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10 results for Credentialing Specialist in Torrance, CA

Credentialing Specialist

Santa Monica, CA
onsite
Temporary / Contract
32 - 45 USD / Hourly
We are looking for a Credentialing Specialist to support credentialing and privileging activities for physician staff in Santa Monica, California. This Credentialing Specialist plays an important role in maintaining accurate provider records, supporting compliance efforts, and coordinating documentation for appointment and reappointment workflows. The ideal candidate brings prior experience in a hospital or healthcare environment, strong working knowledge of MD Staff, and the ability to manage sensitive information with accuracy and care. Key Responsibilities:<ul><li>Oversee the end‑to‑end credentialing cycle for physicians within an MSO‑supported, multi‑site environment, including new appointments, renewals, and ongoing provider status maintenance.</li><li>Review and validate provider documentation such as licenses, education, certifications, employment history, references, and malpractice coverage, ensuring alignment with MSO, payer, and organizational standards.</li><li>Administer privilege requests and updates by tracking clinical privileges across affiliated practices and service locations, ensuring consistency with governing bylaws, MSO policies, and medical staff requirements.</li><li>Maintain complete, accurate, and current practitioner files within the MD Staff platform, supporting MSO credentialing operations, data integrity, and audit readiness.</li><li>Track expiring credentials and proactively follow up to obtain renewed licenses, certifications, and supporting documentation needed for MSO participation and payer enrollment continuity.</li><li>Assemble credentialing and re‑credentialing packets for review by medical staff committees, leadership groups, and MSO governance bodies.</li><li>Support compliance with Joint Commission, NCQA, CMS, and MSO‑specific accreditation and regulatory standards.</li><li>Serve as a primary point of contact for physicians, department leaders, MSO stakeholders, and affiliated practices regarding application status, missing items, and approval timelines.</li><li>Contribute to audits, survey preparation, policy updates, and process improvement initiatives related to MSO credentialing, provider enrollment, and medical staff services.</li></ul> Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-25T00:00:00Z

Credentialing Analyst

Long Beach, CA
onsite
Temporary to Hire
22.1635 - 28.91 USD / Hourly
A Healthcare Company in Long Beach in looking to hire a Credentialing Analyst to support provider enrollment and credentialing activities. The Credentialing Analyst is ideal for someone who can step into a fast-paced healthcare environment, work fully onsite Monday through Friday, and help maintain accurate, compliant credentialing records. The person in this role will play an important part in keeping provider files current, complete, and ready for timely onboarding and activation. Key Responsibilities:• Manage credentialing and recredentialing case files by gathering, reviewing, and organizing provider documentation for completeness and accuracy.• Communicate with providers and practice contacts to obtain outstanding materials and resolve incomplete submissions in a timely manner.• Conduct and coordinate primary source verification for items such as licensure, certifications, education history, sanctions screening, and malpractice coverage or claims history.• Support provider onboarding efforts by tracking packet status and helping move applications through the credentialing workflow efficiently.• Enter, update, and maintain credentialing data within internal systems to ensure records remain current and reliable.• Monitor key operational indicators, including missing file components, upcoming renewal deadlines, processing turnaround times, and open backlog items.• Assist with audit preparation and file quality reviews to support compliance with organizational, state, and health plan standards.• Verify provider demographic details and roster information while also helping with backlog reduction, document indexing, scanning, and other administrative support tasks. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-05-01T00:00:00Z

Medical Credentialing Administrative Assistant

Santa Monica, CA
onsite
Temporary / Contract
26 - 37 USD / Hourly
We are looking for a detail-oriented Medical Administrative Assistant to support the Medical Staff department in Santa Monica, California. This Medical Administrative Assistant position is ideal for someone who excels at coordinating administrative processes, maintaining accurate records, and keeping compliance-related documentation current in a busy healthcare setting. The role also involves organizing department meetings, preparing documentation, and communicating effectively with physicians, staff, and leadership. Success in this position requires sound judgment, strong organizational skills, and the ability to handle confidential information with care. Key Responsibilities:• Oversee the tracking of time‑sensitive items such as licenses, certifications, privileging documents, and other required medical staff records to support ongoing compliance.• Maintain accurate, complete, and current credentialing and departmental records across internal files and systems.• Arrange department and committee meetings by managing calendars, confirming attendance, preparing agendas, and assembling supporting materials.• Record clear, thorough meeting minutes, track action items, and distribute finalized documentation promptly to physicians, leadership, and other stakeholders.• Perform document control, filing, and data entry tasks to ensure information is organized, accessible, and audit‑ready.• Follow up with physicians, team members, and leadership regarding outstanding paperwork, renewals, and submission deadlines.• Provide day‑to‑day administrative support for the Medical Staff department, including office coordination, communication support, and confidential information handling. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-25T00:00:00Z

