Evening Credentialing & Charge Capture Specialist

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

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.