Top 880 Care specialist Jobs in Riverside 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
Customer Technical Support Specialist
ATA Photobooths —Jurupa Valley, CA
- $16.90 - $18.00 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
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Referral Coordinator / Procedure schedule
GASTROENTEROLOGY —San Bernardino, CA
- $20 - $22 an hour
- Full-time
- Spanish
- Vital signs
- HIPAA
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Behavior Specialist - School Based
Zen Educate US —Corona, CA
- $22 - $25 an hour
- Part-time
- Background check
- School experience
- Classroom
- Paid sick time
Claims Specialist
PRSH Holdings Inc. —Riverside, CA
- $85,000 - $115,000 a year
- Full-time
- Microsoft Word
- Clean driving record
- 7 years
- Paid holidays
- Health insurance
3d
Patient Care Coordinator (Riverside)
SCAN Health Plan —Riverside, CA
- $20.00 - $27.50 an hour
- Full-time
- Remote
- Background check
- Spanish
- Current TB test
- Wellness program
- Paid holidays
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Enrollment - Care Coordinator Specialist
Unicare Community Health Center —San Bernardino, CA
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Flexible schedule
Wellbeing Specialist
Redlands Community Hospital - HUMAN RESOURCES —Redlands, CA
- $92,012.80 - $139,214.40 a year
- Full-time
- LMFT
- Management
- BLS Certification
Family Specialist I
Pacific Clinics —San Bernardino, CA
- $23.00 - $27.39 an hour
- Remote
- School experience
- Residential
- High school diploma or GED
- Health savings account
- Disability insurance
RICA Educational Advocacy Specialist-Grant. Children's.
Loma Linda University Health —Loma Linda, CA
- $31.93 - $42.95 an hour
- Weekends as needed
- Microsoft Outlook
- Computer literacy
- Writing skills
7d
Managed Care Specialist
Casa Colina Hospital and Centers for Healthcare —Pomona, CA
- $80,000 - $110,000 a year
- Full-time
- Hospital
- Mid-level
- Office
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Animal Care Specialist - A
Mary S. Roberts Pet Adoption Center —Riverside, CA
- $17 - $20 an hour
- Full-time
- Word processing
- Office
- Ability to lift 50 pounds
Quick Apply
1d
Admissions Specialist
Corona Post Acute —Corona, CA
- $23 - $25 an hour
- Full-time
- High school diploma or GED
- Entry level
- Health insurance
- Dental insurance
Quick Apply
5d
Training & Development Specialist
Hard Rock Digital —Ontario, CA
- Full-time
- Remote
- Up to 50% travel
- English
- Mid-level
Quick Apply
Home Health Care Specialist - Marketer
Lorian Health —Riverside, CA
- Full-time
- 5 years
- Office
- Bachelor's degree
- Mileage reimbursement
- Fuel card
Quick Apply
(USA) Member Specialist
Sam's Club —Riverside, CA
- $19 - $27 an hour
- High school
- Merchandising
- Continuous improvement
- Paid jury duty
- Disability insurance
6d
Managed Care Network Development Specialist
University of California, Riverside —Riverside, CA
- $62,900 - $110,100 a year
- Full-time
- Research
- Mid-level
- Windows
Facilitator I
Pacific Clinics —San Bernardino, CA
- $71,760 - $85,547 a year
- On call
- Residential
- Children
- 1 year
- Health savings account
- Disability insurance
Patient Care Coordinator (San Diego)
SCAN Health Plan —Riverside, CA
- $20.00 - $27.50 an hour
- Full-time
- Remote
- Background check
- Spanish
- Current TB test
- Wellness program
- Paid holidays
Quick Apply
Outreach Specialist/Care Coordinator, Manager - Sonoma County or Orange/San Bernardino County
Waymark —San Bernardino, CA
- $85,000 - $107,000 a year
- Bilingual
- Background check
- Supervising experience
- Commuter assistance
- Paid parental leave
Quick Apply

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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

care specialist jobs in riverside ca

Credentialing and Provider Enrollment Specialist

Customer Technical Support Specialist

Referral Coordinator / Procedure schedule

Behavior Specialist - School Based

Claims Specialist

Patient Care Coordinator (Riverside)

Enrollment - Care Coordinator Specialist

Wellbeing Specialist

Family Specialist I

RICA Educational Advocacy Specialist-Grant. Children's.

Managed Care Specialist

Animal Care Specialist - A

Admissions Specialist

Training & Development Specialist

Home Health Care Specialist - Marketer

(USA) Member Specialist

Managed Care Network Development Specialist

Facilitator I

Patient Care Coordinator (San Diego)

Outreach Specialist/Care Coordinator, Manager - Sonoma County or Orange/San Bernardino County

I want to receive the latest job alert for care specialist in riverside ca

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