Medical Eligibility Specialist

Long Beach, CA
onsite
Temporary to Hire
18.2115 - 23 USD / Hourly
A Medical Center in Long Beach is in the immediate need of Medical Eligibility Specialist. The Medical Eligibility Specialist will play a vital role in ensuring accurate financial screening, eligibility and insurance verification for incoming patients. The Medical Eligibility Specialist ideally will have strong experience in eligibility, microsoft excel and medi-cal insurance. Responsibilities:• Conduct financial screenings for incoming clients to determine eligibility and financial liability.• Verify Medi-Cal coverage and other insurance eligibility to ensure proper documentation and accurate billing.• Maintain and update client financial records in electronic health record systems.• Organize and track annual re-evaluations of client financial information.• Follow up with clinical staff to ensure completion of required documentation for financial folders.• Collect and manage client documents, such as Medi-Cal cards, social security cards, and identification cards.• Create and oversee electronic insurance folders, including adjustments, claims, and explanation of benefits (EOBs).• Audit financial folders upon client discharge to ensure compliance and accuracy.
2026-04-30T00:00:00Z

Medical Enrollment Specialist

Buena Park, CA
onsite
Temporary / Contract
21 - 28 USD / Hourly
Our healthcare team is seeking a detail-oriented Medical Insurance Enrollment Specialist with at least two years of experience and fluency in Spanish and English. The ideal candidate is passionate about helping patients navigate insurance processes and enjoys a fast-paced, supportive environment.Responsibilities:<ul><li>Process and review medical insurance enrollments for new and existing patients</li><li>Verify insurance coverage, eligibility, and benefits with various payers</li><li>Collaborate with patients, providers, and insurers to resolve enrollment questions and discrepancies</li><li>Maintain accurate and timely data entry in healthcare management systems</li><li>Communicate benefits information and enrollment outcomes to patients in both Spanish and English</li><li>Ensure compliance with HIPAA and company privacy policies</li><li>Provide exceptional customer service while assisting patients with insurance inquiries</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-24T00:00:00Z

Enrollment Specialist

Buena Park, CA
onsite
Temporary to Hire
24 - 29 USD / Hourly
We are looking for a dedicated Enrollment Specialist to join our team in Buena Park, California. The Enrollment Specialist will play a vital role in assisting patients with their health insurance enrollment through programs like Covered California and Medi-Cal. This is an excellent opportunity for someone passionate about helping individuals navigate the complexities of healthcare coverage. Key Responsibilities:• Assist patients in completing applications and verifying their eligibility for health insurance programs, including Covered California and Medi-Cal.• Provide clear explanations of insurance options, benefits, and coverage to help patients make informed decisions.• Ensure all enrollment records are accurate by verifying documentation and resolving discrepancies.• Maintain up-to-date records of enrollment activity and manage data entry into internal systems.• Conduct follow-ups with patients to finalize incomplete applications or handle renewal processes.• Collaborate with community outreach teams to support enrollment initiatives and drive awareness.• Deliver excellent customer service by addressing patient inquiries and concerns promptly.• Stay informed about changes in health insurance policies to provide accurate guidance to patients. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-30T00:00:00Z

Medical Biller/Collections Specialist

Corona, CA
onsite
Temporary / Contract
21 - 24 USD / Hourly
Are you a driven and detail-oriented detail oriented with strong experience in billing and collections? Do you enjoy learning and adapting to new systems in a dynamic work environment? We’re looking for a Medical Billing/Collections Specialist to join our team and contribute to the success of our mental health practice. This role involves working within our proprietary Windows-based billing software—a user-friendly system that’s easy to master—with training and support available every step of the way. The right candidate will bring at least 2 years of billing and collections experience, demonstrate common sense, and show a willingness to ask questions when facing challenges. You won’t need coding expertise, but you should have a clear understanding of medical billing processes. Key Responsibilities Utilize in-house proprietary billing software to manage billing and collections tasks. Process accounts with accuracy, maintaining compliance with billing procedures and organizational standards. Take initiative to master the software tools provided, ensuring correct workflows and timely account management. Address billing issues and resolve account discrepancies while adhering to ICD-10 standards (no coding experience required). Progress through a structured training program that starts with simpler accounts and builds toward more complex tasks as your understanding deepens. Communicate effectively with teammates, supervisors, and external stakeholders to achieve timely resolutions for billing inquiries. Exhibit a proactive, aggressive attitude toward learning and performing your duties at a high standard.
2026-04-15T00:00:00Z

