Add your latest resume to match with open positions.

3 results for Credentialing Specialist in Santa Clara, CA

Medical Biller/Collections Specialist

Salinas, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
Position Title: Medical Billing SpecialistLocation: Salinas, CASchedule: Full-Time, Monday–Friday, 8:00 AM–5:00 PMCompensation: $30-$50Our nonprofit client is seeking a Medical Billing Specialist to manage medical billing and health information functions related to program-based healthcare and support services. This role is responsible for accurate and timely claims submission, compliance with public and private payer requirements, and maintaining high-quality documentation that supports program operations and financial sustainability. The position requires strong attention to detail, confidentiality, and collaboration with program and administrative staff.Essential Duties and Responsibilities<ul><li>Prepare, submit, and track electronic and paper claims to public and private payers, ensuring accurate coding and required documentation.</li><li>Monitor claim status, resolve denials and underpayments, and resubmit corrected claims as needed.</li><li>Post payments and adjustments, reconcile remittance advice, and maintain accurate billing records.</li><li>Review service notes and encounter documentation for completeness, clarity, and compliance with payer and program standards.</li><li>Communicate with program and administrative staff regarding documentation requirements, billing timelines, and follow-up items.</li><li>Maintain organized and secure electronic records in billing, EHR, and related systems.</li><li>Assist with internal billing audits, quality assurance initiatives, and preparation for external monitoring or reviews.</li><li>Ensure billing practices align with payer, contract, and regulatory requirements, including timely filing limits.</li><li>Support preparation of reports related to service utilization, revenue, and billing activity.</li><li>Protect all client information in accordance with HIPAA and applicable privacy regulations.</li><li>Participate in staff meetings, trainings, and team discussions as needed.</li><li>Perform other related duties as assigned.</li></ul>Education and ExperienceAssociate’s degree in Health Information Technology, Healthcare Administration, Billing/Coding, or a related field; or equivalent combination of education and directly related experience.At least 2 years of experience in medical billing, preferably including Medicaid/Medi-Cal or other public payer billing.Knowledge, Skills, and AbilitiesWorking knowledge of standard billing practices, including CPT/HCPCS and ICD-10 coding.Ability to read and interpret payer bulletins, remittance advice, and denial codes.High level of accuracy, attention to detail, and follow-through.Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.Clear written and verbal communication skills with clinical and non-clinical staff.Ability to work independently and collaboratively in a team-oriented environment.Proficiency with Microsoft Office or Google Workspace, including word processing, spreadsheets, email, and shared drives.
2026-06-26T00:00:00Z

Patient Access Specialist

Palo Alto, CA
onsite
Temporary / Contract
25 - 32 USD / Hourly
<ul><li>Responsible for greeting patients, verifying insurance information, scheduling appointments, and ensuring accurate patient registration in a fast-paced healthcare environment.</li><li>Provides excellent customer service while managing patient check-in/check-out, data entry, insurance verification, and front office administrative support.</li><li>Supports daily patient access operations by assisting with registration, appointment coordination, insurance verification, and maintaining accurate medical records.</li><li>Acts as the first point of contact for patients by delivering professional customer service, completing registrations, and assisting with healthcare administrative tasks.</li><li>Seeking a detail-oriented professional to support patient registration, insurance verification, scheduling, and front desk operations within a busy medical office.</li></ul>
2026-06-12T00:00:00Z

Certified Payroll Specialist

Oakland, CA
onsite
Temporary / Contract
35 - 38 USD / Hourly
Are you a meticulous, detail-oriented payroll professional with a strong understanding of certified payroll and prevailing wage requirements? Robert Half is seeking a highly skilled Certified Payroll Specialist to join our client’s team. In this role, you will play a critical part in ensuring compliance with prevailing wage regulations, state and federal certified payroll reporting, and Department of Industrial Relations (DIR) guidelines.
2026-06-20T00:00:00Z