Senior Client Enablement Specialist NeoGenomics IncSenior Client Enablement SpecialistCAPosition Summary: As a Field-Based Client Enablement Billing Specialist you will play a critical frontline role in reducing bad debt and improving cash collections by partnering directly with the Sales team and high-revenue clients. This is a client-facing, field-based role that involves regular virtual meetings and travel to client sites to drive education, process improvements, and revenue integrity.
Government Audit Recovery Specialist IMCS Group IncGovernment Audit Recovery SpecialistCosta Mesa, CAAs 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. As 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.
Accounts Receivable Specialist - Full-Time | Healthcare Revenue Cycle The Staff PadAccounts Receivable Specialist - Full-Time | Healthcare Revenue CyclePomona, CaliforniaReporting to the Revenue Cycle Operations department, The Accounts Receivable Specialist will be responsible for managing patient accounts, conducting timely follow-up on outstanding balances, analyzing reimbursement activity, and supporting accurate and efficient billing processes. The Staff Pad has partnered with a nonprofit Federally Qualified Health Center (FQHC) in Pomona, CA, to recruit a qualified and experienced Accounts Receivable Specialist to join their Billing Department and play a key role in supporting the organization’s financial operations.
Lien Collection Specialist ALIGN Executive SearchLien Collection SpecialistCosta Mesa, CAProficient in Microsoft Office and case management software (e.g., Clio, SmartAdvocate); able to manage high-volume caseloads. We're seeking a detail-oriented Lien Specialist with strong analytical skills and knowledge of healthcare, insurance, and legal lien reduction strategies.
Dermatology Office Manager Bespoke Dermatology & AestheticsDermatology Office ManagerRancho Cucamonga, California$26–$35The ideal candidate is a strong leader who can oversee daily front office operations, support and develop staff, optimize workflows, and maintain a smooth and efficient workplace while ensuring an exceptional experience for both patients and employees. The Front Office Manager plays a critical role in maintaining accurate patient registration, insurance verification, financial screening, and the protection of Protected Health Information (PHI) in accordance with HIPAA regulations.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union)Alhambra, CARemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Lien Specialist DK Law's Open RolesLien SpecialistCosta Mesa, CaliforniaWe are seeking a Liens Specialist to support our Post-Treatment Department in identifying, negotiating, and resolving liens and reimbursement claims related to client settlements or awards. This role is ideal for someone who thrives in high-volume environments, understands the intricacies of medical billing and legal compliance, and can advocate for the best financial outcomes for our clients.
Specialist, Customer Service - Wound Care Rare Disease Program Cardinal Health IncSpecialist, Customer Service - Wound Care Rare Disease ProgramCA$22.30–$28.80 / hourSpecialists will verify insurance, handle inbound & outbound calls to customers, collect medical documentation from doctor's offices, review documentation with the customer's insurance medical policy, submit or route for prior authorization and perform final biller tasks to release orders - all while maintaining customer contact throughout the process. The Wound Care Customer Success Team works on all new wound care orders while providing a white glove touch, working with customers from the start of their order through the end.
Healthcare Compliance Specialist 26-00251 Alura Workforce SolutionsHealthcare Compliance Specialist 26-00251Rancho Cucamonga, CA$27.43 / hourUtilize advanced Microsoft Excel tools (e.g., pivot tables, Power Query, conditional formatting, formulas, macros) to organize and analyze referral data, generate reports, and support trend identification. The Specialist organizes, analyzes, and reports referral data, and utilizes the Plan's case management application and FWA analytics tools to support the SIU in proactive FWA detection.
Medical Collector / Accts Receivable Specialist Surgery PartnersMedical Collector / Accts Receivable SpecialistBeverly Hills, CAKNOWLEDGE AND SKILLS: Has initiative, resourcefulness, analytical ability, problem solving skills, and can deal effectively and harmoniously with all groups and individuals. Must be able to communicate articulately, comprehend written and verbal communications; and must be able to function effectively in a fast-paced work environment.
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.
Lien Reduction Specialist TORKLAWLien Reduction SpecialistIrvine, CA$60,000–$70,000 / yearThis role offers the opportunity to play an important part in helping clients maximize their recovery while working alongside an experienced and dedicated legal team. We’re looking for professionals who: take ownership, communicate with confidence and empathy, thrive in a collaborative environment, and are passionate about achieving outstanding results for clients.
Manager, Special Investigations Unit Medical Record Audit Inland Empire Health PlanManager, Special Investigations Unit Medical Record AuditRancho Cucamonga, California$118,601.60–$157,144 / yearFull timeUnder the direction of the Vice President of Compliance, and in close partnership with the Special Investigations Unit (SIU) Manager, the SIU Medical Record Audit Manager provides leadership and strategic direction for IEHP’s prepayment and post-payment medical record audit functions within the Fraud, Waste, and Abuse (FWA) framework. Prepayment Review Performance Lead end to end prepayment medical record review operations, including documented criteria for placing and releasing providers, turnaround compliance within claims payment timeframes, yield optimization, false positive monitoring, inventory aging, and scheduled reassessment and exit decisions.
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.
Eligibility Specialist II (50925) Western GrowersEligibility Specialist II (50925)Irvine, CAIntermediate 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), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation. The Eligibility Specialist II requires the ability to process enrollment and billing functions, both automated and manual, with in the company's processing system necessary to maintain Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc. (PCMI) accounts) as assigned including groups that submit Electronic Data Interchange (EDI) eligibility.
Coding Specialist EMS Management and Consultants IncCoding SpecialistCA$15–$20 / hourProvide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory. Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs.
Front Loader - Biller Clínica Monseñor Oscar A. RomeroFront Loader - BillerLos Angeles, CAPrevious experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans. Position Summary: The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient's scheduled appointment.
NewTechnical Specialist - Data Analytics GTT, LLCTechnical Specialist - Data AnalyticsIrwindale, CAThis position will also be a subject matter expert for the pilot's automated enrollment and billing platform and will be responsible for pulling data from the platform, ensuring its accuracy, and working with the third-party platform provider to report bugs/errors, make enhancements, and maintain the system. This client is a major investor-owned electric utility serving approximately 15 million people across a 50,000 square-mile service territory in Central, Coastal, and Southern California one of the largest electric utilities in the United States.