Medical Biller Family Health MattersMedical BillerAnaheim, CA$22–$25 / hourExperience with: o Medi -Cal PPS billing o T1015 encounter billing o Managed care wrap payments o Medicare FQHC billing o Safety -net population billing (preferred) Knowledge & Skills • Strong understanding of: o HRSA FQHC billing guidelines o PPS methodology o CPT, ICD -10, HCPCS coding o Revenue cycle management • Experience with EHR and practice management systems. • Ensure correct use of FQHC billing codes, including: o Revenue code 0521 o T1015 (FQHC encounter code) o Appropriate CPT/HCPCS codes • Verify encounters meet billable visit criteria under HRSA and Medi -Cal guidelines.
Medical Records Universal Community Health CenterMedical RecordsLos Angeles, CAReporting to the Director of Operations, the coordinator will be responsible for accessing third-party portals, managing medical records email correspondence, updating electronic medical record (EMR) systems, scheduling appointments, coordinating pre-op clearances, and facilitating communication between patients, providers, and specialists. The Medical Records Care Coordinator plays a crucial role in ensuring the efficient management and accessibility of medical records essential for patient care and administrative processes.
Revenue Cycle Specialist II - Commercial Collections Cedars-Sinai Medical CenterRevenue Cycle Specialist II - Commercial CollectionsLos Angeles, 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 II (Commercial Collections) Cedars-Sinai Medical CenterRevenue Cycle Specialist II (Commercial Collections)Los Angeles, 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.
NewRelease of Information Specialist UnitedHealth Group IncRelease of Information SpecialistLos Angeles, CA$18–$32 / hourReview each request for validity according to request type and written guidelines rejects invalid requests / provides timely feedback to requestors regarding non - valid requests for PHI; work with requestor as needed. At all times, the ROI Specialist must safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are compliant with the request, authorization, client policy, and state and federal laws to include HIPAA regulations.
Account Resolution Specialist Collector Prime Healthcare Services IncAccount Resolution Specialist CollectorLynwood, CA$23–$28 / hourThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually.
Sr. Contract Variance Specialist - Business Office - Full Time - Days - 8hr Emanate Health Medical CenterSr. Contract Variance Specialist - Business Office - Full Time - Days - 8hrGlendora, CA$32–$48.87 / hourContract Variance Specialist works under the guidance of the Reimbursement Strategy Supervisor and is responsible for identifying payment variances at the account level based on expected reimbursement from contracted managed care payers, governmental payers, and non-contracted miscellaneous payers. Contract Variance Specialist analyzes underpayments and identifies proration discrepancies, collaborates with Reimbursement Strategy Supervisor to resolve variance issues, and supports revenue recovery and reimbursement optimization efforts through detailed contract and reimbursement analysis.
Business Analysis Associate II Quest Diagnostics IncBusiness Analysis Associate IISan Juan Capistrano, CAStakeholder Collaboration Partner with the Specialty Testing and PODSS teams to align client expectations, facilitate resolutions, and escalate complex account matters when necessaryEducation & Communication Develop training materials and conduct educational sessions for internal teams and external payers regarding new billing processes, regulatory changes, or system enhancements. Quest believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, information, assets, and products including sensitive information; accessing customer data or confidential information, and partnering and regularly working with or supervising other Quest employees and interacting with Quest customers.65313Quest
Field Support Specialist Maxim Healthcare Services IncField Support SpecialistGardena, CAWe offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Manager, Accounts Receivable Lundbeck LLCManager, Accounts ReceivableCAGenerate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management. Summary: Depending on the services offered, the Manager, Accounts Receivable may be responsible for overseeing the hospital's entire accounts receivable (A/R) operations, ensuring efficient billing, collections, and reimbursement processes, or may be responsible for a portion of the A/R in a cash acceleration or an A/R wind down project.
Medical Biller - Multi Specialty Provider Little Scholars ServicesMedical Biller - Multi Specialty ProviderMission Viejo, CAPart timeAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Clinical Informatics Specialist IV UCLA HealthClinical Informatics Specialist IVLos Angeles, CA$109,900–$243,900 / yearYou will design, develop, and optimize modern analytics capabilities that leverage enterprise data platforms, automation frameworks, large language models (LLMs), retrieval-augmented generation (RAG), and enterprise technologies such as Salesforce to create meaningful operational efficiencies and actionable insights. This is an exciting opportunity for a technically skilled and strategically minded professional who enjoys solving complex problems, driving innovation, and delivering high-impact solutions that enhance healthcare delivery and business operations.
Patient Collections Specialist Your Behavioral HealthPatient Collections SpecialistTorrance, CAAt YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. -Answering questions from patients, clerical staff and insurance companies, -Compiling and tracking outstanding balances owed to our providers.
Financial Specialist II (50520) Western GrowersFinancial Specialist II (50520)Irvine, CAReconcile and maintain accuracy of group ledger accounts by matching incoming payments to corresponding invoices, promptly investigating and resolving discrepancies, collaborating with internal teams and external partners to make adjustments, and maintaining thorough documentation to support audit trails. Knowledge of generally accepted Health Care Eligibility and Billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
CCSB Eligibility Specialist I (50509) Western GrowersCCSB Eligibility Specialist I (50509)Irvine, CAUnder the direction of the Director, Operations, the Child Care Providers United (CCPU) Eligibility Specialist I is responsible for performing enrollment and billing functions necessary to maintain Child Care Providers United accounts on the CCPU Portal and Healthcare Common Procedure Coding System (HCPS) as assigned. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in HCPS as received from CCPU, providers, or internal sources in accordance with Participation Agreements, Employer Policy Statements, Eligibility Guidelines and Summary Plan Descriptions.
CCSB Eligibility Specialist I Western GrowersCCSB Eligibility Specialist ICA$35,288.33–$45,874.31 / yearKnowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in the system of record as received from the client or internal sources in accordance with Participation Agreements, Employer Policy Statement, Eligibility Guidelines and/or Summary Plan Descriptions.
Collection Representative Children's Hospital Los AngelesCollection RepresentativeGlendale, CA$43,680–$65,062 / yearPurpose Statement/Position Summary: The Collection Representative is responsible for the billing and follow-up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care and outside organizations. Childrens Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more than 350 specialized programs and services.
Cash Posting Specialist Pennant ServicesCash Posting SpecialistLos Angeles, CaliforniaRemotePartnering with other billers, Revenue Cycle Portfolio Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world-class AR function across the organization. We believe in great work, and we celebrate our employees' efforts and accomplishments both locally and companywide, recognizing people daily through our Moments of Truth Program.
Temporary Legal Biller for AmLaw Firm Starting ASAP Adams & Martin GroupTemporary Legal Biller for AmLaw Firm Starting ASAPLos Angeles, California$35–$45 / hourThis role is ideal for a billing professional who thrives on accuracy, understands the nuances of client billing requirements, and can navigate electronic billing systems with confidence. We are seeking a detail-oriented Billing Specialist to support a busy accounting team on a short-term contract.
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.