable (A/R) Specialists you should have experience with the entering, posting and reconciling of batches, researching and resolving customer A/R issues, preparing aging reports, placing billing and collection calls, maintaining the cash receipts journal, as well as updating and reconciling the sub-ledger to the G/L. Accounts Receivable (A/R) Specialist candidates should have good attention to detail and strong Microsoft Excel skills. If you are an Accounts Receivable (A/R) Specialists and want to join our team, please submit your resume to and then call 626.463.2030Customer Invoicing:· Generate and issue invoices to customers in a timely manner.· Ensure accuracy and completeness of invoice details.Billing Disputes:· Resolve billing discrepancies with customers promptly.· Communicate with internal teams to address and correct billing issues.Payment Processing:· Record and apply customer payments to their respective accounts.· Reconcile payments received with outstanding invoices.Credit Management:· Evaluate and set credit limits for customers.· Monitor customer credit balances and follow up on overdue payments.Cash Application:· Apply cash received to the appropriate customer accounts.· Reconcile discrepancies between payments and invoices.Aging Reports:· Generate and analyze accounts receivable aging reports.· Identify and address overdue accounts and potential risks.Customer Communication:· Communicate with customers regarding payment terms and outstanding balances.· Provide necessary documentation and information to support payment inquiries.Reconciliation:· Reconcile accounts receivable sub-ledger with the general ledger.· Investigate and resolve any variances between the two.
2026-10-05T00:00:00Z

Accounts Receivable Specialist

Montebello, CA
onsite
Temporary to Hire
28.5 - 33 USD / Hourly
We are looking for an Accounts Receivable Specialist to join a printing and publishing organization in Montebello, California on a contract-to-permanent basis. This position supports day-to-day receivables activity while also assisting with select payroll-related tasks for a workforce of approximately 150 employees. The ideal candidate is comfortable managing invoicing, maintaining accurate records, following up on outstanding balances, and working across customer-facing portals and accounting platforms in a fast-paced environment. Responsibilities: • Process customer invoices accurately in the company’s accounting system and verify that transaction details are recorded correctly. • Apply incoming payments, reconcile cash activity, and maintain current accounts receivable balances for a portfolio of customer accounts. • Monitor aging reports and conduct commercial collections outreach to secure timely payment on overdue invoices. • Manage account activity through customer portals, ensuring billing information and payment statuses remain up to date. • Provide backup support for billing operations, including preparing credit memos and addressing chargebacks when needed. • Assist with payroll administration for approximately 150 employees using Paycom, helping ensure timely and accurate processing. • Maintain organized financial records across systems used for accounting and operational tracking, including Sage 100 and Epicor. • Communicate with internal teams and customers to resolve billing discrepancies, payment issues, and account questions efficiently.
2026-10-12T00:00:00Z

Accounts Receivable Specialist

Burbank, CA
onsite
Temporary / Contract
27 - 30 USD / Hourly
We are looking for an Accounts Receivable Specialist to join a growing distribution company in Burbank, California on a Contract-to-Hire basis. This opportunity is ideal for someone who thrives in a fast-paced, high-volume setting and can manage a broad customer portfolio with accuracy and professionalism. The role focuses on end-to-end receivables support, including billing, payment application, collections follow-up, and account reconciliation. Candidates who bring strong Excel skills, sound judgment, and a customer-focused communication style will be well positioned for success. Responsibilities:• Oversee the complete accounts receivable cycle, ensuring invoices, payments, and collections activities are processed accurately and on schedule.• Prepare and issue recurring monthly billing for a large customer base, maintaining consistency and accuracy across high transaction volumes.• Review customer account activity to confirm proper billing, track payment status, and identify issues that may delay collection.• Post incoming payments from bank activity and other sources to the correct customer accounts in a timely manner.• Investigate account discrepancies such as short payments, unapplied cash, and billing variances, then take action to resolve them efficiently.• Keep receivables records current by updating account details, maintaining supporting documentation, and preserving audit-ready files.• Reconcile customer balances and contribute to aging analysis to support visibility into outstanding receivables.• Work closely with internal departments to answer billing questions, clear account issues, and improve collection outcomes.
2026-10-14T00:00:00Z

Medical Billing Associate II

Los Angeles, CA
onsite
Temporary / Contract
26.6 - 30.8 USD / Hourly
We are looking for a Medical Billing Associate II to support reimbursement activities for a healthcare organization in Los Angeles, California. The Medical Billing Associate II is well suited for an organized individual who can manage billing follow-up, resolve claim issues, and help improve cash recovery across patient accounts. The Medical Billing Associate II role requires strong knowledge of insurance requirements, denial resolution, and account analysis within a fast-paced, team-driven environment. This role is a hybrid role. Candidates must be able to come into the office 1 day per week. Responsibilities:• Review submitted claims for accuracy, completeness, and proper routing to the appropriate insurance payer before and after submission.• Investigate unpaid or denied claims by examining remittance details and payer correspondence, then take corrective action to move accounts toward payment.• Analyze account activity, payment posting, and billing details to identify errors, correct discrepancies, and update balances when charges were processed incorrectly.• Prepare corrected claims and formal appeals in accordance with payer-specific requirements, ensuring all required records and supporting documents are included.• Communicate with insurance carriers and related parties to resolve reimbursement obstacles, clarify claim status, and accelerate collections.• Confirm required authorizations and applicable documentation are attached to claims, and pursue retro-authorization when needed to support reimbursement.• Process or escalate charge adjustments that cannot be billed, following established approval guidelines and documentation standards.• Handle complex or escalated accounts, identify recurring billing issues, and contribute recommendations or special project support to strengthen workflow performance.• Support team effectiveness by meeting productivity and quality expectations and assisting with peer guidance or onboarding support when needed.Medi
2026-10-16T00:00:00Z

Credit Specialist

Brea, CA
onsite
Temporary to Hire
26 - 27 USD / Hourly
We are looking for a Credit Specialist to join an electronic components manufacturing organization in Brea, California. This contract opportunity with permanent potential is ideal for someone who thrives in a fast-paced finance environment and can confidently manage account reconciliations, payment issues, and deduction research. The person in this role will help maintain accurate customer account balances, support healthy cash flow, and collaborate with internal partners to resolve billing-related concerns. Responsibilities:• Reconcile assigned customer accounts by reviewing chargebacks, short payments, and other account discrepancies to ensure records remain accurate.• Investigate overdue invoices and follow up with customers to secure payment or determine the cause of delayed remittance.• Analyze customer deductions, validate supporting documentation, and work toward timely resolution of disputed items.• Review account standing and release orders for shipment when credit conditions and payment status support approval.• Prepare recurring updates for leadership that highlight collection activity, aging trends, cash expectations, and past-due balances.• Partner with teams across sales, sales support, and accounting to address billing questions and resolve account-related issues efficiently.• Provide guidance to colleagues within the credit function when training support is needed or assigned by management.• Offer backup assistance for select supervisory tasks when department leadership is unavailable.• Contribute to additional credit and collections activities as needed to support departmental priorities and service levels.
2026-10-15T00:00:00Z

Credentialing Specialist

Long Beach, CA
onsite
Temporary to Hire
22 - 28 USD / Hourly
A Healthcare Company in Long Beach in looking to hire a Credentialing Specialist to support provider enrollment and credentialing activities. The Credentialing Specialist is ideal for someone who can step into a fast-paced healthcare environment to help maintain accurate, compliant credentialing records. The Credentialing Specialist will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation. Key Responsibilities:• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-10-09T00:00:00Z

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

20 results for Medical Collections Specialist in Pasadena, CA