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2 results for Credentialing Specialist in Thousand Oaks, CA

Enrollment Specialist

Santa Barbara, CA
onsite
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for an Enrollment Specialist to support client access to healthcare-related community services in Santa Barbara, California. This Long-term Contract position focuses on enrollment coordination, eligibility monitoring, documentation accuracy, and service quality oversight for individuals receiving homeless services. The person in this role will help maintain compliance with program standards while partnering with staff to improve workflows and support timely reimbursement activities. Responsibilities:• Guide eligible clients through enrollment into programs, completing and processing required forms accurately and on time.• Partner with homeless services teams to monitor ongoing client eligibility, update records, and help prevent interruptions in approved coverage or support.• Examine case management documentation to confirm services are properly recorded, clinically appropriate, and aligned with reimbursement standards.• Coordinate with program and case management staff to track authorization timelines and support timely submission of renewal requests before expiration.• Review claims-related records and supporting documentation in the Health Management Information System to promote accurate billing and complete file maintenance.• Participate in meetings with internal teams and external partners to address service quality, operational needs, and continuous improvement efforts.• Provide additional administrative and program support as needed to assist with successful day-to-day execution of CalAIM initiatives.
2026-06-18T00:00:00Z

Medical Biller/Collections Specialist

Los Angeles, CA
onsite
Temporary to Hire
24 - 28.99 USD / Hourly
A Federally Qualified Health Center (FQHC), is seeking an experienced Medical Biller/Collector to join their revenue cycle team. This Medical Biller/Collector will be responsible for billing, follow-up, and collections activities to ensure timely reimbursement from insurance carriers, government payers, and patients. The ideal candidate for the Medical Biller/Collector role will have strong knowledge of medical billing processes, payer guidelines, and accounts receivable follow-up. Key Responsibilities: Submit accurate and timely medical claims to insurance carriers and government payers Follow up on unpaid, denied, or underpaid claims and resolve billing discrepancies Work accounts receivable reports and maintain collection efforts to reduce outstanding balances Investigate claim rejections and denials, and take corrective action for resubmission or appeal Post payments, adjustments, and denials as needed Communicate with payers, patients, and internal staff regarding billing questions and account resolution Maintain compliance with billing regulations, payer requirements, and organizational policies Support revenue cycle activities including claims review, payment reconciliation, and account research Document collection activity and account status updates accurately in the billing system
2026-06-24T00:00:00Z