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5 results for Credentialing Specialist in Thousand Oaks, CA

Van Nuys, CA
onsite
Temporary to Hire
25.3365 - 29.337 USD / Hourly
We are looking for a skilled Medical Billing Specialist to join our team in Los Angeles, California. This Contract to permanent position offers an exciting opportunity to manage comprehensive billing operations for a multi-specialty healthcare practice, with a focus on Ear, Nose, and Throat services. The ideal candidate will have expertise in claim submission, collections, and patient communications, as well as experience with out-of-network and concierge billing models. Responsibilities: • Manage the full cycle of medical billing processes, including claim submissions, payer follow-ups, payment resolutions, and collections. • Review and ensure the accuracy of coding and charges for services provided by multi-specialty healthcare providers. • Conduct quality assurance checks and audits of billing tasks performed by team members. • Handle out-of-network billing and provide support for concierge-model practices. • Investigate and resolve unpaid, denied, or underpaid claims to minimize accounts receivable backlog. • Assist with collections and reimbursement strategies to optimize revenue. • Maintain detailed and accurate billing records, including comprehensive account documentation. • Ensure compliance with payer policies, industry standards, and internal workflows. • Utilize systems such as Kareo/Tebra and eClinicalWorks effectively to streamline billing operations.
2026-04-21T00:00:00Z

Los Angeles, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialistwill focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. Responsibilities:• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.• Investigate and resolve written-off accounts to maximize revenue recovery.• Process approximately 50-60 claims per day with attention to detail and accuracy.• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.• Handle medical denials and appeals, ensuring timely and effective resolution.• Review and manage accounts associated with various insurance carriers.• Analyze and document collection efforts for reporting and compliance purposes.• Maintain up-to-date knowledge of relevant medical billing and insurance policies.• Communicate effectively with internal teams to coordinate account resolution strategies.
2026-04-21T00:00:00Z

Los Angeles, CA
onsite
Temporary / Contract
23.75 - 28 USD / Hourly
We are looking for an experienced Medical AR Insurance Specialist its team. In this role, the Medical AR Insurance Specialist will focus on medical collections and insurance claims, ensuring accurate follow-up and resolution of outstanding balances. This is an excellent opportunity for a Medical AR Insurance Specialist to contribute your expertise in managed care and medical billing within a dynamic healthcare environment. This role is a hybrid tole. Responsibilities:• Conduct thorough follow-ups on accounts aged 120 to 210 days to recover outstanding balances.• Investigate and resolve written-off accounts to maximize revenue recovery.• Process approximately 50-60 claims per day with attention to detail and accuracy.• Collaborate with managed care providers such as LA Care, Kaiser, and others to address billing issues.• Handle medical denials and appeals, ensuring timely and effective resolution.• Review and manage accounts associated with various insurance carriers.• Analyze and document collection efforts for reporting and compliance purposes.• Maintain up-to-date knowledge of relevant medical billing and insurance policies.• Communicate effectively with internal teams to coordinate account resolution strategies.
2026-04-21T00:00:00Z

Van Nuys, CA
onsite
Temporary / Contract
22.12 - 30.01 USD / Hourly
A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims. Responsibilities:• Conduct hospital billing and collection processes with accuracy and efficiency• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care• Provide training for Collector I positions• Appeals and denials management.• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role• Oversee the management of insurance correspondence and maintain accurate records• Monitor patient accounts and take appropriate action to collect insurance payments.
2026-04-03T00:00:00Z

Los Angeles, CA
onsite
Temporary / Contract
25.12 - 31.91 USD / Hourly
A Hospital in Los Angeles that is dedicated to highest level of patient care is seeking a Medical Billing Collections Specialist to join its hospital team. This role focuses on ensuring accurate and timely collections of medical claims for acute care facilities, using your expertise in UB-04 claims processing. Key Responsibilities:<ul><li>Manage and process collections for medical insurance claims, including HMO and PPO plans.</li><li>Handle UB-04 claims for acute care facilities, ensuring claims are completed accurately and timely.</li><li>Follow up with insurance carriers to resolve unpaid claims and address denials or payment discrepancies.</li><li>Communicate effectively with internal departments and external payers to resolve outstanding accounts.</li><li>Ensure compliance with all HIPAA, insurance, and regulatory requirements.</li><li>Maintain accurate records and documentation of claim statuses within systems.</li></ul>
2026-04-03T00:00:00Z