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3 results for Credentialing Specialist in Riverside, CA

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary / Contract
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.
2026-07-01T00:00:00Z

Medical Biller/Collections Specialist

Pomona, CA
onsite
Temporary / Contract
19.7885 - 22.913 USD / Hourly
We are looking for a detail-oriented Medical Biller/Collections Specialist to support Federally Qualified Health Care revenue cycle operations for a healthcare organization in Pomona, California. This Contract position focuses on accurate payment posting, insurance follow-up, and claim submission activities that help maintain timely reimbursement and organized financial records. The ideal candidate brings hands-on experience with medical billing processes, payer communication, and month-end reporting in a fast-paced healthcare environment. Responsibilities:• Process and record electronic and insurance payments with precision by reviewing remittance information and applying payments to the appropriate accounts.• Retrieve and interpret electronic remittance advice data to ensure transactions are posted correctly and discrepancies are identified promptly.• Prepare and maintain monthly Excel-based reports that summarize billing activity, payment trends, and collection results for operational review.• Submit claims electronically through clearinghouse platforms while monitoring transmission status and addressing any rejected files.• Review medical coding details, including ICD and CPT information, to support accurate billing and reduce claim errors.• Conduct follow-up with payers on outstanding balances, delayed reimbursements, and unresolved accounts to improve collections performance.• Investigate denied claims, determine the cause of non-payment, and take corrective action to support timely resolution.• Develop and submit appeals with appropriate documentation when claims require reconsideration by insurance carriers.
2026-07-07T00:00:00Z

Quality Assurance Specialist

Irvine, CA
onsite
Temporary / Contract
25 - 28 USD / Hourly
We are seeking a detail-oriented Temporary Administrative Compliance Coordinators to support critical audit and compliance initiatives over a 3–4 month period. This role will assist with reviewing documentation, validating records, preparing for audits, and supporting various compliance-related projects. The ideal candidate will possess strong organizational skills, exceptional attention to detail, and the ability to accurately review high volumes of information while identifying gaps, inconsistencies, and compliance concerns. Duties:<ul><li>Review and audit session notes, treatment documentation, and related records to ensure compliance with payer and regulatory requirements (training provided).</li><li>Organize, maintain, and track audit-related documentation and records.</li><li>Identify missing information, documentation gaps, and inconsistencies within records.</li><li>Support compliance, quality assurance, and operational projects as assigned.</li><li>Maintain confidentiality and handle sensitive information in accordance with company policies and regulatory standards.</li><li>Provide general administrative support related to compliance and auditing initiatives.</li></ul>
2026-07-10T00:00:00Z