Senior Medical Billing Specialist – Multi-Specialty (PM&R Focus) HEALTH ATLAST WEST LASenior Medical Billing Specialist – Multi-Specialty (PM&R Focus)Los Angeles, CA$20–$28 / hourFull timeWe are hiring a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment. Health Atlast is a high-volume, integrated, multi-disciplinary healthcare organization in West Los Angeles.
Senior Medical Billing Specialist – Multi-Specialty (PM&R Focus) Health Atlast West LaSenior Medical Billing Specialist – Multi-Specialty (PM&R Focus)Los Angeles, California$20–$28 / hourCompensation: $22.00 - $30.00 per hour After seeing many patients placed on multiple medications by numerous providers without much coordination, HEALTH ATLAST founders Stephanie and Wayne Higashi, both doctors of chiropractic, found a need to create a multi-disciplinary approach to healing where doctors work together as one to optimize a patient's health. Role Summary (Read Carefully) We are hiring a seasoned Medical Billing Specialist with direct, hands-on experience billing PM&R-based services in an outpatient, multi-provider environment.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)CA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Jr. Quality Improvement Coder Astiva Health, Inc.Jr. Quality Improvement CoderOrange, CAIn this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA's to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
NewPBS Reporting Analyst MemorialCare Health SystemPBS Reporting AnalystFountain Valley, CA$30.65–$44.45 / hourStrong understanding of healthcare revenue cycle operations, including patient billing, collections, claims submission, payment posting, denials, accounts receivable, reimbursement, charge capture, insurance clearinghouses, HCFA-1500 forms, 835/837 EDI files, CPT/ICD-10 coding, payer requirements, regulatory requirements, contract terms, and healthcare audit guidelines. The role monitors key performance indicators, identifies revenue trends, variances, denials, underpayments, workflow errors, and potential revenue leakage, and recommends data-driven process improvements to support timely reimbursement, revenue integrity, compliance, and operational performance.
Biller/Collector III HireTalentBiller/Collector IIIIrwindale, CAMaintains superior understanding of CPT/HCPCS codes, ICD-10 codes, CMS 1500 form guidelines, eligibility and coverage requirements, remit and remark codes, payor/plan codes, claims management, third-party payer guidelines, state and federal regulations, claims clearinghouse workflow, and all other pertinent functions of the job. % Assists staff in identifying high-risk accounts and prioritizing resolution efforts; Ensures staff is researching high dollar accounts, high volume denials, credits, adjustments, and undistributed balances, etc. in adherence to internal policies and procedures.
Patient Care Coordinator Upperline Health IncPatient Care CoordinatorCAUpperline Health providers coordinate patients' care among a team of physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative ILos Angeles, CARemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Kinnser Intake & Scheduler - Home Health CARE FIRST HOME HEALTH CARE INCKinnser Intake & Scheduler - Home HealthSimi Valley, CAPart timeThis role ensures newly referred patients are scheduled accurately, insurance authorizations are complete, and transition seamlessly into care services while supporting high-quality communication with referral partners and internal teams. The Intake & Scheduler oversees the entire patient intake process within a home health/hospice setting, using WellSky/Kinnser EMR .
NewDental Office Manager/ Treatment Coordinator Empower Dental GroupDental Office Manager/ Treatment CoordinatorPasadena, CA$30,000–$50,000 / yearFull timeAs we scale, we're looking for a creative, resourceful, and driven staff to help us share our story, strengthen our brand, and engage our growing network of patients and team members. With 7 practices across Southern California, we are committed to building a patient-centered, team-driven culture that transforms the dental experience.
Billing Reimbursement Specialist I NeoGenomics IncBilling Reimbursement Specialist ICANow that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics: As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. They will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
Billing Reimbursement Specialist II NeoGenomics IncBilling Reimbursement Specialist IICANow that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics: As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. They will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
Payment Specialist I El Proyecto del Barrio IncPayment Specialist ICAEmployees driving personal vehicles for El Proyecto business must provide El Proyecto proof of a valid driving license, and auto liability insurance. To receive mileage reimbursement, the employee must log their mileage and submit the mileage expense report to their Appropriate Administrator.
NewOutpatient Revenue Cycle Analyst 3 - Health Information - FT Days University of California, IrvineOutpatient Revenue Cycle Analyst 3 - Health Information - FT DaysIrvine, CaliforniaFull timeAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Medical Billing Specialist- Collector Men's Health Foundation USAMedical Billing Specialist- CollectorLos Angeles, CAExtensive experience with Commercial insurance, Medicare, Medi-Cal/Medicaid, Medicare Advantage, Medi-Cal Managed Care, HMO, PPO, and other third-party payers. The Medical Collector / Accounts Receivable Representative is responsible for professional provider-side insurance collections, Accounts Receivable (AR) follow-up, denial resolution, reconsiderations, and appeals.
NewConfiguration Analyst II SCAN Health PlanConfiguration Analyst IILong Beach, CaliforniaHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.
Government Audit Recovery Specialist Apidel TechnologiesGovernment Audit Recovery SpecialistCosta Mesa, CAContractorAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
Coder II Apidel TechnologiesCoder IICosta Mesa, CAContractorAs an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits. Utilization Management Process, Word, Comprehensive Error Rate Testing (Cert), Office Of Inspector General (Oig), Medicaid Audits, Medi-Cal Audits Outlook, Acute Care Experience, Government Audits, Coding, Medical Necessity Criteria, CMS Billing, payment methodologies, reimbursement methodologies, privacy regulations.
Insurance Billing Specialist - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaInsurance Billing Specialist - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$48–$72 / hourResponsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; submits claims withing 48 - 72 hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations.
Clinical Documentation Improvement Specialist (Remote), Day Shift, Clinical Documentation Shady Grove Adventist HospitalClinical Documentation Improvement Specialist (Remote), Day Shift, Clinical DocumentationCARemote$77,313.60–$115,980.80 / weekWe do this by offering: Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement * Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Education and Experience: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Pharmacist, Doctor of Physical Therapy RHIA, RHIT, or related clinical/allied health degree Minimum of 5 years inpatient clinical experience 2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience Experience interpreting physician documentation, lab results, imaging, and clinical indicators.