4 Results for Credentialing Specialist Jobs in Riverside, CA

Add your latest resume to match with open positions.

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

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.
2026-10-01T00:00:00Z

Enrollment Specialist

Huntington Beach, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for an Enrollment Specialist to support individuals exploring federal student loan repayment and forgiveness solutions in Huntington Beach, California. This Contract position is ideal for someone who combines strong customer service skills with the ability to explain complex program details in a clear and supportive way. The person in this role will evaluate client information, guide applicants through each stage of enrollment, and help ensure an organized and positive experience from initial consultation through document completion. Responsibilities: • Speak with prospective clients to understand their student loan concerns and recommend appropriate federal repayment or forgiveness pathways based on their situation. • Explain program guidelines, qualification standards, and possible relief opportunities in a way that is accurate, transparent, and easy for borrowers to understand. • Assess financial details and loan-related information to identify eligibility and next steps for enrollment. • Support clients throughout the application process by coordinating required paperwork, gathering documents, and helping prepare submission materials. • Record client conversations, status updates, and enrollment details accurately within company systems while maintaining complete and organized files. • Handle sensitive personal and financial information in accordance with established policies, privacy expectations, and applicable regulatory requirements. • Provide attentive, empathetic service that builds confidence and encourages informed decision-making. • Partner with internal departments to keep enrollment documentation moving efficiently and to help deliver a smooth client experience. • Achieve productivity, quality, and service expectations while maintaining a consultative and client-focused approach.
2026-10-09T00:00:00Z

Medical Billing Specialist

Los Angeles, CA
onsite
Temporary to Hire
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 Medical Biller to join its growing team. The ideal Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The 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. Medicare billing is a big plus. Responsibilities:• Ensure timely submission of medical bills to different insurance companies.• Conduct verification of patients' insurance coverage.• Review explanations of benefits.• 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.
2026-10-05T00:00:00Z

4 results for Credentialing Specialist in Riverside, CA