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2 results for Credentialing Specialist in Thousand Oaks, CA
- Los Angeles, CA
- onsite
- Temporary to Hire
- 25 - 32 USD / Hourly
- <p>A Premier Healthcare Provider in the region, committed to providing quality and compassionate care to all our patients. The company is currently looking for a diligent Medical Biller to join its growing team. The ideal Medical Biller should have a deep understanding of billing procedures and be able to carry out his/her role with absolute precision. The Medical Biller is expected to have impeccable medical billing an in-depth knowledge of medical insurance, and the drive to ensure that our patients receive their invoices on time. Medicare billing is a big plus. </p><p>Responsibilities:</p><p>• Ensure timely submission of medical bills to different insurance companies.</p><p>• Conduct verification of patients' insurance coverage.</p><p>• Review explanations of benefits.</p><p>• Determine the patient's financial status and capability to pay their bills.</p><p>• Apply appropriate codes to billable goods and services.</p><p>• Address and resolve patient complaints regarding bills.</p><p>• Maintain confidentiality and comply with all federal and state health information privacy laws.</p><p>• Monitor and record late payments.</p><p>• Regularly report to the Billing Manager.</p>
- 2026-10-05T00:00:00Z
- Los Angeles, CA
- onsite
- Temporary to Hire
- 32 - 42 USD / Hourly
- Key responsibilities:<br><br>Benefits Administration and Employee Support<br>- Serve as a primary point of contact for employee benefits inquiries through email and ServiceNow, researching and resolving enrollment and claims issues<br>- Administer life events in Workday, including leave of absence events, from initiation through completion and close-out<br>- Review and approve dependent eligibility in Workday and process Evidence of Insurability approvals and denials<br>- Prepare benefit verification letters, new hire enrollment reminders, and The Hartford conversion letters<br>- Process child support orders (medical support) in coordination with Payroll<br><br>Billing, Premium Reconciliation and COBRA<br>- Reconcile and process monthly carrier invoices<br>- Manage premium receipts and deposits, arrears clearance, and late-premium notices for employees on leave<br>- Administer COBRA end to end, including WageWorks reconciliation and auditing COBRA files against Workday to resolve discrepancies<br><br>Audits, Reporting and Payroll Integration<br>- Partner with Payroll each semi-monthly and biweekly pay cycle to ensure benefit retros and arrears are processed accurately<br>- Run and analyze recurring audit reports, including retro recalculation by pay date, benefit status events, terminated employees with benefits, and dependent validation<br>- Audit passive life events (coverage end dates, overage dependents, ACA eligibility)<br>- Track part-time faculty benefit eligibility<br>- Audit carrier integration files (including The Hartford) and resolve discrepancies<br>- Prepare the VOP report for the Jesuit community with Payroll<br><br>Open Enrollment<br>- Coordinate benefits fair logistics, including carrier invitations, catering, and event setup<br>- Provide administrative and employee support throughout the Open Enrollment period
- 2026-09-30T00:00:00Z