Credentials Coordinator Charge Capture Associate (Outpatient)

Talented Medical Solutions; San Luis Obispo (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Talented Medical Solutions is seeking a Credentials Coordinator Charge Capture Associate (Outpatient) for an in-office role in San Luis Obispo, CA. The position requires strong data entry, credentialing, and charge capture expertise to support outpatient workflows.

You will coordinate and validate credentialing details, ensure accurate patient demographics, and monitor metrics to meet daily and monthly targets in a collaborative environment with billing and clinic staff.

Qualifications

• Credentialing and charge capture end-to-end process handling
• Data discrepancy detection to prevent claim denials
• HIPAA, payer policies, and regulatory compliance knowledge
• Pipeline and metrics management to meet daily/weekly/monthly targets
• Maintain patient confidentiality and data security practices
• Accurate patient demographics and insurance information for submissions
• Cross-functional collaboration with billing, coding, and clinic staff
• Document workflow steps and updates in case management system
• Trend analysis of submitted charges to identify process improvements
• Ability to work in a high-visibility, results-driven environment
• Proficiency with case management or credentialing software
• Onboarding and training support for new team members
• On-site operational support and downtime minimization

Responsibilities

• Coordinate and validate outpatient credentialing and charge capture details end-to-end.
• Identify and resolve data discrepancies to prevent claim denials.
• Maintain compliance with payer policies, HIPAA, and organizational guidelines.
• Maintain confidentiality and security of patient information in all actions.
• Ensure accurate patient demographics and insurance information for claims submission.
• Monitor pipeline and metrics to meet daily, weekly, and monthly targets.
• Collaborate with billing, coding, and clinic staff to streamline workflows.
• Document all workflow steps and updates in the case management system.
• Provide timely feedback and escalation for complex credentialing issues.
• Analyze trends in submitted charges to identify opportunities for process improvements.
• Assist with training and onboarding of new team members to improve performance.
• Support on-site operations with proactive issue resolution and downtime minimization.

Skills

Credentialing

Charge capture

Data accuracy

HIPAA compliance

Data analysis

Cross-functional collaboration

Documentation

Process improvement

Software proficiency

Training & onboarding

Downtime minimization

Tools

Case management software

Credentialing software

Job description

Credentials Coordinator Charge Capture Associate (Outpatient)

Evening Shift - 5 x 8s, typically M - F but possible weekend as well. 4pm to 12:30am. Strong data entry skills.

Full-time, Part-time, Contract, Temporary

In-Office | San Luis Obispo, CA, United States

The Opportunity

You’re the kind of person who is always looking to learn. You want to grow into something greater and you’re looking for an employer encourages and supports your professional development. Talented Medical Solutions promotes advancement and rewards our employees based on individual performance and merit. Sure you’ll have exposure to the team, but all of our people are accountable for their success. Competitive and focused, our team is on a mission to deliver excellence. We also know that this can only be accomplished by supporting our employee growth and development. By providing frequent feedback and consistently measuring progress, we’ve discovered the recipe for success that’s delivered year over year growth since our first year of business. This a culture of winning. At Talented Medical Solutions we breed winners.

Responsibilities

Coordinate and validate outpatient credentialing and charge capture details end-to-end.

Identify and resolve data discrepancies to prevent claim denials.

Maintain compliance with payer policies, HIPAA, and organizational guidelines.

Maintain confidentiality and security of patient information in all actions.

Ensure accurate patient demographics and insurance information for claims submission.

Monitor pipeline and metrics to meet daily, weekly, and monthly targets.

Collaborate with billing, coding, and clinic staff to streamline workflows.

Document all workflow steps and updates in the case management system.

Provide timely feedback and escalation for complex credentialing issues.

Analyze trends in submitted charges to identify opportunities for process improvements.

Assist with training and onboarding of new team members to improve performance.

Support on-site operations with proactive issue resolution and downtime minimization.

Experience/Qualifications

Credentialing and charge capture end-to-end process handling

Data discrepancy detection to prevent claim denials

HIPAA, payer policies, and regulatory compliance knowledge

Pipeline and metrics management to meet daily/weekly/monthly targets

Maintain patient confidentiality and data security practices

Accurate patient demographics and insurance information for submissions

Cross-functional collaboration with billing, coding, and clinic staff

Strong learning mindset aligned with growth-oriented culture

Document workflow steps and updates in case management system

Timely escalation and feedback for complex credentialing issues

Trend analysis of submitted charges to identify process improvements

Ability to work in a high-visibility, results-driven environment

Proficiency with case management or credentialing software

Onboarding and training support for new team members

On-site operational support and downtime minimization

What's in it for you? (Salary, Commissions & Benefits)

On-site role based in San Luis Obispo, CA — collaborate in person with your team and enjoy the local community

Competitive base salary as the core of your compensation package