Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
Accounts Receivable Manager/Supervisor Ledgent Finance & AccountingAccounts Receivable Manager/SupervisorLos Angeles, California$52–$60 / hourThe Billing Supervisor/Manager will also review client billing guidelines, set up billing accounts, and assist with managing functionality of billing department (i.e., monthly/quarterly billing cycle, monitoring billing submissions, ensuring efficient billing systems, handling Attorney requests, etc.). The Billing Supervisor/Manager will handle Attorneys, Secretaries, Billing Specialists and legal staff on client billing requirements.
Fin Care Specialist I (Customer Service) Cedars-Sinai Medical CenterFin Care Specialist I (Customer Service)Los Angeles, CAWhat you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, provides patient relations support to Patient Financial Services, performing duties which include identifying, analyzing, resolving and responding to customer inquiries, concerns and issues, and following up on accounts to ensure payment and resolution. Incumbents must work independently and have strong customer service skills and are able to work well with patients, deescalate issues quickly, able to talk, think and access the system to achieve maximum customer satisfaction.
Revenue Cycle Specialist II Cedars-Sinai Medical CenterRevenue Cycle Specialist IICalifornia, CAWhat you will be doing in this role: Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.
Revenue Cycle Specialist I (Cash Management) Cedars-Sinai Medical CenterRevenue Cycle Specialist I (Cash Management)Los Angeles, CAUnder general supervision and following established practices, policies, and guidelines, provides billing support to Patient Financial Services, performing duties which will include payment posting to support our revenue cycle operations, identify denials for follow up, performing account follow up activities, updating information on accounts, etc. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.
Benefits & Wellness Manager Lush Handmade Cosmetics LtdBenefits & Wellness ManagerCARemote$99,000–$110,000 / yearReporting to the Assistant Controller, the Benefits and Wellness Manager will be responsible for managing relationships with US and Canadian Benefits vendors, creating and executing an annual plan for benefits and wellness communication and education, overseeing the efficient administration of staff benefits, and measuring and reporting on the success of such programs. We recognize that our facilities, along with our settler and newcomer staff are guests on this land and as we act to repair past harm, we do it together in ally ship with Indigenous People everywhere, including staff, customers and with leadership from organizations and communities we work with.
Lead Medical Biller Skilled Wound CareLead Medical BillerLos Angeles, CA$25–$27 / hourThis role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). Payment Reconciliation: Analyze and interpret all Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), confirm accurate payment posting, and manage all necessary claim appeals for underpaid or denied services.
Utilization Management Coordinator II AltaMed Health Services CorpUtilization Management Coordinator IIMontebello, CA$26.92–$33.65 / hourMinimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required. This Coordinator II of Utilization Management is responsible for providing support to the Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines.