Top 597 Provider enrollment Jobs in Anaheim, Ca

Medical Billing & Provider Credentialing Specialist (Part-Time)
Virtue Medical Group —Santa Ana, CA
- $23 - $28 an hour
- Part-time
- Hybrid work
- Medical office experience
- HIPAA
- English
- Flexible schedule
Quick Apply
4d
Benefits Administrator
National Services Group, Inc. —Irvine, CA
- $75,000 - $80,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
11d
Alternative Payments | Lead Payment Specialist
Drew Child Development Corporation —Los Angeles, CA
- $27.00 - $32.97 an hour
- Full-time
- Background check
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
6d
CalAIM Housing Navigator
Pathways of Hope —Fullerton, CA
- $26 an hour
- Weekends as needed
- Bilingual
- Microsoft Word
- Background check
- Paid holidays
- Health insurance
Quick Apply
Credentialing & Enrollment Associate (Remote)
Rula —Los Angeles, CA
- $60,690 - $67,830 a year
- Full-time
- Remote
- Mid-level
- 2 years
- Paid parental leave
- Health savings account
Enrollment Development Specialist I in Orange County
AltaMed Health Services Corporation —Anaheim, CA
- $72,072.00 - $90,987.73 a year
- Full-time
- Background check
- Spanish
- Marketing
- 403(b) matching
- Paid holidays
Enrollment Specialist (Part-Time) (Fully-Remote) (PST Hours)
Phamily —Los Angeles, CA
- $21 an hour
- Part-time
- Remote
- Organizational skills
- Communication skills
- Entry level
Quick Apply
Credentialing and Provider Enrollment Specialist
Chaparral Medical Group —Chino, CA
- $47,800 - $66,650 a year
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Benefits Analyst
Apple One —Orange, CA
- $60,000 - $70,000 a year
- Full-time
- Spanish
- HIPAA
- English
- Dental insurance
- Vision insurance
Quick Apply
Member Services Representative
Astiva Health —Orange, CA
- $24 - $29 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Data Specialist
Los Angeles Homeless Services Authority —Los Angeles, CA
- $26.27 - $30.35 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Disability insurance
12d
Case Manager
Maximus —Santa Ana, CA
- $23.00 - $23.50 an hour
- Spanish
- Computer literacy
- Office
- Paid holidays
- Disability insurance
13d
Enrollment Development Specialist I
AltaMed Health Services Corporation —Commerce, CA
- $72,072.00 - $90,987.73 a year
- Full-time
- Background check
- Spanish
- Marketing
- 403(b) matching
- Paid holidays
Assistant Teacher at Edison Elementary School
KinderCare Education —Anaheim, CA
- $18.00 - $20.70 an hour
- Full-time
- Classroom
- CPR Certification
- Customer service
- Health insurance
- Dental insurance
Enrollment Development Specialist I in LA County
AltaMed Health Services Corporation —Los Angeles, CA
- $72,072.00 - $90,987.73 a year
- Full-time
- Background check
- Spanish
- Marketing
- 403(b) matching
- Paid holidays
Assistant Teacher at Marshall Elementary School
KinderCare Education —Anaheim, CA
- $18.00 - $20.70 an hour
- Full-time
- Classroom
- CPR Certification
- Customer service
- Health insurance
- Dental insurance
Assistant Teacher at Jefferson Elementary School
KinderCare Education —Anaheim, CA
- $18.00 - $20.70 an hour
- Full-time
- Classroom
- CPR Certification
- Customer service
- Health insurance
- Dental insurance
Sr. Program Coordinator
CIBD —Orange, CA
- $33 - $41 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- BLS Certification
- 403(b) matching
- Paid holidays
Quick Apply
4d
Customer Service Representative I
Word & Brown Companies —Orange, CA
- $20.50 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook

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provider enrollment jobs near anaheim, ca

Medical Billing & Provider Credentialing Specialist (Part-Time)

Virtue Medical Group
Santa Ana, CA

Quick Apply

Job Details

Part-time
$23 - $28 an hour
4 days ago

Benefits

Flexible schedule

Qualifications

Medicare
Commercial insurance knowledge
Managed care organization experience
Medical office experience
Provider enrollment for medical credentialing
Coding for physician billing
Electronic health record (EHR) management for billing and coding

Full Job Description

About Us

Virtue Medical Group is a growing family medicine practice dedicated to providing high-quality, patient-centered care. We are seeking an experienced and dependable Medical Billing & Provider Credentialing Specialist to oversee our revenue cycle and provider enrollment processes.