Certified Payroll Specialist

Altadena, CA
onsite
Temporary / Contract
24.7 - 40 USD / Hourly
We are looking for a detail-oriented Certified Payroll Specialist to support a client in Altadena, California in a Contract position. This opportunity combines certified payroll administration with collections support, making it ideal for someone who can manage compliance-sensitive payroll tasks while also helping maintain healthy accounts receivable activity. The right candidate will bring strong organization, sound judgment, and the ability to keep documentation accurate, current, and audit-ready. Responsibilities: • Manage certified payroll activities by reviewing time records, validating job classifications, and preparing required submissions in accordance with applicable regulations. • Monitor outstanding accounts and document collection efforts thoroughly to maintain clear, current records of customer communications and payment activity. • Work directly with customers and stakeholders to arrange payment solutions such as installment schedules, negotiated resolutions, or deadline extensions when appropriate. • Collaborate with internal partners to investigate invoice issues, resolve disputes, and address billing inconsistencies in a timely manner. • Produce routine status updates and reports that highlight collection progress, open balances, and overall performance trends. • Maintain complete and well-organized payroll and collections documentation to support audits, compliance reviews, and internal reporting needs. • Verify employee pay-related information, including hours worked, rates, deductions, and supporting records, to ensure accuracy across payroll documentation. • Track changes in payroll compliance requirements at the federal, state, and local levels and apply updates to daily processes as needed.
2026-04-30T00:00:00Z

Part Time Enrollment Specialist

Buena Park, CA
onsite
Temporary / Contract
21 - 27 USD / Hourly
A Healthcare Company is seeking a Part-Time Bilingual Spanish Insurance Enrollment Specialist to support patients with health coverage enrollment and eligibility needs. This Enrollment Specialist role will assist patients through the Covered California and Medi-Cal enrollment process, provide education on available insurance options, and ensure all applications and supporting documentation are accurate and complete. The ideal candidate has strong customer service skills, healthcare experience, and the ability to communicate effectively in both English and Spanish. Key Responsibilities<ul><li>Guide patients through Covered California and Medi-Cal enrollment processes</li><li>Assist patients with applications, eligibility verification, and plan selection</li><li>Educate patients on insurance options, benefits, and coverage details in a clear and supportive manner</li><li>Verify documentation and ensure accuracy and completeness of all enrollment records</li><li>Provide in-person and phone support to patients with questions related to enrollment and coverage</li><li>Track enrollment activity and maintain accurate records in internal systems</li><li>Conduct follow-up with patients regarding renewals, missing documents, and incomplete applications</li><li>Support outreach efforts and community enrollment initiatives as needed</li><li>Collaborate with internal staff to help resolve enrollment issues and ensure a positive patient experience</li></ul>Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-04-30T00:00:00Z

Medical AR Collections Specialist

Los Angeles, CA
onsite
Temporary / Contract
24 - 28.01 USD / Hourly
We are looking for a Medical AR Collections Specialist to support medical collections efforts for a healthcare revenue cycle team in Los Angeles, California. This Medical AR Collections Specialist position focuses on resolving aged accounts, pursuing reimbursement from insurance carriers, and strengthening account recovery outcomes. The ideal candidate brings experience working with managed care payers and can handle a consistent daily volume while maintaining accuracy and professionalism. The role will be hybrid 2 days in office and 3 day from home. Responsibilities:• Review and pursue outstanding accounts that are 120 to 210 days past due to improve reimbursement results.• Manage a high-volume accounts receivable workload, with responsibility for a portfolio of approximately 8,000 to 9,000 accounts.• Investigate underpayments, recover balances when possible, and determine appropriate next steps for accounts at risk of write-off.• Communicate with insurance payers and managed care organizations, including LA Care and Kaiser, to resolve claim and payment issues.• Complete daily follow-up activity on roughly 50 to 60 accounts, ensuring timely status updates and documentation.• Prepare and submit appeals or supporting documentation to address denied or disputed medical claims.• Maintain accurate account notes and collection records within organizational systems to support ongoing resolution efforts.
2026-04-29T00:00:00Z