3 results for Credentialing Specialist in Thousand Oaks, CA

Credentialing Specialist

West Hollywood, CA
onsite
Temporary
25 - 45 USD / Hourly
The Credentialing Specialist is responsible for supporting the credentialing, re‑credentialing, and provider enrollment processes to ensure healthcare professionals meet all regulatory, payer, and organizational requirements. This role plays a key part in maintaining compliance, supporting provider onboarding, and ensuring accurate and up‑to‑date credentialing records. The Credentialing Specialist works closely with internal teams, providers, and external agencies to collect, verify, and track required documentation.<ul><li>Coordinate and manage initial credentialing and re‑credentialing for healthcare providers</li><li>Collect, review, and maintain provider documentation (licenses, certifications, education, work history, malpractice coverage, etc.)</li><li>Perform primary source verification in accordance with regulatory and organizational standards</li><li>Track license, certification, and enrollment expiration dates to ensure ongoing compliance</li><li>Maintain accurate provider records within credentialing databases and internal systems</li><li>Communicate with providers and internal stakeholders regarding application status and missing documentation</li><li>Assist with payer enrollment and revalidation processes, as assigned</li><li>Support audits and ensure credentialing files are complete and compliant</li><li>Maintain confidentiality and comply with HIPAA and regulatory requirements</li><li>Perform additional administrative or credentialing support duties as needed</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-21T00:00:00Z

Medical Billing Specialist

Van Nuys, CA
onsite
Temporary
25 - 35 USD / Hourly
We are seeking an experienced Medical Billing Specialist to manage end‑to‑end billing functions for a multi‑specialty healthcare practice. This role is responsible for claim submission, payer follow‑up, collections, and quality control across multiple providers, with exposure to concierge and out‑of‑network billing models. The ideal candidate is detail‑oriented, payer‑savvy, and comfortable managing both payer and patient communications while driving A/R resolution. Key Responsibilities:<ul><li>Manage end‑to‑end medical billing, including claim submission, follow‑ups, payment resolution, and collections</li><li>Review charges and support coding accuracy for approximately 3–4 multi‑specialty providers prior to claim submission</li><li>Perform quality control and audit reviews of billing work completed by the billing team</li><li>Handle courtesy out‑of‑network (OON) billing and support concierge‑model practices</li><li>Manage high‑volume phone and email correspondence with insurance payors and patients</li><li>Follow up on unpaid, denied, or underpaid claims to reduce A/R backlog</li><li>Support sales collections and reimbursement initiatives</li><li>Maintain accurate billing documentation and detailed account notes</li><li>Ensure compliance with payer requirements, internal workflows, and industry best practices</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-31T00:00:00Z

Credentials Coordinator

Los Angeles, CA
onsite
Temporary
30.7 - 34.62 USD / Hourly
Our client is looking for a Credentialing Coordinator! The Credentialing Coordinator performs core functions within the credentialing lifecycle, including provider onboarding, credential verification, and maintenance of credentialing records. The Credentialing Coordinator role supports the medical staff services department by ensuring accurate and timely processing of credentialing documentation while maintaining compliance with regulatory standards and organizational policies. Job Requirements: <ul><li>Manage credentialing lifecycle processes including initial appointments, reappointments, privileging, and focused professional practice evaluations (FPPE)/proctoring.</li><li>Collect required documentation and conduct primary source verification to ensure provider credential files are complete and compliant.</li><li>Maintain accurate, organized, and error-free credentialing files, ensuring timely processing and updates.</li><li>Support provider onboarding by coordinating computer access, training, orientation, and ID badging.</li><li>Maintain working knowledge of medical staff bylaws, rules, regulations, and regulatory agency requirements.</li><li>Assist with the maintenance and accuracy of the medical staff credentialing database.</li><li>Ensure strict confidentiality regarding all medical staff and credentialing information.</li><li>Perform additional duties as assigned.</li></ul>
2026-03-11T00:00:00Z