This role is ideal for someone who can independently manage medical billing, provider credentialing, insurance enrollments, and payer relationships while ensuring timely reimbursement and compliance.

Most work may be completed remotely; however, the selected candidate must be available to come to our Santa Ana office at least once per week to pick up billing documents, insurance correspondence, claim statements, and complete administrative tasks.

Key Responsibilities

Medical Billing & Revenue Cycle

Submit and manage electronic claims using Tebra (formerly Kareo).
Review, correct, and resubmit rejected or denied claims.
Follow up with commercial insurance, Medicare, and Medi-Cal regarding unpaid claims.
Post insurance payments, patient payments, adjustments, and write-offs.
Monitor accounts receivable and aging reports to maximize collections.
Verify insurance eligibility and benefits as needed.
Review provider documentation in Practice Fusion to ensure accurate billing.
Respond to patient billing inquiries professionally and promptly.
Work closely with providers and front office staff to resolve billing and coding issues.

Provider Credentialing & Enrollment

Manage provider credentialing and recredentialing for physicians and advanced practice providers.
Maintain and update CAQH profiles.
Complete provider enrollment with Medicare, Medi-Cal, and commercial insurance plans.
Track credentialing renewals, provider licenses, DEA registrations, malpractice insurance, and board certifications.
Ensure providers remain in-network and compliant with payer requirements.

Insurance Contracting & Provider Relations

Coordinate payer enrollment and participation with contracted health plans.
Maintain payer contracts and provider participation records.
Assist with new provider onboarding and payer enrollment.
Track contract effective dates, renewals, and required documentation.
Communicate with insurance representatives to resolve enrollment, credentialing, and contracting issues.

Administrative

Maintain organized provider and payer records.
Generate billing and credentialing reports as requested.
Ensure HIPAA compliance and patient confidentiality.
Identify workflow improvements to increase billing efficiency and collections.

Qualifications Required

Minimum 3 years of Family Medicine office medical billing experience.
Minimum 2 years of provider credentialing experience.
Hands-on experience with Tebra (formerly Kareo).
Experience using Practice Fusion EHR.
Strong understanding of CPT, ICD-10, HCPCS, and insurance billing.
Experience with Medicare, Medi-Cal, and commercial insurance plans.
Experience maintaining CAQH.
Knowledge of provider enrollment and credentialing requirements.
Strong organizational, communication, and problem-solving skills.
Ability to work independently with minimal supervision.

Preferred

Family Medicine or Primary Care experience.
Experience with Southern California managed care plans (AltaMed, Optum, Regal, Prospect, Monarch, Health Net, Molina, Blue Shield Promise, CalOptima, etc.).
CPC, CPB, or CPCO certification.
Bilingual English/Vietnamese.

Pay: $23.00 - $28.00 per hour

Benefits:

Flexible schedule

Application Question(s):

Do you have at least 3 years of family medicine office medical billing experience?

Experience:

billing: 3 years (Required)
provider credentialing: 2 years (Required)
Practice Fusion: 1 year (Required)
provider credentialing and CAQH maintenance: 1 year (Required)
provider enrollments: 1 year (Required)

Ability to Commute:

Santa Ana, CA 92704 (Required)

Work Location: Hybrid remote in Santa Ana, CA 92704

Quick Apply

Refine Your Search

provider enrollment jobs in anaheim, ca

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Enrollment Development Specialist I

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I want to receive the latest job alert for provider enrollment in anaheim, ca

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