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3 results for Credentialing Specialist in San Leandro, CA

Medical Billing Specialist

French Camp, CA
onsite
Temporary to Hire
20.9 - 24.2 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to join our healthcare team in French Camp, California. This Contract to permanent position requires expertise in managing complex billing processes, interpreting healthcare policies, and providing exceptional customer service to patients and clients. The ideal candidate will bring advanced knowledge of billing systems, claim administration, and financial operations to ensure accuracy and efficiency in all tasks. Responsibilities:• Handle specialized and intricate billing processes, including accounts receivable and appeals management.• Research and apply healthcare policies, regulations, and procedures to support accurate claim administration.• Compile, maintain, and process financial data for billing, reimbursement, and reporting purposes.• Utilize advanced systems and software such as Allscripts, Cerner Technologies, and EHR systems to manage patient information and billing records.• Conduct in-depth reviews of legal, custody, and medical records to ensure compliance with reimbursement requirements.• Provide clear and effective communication with patients, clients, and external agencies to address inquiries and resolve billing issues.• Develop and maintain spreadsheets or databases to track financial operations and generate detailed reports.• Prepare and review complex documents, including insurance claims, treatment authorization forms, and subpoenas.• Train or oversee clerical staff as needed, ensuring adherence to office practices and procedures.• Assist in coordinating administrative functions, such as payroll, purchasing, and inventory management.For immediate consideration please contact Cortney at 209-225-2014
2026-07-06T00:00:00Z

Certified Payroll Specialist

Walnut Creek, CA
onsite
Temporary / Contract
30 - 45 USD / Hourly
We are seeking an experienced Certified Payroll & Prevailing Wage Specialist to join our clients team. This role is responsible for administering certified payroll for public works projects while ensuring compliance with federal, state, and local prevailing wage regulations. The ideal candidate has a strong understanding of California public works requirements, Davis-Bacon Act compliance, and labor compliance reporting. This position works closely with payroll, project management, accounting, human resources, subcontractors, and government agencies to ensure payroll accuracy and regulatory compliance. Responsibilities<ul><li>Process weekly certified payroll for multiple public works projects.</li><li>Prepare and submit certified payroll reports (CPRs) accurately and on time.</li><li>Ensure compliance with:</li><li>California Prevailing Wage Laws</li><li>Davis-Bacon Act</li><li>DIR (Department of Industrial Relations) requirements</li><li>Federal, state, and local labor compliance regulations</li><li>Review wage determinations and assign appropriate prevailing wage classifications.</li><li>Verify fringe benefit calculations and employer contributions.</li><li>Maintain accurate employee classifications, work hours, and project assignments.</li><li>Audit payroll records to ensure prevailing wage compliance.</li><li>Coordinate apprentice utilization and apprenticeship reporting requirements.</li><li>Process fringe benefit credits and travel/subsistence requirements when applicable.</li><li>Respond to labor compliance audits and agency inquiries.</li><li>Work with subcontractors to collect, review, and monitor certified payroll submissions.</li><li>Assist with employee payroll corrections and restitution calculations when necessary.</li><li>Maintain organized payroll and compliance documentation.</li><li>Stay current on prevailing wage legislation and labor law updates.</li></ul>
2026-07-10T00:00:00Z

Medical Biller/ Collections Specialist

Berkeley, CA
onsite
Temporary / Contract
30 - 36 USD / Hourly
Position: Medical Biller / Collections SpecialistLocation: Berkeley, CACompensation: $30–$36/hour (DOE)Job Type: Contract About the RoleWe are seeking a detail-oriented Medical Biller / Collections Specialist to support the revenue cycle operations of a healthcare organization in Berkeley. This role is responsible for insurance billing, accounts receivable follow-up, denial management, and collections activities to ensure timely reimbursement and account resolution. The ideal candidate has experience working with commercial insurance, Medicare, Medi-Cal, and managed care plans, along with a strong understanding of medical billing and collections processes. This contract opportunity is well suited for a results-driven professional who enjoys investigating claims, resolving payment issues, and improving revenue cycle performance.Responsibilities<ul><li>Submit, review, and process medical claims while ensuring compliance with payer requirements, coding guidelines, and billing regulations.</li><li>Manage accounts receivable follow-up by researching unpaid claims, identifying denial trends, and pursuing timely reimbursement from insurance carriers.</li><li>Resolve claim denials, rejections, underpayments, and billing discrepancies through appeals, corrections, and payer communication.</li><li>Post insurance and patient payments, reconcile accounts, and maintain accurate documentation within billing and practice management systems.</li><li>Communicate with patients, providers, insurance representatives, and internal departments regarding account balances, payment arrangements, and billing inquiries.</li></ul>
2026-07-02T00:00:00Z