Top 17 Health specialist Jobs in Santa Barbara Ca

Behavioral Health Single Case Specialist
New Horizons Child & Family Institute —California
- $30 - $36 an hour
- Part-time
- Mid-level
- Associate's degree
- 2 years
- Continuing education credits
- Paid holidays
Quick Apply
2d
HIM Identity Specialist
Cottage Health —Santa Barbara, CA
- $24.57 - $36.58 an hour
- Acute care
- Mid-level
- Medical terminology
Quick Apply
Credentialing Specialist
CenCal Health —Santa Barbara, CA
- $26.30 - $36.82 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
BILLING SPECIALIST I
Santa Barbara Neighborhood Clinics —Goleta, CA
- $23 - $25 an hour
- Full-time
- Communication skills
- Ability to lift 25 pounds
- Entry level
Dental Communication and Financial Specialist
Pathway Dental Group —Santa Barbara, CA
- Full-time
- Private practice
- Dental office
- Patient care
- Profit sharing
- Health insurance
Quick Apply
Temp Claims Specialist
Planned Parenthood California Central Coast —Santa Barbara, CA
- $29.86 an hour
- Temporary
- Hybrid work
- Clinic experience
- Mid-level
- High school diploma or GED
Quick Apply
1d

Discover related jobs

Based on your search for health specialist jobs.

Medical Receptionist
The Spine and Orthopedic Center —Santa Barbara, CA
Welcome patients and visitors by greeting, in person or on the telephone; answering or referring inquiries. Well established and busy private orthopedic, spine…
$27 an hour
Quick Apply
Front Desk Receptionist/Call Center
Alta Orthopaedics —Santa Barbara, CA
Required masks, COVID questions/screening for all patients, 90% of staff is vaccinated, continual sanitization, social distancing and limiting patients in…
$19 - $21 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Electronic Visit Verification Program Specialist (Medicaid Health Systems Specialist)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Completion of undergraduate core program in business…
$36.01 an hour
2d
Health Informatics Specialist I- Hybrid - Delaware, Penn, Maryland
Trinity Health —Delaware, OH
Health Informatics (HI) is the specialty that integrates health care science, computer science, and information science to manage and communicate data,…
$75,592 - $113,389 a year

Show more jobs in cities nearby

I want to receive the latest job alert for health specialist in santa barbara ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

health specialist jobs near santa barbara ca

Behavioral Health Single Case Specialist

New Horizons Child & Family Institute
California

Quick Apply

Job Details

Part-time
$30 - $36 an hour
2 days ago

Benefits

Continuing education credits
Paid holidays
401(k)
Paid time off
401(k) matching
Flexible schedule
Paid sick time

Qualifications

Contract review
Overseeing health insurance pre-certification
Commercial insurance knowledge
DSM-5
Healthcare Administration
Regulatory compliance
Patient management software
Medical coding guidelines
State healthcare regulations
Contract management experience in healthcare
Medical claims processing software
Certified Professional Coder
Utilization management
Attention to detail
Pricing analysis experience within healthcare industry
Concurrent review in utilization management
Clinical documentation standards
Associate's degree
Documentation review
Technical Proficiency
Terms and conditions negotiation

Full Job Description

Position Summary:
New Horizons Child and Family Institute is is seeking a sharp, detail-oriented, and highly assertive Behavioral Health Single Case Agreement (SCA) Specialist. In this role, you will be the primary liaison between our clinical team and commercial insurance payors. Your main objective is to secure patient-specific, out-of-network contracts (SCAs and LOAs) that grant our patients in-network cost-sharing benefits. This role requires an administrative powerhouse who understands how to leverage medical necessity data to negotiate fair reimbursement rates and champion patient access to specialized care.

Key Responsibilities

Contract Negotiation: Initiate, negotiate, and finalize Single Case Agreements (SCAs) and Letters of Agreement (LOAs) with major commercial insurance companies.
Payer Liaison: Serve as the main point of contact for insurance case managers, medical directors, and member services to navigate complex out-of-network authorizations.
Documentation Packaging: Review and organize clinical documentation provided by our therapists/clinicians to construct compelling arguments for medical necessity and continuity of care.
SCA Tracking & Auditing: Manage the full lifecycle of agreements, including monitoring authorization statuses, tracking contract expiration dates, and securing renewals before patient care lapses.
Claims Resolution: Audit incoming insurance payouts to ensure they strictly match the negotiated SCA fee schedules; identify, appeal, and resolve underpayments or wrongful denials.

Required Technical Skills & Qualifications

Proven SCA Experience: Minimum of 2+ years of direct experience initiating, negotiating, and executing SCAs/LOAs specifically for behavioral health, mental health, or substance abuse facilities. (Generic medical billing experience will not be considered).
Out-of-Network Navigation: Demonstrated expertise navigating out-of-network (OON) insurance verification, obtaining authorizations, and managing the unique rules of commercial payers (e.g., Optum, Anthem Blue Cross, Aetna, Cigna, and Northern California Kaiser networks).
Behavioral Health Coding Mastery: Advanced knowledge of mental health CPT codes (e.g., 90846, 90834, 90837, 90847) alongside current ICD-10 diagnostic codes.
Rate Negotiation Tactics: Experience countering low insurance rate offers using data-driven arguments, referencing Fair Health data, or UCR (Usual, Customary, and Reasonable) geographic charges.
Utilization Review Frameworks: Functional understanding of clinical necessity criteria to effectively package clinical notes for insurance case managers during the contract request phase.
EHR & Billing Software Proficiency: Hands-on experience with electronic health records (EHR) and clearinghouses (e.g., SimplePractice, TherapyNotes, Jane App, Availity, or Optum Provider Express) to track claims and input specialized fee schedules.
Regulatory Awareness: Familiarity with California healthcare regulations regarding continuity of care, timely access to care, and the No Surprises Act.

Preferred (Bonus) Qualifications

Existing professional relationships or direct contacts within the utilization review or contracting departments of Northern California commercial insurance payers.
An Associate’s or Bachelor’s degree in Healthcare Administration, Health Information Management, or a related field.
Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) designation.

Compensation & Benefits

Note: The final hourly rate offered within this range will be determined by the candidate's specific depth of out-of-network contract negotiation experience, familiarity with Sacramento-area insurance networks, and mastery of behavioral health electronic health record (EHR) systems.

Base Pay: $30.00 – $36.00 per hour
401(k) retirement savings plan with a company match
Accrued Paid Time Off (PTO) plus paid annual holidays
Paid sick leave in strict compliance with California and Sacramento ordinances
Continuing education reimbursement with prior approval from Director

Pay: $30.00 - $36.00 per hour

Benefits:

401(k)
401(k) matching
Flexible schedule
Paid time off

Work Location: Remote

Quick Apply

Refine Your Search

health specialist jobs in santa barbara ca

Behavioral Health Single Case Specialist

HIM Identity Specialist

Credentialing Specialist

BILLING SPECIALIST I

Dental Communication and Financial Specialist

Temp Claims Specialist

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for health specialist in santa barbara ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected