Top 1124 Detail specialist Jobs in Irvine, Ca

Credentialing and Provider Enrollment Specialist
Chaparral Medical Group —Chino, CA
- $47,800 - $66,650 a year
- Mid-level
- Office
- 3 years
- Dental insurance
- Vision insurance
Quick Apply
Expert Audio- Visual Installer/ Sub-Contractor
Direct Connect Connections —San Clemente, CA
- $1,625 - $1,800 a week
- Full-time
- Background check
- Clean driving record
- 5 years
Quick Apply
4d
Operations Specialist
Autosport Manufacturing, Inc. —Irvine, CA
- $50,000 - $70,000 a year
- Full-time
- Hybrid work
- ERP systems
- English
- Organizational skills
- Flexible schedule
Quick Apply
E-Commerce Marketplace Specialist
Lexor Manufacturing, LLC —Westminster, CA
- From $26 an hour
- Full-time
- Microsoft Excel
- Merchandising
- ERP systems
- Paid holidays
- Health insurance
Quick Apply
5d
Property Tax Specialist
First Financial Equipment Leasing —Orange, CA
- $32 - $36 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
Quick Apply
4d
Quality Improvement/Education Specialist- Sterile Processing- FT, Day Shift
University of California, Irvine —Orange, CA
- $39.83 - $72.11 an hour
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Retirement plan
6d
Eyelash Extension Specialist
white feather lashes —Costa Mesa, CA
- $27.50 - $37.50 an hour
- Part-time
- In-person
- Entry level
- Retail sales
- Flexible schedule
Quick Apply
Compliance Specialist
WSH Management, Inc. —Irvine, CA
- $38.46 - $40.87 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Sales
- Paid holidays
- Health insurance
Administrative Specialist
University of California, Irvine —Irvine, CA
- $32.74 - $52.54 an hour
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Health insurance
- Retirement plan
3d
HYBRID - STUDENT SERVICES SPECIALIST
University of California, Irvine —Irvine, CA
- $29.47 - $50.69 an hour
- Full-time
- Background check
- Microsoft Outlook
- Office
- Health insurance
- Retirement plan
5d
Horticulture Specialist
Plantscapers —Irvine, CA
- Residential
- Cleaning
- Entry level
- Paid holidays
- Dental insurance
Part time Professional Organizer
Neatly —Orange County, CA
- From $25 an hour
- Part-time
- Organizational skills
- In-person
- Reliable transportation
- Flexible schedule
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Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - P/T Days Remote
University of California, Irvine —Irvine, CA
- $119,400 - $230,800 a year
- Part-time
- Remote
- Background check
- Nursing
- Medicine
- Health insurance
- Retirement plan
Assistant Environmental Health Specialist
County of Orange —Orange County, CA
- $29.48 - $39.74 an hour
- Full-time
- Customer service
- Word processing
- Driving
- On-the-job training
Environmental Health Specialist III
County of Orange —Santa Ana, CA
- $82,659.20 - $111,384.00 a year
- Full-time
- Customer service
- Word processing
- Public speaking
Digital Specialist I Mon-Fri 8:00am-4:30pm
Vital Holdings LLC —Tustin, CA
- Overtime
- English
- Ability to lift 50 pounds
- Cleaning
Quick Apply
Graphic Designer - Community Engagement Specialist II Apprentice - One Irvine Workforce
City of Irvine —Irvine, CA
- $61,588.80 a year
- Full-time
- Addiction Medicine
- Customer service
- 3 years
- On-the-job training
9d
Operational Transformation Specialist
University of California, Irvine —Irvine, CA
- $83,165.04 - $150,565.68 a year
- Full-time
- Remote
- Background check
- Customer service
- Mid-level
- Health insurance
- Retirement plan
4d
Environmental Health Specialist I
County of Orange —Orange County, CA
- $34.69 - $46.77 an hour
- Full-time
- Word processing
- Visual & Performing Arts
- Restaurant
Digital Product Specialist
Tri Pointe Homes Holdings, Inc. —Irvine, CA
- $106,900 - $120,600 a year
- Full-time
- Marketing
- Research
- Mid-level
- Paid jury duty
- Health savings account

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Credentialing and Provider Enrollment Specialist

Chaparral Medical Group
Chino, CA

Quick Apply

Job Details

$47,800 - $66,650 a year

Benefits

Dental insurance
Vision insurance
Life insurance

Qualifications

Data integrity assurance
Data quality checks
Database systems
Medicare
Provider database maintenance for medical credentialing
Medical software
Standard Operating Procedures (SOPs) implementation
Healthcare Administration
Provider enrollment for medical credentialing
Bachelor's degree in business
Mid-level
3 years
Bachelor's degree
NCQA standards
Data quality monitoring
Organizational skills
Healthcare provider information
Bachelor's degree in healthcare administration
Medicaid
Business Administration
Cross-functional collaboration
Business
Escalation handling
Standard operating procedures (SOPs)
Healthcare compliance
Communication skills
Cross-functional communication

Full Job Description

Company Overview
Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California's Inland Empire. In 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG's medical services with Akido's innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work.

As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you'll join our team

The Opportunity

Are you driven to build the systems that keep healthcare running seamlessly? As a Credentialing / Provider Enrollment Specialist, you'll be part of our credentialing/provider enrollment team to ensure providers are credentialed and enrolled quickly and accurately with health plans and hospitals — so patients always have uninterrupted access to care.

Credentialing/enrollment activities on this team include:

Filling out provider enrollment applications with health plans, Medicare, Medicaid and hospitals.
Following up with health plans and hospitals on submitted applications.
Solve complicated credentialing-related issues directly with IPAs and health plans.
Maintaining a clean database of provider data and enrollment-related activities in MD Staff.
Applying for license renewals.
Communicating with providers on credentialing-related updates.

This is a hands-on role where you will work with the Credentialing Supervisor and fellow Provider Enrollment Coordinators to ensure all work is completed in a timely and accurate fashion. If you're energized by improving processes and building a credentialing function that supports high-quality care, we'd love to meet you!

What You'll Do

Work amongst a team of credentialing/enrollment specialists to deliver accurate, timely, and compliant work - including completing credentialing/enrollment tasks.
Process credentialing, re-credentialing, and privileging applications to keep providers active and patient care uninterrupted.
Solve enrollment-related issues as they arise, working directly with health plans to get them resolved.
Monitor application timelines to prevent delays and resolve escalated issues from staff, clinics, and providers.
Maintain high data quality, including both provider data as well as credentialing data, like expiration dates, contact information, etc.
Follow SOPs and policies that are designed to streamline workflows and strengthen compliance.
Maintain compliance with the state, federal, and payer-specific credentialing requirements.
Act as a liaison for external partners, including payers, hospitals, and credentialing verification organizations.

Who You Are

Bachelor's degree in healthcare administration, business, or related field (preferred).
3+ years of experience in provider credentialing/enrollment.
Strong knowledge of NCQA standards, payer requirements, and credentialing best practices.
Excellent problem-solving and critical thinking skills, with the ability to resolve escalated issues.
Exceptional organization skills, with sharp attention to detail and ability to manage multiple priorities.
Strong written and verbal communication and interpersonal skills to collaborate cross-functionally and with external stakeholders.
Experience with credentialing/enrollment software and databases (preferred).

Benefits

Health benefits include medical, dental and vision
Life insurance
Paid leaves

Location

This role is in-person in Pomona, CA.

Chaparral Medical Group and Akido MSO are an equal opportunity employers, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

Quick Apply

Refine Your Search

detail specialist jobs in irvine, ca

Credentialing and Provider Enrollment Specialist

Expert Audio- Visual Installer/ Sub-Contractor

Operations Specialist

E-Commerce Marketplace Specialist

Property Tax Specialist

Quality Improvement/Education Specialist- Sterile Processing- FT, Day Shift

Eyelash Extension Specialist

Compliance Specialist

Administrative Specialist

HYBRID - STUDENT SERVICES SPECIALIST

Horticulture Specialist

Part time Professional Organizer

Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - P/T Days Remote

Assistant Environmental Health Specialist

Environmental Health Specialist III

Digital Specialist I Mon-Fri 8:00am-4:30pm

Graphic Designer - Community Engagement Specialist II Apprentice - One Irvine Workforce

Operational Transformation Specialist

Environmental Health Specialist I

Digital Product Specialist

I want to receive the latest job alert for detail specialist in irvine, ca

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