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.
Medical Claims Resolution Specialist Kinetic Personnel Group, Inc.Medical Claims Resolution SpecialistOrange, CA$25–$31 / hourA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
NewAccounts Pay/Rec Specialist NR Consulting LLCAccounts Pay/Rec SpecialistIrvine, CA$28–$32 / hourThe individual contributor will report to the Accounts Receivable Manager and will routinely interact with Operations, Shipping, Planning, Production Support, and other internal teams to support day-to-day accounting invoicing activities. Good written and verbal communication skills; comfortable interacting with internal teams (Operations, Shipping, Sales) and external customers.
Co-Founder & CEO - AI LegalTech | AI-Native Litigation Defence Operations FutureSightCo-Founder & CEO - AI LegalTech | AI-Native Litigation Defence OperationsLos Angeles, CARemoteYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. Product — Partner with the FutureSight product and engineering team to ship V1 (records retrieval, key-fact flagging, billing-reasonableness analysis, and discovery triage) and iterate on user feedback; sequence carrier reserving and prediction as a later phase.
Hearing Representative - Workers' Compensation Ethos Risk ServicesHearing Representative - Workers' CompensationLake Forest, CAFull timeSkills: Excellent negotiation and conflict resolution skills Strong written and verbal communication Ability to analyze medical billing, reimbursement, and regulatory issues Excellent organizational, time management, and prioritization skills WORKING CONDITIONS:This position offers flexible work arrangements, including hybrid or full on-site options, based on business needs and management approval. This role is responsible for resolving complex lien disputes, negotiating settlements, preparing legal documentation, and supporting administrative hearings while partnering closely with providers, attorneys, claims professionals, and bill review teams.
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.
NewDermatology 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.
Collections Representative Axelon Services CorporationCollections RepresentativeLos Angeles, CA$28–$32 / hourDocument billing activity, claim details, expected reimbursement, payments, and account actions clearly and accurately. Submit required supporting documentation, including authorizations, medical records, consent forms, and payer-specific forms.
Accounting Specialist Kinetic Personnel Group, Inc.Accounting SpecialistNewport Beach, CA$30–$35 / hourMajority of this role is accounting-focused, including AP, AR, and financial administration, while a fractopm involves operational and ad hoc support, such as coordinating with vendors, subcontractors, and service providers, assisting with special projects, and supporting business operations as needed. The ideal candidate is proactive, highly organized, accountable, flexible, and comfortable managing multiple priorities in a fast-paced environment.
Lien Reduction Specialist TORKLAWLien Reduction SpecialistIrvine, CA$60,000–$70,000This 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.
Non-Clinical - Finance/Accounting - Collections Representative 22nd Century Technologies, Inc.Non-Clinical - Finance/Accounting - Collections RepresentativeLos Angeles, CAThe Collections Representative Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. This role ensures compliance with payer regulations, billing guidelines, and timely filing requirements while maintaining account accuracy and maximizing reimbursement.
Business Office Specialist Rialto HealthcareBusiness Office SpecialistRialto, CAFull 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. Business Office Assistant Perks: Generous BonusesGrowth Opportunities - DOUBLE your salaryHealth BenefitsDuties and Responsibilities:In accounts receivable role:Maintains thorough understanding of all accounts receivable functions, company policies and procedures, government requirements, information systems, and business relationships with other facilities as well as outside vendors.
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.
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.
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.
Medical Assistant II - Ambulatory Float Pool - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant II - Ambulatory Float Pool - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CaliforniaAs a Medical Assistant II, the incumbent will provide support to medical care providers in an outpatient/clinic setting such as, but not limited to, room patients, set up equipment and instruments, assist providers with performing, exams and procedures, cleans and stocks exam rooms, and provides proper documentation in electronic patient chart. In addition, the Medical Assistant II will provide administrative and front office support including greeting patients, performing patient check-in/out processes, collecting patient payments, performing insurance verification, scheduling procedures, patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).
Claim Operations Specialist The Travelers CompaniesClaim Operations SpecialistDiamond Bar, CA$45,400–$74,900 / yearCLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation.
Consumer Services Reimbursement Specialist 1 for the Purchase of Service Unit Inland Regional CenterConsumer Services Reimbursement Specialist 1 for the Purchase of Service UnitSan Bernardino, CaliforniaUnder general supervision of the Purchase of Service Manager, perform fiscal clerical work in connection with the examination, calculation, reconciliation and recording of accounts payable records, verify check claims for payment, process requests to authorize payments; verify records for accuracy and completeness; and prepare summary reports. Accurately calculate payment from vendorized rates, Schedule of Maximum Allowance (SMA), Current Procedural Terminology (CPT) or negotiated rate, and/or bill for third party payments, proportionate cost, and absences.
Senior Payment Integrity Program Development Specialist Inland Empire Health PlanSenior Payment Integrity Program Development SpecialistRancho Cucamonga, California$80,059.20–$106,059.20 / yearFull timeReporting to the Manager of Payment Integrity Program Development, the Senior Payment Integrity Program Development Specialist services as a subject matter expert driving the research, analysis, and development of Payment Integrity initiatives that strengthen payment accuracy, reduce overpayments, and ensure regulatory and contractual compliance. This Senior Payment Integrity Program Development Specialist also assesses existing pre and post payment audit programs to enhance fraud, waste, and abuse (FWA) detection, while guiding cost avoidance improvements across Payment Integrity operations.
Quality Control Representative AHMC HealthcareQuality Control RepresentativeAnaheim, CaliforniaMaintains effective working relations with coworkers, case management, nurses, physicians, and other hospital staff members in order to ensure workflow effectiveness. Relates in a professional and friendly manner with all customers by: identifying themselves; using courteous tone of voice; uses telephone etiquette despite pressure and conflicts or heavy volume of calls.