Claims Resolution Specialist, Covered California CalOptimaClaims Resolution Specialist, Covered CaliforniaOrange, CA$53,813–$80,720 / yearWe are hoping you will join us as a Claims Resolution Specialist, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Payment Specialist I El Proyecto Del Barrio, Inc.Payment Specialist IPacoima, CARequest approval for write-offs of unpaid claims with no re-bill capabilities, escalating issues as needed. Balance, reconcile, and post-received payments to appropriate accounts.
Cash Posting Specialist Concentra Inc.Cash Posting SpecialistSanta Clarita, CA$23–$24 / hourThis position is eligible to earn a base compensation rate in the range of $23.00 to $24.00 hourly depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. The Cash Application Representative is responsible for the Posting, Reconsideration, and Adjustment of all payment types to the Concentra Practice Management system in a timely and accurate manner.
Refunds Specialist EMS Management and Consultants IncRefunds SpecialistCADeliver refund documents by email or the secured file transfer protocol ensuring PHI and financial documents are delivered to the correct recipient. Quality audit team members refund paperwork to ensure the refund is compliant and the obligatory documents have been included.
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.
Insurance AR Specialist OneOncology IncInsurance AR SpecialistCARemoteWe are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
NewBusiness Office Specialist Bristol Hospice, LLCBusiness Office SpecialistLakewood, CAProvide office functions including handling correspondence and word processing for hospice organization, managing incoming calls, filing clinical notes, maintaining administrative and clerical files; and ensuring postage is purchased and kept on hand. Assist BOM in ensuring all Doctors order forms and related forms are completed and signed in compliance with Medicare and Medicaid regulations, place forms and applicable documents into patient files.
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.
NewAccounts Receivable Specialist Smile Brands Group IncAccounts Receivable SpecialistCypress, CA$23–$25 / hourIn this position, you will support the Revenue Cycle Management team by processing insurance payments, electronic funds transfers (EFTs), bank deposits, and related documentation. Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!
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.
Provider Educator Foreign Medical Graduate Herself Health (US)Provider Educator Foreign Medical GraduateCARemoteAbout the Provider Educator Role: The Provider Educator provides analysis, reporting, education, training, and ongoing support to treating clinicians and care teams to promote accurate and complete documentation of patient conditions. Develop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance.
Cash Operations Supervisor UCLA Health SystemCash Operations SupervisorLos Angeles, CA$73,000–$149,600 / yearAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. The Cash Operations Supervisor oversees daily cash operations and payment posting activities supporting UCLA Health's Faculty Practice Group professional billing operations.
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.
Liquid Bulk Sales Representative - Los Angeles, CA Air Products and Chemicals IncLiquid Bulk Sales Representative - Los Angeles, CALos Angeles, CARemoteThe Outside Sales Representative is responsible for building and converting a high‑quality new business pipeline, signing new customers, retaining and expanding existing accounts, and growing market share and profitability within an assigned territory. ARC is a California specific program to provide additional base pay compensation for exempt employees who reside in select high-cost counties and directly support an Air Products site or business within a high-cost county.
Clinical Trials Invoicing Specialist - Pediatrics UCLA Health SystemClinical Trials Invoicing Specialist - PediatricsLos Angeles, CA$36.99–$56.35 / hourUnder the general direction of the Chief Administrative Officer (CAO), in concert with other research administrative staff, the Clinical Trials Invoicing Specialist is responsible for managing the invoicing and financial reconciliation processes associated with clinical trials. The Clinical Trials Invoicing Specialist supports the financial administration of sponsored clinical trials by reviewing study activities, generating accurate invoices, monitoring payments, and ensuring compliance with contractual and regulatory requirements.
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.
Account Resolution Specialist Collector Prime Healthcare Management IncAccount Resolution Specialist CollectorLynwood, California$23–$28 / hourFull timeThe 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.
Accounting Clerk- 11-180- SC/ Hope Harbor The Salvation Army USAAccounting Clerk- 11-180- SC/ Hope HarborLos Angeles, CA$28–$30 / hourThe Accounting Clerk's primary duties are to support the Business Manager and to provide professional business management services, including preparing funder billing reports with supporting documentation, preparing cost reports, Drug Medi-Cal billing, compliance reviews, assisting with development of annual facility budget and individual program budgets, and other finance activities. Ability to grasp, push, pull objects such as files, file cabinet drawers, and reach overhead.
NewCollections Specialist Hospital - Business Office - Full Time - Days - 8hr Emanate Health Medical CenterCollections Specialist Hospital - Business Office - Full Time - Days - 8hrGlendora, CA$24.15–$36.47 / hourPerforms account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other Liability carriers, and all other non-governmental third-party payers. Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities.
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.