Insurance Specialist I - REMOTE Community Health Systems IncInsurance Specialist I - REMOTECARemoteWith healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. The Sarasota SSC operates in support of our hospitals and patients and our commitment is to provide them with exemplary revenue cycle services defined by outstanding customer service and superior revenue cycle performance.
Authorization Specialist Aveanna Healthcare Holdings IncAuthorization SpecialistSeal Beach, CA$22–$24 / hourAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. The Authorization Specialist facilitates the coordination between healthcare providers, clinical teams, and insurance carriers to ensure that necessary approvals are obtained, and payment processes are streamlined.
NewAccounts Receivable Specialist II WebPT IncAccounts Receivable Specialist IICARemote$19.04–$23.80 / hourReviews claims for accuracy and completeness, corrects claims timely to receive prompt payment, rebills claims as needed, resolves underlying claims issues to resolve issues. Resolve accounts quickly and accurately, obtaining maximum reimbursement, and perform investigative follow up tasks in a fast-paced environment.
Research Finance Specialist OneOncology IncResearch Finance SpecialistCARemoteJob Description: Role Summary: The Research Finance Specialist will perform moderately complex accounting activities and financial functions, including monitoring clinical trial financials in a Clinical Trial Management System (CTMS), invoicing and preparing supporting documentation, financial reconciliations and reviews, revenue reporting/accounting, and reimbursements. Responsibilities: Perform general accounting functions for Research Department including, but not limited to: generating invoices for startup fees, milestone payments, patient visits, invoiceable items and administrative fees; accounts payable, accounts receivable, billing and posting payments.
Insurance Specialist (Remote) - Mountain and Pacific Time Zones MeduitInsurance Specialist (Remote) - Mountain and Pacific Time ZonesCaliforniaRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Advanced Therapies Benefits Specialist (Financial Clearance) Shields Advanced TherapiesAdvanced Therapies Benefits Specialist (Financial Clearance)Los Angeles, CAFull timeCredentials & RequirementsIdeal candidate will have 5+ years of experience in healthcare billing, insurance coordination, or patient financial counsellingFamiliarity with healthcare financial systems and the insurance verification process requiredStrong communication and interpersonal skills are crucial for effectively assisting patientsAttention to detail, organizational abilities, and proficiency with healthcare information systems are also importantPrior experience/familiarity with payer navigation specifically related to cellular therapy (CAR T, TIL, etc.), gene therapy, and/or bone marrow transplant patient journeys and applicable prior authorizations required to enable is preferredPrior exposure with both inpatient & outpatient site-of-care also preferred but not required CompensationCompetitive base salary with bonus opportunity tied to outcomes metrics, with comprehensive benefits coverage also offered. Core Responsibilities Benefits Investigation & VerificationWork with all payers (Government, Commercial, and otherwise, including out-of-state Medicaid agencies), pharmacy benefit managers (PBMs), and third-party administrators (TPAs) to identify, investigate and verify patient insurance coverage and benefits as early as possible within the care journey to ensure timely access to care, accurate billing, and minimal claim denials.
APC Coding Validation Specialist MachinifyAPC Coding Validation SpecialistCA$85,000–$100,000 / yearDemonstrate a strong working knowledge of outpatient reimbursement methodologies, including Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC), and Enhanced Ambulatory Patient Grouping (EAPG). Apply coding guidelines across a broad range of outpatient services, including but not limited to Interventional Radiology, Radiation Oncology, injections and infusions, outpatient surgeries, implants, and observation services (including carve-outs).
Copy of Medical Biller SYDIERA Healthcare StaffingCopy of Medical BillerLos Angeles, CaliforniaRemoteQualified candidates without prior medical billing experience may be considered for additional training and development opportunities designed to help them build the skills needed for success in the field. This opportunity is open to both experienced medical billing professionals and individuals looking to enter the field and develop new skills.
Senior Professional Fee Medical Coder UCSF Medical CenterSenior Professional Fee Medical CoderCACertified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or licensure equivalent to be evaluated by FPRMO management. Stay current on upcoming coding audits, regulations, trends, OIG initiatives, and applicable carrier initiatives as they pertain to the subspecialties led by the coder to provide pertinent information and tools to the team, minimize risk, and enhance education efforts.
NewMedical Management Coordinator I AltaMed Health Services CorpMedical Management Coordinator IMontebello, CA$26.91–$33.53 / hourMinimum 2 years' experience working in a healthcare environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. Minimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations on Medi-Cal, CCS, and other government programs required.
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.
Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, RemoteLos Angeles, CARemoteAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteCalifornia, CARemoteRequsition ID: 458843 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: CA Apple Valley 18300 Hwy 18 Work Location: St Mary Medical Center-Apple Valley Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
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.
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.
Accounts 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!
NewAccount 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.
Business 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.
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.