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.
Charge Capture Specialist Career StrategiesCharge Capture SpecialistLos Angeles, CaliforniaWe encourage candidates who meet these qualifications to apply for this exciting opportunity to contribute to our dedicated team in the healthcare field. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification (preferred).
Business Office Specialist Long Beach Healthcare CenterBusiness Office SpecialistLong Beach, CA$22–$28 / hourFull timeHigh school diploma or equivalent required; AA degree from accredited college in business, accounting or related field preferredKnowledge of general accounting principles and mathematical conceptsIf handling Accounts Receivable function, must be able to understand and implement healthcare reimbursement and billing principles. In the accounts receivable function, is responsible for processing accounts receivable transactions accurately and timely in accordance with company policy to maximize cash flow and ensure company accounts receivable targets are met.
Medical Collections Specialist Marquee StaffingMedical Collections SpecialistNewport Beach, CAWe are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered. Duties: Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
Technician Supervisor (RVT) - Inland Valley Veterinary Specialists PetVet Care CentersTechnician Supervisor (RVT) - Inland Valley Veterinary SpecialistsUpland, CA$32–$35 / hourClassification of protected categories is as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. Since opening its doors in 2000, Inland Valley Veterinary Specialists & Emergency Center in Upland, CA has been a vital resource for emergency and specialty veterinary care across San Bernardino, Los Angeles, Riverside, and surrounding counties - available 24/7, 365 days a year.
Payment Processing Specialist Skilled Wound CarePayment Processing SpecialistLos Angeles, CA$21–$26 / hourThe processor handles a variety of payment methods including credit cards, debit cards, checks, and electronic payments, while maintaining the highest level of patient confidentiality. The Medical Billing Payment Processor is responsible for accurately collecting, processing, and reconciling patient payments prior to and at the time of service.
Senior Patient Biller & Appeals Specialist University of CaliforniaSenior Patient Biller & Appeals SpecialistLos Angeles, CA$30.49–$40.20 / hourWe're seeking detail-oriented, self-directed professional with: Minimum two years of recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances - Required. As 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.
Revenue Integrity Specialist II Cedars-Sinai Medical CenterRevenue Integrity Specialist IILos Angeles, CAThe Specialist: Performs accurate and timely coding charge posting (CPT, ICD-10, HCPCS, modifiers) Maintains familiarity with such issues as CMS coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. The Revenue Integrity Spec II, of Compliance and Revenue Integrity, is responsible for fact-finding, organization, and presentation of information in a manner that facilitates patient account management, revenue recognition and process improvement efforts.
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.
Senior Physician Assistant - Radiology UCSF Medical CenterSenior Physician Assistant - RadiologyCAKey responsibilities for this role include (but not limited to) the following: Billable inpatient evaluation and management (E&M) services including evaluation of new adult and pediatric inpatient consults, daily rounding on established IR patients, assistance with admission and discharge for primary IR patients and with care coordination for all IR patients across all UCSF campuses. UCSF APPs are expected to demonstrate accountability for their own clinical practice, participate in patient and staff education, serve as resources for APPs, APP students/fellows, physician residents/fellows, nurses and other staff, exhibit leadership skills, and engage in the mentoring of newly hired APPs.
Specialist, Appeals & Grievances Remote Molina Healthcare IncSpecialist, Appeals & Grievances RemoteCARemoteRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
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.
Revenue Cycle Specialist I - Commercial Collections Cedars-Sinai Medical CenterRevenue Cycle Specialist I - Commercial CollectionsLos Angeles, CAUnder general supervision and following established practices, policies, and guidelines, provides billing support to Patient Financial Services, performing duties which include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Duties Include: • Develops and maintains excellent working relationships with Cedars-Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients.
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.
["Revenue Cycle Analyst Exempt","Revenue Cycle Analyst Exempt"] CHA Hollywood Presbyterian Medical Center["Revenue Cycle Analyst Exempt","Revenue Cycle Analyst Exempt"]Los AngelesThis role analyzes clinical and financial data toidentify revenue leakage, resolve billing discrepancies, and ensure adherence to regulatory and payer requirements within an acute care hospital environment. Ability to interpret financial, clinical, and operational dataPossess excellent written/verbal communication skills in addition to the ability to work with minimal supervision.
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.
A/R Specialist, Collector United Surgical Partners International IncA/R Specialist, CollectorCAPosition Overview: Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. Responsibilities: Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement.
LOP A/R Specialist, Collector United Surgical Partners International IncLOP A/R Specialist, CollectorCAPosition Overview: Reporting to the Client Operations Manager, the A/R Specialist- Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. Responsibilities: Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement.
Government Audit Recovery Specialist TalentBurst, Inc.Government Audit Recovery SpecialistCosta Mesa, CA$1,000 / weekAs 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.
Director, Analytics Engineering Tebra Technologies IncDirector, Analytics EngineeringCARemote$240,000–$270,000 / yearIf you would like to report a fraudulent Tebra job posting, please contact us at talentacquisition@tebra.com and consider reporting your experience to the FBI''s Internet Crime Complaint Center or the Better Business Bureau to help keep others safe online, too. We''re looking for a Director of Business Analytics Engineering to lead and grow the data modeling function within our Business Data & Analytics organization - a player/coach who thrives at the intersection of technical depth and people leadership.