3 results for Credentialing Specialist in Sacramento, CA

Medical Collections Specialist

Sacramento, CA
onsite
Contract / Temporary to Hire
21 - 23 USD / Hourly
We are looking for a skilled Medical Collections Specialist to join our team in Sacramento, California. This Contract to potential permanent position offers the opportunity to work in an engaging and fast-paced environment where attention to detail and strong communication skills are essential. The role focuses on managing medical claims, resolving discrepancies, and ensuring timely reimbursements, with the possibility of long-term placement based on performance. Responsibilities: • Review and interpret contracts to identify allowed amounts and ensure proper claim adjudication. • Analyze Explanation of Benefits (EOBs) to verify payment accuracy and patient liability. • Communicate effectively with insurance companies to dispute denied or underpaid claims, ensuring resolution. • Provide clear explanations to patients regarding their balances, claim outcomes, and financial responsibilities. • Draft compelling appeals to challenge claim denials and secure appropriate reimbursements. • Maintain a thorough understanding of various insurance products, including Medicare Advantage plans. • Manage high-volume workloads efficiently while maintaining accuracy and meeting production goals. • Collaborate with team members to handle complex claims and develop effective solutions. • Utilize analytical skills to make informed decisions on resolving claims and account discrepancies. • Ensure consistent and timely follow-up on accounts to achieve and exceed recovery targets.
2026-03-27T00:00:00Z

Inpatient Coding Specialist

Sacramento, CA
onsite
Temporary
30 - 39 USD / Hourly
We are looking for an Inpatient Coding Specialist to join our team in Sacramento, California. This contract position involves reviewing and analyzing medical records to accurately assign diagnostic and procedural codes based on established guidelines and regulations. The role requires a thorough understanding of inpatient coding principles to ensure compliance with federal and state requirements while supporting efficient revenue cycle processes. Responsibilities: • Accurately assign ICD-10-CM and ICD-10-PCS codes to inpatient records based on medical documentation. • Ensure proper grouping into Medicare Severity Diagnosis Related Groups (DRG) or All Patient Refined Diagnosis Related Groups (APR-DRG) for optimal reimbursement. • Abstract required data elements from medical records in alignment with facility-specific guidelines. • Monitor discharged but not billed accounts to facilitate timely and compliant revenue cycle processing. • Collaborate with clinical documentation specialists and medical staff to validate and enhance documentation. • Maintain high standards of coding accuracy and productivity while adhering to quality benchmarks. • Utilize software tools such as Epic, 3M Encoder, and other coding systems to validate and compile medical information. • Analyze and ensure compliance with coding, billing, and data collection regulations. • Address missing or unclear information by seeking clarification and ensuring proper documentation. • Independently manage workload and prioritize tasks to meet departmental productivity standards.
2026-03-30T00:00:00Z

Certified Payroll Specialist

Brentwood, CA
onsite
Temporary
35 - 40 USD / Hourly
We are looking for an experienced Certified Payroll Specialist to join our client in Brentwood, California. This role involves handling payroll documentation, ensuring compliance with government regulations, and maintaining accurate wage records. This is a contract to permanent position that can start immediately. Responsibilities: • Prepare and document certified payroll reports with precision and attention to detail.• Calculate wages based on prevailing wage requirements and ensure compliance with applicable laws.• Update payroll systems with accurate employee wage and benefit information.• Collaborate with government portals or systems, such as prevailing wage trackers, to manage payroll documentation.• Maintain accurate records of approved timesheets and wage adjustments.• Audit payroll documentation to ensure all information aligns with legal and organizational standards.• Support compliance efforts by adhering to government applications and restrictions.• Assist in preparing payroll data for processing and ensure all relevant information is recorded accurately.• Communicate effectively with team members and stakeholders to address payroll-related inquiries.• Monitor and apply updates to payroll systems as required by changes in regulations or internal standards.
2026-03-26T00:00:00Z